Responsibility for paying for NHS care

Who Pays? sets out the framework for establishing which NHS commissioner will be responsible for commissioning and paying for an individual’s NHS care. This updated version of Who Pays? clarifies the responsibility for funding NHS services for overseas visitors; sets a new rule on determining which integrated care board is to be responsible for paying a trust to provide diagnostic services at designated community diagnostic centre sites; and provides updated guidance to reflect changes in specialised commissioning arrangements from 1 April 2024.

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