FOI2026/2027

I am requesting information under the Freedom of Information Act 2000 concerning NHS-funded care commissioned from Ramsay Health Care/Oaklands Hospital.

1. My individual episode of care

Please provide, insofar as this information is held by NHS Greater Manchester:

The total amount invoiced to and/or paid by NHS Greater Manchester in respect of my episode of care at Oaklands Hospital/Ramsay Health Care on 30 July 2026.

The procedure/service code and description under which the episode was claimed, invoiced or paid.

The applicable tariff, package price or contracted payment rate.

Whether the payment was made as:

1. • a fixed package price;
   • payment for individual components; or
   • another payment mechanism.

Any itemised breakdown of the payment held by NHS Greater Manchester, including where applicable:

1. • consultation/pre-operative assessment;
   • surgeon/professional fees;
   • hospital/theatre charges;
   • anaesthetic fees;
   • consumables;
   • pathology/histology;
   • postoperative reviews; and
   • other clinical services.

Please confirm whether NHS Greater Manchester holds an invoice, payment record, contract transaction record or equivalent document relating to this episode.

2. Subsequent care

Please confirm whether NHS Greater Manchester has made any additional payment to an NHS or independent provider in relation to follow-up treatment, investigations, consultations, postoperative complications, reoperation or other care arising from the above episode.

If so, please provide:

• the total amount paid;
• the date(s) of payment;
• the provider(s) paid; and
• the service/procedure category for which payment was made.

I am not requesting clinical records or information about the clinical circumstances of any subsequent care.

3. Ramsay/Oaklands expenditure

Please provide the total amount paid by NHS Greater Manchester to Ramsay Health Care/Oaklands Hospital for NHS-funded care for each of the following financial years:

• 2023/24
• 2024/25
• 2025/26
• 2026/27 to date

Please provide, where held:

• total expenditure;
• number of episodes/procedures;
• relevant clinical specialty/service;
• average expenditure per episode; and
• applicable payment mechanism.

4. Contractual payment arrangements

Please provide the relevant:

• contract;
• service specification;
• pricing schedule;
• tariff;
• quality schedule; and/or
• other contractual documentation

governing NHS-funded elective surgical care provided by Ramsay Health Care/Oaklands Hospital under the relevant referral pathway in July 2026.

5. Complications and quality

Please provide the contractual provisions governing payment where an NHS-funded episode results in:

• an avoidable complication;
• unplanned postoperative review;
• readmission;
• reoperation;
• additional treatment;
• failure to meet contractual clinical standards; or
• a patient-safety concern.

Please confirm whether NHS Greater Manchester has mechanisms to:

• withhold payment;
• reduce payment;
• recover payment;
• apply contractual financial sanctions; or
• otherwise challenge payment

where commissioned care does not meet the required clinical, quality or patient-safety standards.

6. Use of those mechanisms

For each of the financial years 2023/24 to 2026/27 to date, please provide the number of occasions on which NHS Greater Manchester has:

• withheld payment;
• recovered payment;
• reduced payment;
• applied a financial sanction; or
• otherwise challenged payment

to an independent/private provider because of concerns relating to clinical quality, patient safety or inadequate care.

Please provide the aggregate financial value of any such action.

If information concerning individual invoices is not held by NHS Greater Manchester, please confirm this and provide the equivalent transaction-level or payment information that is held.

If any contractual documents contain genuinely commercially confidential information, please redact only the exempt sections and provide the remainder.

1 & 2. The Freedom of Information Act requires NHS GM to consider requests on an “applicant blind” basis, and therefore we are obliged to provide information as a response to a requestor irrespective of who the request came from. As such, we are not able to provide patient specific information as to the costs of episodes of care.

In addition, where patient level information it provided to NHS GM, it is done so on a pseudonymised basis, meaning NHS GM cannot identify an individual patient from the information provided. As such, NHS GM does not hold the information to enable it to answer questions 1 and 2.

3. A table was provided in this response – please contact nhsgm.foi@nhs.net for this table. 
4. In line with NHS GM’s 2026/27 contract negotiation and planning, the provider’s service specification, quality requirements and reporting requirements are under review.

The provider will be paid under The National Tariff Payment System for services commissioned.

5. There are established contractual remedial processes for addressing substandard care, as set out in NHSE Technical Guidance and the General Conditions. These include the issuance of a Contract Performance Notice and the implementation of Remedial Action Plans. Please refer to the mechanisms outlined in the NHS Standard Contract Technical Guidance and General Conditions which can be found at the following link NHS England » 2026/27 NHS Standard Contract
6. We are unable to provide the information because the cost of complying with your request would exceed the appropriate limit set out in Section 12 of the Freedom of Information Act 2000 however with regards to the provider in question the ICB can confirm they have not used those mechanisms