NHS England introduced a new nationwide system for purchasing HCTED used in specialised services. Implementation roll out started in April 2016 and it is expected that the new approach will see savings of over £60 million reinvested into the NHS in its first two years.

For more information on the new system, including detail of the devices it will cover visit: NHS England website

As part of this development, a single national approach for purchasing and supplying these devices has now been agreed between NHS England and NHS Business Services Authority. The new system for Provider Trusts to order devices for specialist services will be operated by NHS Supply Chain.

Working to a defined engagement process

Provider Trust champions will be required to provide details of departmental leads to support engagement and category implementation.

Designing a bespoke trust work plan
Continuous Improvement Programme

A continuous improvement programme has been developed as part of the implementation roll-out of the new operating model to Provider Trusts. This will ensure good practice is shared, with key learnings and improvements captured and importantly incorporated into future programme developments.

Example: Sharing good practice through the post implementation survey.

Provider Trust: The Newcastle Upon Tyne Hospitals NHS Foundation

Category implemented: Bone Conducting Hearing Implants (BCHI)

Tips to success:

  • Support your NHS Supply Chain Implementation Manager, communication is key to a smooth transition
  • Secure buy-in to the new model from your clinicians and nursing staff
  • Ensure your purchase order data is correct.

Download our latest Continuous Improvement Programme update for more details.

Phasing and next steps

You will have been advised by NHS England when NHS Supply Chain will be contacting you with regards to implementation planning. The initial dialogue will focus on five stages across information exchange and the establishment of communications between the team and the identified leads in each trust.

  • Working through the contract baseline submission trusts made, including any arrangements that extend beyond 31 March 2016
  • The full range of devices and suppliers used by the Provider Trusts
  • Estimated annual volumes of devices for 2017
  • Any material stock levels purchased during 2016/17
  • Any high-cost tariff-excluded devices currently commissioned by CCGs.
Bespoke transactional reporting

We are pleased to announce that a new Transactional Report (TR33) is now live and available to trusts to self-serve through our website in support of the NHS England High-Cost Tariff-Excluded Devices (HCTEDs) programme.

This report will give you information about your transactions on HCTEDs through the Zero Cost Model and can be used to aid completion of your Financial Reconciliation Process submission each month.

The report will be available in excel format and will be updated on a weekly basis. You can access the report by logging on to our website and selecting TR Reports on the right hand sidebar http://www.supplychain.nhs.uk/ 

If you require any further information about the report, then please contact your relevant trust Implementation Manager.


The following NHS Supply Chain frameworks include devices covered by the new system:

  • Cardiac Surgery, Cardiac Rhythm Management, Diagnostic & Interventional Consumables and Associated Products 
  • Audiological Implantable Devices
  • Neuromodulation
  • Musculoskeletal (MSK).

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