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|
|Home Based Therapy||239|
|MRC Value in Agreed 15/16 Contract||1,336|
|Difference in Investment shown to MRC value||(8)|