The marginal rate rule operates as a national variation to national prices the details of which are set out in section 6.3.1 of the 2014-15 National Tariff Payment System, which continues to have effect until the next national tariff is published.

Under the rule, commissioners are required to publish details of their plans for the investment of retained funds under the marginal rate rule.   Overall, commissioners must set aside sufficient budget to pay for 100% of the cost of emergency admissions and then spend the retained 30%  on schemes to support the management of demand for emergency care.

 

NHS North Norfolk CCG MRC investments for 2015/16 are as follows:

30% MRC Investments as at 15/16
	North Norfolk £000's
NFS  Falls Service and Crisis Respsonse	288
Community IV Service	103
Integrated Care Co-Ordinators	280
Care at Home team	232
Community Matrons	150
Home Based Therapy	239
Tracheostomy Service	52
	1,344
MRC Value in Agreed 15/16 Contract	1,336
Difference in Investment shown to MRC value	(8)