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

Publication of the 2021/22 national tariff

The 2021/22 National Tariff Payment System is now published and came into effect from 1 October 2021.

Engagement on 2022/23 finance and payment arrangements

We ran a series of engagement workshops from 6-24 September 2021. These covered the broader financial framework and contracting, as well as tariff and payment arrangements that are being considered for 2022/23. As well as general workshops, there were also some focused on non-acute services. An online survey was also available until 1 October 2021.

The material covered in the workshops is also available in the following webinars and recorded sessions:

Following the workshops, we held further events to discuss some policies in more detail:

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.