← Back

UK DHSC · UK · 8 Oct 2026 · Guidance

NHS injury costs recovery scheme: guidance for 2026 to 2027

AI-generated summary

This guidance for NHS trusts explains how to recover costs under the NHS injury costs recovery scheme for 2026 to 2027, where those responsible for causing injury pay for NHS treatment through compensation or insurance. It sets out circumstances and processes for cost recovery and how to record ICR payments in annual accounts. The guidance includes updated charges and tariffs for the 2026 to 2027 financial year and reflects a tariff increase from October 2024.

From UK DHSC

Guidance for NHS trusts on the application of the NHS injury costs recovery (ICR) scheme for 2026 to 2027.

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.

- Replaced 'Guidance on the application of the NHS injury cost recovery scheme for 2025 to 2026' with 'Guidance on the application of the NHS injury costs recovery scheme for 2026 to 2027'. The updated guidance includes the charges and tariff for the 2026 to 2027 financial year.

- Replaced 'Guidance on the application of the NHS injury cost recovery scheme for 2024 to 2025' with 'Guidance on the application of the NHS injury costs recovery scheme for 2025 to 2026'. The updated guidance includes the charges and tariff for the 2025 to 2026 financial year.

- Updated 'Accruing the income' section to include the latest 'bad debt' figures for 2023 to 2024.

- Added data for 1 April 2024 to 'NHS treatment and ambulance journey charges' table, which was mistakenly removed in the latest release.

- Updated to reflect the NHS injury cost recovery tariff increase from 1 October 2024.

- Replaced 'Guidance on the application of the NHS injury cost recovery scheme for 2023 to 2024' with 'Guidance on the application of the NHS injury costs recovery scheme for 2024 to 2025'. The updated guidance includes the charges and tariff for the 2024 to 2025 financial year.

- Updated to reflect the introduction of a mid-year tariff increase from 2 October 2023 and to update the percentage of claims that were withdrawn (bad debt figure).

- Replaced 'Guidance on the application of the NHS injury cost recovery scheme for 2022 to 2023' with 'Guidance on the application of the NHS injury costs recovery scheme for 2023 to 2024'. The updated guidance includes the charges and tariff for the 2023 to 2024 financial year and new contact details.

- Updated the page by removing the HTML guidance document covering 2021 to 2022 and adding a new document covering the period 2022 to 2023.

- Updated the percentage of claims that are withdrawn (bad debt figure) in the section titled ’Accruing the income’. Changed the Compensation Recovery Unit contact name and removed the fax number.

- Updated charges and tariff for the 2021 to 2022 financial year and changed the DHSC contact.

- Changed the 'bad debt' figure in the section titled 'Accruing the income'.

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

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

Excerpt from the official page. The original is authoritative. Continue reading at UK DHSC ↗