royal surrey county hospital staff parking

Weekly tickets are available for 15. The mobile app is available to download to any Apple or Android device. 6' 8" Pacific Rim Center. If you need to usea wheelchair while you are here, you will find these just inside the main entrance. Send email. (provided by South Central Ambulance Service) Royal Surrey County Hospital, Egerton Road, Guildford, Surrey, GU2 7XX. Dr Afolake Bewaji. The situation is spiralling out of control.. She said: Patients are our priority and we had to reduce the number of staff parking on site to ensure there is enough space in our public car parks. Visit website. Print this page Something went wrong, please try again later. For information on cookies and how you can disable them, please read our cookies policy. After 12 months of free visitor/patient parking at our Guildford site, from 1 April 2021 we are re-introducing visitor/patient parking charges. There is not a/are not Blue Badge parking bay(s) available. She said: I have handed in a petition, which has 430 signatures on it. Visit website. Income generated from parking funded the bus terminal at the Main Entrance and other green travel initiatives. Dr Andres Acosta. Alternatively, outside these hours, HC5(T) forms will also be available from outside the Cashier's Office to reclaim costs via post. The nearest designated Blue Badge parking bay is approximately 6m (6yd 1ft) from the St Luke's Wing Level A entrance. View on a map. Or by navigating to the user icon in the top right. Dr Jean Arokiasamy. At Indigo Urgent Care in Shoreline, our skilled providers can treat your minor illness or injury and get you on your way to feeling better, fast. Parking administration The hospital system allows people to pay on card as well as cash. The taxi ranks in Guildford are situated at the railway station, adjacent to the Friary shopping centre and at the top of the High Street. There are parking charges for the hospital car park. Outpatients 4 (ECG) Royal Surrey County Hospital, Egerton Road, Guildford, Surrey, GU2 7XX. Assistance may be required because there is/are slopes/ramps. This website uses cookies to improve your experience. The Blue Badge bay(s) is/are clearly marked. The pay machines take change, notes, debit and credit cards. You need to catch route five to the hospital and route four back into Guildford Town Centre. Staff were called 'belligerent . Prime plc has successfully achieved financial close on two projects on a shared plot of land close to Royal Surrey County Hospital. Payment machines are located at the front of the car park. Thereare frequent train services from many of the surrounding areas to Guildford. These costs can be claimed as a cash payment at the hospital Cashier's Office during opening hours of Monday-Friday, 9.00am-1.00pm provided you produce evidence of eligibility. How do I complete (fill in) my Hospital Passport? Some workers are now saying they will refuse to pay the 80 fine for parking in non-marked bays and surrounding routes on the hospital site. All rights reserved. The spokesman said: This hasnt been forced on staff. 01483 571 122. 01483 571 122. V3T 5X3 Email Parking Administration CpAW - Hospital Passport (This is me: My Care Passport), Patients with Learning Disabilities and / or Autism. View on a map. Download the information leaflet for full details of the new visitor and patient car parking system. For more information about buses click here. If you have a concern about unlawful parking, please contact Shoreline Police using the contact information on the right side of this page. bank holidays) The dropped kerb does not have tactile paving. We have recently made changes to improve staff and visitor car parks at East Surrey Hospital with the introduction of an Automatic Number Plate Recognition (ANPR) system. M25 and A3 drivers face 28-mile diversion as overnight closures start, Roadworks will lead to slip road and roundabout closures this month, Gogglebox's Simon Minty left 'bereft' after being 'ready to go', He made the heartbreaking admission on Twitter and and was left "more disappointed than annoyed", Incompetent Virginia Water pharmacy where people wait over a week for prescriptions they never receive, Staff were called 'belligerent' and customers resort to making a 'nuisance' to get their prescriptions, Epsom and St Helier NHS trust has to claw back 2m in salary overpayments, Some people are continuing to be paid after they left a role at Epsom and St Helier NHS Trust, Dorking takeaway which made man 'violently sick' says it does not serve raw chicken, William Swartz was not aware of Royal Chicken and Pizza's 1/5 food hygiene rating when he made an order last month, Surrey home with roots to Tudor era and in one of the best places to live on sale for 1.75 million, The cottage has a hefty price tag behind it but it is certainly a unique place to live in one of Surrey's most sought-after places to live, St Helier