Root Definition

Ensures the organisationally effective delivery of healthcare in the NHS by providing organisational and fiscal controls, including a tariff system for payments, in order to maximise the effectiveness of the NHS for patients.


The Government / Department of Health
NHS Provider organisations


Not sure


Not sure


The NHS consists of a number of providers and commissioners that need to operate within open, fair and consistent organisational and fiscal frameworks, to deliver an equitable and effective service to patients.


Department of Health


Operates in a complex political and fiscal framework.
The tariff is complex as it is derived from a highly complex set of health interventions, diseases and outcomes.

Relevant subsystems

National tariff system for health

Contribution to the problem situation

As the owners of the national tariff system, they are able to influence strongly the take-up or otherwise of health interventions.