Consultation outcome

Objections to how prices for NHS services are calculated

This consultation has concluded

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Detail of outcome

The government response sets out how the views expressed during consultation have been considered. It includes a summary of those views.

Original consultation


Proposals to revise the objection process for setting a pricing system for NHS services in England.

This consultation ran from

Consultation description

The Health and Social Care Act (2012) introduced a new independent, transparent and fair pricing system for NHS services that moved the responsibility for pricing from the Department of Health to Monitor and NHS England. It required them to work together to create a ‘national tariff’ that set prices for NHS services in England and to develop new payment models across different services.

To develop a national tariff, Monitor and NHS England engage with commissioners and providers of NHS services and other interested parties. The Act specified an objection procedure, which allows commissioners and providers to object to the chosen method for calculating national prices, rather than the price itself. If the percentage of objections meets thresholds set by the Secretary of State, Monitor cannot adopt and publish the national tariff and must do one of the following:

  • reconsider the proposed method and publish a revised tariff for consideration
  • refer the method and objections to the Competition and Markets Authority

This consultation is about proposals to change the objection thresholds that were prescribed by regulations in 2013.


Published 13 August 2015
Last updated 29 October 2015 + show all updates
  1. Updated to include the government's response to the consultation.
  2. First published.