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.

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Latest news

2022/23 inflation funding increase

NHS England are allocating additional funding to help address the increase in cost pressures for 2022/23.

As part of this, the cost uplift factor that should be used for the 2022/23 national tariff will be increased. This change should be reflected in all aligned payment and incentive and local pricing arrangements, as well as prices.

We will be publishing guidance on the changes and an updated set of prices that should be used whenever tariff prices apply (eg, for activity under the Increasing Capacity Framework) as soon as possible.

Webinar recording: Introduction to the 2022/23 national tariff

To support the publication of the 2022/23 tariff, we held a webinar to introduce the national tariff and discuss particular features of the 2022/23 payment system.

The recording is available to watch. The slides are also available. We are currently working through the questions raised during the session and will publish the questions and answers on this page as soon as possible.

Please contact pricing@england.nhs.uk if you have any questions.

Launch of the 2022/23 national tariff

The 2022/23 national tariff came into effect on 1 April 2022.

NHS Digital have also published a new Payment Grouper.

We have updated the template for locally determined payments so it can be used to apply for NHS England and NHS Improvement approval of any alterations to aligned payment and incentive arrangements. Any changes to the arrangements set out in the tariff need to be approved.

Join our FutureNHS workspace

Our Payment and costing support workspace on the FutureNHS collaboration platform will contain materials, tools and products being developed to support people to implement the payment system, and take advantage of costing data.

Currently launched on the workspace include:

  • Costed pathways (supported by GIRFT) – a methodology and worked example for systems to cost patient pathways, highlighting variation from clinical best practice guidelines in activity and costs.
  • Enhanced PLICS analysis – a dashboard showing costing benchmarks at ICS level, giving systems detailed analysis of their cost structures.
  • A document on population group analyses, outlining analytical techniques that can inform population health management strategies, with links to the PHM academy and population and person insight forum.

We welcome your feedback on these products, and will continue to develop and update them based on the comments we receive.

Anyone working in health and social care is able to get a FutureNHS account. Once you have an account, join the Payment and costing support workspace.

Please contact pricing@england.nhs.uk if you have any questions.

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 pricing@england.nhs.uk. Completed forms must be submitted by the end of 31 May 2022 to be considered for the 2023/24 payment system.

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 pricing@england.nhs.uk if you wish to access any of these.