2023-25 NHS Payment Scheme (amended)

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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 (amended).

The 2023/25 NHS Payment Scheme was set for a two-year period. However, following consultation, some amendments were made to the Scheme for 2024/25. The documents below reflect these amendments. The initially published 2023/25 NHS Payment Scheme is available from the bottom of this page for reference.

In September 2024, a revised set of 2024/25 prices was published (see ‘2024/25 pay award prices’ section below). These prices have been updated to reflect a revised cost uplift factor for 2024/25, reflecting the 2024/25 pay awards for Agenda for Change (AfC), medical and dental staff groups and resident doctor staff. The prices should be applied from 1 April 2024.

Please contact england.pricingenquiries@nhs.net if you have any questions.

NHS Payment Scheme

Link

Summary

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

The 2023/25 NHS Payment Scheme (amended) reflects amendments that apply for 2024/25. These amendments were consulted on in December 2023 and January 2024. For more details, see the amendment log.

Document

Summary

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

The 2023/25 NHS Payment Scheme (amended) reflects amendments that apply for 2024/25. These amendments were consulted on in December 2023 and January 2024. For more details, see the amendment log.

Link

Summary

Clarification of frequently asked questions about the NHS Payment Scheme.

Please contact england.pricingenquiries@nhs.net for more information.

Document

Summary

Details of the amendments made to the 2023/25 NHS Payment Scheme, following consultation.

Document

Summary

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

2024/25 pay award prices

Document

24/25 pay award prices

24/25 pay award prices

  • Microsoft Excel
  • 1 MB

Summary

This workbook contains prices for 2024/25, updated to reflect a revised cost uplift factor for 2024/25. This has increased from 1.7% (in the 2023/25 NHS Payment Scheme (amended), published in March 2024) to 5.0%. The prices should be applied from 1 April 2024.

Annexes

Document

Summary

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

This document has been updated to reflect amendments to the Payment Scheme for 2024/25.

Summary

Guidance to support the implementation of best practice tariffs.

This document has been updated to reflect amendments to the Payment Scheme for 2024/25.

Summary

Details of the calculation of NHS Payment Scheme unit and guide prices and cost adjustments for 2024/25, including cost uplift and efficiency factors.

This document has been updated to reflect amendments to the Payment Scheme for 2024/25.

Document

Summary

This workbook contains the initially published NHS Payment Scheme unit and guide prices, and related information, for 2024/25. The prices in this workbook do not reflect the 2024/25 pay awards for Agenda for Change (AfC), medical and dental staff groups following recommendations from the NHS Pay Review Body (PRB) and the Review Body on Doctors’ and Dentists’ Remuneration (DDRB) respectively, or the pay offer for resident doctor staff (junior doctors).

Please use the ‘Pay award prices’ workbook, published above.

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).

This document has been updated to reflect amendments to the Payment Scheme for 2024/25.

Document

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.

Document

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.

Initially published 2023/25 NHS Payment scheme

Summary

This file contains the 2023/25 NHS Payment Scheme that was in effect before the amendments made for 2024/25.

The file includes the initially published Annex A, and the 2023/24 pay award prices workbook that was published in August 2023 but was expected