Information for Commissioners
Commissioning your Specialist Neuro-Rehabilitation Service
What are Specialist Neuro-Rehabilitation Services?
Specialist Rehabilitation Services are defined by the NHSE service specification D02, ie D02 Service Specification for Specialist rehabilitation patients with highly complex needs . When ICBs take over the commissioning of specialist rehabilitation services from 1st April 2024, they will be responsible for ensuring that those services are delivered to the national standard according to the above service specification D02.
NHS Payment Scheme
Between 2013 and 2023
Level 1 and 2a services have been commissioned centrally by NHS England under the D02 Service Specification for Specialist rehabilitation patients with highly complex needs
Level 2b services were commissioned by their local Clinical Commissioning Group (CCG)
For list of Level 1 and 2 services in England, please click here
From April 2024 onwards:
Commissioning of specialist rehabilitation is being devolved to the local Integrated Care Boards (ICBs).
NHS England remains responsible for the service specification and for ensuring that patients with complex needs receive the specialised services they require
Over time, service specifications are likely to become more outcomes-focused.
Mandated Commissioning Currency - WBD
NHSE has implemented a multi-level mandated weighted bed day (WBD) commissioning currency for specialist rehabilitation services along with guide prices:
The guide prices published in the NHSPS 23-25NHSPS_Annex-A-23-24-prices-workbook-v1-1.xlsx workbook (sheet ‘8 Other guide prices’) are WBD prices
The WBD commissioning currency is operationalised through the UK ROC dataset
The currency is the weighted bed day (WBD) – based on a 5-tier structure, in which a set of five weighting factors are applied to the standard per diem rate
For simplicity, the multi-level WBD currency is expressed in terms of a single WBD figure for activity with a single WBD costs
For further information on the above, please read this brief Commissioning pdf
How to calculate the WBD currency
UK ROC has developed a basic Tariff Calculator using Excel that allows for the easy conversion of Occupied Bed Days (OBD's) into the mandated currency of Weighted Bed Days (WBD's).
Please feel free to use the Tariff Calculator (2023/24) or contact UK ROC (LNWH-tr.ukroc@nhs.net) for help (eg to ask for the complexity profile of the Service, etc).
UK ROC ICB Service reports
UK ROC has compiled introductory regional reports for ICBs outlining their Specialist Neuro Rehabilitation Services. We hope that these documents will be useful as ICBs plan for the provision of these services both regionally and nationally. These reports contain only a small subset of the information within UK ROC. Please do contact UK ROC (LNWH-tr.ukroc@nhs.net) for further information if required.