Specialist top-ups are payable across nine areas of treatment. In 2007-08, all hospitals were eligible for specialist top-ups when they had provided these services. In 2008-09, all providers are still eligible for specialist top-ups for non-specialised child-related, colorectal and orthopaedic activity. The list of providers eligible for all other specialist top-ups was published within the national tariff on 13 December 2007. Copies of the list have been placed in the Library.
In addition, strategic health authorities have the flexibility to agree the payment of specialist top-ups to a wider range of providers than those on the list, when a commissioner can make a compelling case for inclusion.
Data are not collected centrally on how much each trust received in specialist top-ups.