hospital A&E doctor gave medication with peanut oil to patient with allergy, The hospital A&E doctor "didn't think" the cream contained nut oil, Driver taken to hospital after M3 crash involving four cars, The vehicles collided on the approach to the Camberley exit and witnesses are being sought, I compared Bisto gravy to Tesco, Asda, Aldi, Lidl, Sainsbury's and tub three times cheaper was better, Laura Nightingale taste-tested supermarket gravy after discovering a large tub of Bisto cost 5.50, Surrey weather: Met Office, BBC Weather and other forecasters agree when snow will fall next week, An Arctic blast is heading towards the UK with a Met Office yellow weather warning for snow and ice in place for northern parts of the UK, Sneak peek inside Chessington World of Adventures as constructors build new rollercoaster, World of Jumanji is set to open on May 15, The Surrey commuter town with an unusual pyramid cave hidden by shops, The amazing structure can be found in the castle grounds, Surrey's most booked spa days perfect for Mother's Day, Surrey has a vast selection of gorgeous spas and wellness centres to choose from, whether its in the countryside or a quaint town but make sure you book quick - the following spa venues are highly sought after, Remains of baby in Constance Marten case were found in a plastic bag under nappies in a shed, court told, Constance Marten and Mark Gordon have appeared in court, Fried chicken fan warns to 'stay away' from Surrey takeaway after becoming 'violently sick', High Court grants Dunsfold oil drilling judicial review, The review was allowed on 'consistency of decision making' and the importance of outstanding natural beauty, Coppa Club to open Guildford restaurant in former Gap store this spring, Excitement is building for the launch of The Guildford Townhouse, Epsom College headteacher and daughter died of shotgun wounds - inquest hears, Emma Pattison and her daughter Lettie died on the grounds of Epsom College on February 5 with a gun registered to husband and father, George Pattison, Latest on Guildford 1,500 home urban village after multi-storey car park decision, A new Guildford Borough Council depot was approved on the site, Police seize 'horse on the loose' found free on Surrey streets for second time, The horse had been reported on the loose twice, Girl, 14, airlifted to hospital after Farnham crash involving car and pedestrian, The teenager was flown to hospital where she remains in a critical condition, Surrey's road crash hotspot where there are five smashes a week, Government data has revealed the area where the most collisions were recorded, Woking homes facing low water pressure after second burst pipe within 8 days, Affinity Water has apologised to customers for the disruption, Parents overjoyed as new Dorking SEND school approved, For families in Dorking, the nearest school which specialises in support their childrens' needs is 19 miles away for girls and 16 miles away for boys. Anxiety or depression? This is to allow improved management of our car parks, meaning that there will be more spaces for visitors/patients and no unauthorised parking. Once all seven credits have been used, you will need to purchase a new seven day pass from the machine following the same process. Indigo Urgent Care is a part of MultiCare and takes most major health insurance plans. Please enter Patient Mobile Number in this format 555-555-1212, Please Read and Consent To Conditions for Treatment & Financial Disclosures. Guildford and Waverley Alliance workforce group, Minor Injuries Unit (MIU) Haslemere Hospital, For more information about buses click here, Click here for local bus services and timetables, You can read Surrey County Council Bus Routes here, ou can access Cycle Guides for the Surrey County Council website here, Click here for information on getting here, Stagecoach route 1 (via Surrey Sports Park / University of Surrey). (425) 434-4231. Multi-storey Car Park. Lisa Mody, cardiac technician andUnison representative at the Royal Surrey, saidstaff were "fuming" overthe changes to parking prices. All visitors are asked to park in the visitors/public car parks. The Blue Badge bay(s) markings are faded. A thoughtfully designed experience from the moment you walk in the door. WORKERS at the Royal Surrey County Hospital are getting to work two hours before their shifts start to try to get a parking space. As this is a Royal Surrey County Hospital initiative, lockers must be booked directly through the hospital, rather than through Cycle . ST LUKES CAR PARK Key from Portsmouth A3 (A31) from London A3 (M25 ) Tesco Supertore EXIT Royal Surrey County Hospital DISABLED PARKING A&E, DROF OFF & BUS STOP. Print this page There is not a payment machine at a convenient height for wheelchair users. Royal Surrey County Hospital - Car Park Gill Ave Now 2 hours Filter Royal Surrey County Hospital Not Covered - 271 spaces Visitors only 4.60 2 hours Get Directions