High-Cost Tariff-Excluded Devices (HCTED)

National supply system for high-cost tariff-excluded devices

Recovery of the specialised high-cost tariff-excluded devices (HCTED) programme following the COVID-19 outbreak

The HCTED programme has restarted working with NHS providers and NHS Supply Chain colleagues, throughout July and August 2020.

New migrations to the central supply route: This is an area of work that can deliver better value whilst other cost improvement initiatives may be more difficult to achieve at this challenging time.

Clinical optimisation of HCTEDs: Wherever practical clinical chairs and advisors are re-engaging with the device working groups (DWG), recognising there may have been a pause in their involvement over recent months.

Financial Reconciliation Process (FRP): The FRP process will be re-introduced on 1 October 2020. Clear guidance on the requirements of this process will be shared in advance of this.

In April 2016, NHS England Specialised Commissioning introduced a new nationwide purchase and supply system for specific categories of high-cost tariff-excluded devices.

See our Useful Links 🔗 section for information on the NHS England website.

Designing a Bespoke Trust Work Plan

Bespoke NHS Trust Work Plan

Created in collaboration with the Trust Champion to ensure a realistic and robust approach, this will provide over-arching visibility and timing for the migration of all categories that are in scope for each trust.

See our Downloads ▼ section on this page for an example PDF file showing a work plan.

Bespoke Transactional Reporting

Transactional Report (TR33) is 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 central supply route. Updated on a weekly basis, you can access the report by logging on to our website and selecting TR Reports.

If you require any further information about the report, then please contact us:

NHS Supply Chain: Orthopaedics, Trauma and Spine, and Ophthalmology Support Team

NHS Supply Chain: Cardio-vascular, Radiology, Audiology and Pain Management Team


The following HCTED categories are currently within scope of the programme:

  1. Bone anchored hearing aids – Now referred to as Bone Conducting Hearing Implants (BCHIs)
  2. Deep brain, vagal, sacral, spinal cord and occipital nerve stimulators
  3. Intrathecal drug delivery pumps
  4. ICD (Implantable Cardioverter-Defibrillator)
  5. ICD with CRT (Cardiac Resynchronisation Therapy) capability
  6. Three-dimensional mapping and linear ablation catheters used for complex cardiac ablation
  7. Radiofrequency, cryotherapy and microwave ablation probes and catheters
  8. Occluder, vascular, appendage and septal devices
  9. Percutaneous valve repair and replacement devices (mitral/pulmonary valve)
  10. Peripheral vascular stents
  11. Carotid, iliac and renal stents
  12. Endovascular stent graft
  13. Aneurysm coils
  14. Flow diverters for intracranial aneurysms
  15. Intracranial stents
  16. Lengthening nails for limb reconstruction and circular external fixator frames

Further categories that include bespoke prostheses used in orthopaedic and maxillofacial practice are currently outside the scope of the programme.

Downloads ▼