2023-25 NHS Payment Scheme

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The NHS Payment Scheme governs transactions between providers and commissioners of secondary healthcare.

The materials published here comprise the 2023/25 NHS Payment Scheme. This comes into effect from 1 April 2023, replacing the National Tariff.

Please note: the NHS Payment Scheme published in March 2023 does not reflect pay arrangements for 2023/24. See Revenue finance and contracting guidance for information about implementing the 2023/24 Agenda for Change pay award.

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

NHS Payment Scheme

Document

Summary

A set of rules for four payment mechanisms that establish the amount payable for provision of NHS-funded secondary healthcare.

Version 1.1, published on 28 June 2023 (changes highlighted and see ‘Updates to the 2023/25 NHS Payment Scheme’ document for details)

Summary

Details of changes made to documents since initial publication (updated on 28 June 2023).

Document

Summary

Details of the changes between consultation on proposals for the 2023/25 NHS Payment Scheme and final publication.

Pay award prices

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2023/24 prices workbook

2023/24 prices workbook

  • Microsoft Excel
  • 1 MB

Summary

This workbook is published by NHS England as Annex A of 2023/25 NHS Payment Scheme (NHSPS).

This workbook lists all of the 2023/24 prices that form part of the NHSPS. This includes two categories of price: unit prices and guide prices.

Unit prices must be used for the variable element of aligned payment and incentive (API) arrangements and for the activity-based payment mechanism.

Guide prices can be used as benchmarks and to support local payment arrangements.

Annexes

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Summary

This workbook contains the NHS Payment Scheme unit and guide prices, and related information, for 2023/24. The workbook will be reissued for 2024/25, reflecting revised cost uplift and efficiency factors.

Version 1.2, published on 28 June 2023 (changes highlighted and see ‘Updates to the 2023/25 NHS Payment Scheme’ document for details)

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Summary

Further information and guidance on certain currencies (units of healthcare for which payment is made).

Summary

Guidance to support the implementation of best practice tariffs.

Summary

Details of the calculation of 2023/24 NHS Payment Scheme unit and guide prices and cost adjustments, including cost uplift and efficiency factors.

Version 1.1, published on 28 June 2023 (changes highlighted and see ‘Updates to the 2023/25 NHS Payment Scheme’ document for details)

Supporting documents

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Summary

Guidance on the payment mechanisms that apply to NHS providers – aligned payment and incentive (API) and low volume activity block payments (LVA).

Version 1.1, published on 28 June 2023 (changes highlighted and see ‘Updates to the 2023/25 NHS Payment Scheme’ document for details)

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Summary

A guide to the market forces factor.

Forms and templates

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Variations request template

Variations request template

  • Microsoft Excel
  • 72 KB

Summary

Template to be used to request variations from the 2023/25 NHS Payment Scheme.

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Summary

Form to be used to nominate additions and changes to the lists of high cost drugs and devices that are excluded from core payment mechanisms.