Promotional material

The NHS payment system: a guide for patients

This leaflet explains how changes to the NHS payment system will benefit patients.

Applies to England


Towards an NHS payment system that does more for patients

This file may not be suitable for users of assistive technology.

Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email Please tell us what format you need. It will help us if you say what assistive technology you use.


This leaflet explains how the NHS payment system helps to improve care for patients by giving healthcare providers and commissioners (who buy services on behalf of patients) incentives to improve quality and efficiency.

Published 17 December 2013
Last updated 26 November 2014 + show all updates
  1. Updated to reflect Monitor and NHS England's proposals for the ‘2015/16 National Tariff Payment System’.

  2. First published.