Guidance: NHS injury cost recovery scheme

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Department Of Health


This document is for NHS trusts and NHS foundation trusts who provide treatment for injuries where costs are recoverable under the NHS ICR scheme.

It sets out the circumstances and processes for recovering costs. It gives guidance on how ICR payments should be recorded in annual accounts.

The idea behind the scheme is that those responsible for causing injury to others should meet the cost of NHS treatment. NHS costs are recovered only where personal injury compensation is paid, for example after a road traffic accident. Funds recovered come primarily from a third-party compensator or insurer.

Published 2 November 2016
Last updated 29 October 2020 +show all updates

  1. Changed the ‘bad debt’ figure in the section titled ‘Accruing the income’.

  2. Replaced document with guidance for the 2020 to 2021 financial year.

  3. Replaced document with guidance for the 2019 to 2020 financial year.

  4. Update to percentage of claims that have been withdrawn (bad debt figure) in paragraphs 1.13 and 1.14.

  5. Updated DHSC contact email address in document.

  6. Replaced document with guidance for the 2018 to 2019 financial year.

  7. Replaced document with guidance for the 2017 to 2018 financial year.

  8. First published.

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