The NHS payment system: documents and guidance

Guidance and information on the NHS payment system, a set of prices and rules regulating how hospitals and other providers are paid for the care they give patients.

This collection was withdrawn on

These documents have been made available on the NHS Improvement website.


The payment system aims to help NHS commissioners and providers improve services for patients in 3 ways:

  • by offering more freedom, to encourage the development of new service models
  • by providing greater financial certainty, to help NHS providers and commissioners plan better
  • by maintaining incentives to provide care more efficiently

National tariff payment system 2017/18 and 2018/19

The 2017/19 National Tariff Payment System came into effect on 1 April 2017.

2016/17 payment system

Following consultation, Monitor and NHS England published the 2016/17 national tariff payment system in March 2016. You can find the tariff and supporting documents, as well as the consultation documents, below.

2015/16 payment system

Long-term reform of the NHS payment system

These documents show how Monitor plans to reform the NHS payment system over the next 5 years. Improvements to the NHS payment system will be critical to developing and delivering the new care models described in the ‘Five Year Forward View’.

2014/15 payment system

2013/14 costing guidance

Enquiries about the national tariff

If you have any questions about the National Tariff Payment System, you can contact Monitor’s Pricing team at

A summary of past enquiries and responses is available below. These are not intended to supersede the National Tariff Payment System, which remains the main source of information.

The Costs of Specialised Care

Independent research from the Centre for Health Economics analysing the relationship between costs of care and the delivery of specialised services.

Guide for patients

About Monitor

Published 15 May 2014
Last updated 23 March 2016 + show all updates
  1. Added Monitor and NHS England's 2016/17 National Tariff Payment System.

  2. Added the consultation on the National Tariff Payment System 2016/17.

  3. Added 2016/17 National Tariff Payment System: draft prices

  4. Added our proposals to reform top-up payments for specialised services.

  5. Documents relating to the 2016/17 tariff have been added.

  6. Added the 'National tariff payment system 2015/16: a consultation notice'. This contains proposals for the 2015/16 national tariff payment system, as agreed by Monitor and NHS England.

  7. Added link to Monitor's new blog post on the national tariff.

  8. Added a new independent research paper - 'The Costs of Specialised Care' - to related resources.

  9. 'Estimating NHS and social care spend: a tool for commissioners' has been added to the collection.

  10. Added the NHS National Tariff Payment System 2015/16: engagement documents

  11. First published.