GroupNexus Limited Royal Surrey County Hospital Gill Ave Guildford GU2 7XX +44 1483 571122 https://www.royalsurrey.nhs.uk/getting-here - Advertisement - Prices Mon-Sun - All day St Lukes Cancer Centre also handed in a petition containing 91 signatures. The changes have also led to 145 additional parking spaces for staff and improved lighting in the car parks.. Or by navigating to the user icon in the top right. East Surrey Macmillan Cancer Support Centre. If you would like to purchase a seven day pass, this option can be selected on any of the available machines. Sign up to our free email alerts for the top Guildford stories sent straight to your e-mail. The hospital does have a dedicated car park. Back to top of page To come to the main entrance, please continue straight at the traffic lights onto Gill Avenue and follow the road signs for the car park entrances. 9RAG8:o/9LCJX,T]aRsdR@:6R/@e5H8>n t{>VFE!7P HQw~N =a'bLBL7W~GfziBpVyv]Z\@ciK(Y@.tAaiK])h]tk[u5c1.a%0'x",8y|@4.0.l2x+*=tig0z4N|Sve7(Q_?[AyY@j6mze*!ewvq6yCuF{ql7c>+8SlG[U(lq:p;=r[5Z]wZ8U . 8 0 obj There are further disabled parking spaces located within the visitors car park where the normal car park tariff applies. Safeguard Buses operate a regular service to Royal Surreyfrom GuildfordTown Centre, via the train station, with buses running every seven or eight minutes. However, only 1,800 applications have been made to the car parking team and the hospital has 2,900 permit holders. There is/are 10+ designated Blue Badge parking bay(s) within the hospital car park. People are actually coming to work early sometimes at 7am just to get a space and then have their breakfast in the car. Cookies help us improve your website experience. Alastair Knowles, chairman of the Ashenden Residents Association, said the parking issues at the hospital were likely to compound problems for residents living in nearby streets. Guildford Borough Council's planning committee approved. Please call ahead or schedule an appointment in advance if you need a COVID test. GU2 7XX. The dimensions of the designated Blue Badge parking bay(s) surveyed are 261cm x 522cm (8ft 7in x 17ft 2in). A multi-storey car park (MSCP) to serve hospital staff and the new GenesisCare Cancer Centre will soon begin construction after receiving planning permission from Guildford Borough Council earlier this year. Royal Surrey County Hospital - Car Park A. Gill Ave. Guildford. Patients who fall under this category will be issued a permit by the St Lukes Cancer Centre. Royal Surrey County Hospital; Guildford; Real Life; St Peter's Hospital . 13450-102nd Avenue << The deadlineto apply for thepermits was last week and the new scheme was due to be brought into effecton Friday (October 1). View photos. We cant stop them. Guildford and Waverley Alliance workforce group, Minor Injuries Unit (MIU) Haslemere Hospital. /BitsPerComponent 8 Our virtual hospital video consultations, Our virtual hospital telephone consultations, Support for patients with learning disabilities, Occupational health and wellbeing services, New x-ray facilities bring numerous benefits to local people. There is a freephone link from the hospital to City Cabs. /Filter /FlateDecode Please visit, In-person Primary Care is unable to see patients with your selected insurance at this time. The Press Centre is open from 9am to 5pm, Monday to Friday. Book an appointment for your essential health needs. Send email. /Width 175 Royal Columbian Hospital Surrey Memorial Hospital Parking Enquiries Telephone: 604-930-5440 Monday - Friday, 8:00 a.m. - 4:00 p.m. One worker, who spoke on condition of anonymity, said he would contest the enforcement notices in court if it came to it. A spokesman for Royal Surrey said: "Royal Surrey County Hospital is committed to improving its car parking facilities and after listening to feedback from patients, visitors and staff we were delighted to introduce a new cashless payment system earlier this month. STAFF CAR PARK 02. Site map. VISITORS CAR PARK SOCIAL CLUB UNIVERSITY SPORTS FACILITY Royal Surrey County Hospital Site Map MAIN ENTRANCE . If you do come by car, please allow extra time to park before your appointment. There is not a level turning space (minimum 185cm x 210cm) in front of the payment machine(s). This means that we may include adverts from us and third parties based on our knowledge of you. Parking administration Suite 100-Central City Tower 13450-102nd Avenue Surrey, B.C. The car park is located behind you as you are facing the main entrance. Surrey Cycle Guide No. How do I complete (fill in) my Hospital Passport? The deadline at the hospital for the new parking permits has been extended until November 1 to allow people to apply before the charges are brought into effect. There is not a designated drop-off point. Our team of nearly 45,000 staff, medical staff and volunteers is dedicated to serving our patients, families and communities to deliver on our vision: Better health, best in health care. 4 provides a map showing recommended cycling routes and locations of cycling facilities in Ash, Farnham, Godalming, Guildford, Puttenham, Tongham and Worplesdon. If you want to address recurring health concerns or want a longer appointment, book a primary care visit. The changes were brought in without much consultation and have created an awful lot of bad feeling between staff and management, another staff member said. A fast, frequent service is available with trains running approximately every 20 minutes. Email this page "Patients/visitors are required to check-in their vehicle to a car parking bay at one of our new machines when they arrive and then check-out when they leave.". 