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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.
Updated August 2026.
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Change log
NHS England is not responsible for content on external websites.
Summary
Provides details of the changes between consultation on proposals for the 2026/27 NHS Payment Scheme and final publication, as well as updates made in August 2026 alongside the updates for pay awards and the resident doctors deal.
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2026/27 NHS Payment Scheme - frequently asked questions
NHS England is not responsible for content on external websites.
Summary
Answers to frequently asked questions about the 2026/27 NHS Payment Scheme.
Updated 10 August 2026.
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Summary
This workbook contains the initially published 2026/27 NHS Payment Scheme unit and guide prices, and related information. Updated August 2026 to reflect revised cost uplift factor.
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Summary
Further information and guidance on certain currencies (units of healthcare for which payment is made).
Updated August 2026.
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Guidance to support the implementation of best practice tariffs.
Updated August 2026.
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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.
Updated August 2026.
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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).
Updated August 2026.
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Summary
A guide to the market forces factor.
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Summary
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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Summary
Template to use for submitting local variation requests.