NHS payment system

The National Tariff is a shared responsibility between NHS England and NHS Improvement.

NHS England has a duty to specify those healthcare services for which it thinks a national price should be used, and NHS Improvement has the duty to set that price. The National Tariff specifies rules governing not only how nationally set pricing will work, but also how local price-setting must operate.

While NHS medical services are free at the point of use for the patient, the system is taxpayer funded. The NHS payment system must deliver more and better health care for the foreseeable future within the level of funding available.

This page brings together all relevant publications relating to our work on the NHS payment system.

Recent publications

Related links