Developing the national tariff

Updates on the development of the NHS payment system, including news on payment systems in development, the current national tariff payment system and supporting information, and access to past tariffs.


Latest news

Engagement on 2022/23 finance and payment arrangements

We are running a series of engagement workshops in September 2022/23. These will cover the broader financial framework and contracting, as well as tariff and payment arrangements. You can book places now.

We are also arranging a number of topic-specific webinars and discussion meetings during September, which we will advertise as soon as possible.

Publication of the 2021/22 national tariff

The statutory consultation on the 2021/22 national tariff closed on 30 April 2021. We will confirm the details of publication of the 2021/22 national tariff as soon as possible.

2020/21 HRG4+ national costs grouper published

The HRG4+ 2020/21 national costs grouper and associated documentation is now available from the NHS Digital National Casemix Office.

The Grouper should be used to process data and produce output for the National Cost Collection for the financial year ending 31 March 2021

Payment system and COVID-19

As part of the NHS response to COVID-19, all NHS trusts and foundation trusts will move to block contract payments ‘on account’. The usual national tariff payment architecture and associated administrative/transactional processes will be suspended during this time.

Guidance on contracting and payment to support this has been published. This includes a template statement that can be used to record the departure from current payment arrangements required by the move to a block contract.

Sign up for national tariff updates

If you’d like to be notified when we publish new information on the national tariff, please sign up for our email updates.

Current payment system, guidance and support

Nominating changes to the high cost drugs and devices lists

Within the National Tariff Payment System, some high cost drugs and devices are excluded from the calculation of unit prices and national prices. Funding for these items is then either included in a fixed payment or paid for in addition to the price for the related service. As medical practice changes and new drugs and devices are developed and adopted, the lists of high cost drugs and devices needs to be kept as current as practically possible.

To nominate a drug or device to be added or removed from the high cost lists, please complete the following form and submit it to

For nominations to be considered for the 2022/23 national tariff, please ensure the completed form is submitted by 30 September 2021. Any submissions received after that date may be considered for a future tariff.

Access to past national tariffs

The national tariff payment system replaced the previous Payment by Results system from 2014/15. You can download all formal documents and policies from each previous tariff year. All consultation and other supporting documents are also available, please contact if you wish to access any of these.