01483 571 122. Find parking costs, opening hours and a parking map of all Harborview Medical Center parking lots, street parking, parking meters and private garages . Preventative care and medication refill via video. For information on cookies and how you can disable them, please read our cookies policy. STAFF CAR PARK VISITORS CAR PARK UNIVERSITY SPORTS FACILITY Royal Surrey County Hospital Site Map MAIN ENTRANCE THE SURREY RESEARCH PARK TESCO SUPERSTORE from Guildford & A3 07. Get Directions. If youve searching for a better way to get better, check out Indigo Urgent Care in Shoreline. 13 min. A spokesman for Royal Surrey said: "Royal Surrey County Hospital is committed to improving its car parking facilities and after listening to feedback from patients, visitors and staff we were . Royal Surrey County Hospital; Haslemere Hospital; Minor Injuries Unit (MIU) Haslemere Hospital; Milford Hospital; Cranleigh Village Hospital; St. Luke's at Royal Surrey; Who we are Our mission, vision and values; Our achievements; Our divisions; Our quality improvement programmes; Armed Forces Covenant Gold Employer; Our Council of Governors . 40,000 - 50,000 a year. Fraser Health is responsible for the delivery of hospital and community-based health services to over 1.9 million people in 20 diverse communities from Burnaby to Fraser Canyon on the traditional, ancestral and unceded territories of the Coast Salish and Nlakapamux Nations, and is home to six Mtis Chartered Communities. View Accessibility Symbols. This webpage is a place to view plans, learn more about the need for the new development and to keep up to date with progress on the project. Hours per week: *37.5-40 hours per week. The spokesman added instructions are available in the car parks and staff are "on hand to assist" with the new machines. Patients who fall under this category will be issued a permit by the St Lukes Cancer Centre. Waiting for an appointment, procedure or test? Drivers can also pay using a "pay by mobile" app, although an option to pay and display is still available. Send email. On street parking regulations and restrictions are available for review online in Shoreline's Model Traffic Ordinance.. This website uses cookies to improve your experience. The buses run at different frequencies at weekends and on public bank holidays. /Height 50 01483 571 122. Staff members, who have had to pay around 240 for a. V3T 5X3. Latest on Guildford 1,500 home urban village after multi-storey car park decision . For further information contact the 24 hour Passenger Information line on08457 484 950. . Were Indigo Urgent Care and were proud to serve you, Shoreline! Pharmacist (Hospital Outpatients) RSCH Pharmacy Ltd. Guildford GU2. A spokesman for the hospital said the number of warnings issued to staff had actually reduced from 131 in January 2011 to 26 in May 2011. The new system, launched on Monday (March 6), allows visitors to pay on exit instead of putting the money in the machine when they arrive. We use your sign-up to provide content in the ways you've consented to and improve our understanding of you. The car park does not have a barrier control system. The Allergy and Clinical Immunology Unit is a regional centre serving the population of Surrey, Berkshire and neighbouring areas. These are in-person visits with a medical provider or nurse. We also may change the frequency you receive our emails from us in order to keep you up to date and give you the best relevant information possible. on the right to withdraw consent, can be found in the website's privacy policy. Closed Today. /ColorSpace [/Indexed /DeviceRGB 255 9 0 R ] However, workers say the park and ride bus service is only offered in some areas between certain times, which do not suit everyone working at the hospital many who need to travel in cars. Payment signs are located at the payment machines in the car park. Patient Transport Services Royal Surrey NHS Foundation Trust has one acute site and two community hospitals located in Surrey, which serves a population of more than 330,000 across south-west Surrey for general hospital services and some areas of specialist complex care. There is/are 8 designated Blue Badge parking bay(s) within the hospital car park. One