National tariff payment system

A set of prices and rules to help commissioners and providers of NHS care provide best value to their patients.

Please note: As part of the response to Covid-19, the NHS has adopted special payment arrangements under which most providers and commissioners move to block contract payments ‘on account’. Guidance on payment and contracting for these arrangements is available from the NHS England and NHS Improvement website.

However, the National Tariff Payment System (NTPS) continues to have effect. To the extent that the special payment arrangements involve a departure from the national prices, currencies and blended payment arrangements specified in the NTPS, they involve local variations/departures agreed in accordance with the national tariff rules set out in Sections 6 and 7 of the NTPS. The contracting and payment guidance referred to above includes a template statement to be used by commissioners to record those variations/departures and to submit for publication in accordance with section 116(3) of the Health and Social Care Act 2012.

The consultation on proposals for the 2020/21 national tariff closed on 22 January 2020. In light of the NHS response to Covid-19, publication of the 2020/21 tariff has been delayed. We will confirm details of the publication as soon as possible.

2019/20 National Tariff Payment System

The 2019/20 National Tariff Payment System came into effect on 1 April 2019. The documents below provide details of the tariff prices and rules, and guidance on implementing them. See also the locally determined prices page for templates and information on local variations and other local pricing.

If you have any questions about the tariff, please contact

Tariff documents

2019/20 National Tariff Payment System PDF, 703.4 KB

A set of prices and rules to help providers of NHS care and commissioners provide best value to their patients.

Annex A: The national tariff workbook XLSX, 608.4 KB

Includes national prices and prices to be used for emergency care.

Change log PDF, 115.9 KB

A list of the changes made to the national tariff documents between the statutory consultation on the proposed tariff and the final publication.

Glossary PDF, 116.1 KB

Glossary of terms used across the National Tariff Payment System documents.


Annex B: Guidance on currencies with national prices PDF, 411.8 KB

Further information and guidance on certain currencies for services with national prices.

Annex C: Guidance on currencies without national prices PDF, 345.4 KB

Guidance on certain currencies specified that do not have national prices.

Annex D: Guidance on best practice tariffs PDF, 1.3 MB

Guidance to support the implementation of best practice tariffs.

Annex E: Technical guidance for mental health clusters PDF, 1.7 MB

A manual to help clinicians use the mental health clustering tool

Annex F: Models used to calculate prices ZIP, 18.1 MB

The models used to calculate prices, including the SAS code. This file also contains the models used to calculate the market forces factor.

Annex G: Guidance on locally determined prices PDF, 248.7 KB

Guidance on local variations, local modifications and local prices.

Supporting documents

Non-mandatory prices 2019-20 XLSX, 590.2 KB

Non-mandatory prices, including prices for maternity services.

Guidance on blended payment for emergency care - 2019/20 PDF, 190.3 KB

Guidance on the implementation of the blended payment for emergency care, including a worked example.

Guidance on blended payment for mental health services - 2019/20 PDF, 149.2 KB

Guidance on the implementation of the blended payment for mental health services.

Guidance on the maternity payment pathway - 2019/20 PDF, 186.8 KB

Guidance on the non-mandatory maternity payment pathway.

Enquiries & FAQs

This workbook is published to allow users to see the enquiries which have been answered by NHS England and NHS Improvement. It also contains a summary of frequently asked questions and our responses.

Enquiry and frequently asked questions log XLSX, 422.8 KB

Enquiries and frequently asked questions relating to the tariff.

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Related resources

External links

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If you have any specific questions on the national tariff please email

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