The National Tariff is a shared responsibility between NHS England and NHS Improvement.
NHS England has a duty to specify those healthcare services for which it thinks a national price should be used, and NHS Improvement has the duty to set that price. The National Tariff specifies rules governing not only how nationally set pricing will work, but also how local price-setting must operate.
While NHS medical services are free at the point of use for the patient, the system is taxpayer funded. The NHS payment system must deliver more and better health care for the foreseeable future within the level of funding available.
This page brings together all relevant publications relating to our work on the NHS payment system.
- Guidance for using wheelchair currency: Guidance for providers and commissioners wishing to implement the wheelchair currency model.
- Palliative care development currency: Outcomes and guidance documents to help organisations who wish to use the currencies to support commissioning of these services.
- New payment approaches for mental health services: NHS England and NHS Improvement are supporting providers and commissioners of adult and older people mental health services to implement more transparent payment approaches.
- Confirmation of the National Tariff Payment System for 2016/17: NHS England and Monitor have published the 2016/17 National Tariff Payment System, which comes into effect on 1 April 2016.
- Local payment approaches for mental health services: NHS England and Monitor have published two short guides to support commissioners and providers to develop local payment approaches for mental health services.
- Engagement on 2016/17 National Tariff proposals: NHS England and Monitor have published a letter setting out plans to engage with commissioners and providers over the coming months on proposals for the 2016/17 National Tariff.
- Different payment approaches to support new models of care: These examples, which include capitation and gain/loss sharing, have been informed by the experiences of local health and care economies, and show how different payment approaches could help support the delivery of these new care models.
- National tariff payment system 2015/16: a consultation notice: This consultation notice sets out NHS England and Monitor’s proposed prices and payment rules for 2015/16 that are designed to support commissioners and providers improve the quality and efficiency of care for patients.
- The maternity pathway payment system – supplementary guidance: This document clarifies whether particular services are included or excluded from the pathway payment and provides guidance on implementing the pathway system through establishing appropriate data flows and contracting and invoicing arrangements.
- Development of the mental health payment system: This document summarises the themes emerging from a Stocktake event that NHS England held for stakeholders in March 2014 to discuss the development of the mental health payment system.
- Templates for locally determined prices, 10 February 2014: There are a range of circumstances where prices for healthcare services are determined locally rather than nationally. Following on from the publication of the 2014/15 National Tariff Payment System on 17 December 2013, Monitor has now published templates and additional information to assist commissioners and providers get to grips with rules on Local Variations, Local Modifications and local price-setting.
- Confirmation of the 2014/15 National Tariff, 17 December 2013: NHS England and Monitor have confirmed the arrangements for the 2014/15 National Tariff, following consultation with commissioners and providers in the autumn.
- Review of incentives, rewards and sanctions, 2 July 2013: This document sets out our early thinking on the design of incentives, rewards and sanctions for 2014/15 and provides an opportunity to influence the direction of the proposed changes.
- How can the NHS payment system do more for patients? – An introduction, 28 June 2013: We have published an update which describes for patients how the NHS payment system works now, why it is being redesigned, and how and when the new system should be better for patients.