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: As part of the response to Covid-19, the NHS has adopted special payment arrangements under which most providers and commissioners move to block contract payments ‘on account’. Read guidance on payment and contracting for these arrangements.

However, the National Tariff Payment System (NTPS) continues to have effect. To the extent that the special payment arrangements involve a departure from the national prices, currencies and blended payment arrangements specified in the NTPS, they involve local variations/departures agreed in accordance with the national tariff rules set out in Sections 3 and 4 of the 2021/22 NTPS. The contracting and payment guidance referred to above includes a template statement to be used by commissioners to record those variations/departures and to submit for publication in accordance with section 116(3) of the Health and Social Care Act 2012.

2021/22 National Tariff Payment System

The 2021/22 National Tariff Payment System came into effect on 1 October 2021. The documents below provide details of the tariff prices and rules, and guidance on implementing them. See also the locally determined prices page for templates and information on local variations and other local pricing.

Please note: a number of issues have been identified with some of the prices for best practice tariffs (BPTs) published in Annex A. These are being updated and a revised annex will be published as soon as possible.

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Tariff documents, annexes and supporting documents

Read the tariff documents, annexes and supporting documents.

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