National tariff payment system

A set of prices and rules to help commissioners and providers of NHS care provide best value to their patients.


Please note: In July 2022 the NHS pay award was issued. This increased the cost uplift factor that should be used for the 2022/23 national tariff. This change should be reflected in all aligned payment and incentive and local pricing arrangements, as well as prices. We have published an updated set of prices that should be used whenever tariff prices apply.

2022/23 National Tariff Payment System

The 2022/23 National Tariff Payment System comes into effect on 1 April 2022. The documents linked to below provide details of the tariff rules and prices , and guidance on implementing them. See also the locally determined prices page for templates and information on local variations and other local pricing.

Any variation from the aligned payment and incentive arrangements set out in the tariff rules need to be approved by NHS England and NHS Improvement. Please use the template, available from the locally determined prices page to apply for any changes.

If you have any questions about the tariff, please contact

Tariff documents, annexes and supporting documents

Read the tariff documents, annexes and supporting documents.

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Contact us

If you have any specific questions on the national tariff please email email