Process & Policy Documents

Policy Documents


Agreement of Balances Guidance 2022-23 - provided by DHSC and NHS England/Improvement, March 2022

ETCs - Guidance on the national management model for England v2 - provided by NHS England, March 2022

ETCs - Guidance on the national management model for England - provided by NHS England, September 2021

Existing ETC funding letter FINAL - Provided by NHS England, 12 February 2019

Guidance on the national ETC management model for England


NHS England (NHSE) guidance published in September 2021 provides the framework for how ICB (formerly CCG) commissioned studies which incur ETCs are paid, and sets out the provider types which can utilise the national payment system. The purpose of the guidance is to assist researchers navigate the ETC system.


Visit the NHS England website to read Excess treatment costs: Guidance on the national management model for England.

Please contact etc.helpdesk@nihr.ac.uk if you require any assistance.