Developing the national tariff

Updates on the development of the NHS payment system, including news on payment systems in development, the current national tariff payment system and supporting information, and access to past tariffs.

Latest news

Payment system and COVID-19

As part of the NHS response to COVID-19, all NHS trusts and foundation trusts will move to block contract payments ‘on account’. The usual national tariff payment architecture and associated administrative/transactional processes will be suspended during this time.

Guidance on contracting and payment to support this has been published. This includes a template statement that can be used to record the departure from current payment arrangements required by the move to a block contract.

On 31 July 2020, the Third phase of the NHS response to COVID-19 was published. This explains the financial arrangements that will be used for the rest of 2020/21. An Elective letter was published on 20 August, giving more details on how block payments will flex to reflect expected elective activity levels.

The publication of the 2020/21 national tariff has also been delayed.

2020/21 HRG4+ local payment grouper published

The HRG4+ 2020/21 local payment grouper and associated documentation is now available from the NHS Digital National Casemix Office.

Version 2 of the grouper was released on 20 July 2020 and reflects changes in the HRG mapping of codes relating to the COVID-19 infection. This includes 6 new HRGs in a new subchapter, DX COVID-19 infection. The new HRGs will be locally priced.

Spinal surgery BPT reports available

We have published spinal surgery BPT reports for Q1 and Q2 2019/20. We will continue to publish the reports when they are available.

Statutory consultation on proposed 2020/21 tariff closed

The statutory consultation on proposals for the 2020/21 national tariff closed at midnight on 22 January 2020.

Many thanks to all those who have responded. The objection threshold was not reached and we are carefully considering the feedback received. We will make final decisions on publication of the 2020/21 national tariff as soon as possible.

Local variations

The 2020/21 planning guidance emphasises that all CCGs must complete and return the national tariff local variations template. The template is intended to be quick and easy to complete.

The information collected should provide a comprehensive picture of how local areas are agreeing reimbursement for their services.

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Current payment system, guidance and support

Access to past national tariffs

The national tariff payment system replaced the previous Payment by Results system from 2014/15. Below you can download all formal documents and policies from each previous tariff year. All consultation and other supporting documents are also available, please contact if you wish to access any of these.

National Tariff 2017/19: documents and policies ZIP, 25.8 MB

National tariff 2017/19: documents and policies

National tariff 2016/17: documents and policies ZIP, 20.6 MB

National tariff 2016/17: documents and policies

National tariff 2015/16: documents and policies ZIP, 30.9 MB

National tariff 2015/16: documents and policies

National tariff 2014/15: documents and policies ZIP, 9.3 MB

National tariff 2014/15: documents and policies

Contact us

If you have any questions on any aspect of the tariff please email

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