Welsh Government

Excess Treatment Costs and Support Costs

Understanding the costs of non-commercial research

In 2012, a guidance known as Attributing the costs of health and social care Research and Development (AcoRD) was released which provided greater clarity on attributing the costs of health and social care research studies. Based on AcoRD, funding for the costs of non-commercial research is met from a number of sources. Researchers wishing to access funding for their research must therefore attribute the costs across three categories:

Research costs - covered by the research funder (some exceptions for certain charity funders)

Support costs - covered by the NHS local support and delivery funding for secondary care and via a centralised budget for primary care Wales, public health, emergency care and social care

Treatment costs - standard care covered by normal commissioning arrangements and a centralised budget for ‘Excess Treatment Costs’

AcoRD provides specific examples of these costs and provides detailed guidance on how to attribute all the costs of health and social care research for non-commercial research.

SoECAT (Schedule of Event Cost Attribution Cost)
Since October 2018, all researchers applying for certain clinical research grants are required to complete a (SoECAT) as part of the grant application process. This allows funders to receive reassurance that the cost activities within the study have been attributed correctly in line with AcoRD. For more information, please contact our AcoRD specialists.


Centralised Budgets – Excess Treatment Costs & Support Costs

Health and Care Research Wales Support and Delivery Centre manages two centralised budgets to cover Excess Treatment Costs (ETCs) and Support Costs (SCs) (SCs for primary care, emergency care, Public Health Wales and social care). Non-commercial studies that are eligible to apply for ETCs & SCs are added to the Health and Care Research Wales Portfolio. The eligibility assessment for portfolio adoption is performed by the Health and Care Research Wales portfolio team and specialty subject specific experts.


Local Support and Delivery Funding

Welsh Government’s local support and delivery funding is a fixed amount allocated across the NHS organisations in Wales annually which is underpinned by the Delivery Framework - Performance Management of Local Support and Delivery Services 2019/20. The local support and delivery funding is a proportion of the total funding invested in the research infrastructure in Wales and is intended to support the increase of high quality research activity in the NHS. More information about the delivery framework and local support and delivery allocations can be found on the NHS R&D funding policy page.