member of staff said: It is not like we are there to have fun, we are there to do a job. The nearest designated Blue Badge parking bay is approximately 40m (43yd 2ft) from the Main Hospital entrance. Royal Surrey County Hospital Mill Creek. Egerton Road Parking for Oncology patients undergoing treatment, who attend the hospital more than three times per month, is also free. Copyright 2023 AccessAble. Site map. Hey, there! The Princess of Wales visited the Royal Surrey County Hospital's maternity unit to hear how it supports pregnant women and new mothers. But there is a plan to improve parking for everyone on the surface car park, by building a multi-storey facility specifically for hospital staff, increasing capacity from 406 to 600 spaces.. Guildford Train Station is on the main line between London Waterloo and Portsmouth, with Reading and Dorking connections. The pass is valid for seven separate sessions and not multiple exits on seven different days. Something went wrong, please try again later. GU2 7XX*. The news comes after the latest price rise at the car park. Send email. A new "cashless" payment system has been launched at Royal Surrey County Hospital's car parks. Let us introduces ourselves. One of the aims of the change to pricing is to provide 60 additional spaces for patients at the hospital. We have tried to consult with them as much as possible. Currently we are paying just over 19p a day to not have a guaranteed space to park and its going to increase hugely. For a full list, check out our conditions we treatpage. As always you can unsubscribe at any time. We have a few car parks around our Guildford site for patients and visitors to park in, with the main car park directly outside the front of the hospital. If you are on income support or low income you may qualify for reimbursement of some or all of the costs of travelling to your appointment, including the expenses of any escort if the hospital has recommended that you have one. What is an operating department practitioner? There are two public parking areas for visitors and patients at East Surrey Hospital: Download the East Surrey Hospital map to see where our visitor car parks are located. There is a dropped kerb from the drop-off point. View photos. Parking for Oncology patients undergoing treatment, who attend the hospital more than three times per month, is also free. Surrey, B.C. From the train station it is possible to travelto the hospital either by bus or taxi. In order to cater for visitors that either wish to spend an extended period of time with a patient, or have repeated visits to a patient, a seven exit pass can be purchased. M25 and A3 drivers face 28-mile diversion as overnight closures start, Roadworks will lead to slip road and roundabout closures this month, Gogglebox's Simon Minty left 'bereft' after being 'ready to go', He made the heartbreaking admission on Twitter and and was left "more disappointed than annoyed", Incompetent Virginia Water pharmacy where people wait over a week for prescriptions they never receive, Staff were called 'belligerent' and customers resort to making a 'nuisance' to get their prescriptions, Epsom and St Helier NHS trust has to claw back 2m in salary overpayments, Some people are continuing to be paid after they left a role at Epsom and St Helier NHS Trust, Dorking takeaway which made man 'violently sick' says it does not serve raw chicken, William Swartz was not aware of Royal Chicken and Pizza's 1/5 food hygiene rating when he made an order last month, Surrey home with roots to Tudor era and in one of the best places to live on sale for 1.75 million, The cottage has a hefty price tag behind it but it is certainly a unique place to live in one of Surrey's most sought-after places to live, St Helier hospital A&E doctor gave medication with peanut oil to patient with allergy, The hospital A&E doctor "didn't think" the cream contained nut oil, Driver taken to hospital after M3 crash involving four cars, The vehicles collided on the approach to the Camberley exit and witnesses are being sought, I compared Bisto gravy to Tesco, Asda, Aldi, Lidl, Sainsbury's and tub three times cheaper was better, Laura Nightingale taste-tested supermarket gravy after discovering a large tub of Bisto cost 5.50, Surrey weather: Met Office, BBC Weather and other forecasters agree when snow will fall next week, An Arctic blast is heading towards the UK with a Met Office yellow weather warning for snow and ice in place for northern parts of the UK, Sneak peek inside Chessington World of Adventures as constructors build new rollercoaster, World of Jumanji is set to open on May 15, The Surrey commuter town with an unusual pyramid cave hidden by shops, The amazing structure can be found in the castle grounds, Surrey's most booked spa days perfect for Mother's Day, Surrey has a vast selection of gorgeous spas and wellness centres to choose from, whether its in the countryside or a quaint town