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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.

Objectives

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

2017/18 payment system

NHS Improvement and NHS England are now developing proposals for the 2017/18 national tariff.

Keep up to date on our progress and find out about the latest engagement opportunities on NHS Improvement’s website

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.

  1. NHS National Tariff Payment System 2016/17

    • Statutory guidance
  2. NHS providers and commissioners: submit locally determined prices to Monitor

    • Detailed guide
  3. NHS National Tariff Payment System 2016/17: a consultation document

    • Consultation outcome
  4. 2016/17 National Tariff Payment System: draft prices

    • Guidance
  5. Engagement on 2016/17 national tariff proposals

    • Guidance
  6. 2016/17 national tariff: top-up payments for specialised services

    • Policy paper
  7. Proposed changes to local payment rules covering mental health services in the NHS

    • Closed consultation
  8. 2016/17 national tariff proposals: currency design and relative prices

    • Policy paper

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’.

  1. Reforming the payment system for NHS services: supporting the Five Year Forward View

    • Policy paper
  2. Improving the costing of NHS services: proposals for 2015 to 2021

    • Consultation outcome

2014/15 payment system

  1. National tariff payment system 2014/15

    • Statutory guidance
  2. Guide to the market forces factor 2014/15

    • Guidance
  3. Mental health currencies and payment: 2014/15 guidance

    • Guidance
  4. National tariff information workbook 2014/15

    • Guidance
  5. NHS national tariff: enforcement guidance

    • Statutory guidance
  6. NHS national tariff payment system for 2014/15

    • Consultation outcome
  7. The national tariff for 2014/15: early engagement

    • Consultation outcome
  8. How can the NHS payment system do more for patients?

    • Consultation outcome
  9. 30% marginal rate rule for emergency admissions

    • Consultation outcome
  10. National tariff payment system 2014 to 2015: impact assessment

    • Impact assessment
  11. Local price setting and contracting for NHS services without a national price

    • Research and analysis
  12. The reimbursement system for NHS-funded care: an evaluation

    • Independent report

2013/14 costing guidance

  1. Patient Level cost collection 2012/13: review and lessons for the future

    • Guidance
  2. Costing NHS patient care: Monitor's approach

    • Consultation outcome
  3. Strategic options for costing in the NHS: improving cost data

    • Independent report

Enquiries about the national tariff

If you have any questions about the National Tariff Payment System, you can contact Monitor’s Pricing team at pricing@monitor.gov.uk.

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.

  1. 2014/15 National Tariff Payment System: responses to questions

    • Guidance

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.

  1. Estimating NHS and social care spend: a tool for commissioners

    • Guidance

Guide for patients

  1. The NHS payment system: a guide for patients

    • Promotional material

About Monitor

  1. About Monitor: an introduction to our role

    • Promotional material