No research has been commissioned to date on the future financial position of independent sector treatment centres.
Plans for the management of contract expiry including independent sector treatment centre wave 1 contracts are being developed. Consideration of Phase 2 has not begun, as the contracts will expire between 2011 and 2017. Decisions will be taken based on local service need and value for money. All of this will be considered as part of the process.
Primary care trusts as commissioners and strategic health authorities will have an important role in taking this work forward. No other bodies are currently involved.
The total cost liability associated with the treatment of national health service patients arising from the independent sector treatment programme (ISTC) over the next five years is estimated to be £1,412 million. (This is the expected payment to ISTC Wave 1 and Phase 2 providers based on the contracted value of activity for the next five years from 1 April 2009).
There are no plans to bring national health service independent sector treatment centre (ISTC) facilities into the NHS at this stage. The ISTC providers are part of NHS capacity.