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.

2020/21 National Tariff Payment System

The 2020/21 National Tariff Payment System was published and came into effect on 18 November 2020. 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.

In addition, as part of the response to Covid-19, the NHS has adopted special payment arrangements for 2020/21. Under these arrangements, most providers and commissioners have moved to block contract payments ‘on account’. Guidance on payment and contracting for these arrangements is available from the NHS England and NHS Improvement website.

If you have any questions about the tariff, please contact pricing@improvement.nhs.uk.

Tariff documents

2020/21 National Tariff Payment System PDF, 737.9 KB

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

2020/21 change log PDF, 238.8 KB

A list of the changes made to the national tariff documents between the statutory consultation on the proposed tariff and the final publication. This includes an explanation for a 0.2% reduction in the prices to correct an error in the prices presented in the statutory consultation.

Glossary PDF, 116.1 KB

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

Annexes

2020/21 Annex B: Guidance on currencies with national prices PDF, 241.2 KB

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

2020/21 Annex C: Guidance on currencies without national prices PDF, 307.1 KB

Further information and guidance on certain currencies without national prices.

2020/21 Annex D: Guidance on best practice tariffs PDF, 1.3 MB

Guidance to support the implementation of best practice tariffs.

2020/21 Annex E: Technical guidance for mental health clusters PDF, 1.7 MB

A manual to help clinicians use the mental health clustering tool

2020/21 Annex F: Models used to calculate prices ZIP, 18.2 MB

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

2020/21 Annex G: Guidance on locally determined prices PDF, 211.9 KB

Guidance on local variations, local modifications and local prices.

Supporting documents

2020/21 Non-mandatory prices XLSX, 240.9 KB

Non-mandatory prices, including prices for maternity services.

2020/21 Guidance on blended payments PDF, 580.6 KB

Guidance on blended payments, including details for emergency care, outpatient attendances, maternity and adult mental health services.

2020/21 Understanding and using the national tariff PDF, 355.3 KB

An introduction to the tariff

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Contact us

If you have any specific questions on the national tariff please email pricing@improvement.nhs.uk.

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