High-Cost Tariff-Excluded Devices

NHS England introduced a new nationwide system for purchasing and supplying High-Cost Tariff-Excluded Devices (HCTED) used in specialised services in April 2016. It is expected this new approach will see savings of up to £100 million freed up for use in the NHS following the full migration of all NHS Providers.

This single national approach for purchasing and supplying these devices is agreed between NHS England and NHS Business Services Authority, now Supply Chain Coordination Limited (SCCL). The new system for NHS Providers to order HCTEDs for specialist services is operated by NHS Supply Chain.

This change is taking place in the context of a wider strategic change in NHS procurement for all goods used in hospitals, as set out in the Department of Health and Social Care’s Procurement Transformation Programme (PTP) – which articulates a similar national procurement approach in the new NHS Supply Chain Operating Model.

See our Useful Links 🔗 section for more information on the new system, including detail of the devices it covers on the NHS England website.

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.

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:

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
    Aneurysm coils
    Flow diverters for intracranial aneurysms
13. Intracranial stents
14. Lengthening nails for limb reconstruction and circular external fixator frames
15. Total Orthopaedic Solutions

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