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

Details of the changes between consultation on proposals for the 2025/26 NHS Payment Scheme and final publication.

Answers to frequently asked questions relating to the 2025/26 NHS Payment Scheme.

A zip file containing PDFs of all documents included in the NHS Payment Scheme package.

This workbook contains prices for 2025/26, updated to reflect a revised cost uplift. This has increased from 4.15% (in the initially published 2025/26 NHS Payment Scheme, published on 4 April 2025) to 4.83%. The prices should be applied from 1 April 2025.

For more information about the pay award, please see 2025/26 pay award: Revenue finance and contracting guidance.

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

Guidance to support the implementation of best practice tariffs.

Details of the calculation of 2025/26 NHS Payment Scheme unit and guide prices and cost adjustments, including cost uplift and efficiency factors.

This workbook contains the initially published 2025/26 NHS Payment Scheme unit and guide prices, and related information.

However, the pay award prices workbook above should be applied from 1 April 2025.

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

A guide to the market forces factor.

Calculation workbooks for the complete MFF index calculation and the non-medical and dental component model.

Guidance on community currencies.

Guide to mental health and neurodevelopmental resource groups – currencies for mental health services.