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2026/27 NHS Payment Scheme
NHS England is not responsible for content on external websites.
Summary
A set of rules for four payment mechanisms that establish the amount payable for provision of NHS-funded secondary healthcare.
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Summary
A set of rules for four payment mechanisms that establish the amount payable for provision of NHS-funded secondary healthcare.
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Consultation change log
NHS England is not responsible for content on external websites.
Summary
Details of the changes between consultation on proposals for the 2026/27 NHS Payment Scheme and final publication.
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Summary
This workbook contains the initially published 2026/27 NHS Payment Scheme unit and guide prices, and related information. The workbook will be reissued once all pay awards have been finalised to reflect an updated cost uplift factor.
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Summary
Further information and guidance on certain currencies (units of healthcare for which payment is made).
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Guidance to support the implementation of best practice tariffs.
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Summary
Details of the calculation of 2026/27 NHS Payment Scheme unit and guide prices and cost adjustments, including cost uplift and efficiency factors.
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Guidance on the payment mechanisms that apply to NHS providers – aligned payment and incentive (API) and low volume activity block payments (LVA).
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A guide to the market forces factor.
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Guidance to support the guide prices for ADHD and autism services.
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Guide to mental health and neurodevelopmental resource groups – currencies for mental health services.
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Guidance on community currencies.
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Template to use for submitting local variation requests.