but make sure you book quick - the following spa venues are highly sought after, Remains of baby in Constance Marten case were found in a plastic bag under nappies in a shed, court told, Constance Marten and Mark Gordon have appeared in court, Fried chicken fan warns to 'stay away' from Surrey takeaway after becoming 'violently sick', High Court grants Dunsfold oil drilling judicial review, The review was allowed on 'consistency of decision making' and the importance of outstanding natural beauty, Coppa Club to open Guildford restaurant in former Gap store this spring, Excitement is building for the launch of The Guildford Townhouse, Epsom College headteacher and daughter died of shotgun wounds - inquest hears, Emma Pattison and her daughter Lettie died on the grounds of Epsom College on February 5 with a gun registered to husband and father, George Pattison, Latest on Guildford 1,500 home urban village after multi-storey car park decision, A new Guildford Borough Council depot was approved on the site, Police seize 'horse on the loose' found free on Surrey streets for second time, The horse had been reported on the loose twice, Girl, 14, airlifted to hospital after Farnham crash involving car and pedestrian, The teenager was flown to hospital where she remains in a critical condition, Surrey's road crash hotspot where there are five smashes a week, Government data has revealed the area where the most collisions were recorded, Woking homes facing low water pressure after second burst pipe within 8 days, Affinity Water has apologised to customers for the disruption, Parents overjoyed as new Dorking SEND school approved, For families in Dorking, the nearest school which specialises in support their childrens' needs is 19 miles away for girls and 16 miles away for boys. Some of the most common conditions treated online include: Download PDF Version of the Acknowledgment of Conditions for Treatment & Financial Disclosures. Traffic Services is responsible for managing signed parking restrictions on public streets in Shoreline. View Accessibility Symbols. The route from the car park to the hospital entrance is clearly signposted. You can access Cycle Guides for the Surrey County Council website here. Staff members, who have had to pay around 240 for a parking permit since last December, have said the situation is spiralling out of control. Details of eligibility can be found in the HC12 booklet available from the Cashier's Office. Disabled parking in these areas is free. The hospital staff are coming to park here now too. southway Beecwcrove . "The new system allows visitors to pay on exit, so that they are only charged for the time that they have been parked and do not have to worry about topping up during their visit. Urgent Care. Any questions? This is a new system that uses a camera to read your number plate when you enter the car park and is in operation across all entrances and exists to the hospital car parks. CP Plus, the private company managing the carpark, and issues tickets declined to comment, but its website said: We, as frontline suppliers, know only too well that invariably it is hospital staff who are the worst offenders when it comes to parking misuse. 4.60 2 hours. 07. We also may change the frequency you receive our emails from us in order to keep you up to date and give you the best relevant information possible. Outpatients 2 (Fractures & Orthopaedics) Royal Surrey County Hospital, Egerton Road, Guildford, Surrey, GU2 7XX. We offer nasal swab and antibody testing. Parking for Oncology patients undergoing treatment, who attend the hospital more than three times per month, is also free. The dimensions of the designated Blue Badge parking bay(s) surveyed are 203cm x 480cm (6ft 8in x 15ft 9in). $8 2 hours. We inspected services based at the acute site, Royal Surrey County Hospital, based in Guildford. Light-filled spaces that soothe whatever ails you. More and more staff are taking up the park and ride permits and we are doing more to encourage staff to cycle to work and use public transport. Treat minor illnesses and injuries right away. Ms Mody added that communication between management and staff on the issue had not been adequate. The hospital entrance is not clearly visible from the car park. We use your sign-up to provide content in the ways you've consented to and improve our understanding of you. Site map, Hospital Main Number (Switchboard) Payment machines are located inside the hospital building and throughout the car park. >> COVID-19 testing is available at Indigo Urgent Care in Shoreline. The car park does not have a height restriction barrier. Mr Knowles said: We already have a problem with students from the university coming here to park. Nearly 90% of our visitors pay only the basic charge for two hours, which is competitive with other similar organisations in the South East, and there are arrangements to assist those paying more in certain circumstances.