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RAS - resource allocation system (social care) The Resource Allocation System (RAS) is designed to be a fair funding system and to allocate money from adult social services. The RAS works against a set of strict guidelines to ensure it remains fair. It relies on a scoring system based on answers given to a series of questions and then places people within a series of funding bands.   Reference costs These are used in calculating the tariff. They are average costs for providing a defined service in a given financial year. They cover a broad range of NHS treatments and clinical procedures and have been collected since 1998. Their main purpose is to provide a basis for comparison within (and outside) the NHS between organisations, and down to the level of individual treatments. The 2008/09 costs show how £48 billion was spent. Each Trust has a Reference Cost Index – the lower the score, the higher their relative efficiency. Eg a score of 92 means costs are 8% below the average, a score of 125 means that the costs were 25% higher than the national average. The RCI is adjusted for the same market forces factor as the tariff. See here.  Related Words  Tariff Referral management Centres  see Clinical Assessment Services and also BMA guidance here. Related Words  Clinical Assessment Service (CAS) and Clinical Assessment and Treatment Service (CATS) Regional improvement and efficiency partnerships (RIEPs - social care) RIEPs play a key role in supporting councils. The nine RIEPs were created in April 2008 with a three-year funding package of £185 million from Communities and Local Government. The RIEPs harness the expertise of councils to add new capacity to local government in order to accelerate the drive for greater improvement and efficiency. They build on the successful foundations laid by the former Regional Improvement Partnerships and Regional Centres of Excellence. Put simply, they help councils deliver the ambitious outcomes, set through local area agreements (LAAs), by supporting them in their efforts to become more efficient, innovative and engaged with citizens. The report ‘Leading the Way by Working Together’ demonstrates that local government has taken responsibility for its own improvement by working together at a local, regional and national level. It celebrates the achievements of the sector, illustrated with a series of recent case studies and is published July 2009. Related Words  Local Area Agreement (LAA) Right to request This is a commitment in the Next Stage Review of the NHS, published in June 2008. It enables NHS staff, specifically nurses and allied health professionals, who may be interested in establishing a social enterprise to put their proposals to their PCT board, and if approved, have their proposal supported.  See this link here for a series of 'webinars'.   Risk stratification See Combined Predictive Risk and PARR Related Words  Combined predictive risk model; Patients At Risk of Re-hospitalisation (PARR) RSL registered social landlord (housing) Registered Social Landlords are government-funded not-for-profit organisations that provide affordable housing. They include housing associations, trusts and cooperatives. They work with local authorities to provide homes for people meeting the affordable homes criteria. As well as developing land and building homes, RSLs undertake a landlord function by maintaining properties and collecting rent.