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.

Please note: Following the 2022 Health and Care Act, the National Tariff Payment System will be replaced by the NHS Payment Scheme.


2023/25 NHS Payment Scheme – launch

The 2023/25 NHS Payment Scheme has been published. The Scheme will come into effect from 1 April 2023.

Latest News

2023/24 Elective Recovery Fund

The 2023/24 Elective Recovery Fund technical guidance was published on 27 January as part of the updated set of operational planning and contracting guidance.

To help stakeholders understand how the ERF will operate for 2023/24, we are held a webinar on 2 February. A recording of the webinar and the slides are available on the Payment system support FutureNHS workspace.

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.

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

The deadline for submitting forms to be considered for 2024/25 is 31 May 2023. We cannot guarantee we will be able to consider submissions received after this date. All submissions received before the deadline will be carefully reviewed and discussed with high cost steering groups.

Access to past national tariffs

The National Tariff Payment System replaced the 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.