30% marginal rate rule for emergency admissions

The 30% marginal rate rule for emergency admissions - under which providers are paid less for admissions over a certain level - was introduced in 2010 following concerns over growing emergency admissions.

It was intended as a way of sharing the risk of greater admissions and encouraging NHS providers and commissioners to manage demand.

Monitor and NHS England are interested in hearing from healthcare providers and commissioners on the following questions relating to the rule:

• what has happened?
• has it helped?
• could the approach be improved?