National Tariff System for Health

Root Definition

Provides the framework for payments within the National Health by recommending payment structures for key health interventions in order to provide optimum, value-for-money health care provision throughout the NHS.


NHS commissioners and providers


CASEMIX service (in HSCIC)
NHS England
NHS Commissioners and Providers


Transforms NHS interventions and cost/pricing information into a tariff recommendation
Transforms payments in NHS into a standardised, comparable form


The NHS is best served by an open, transparent payment system that is fair to commissioners and providers, that allows for comparability and cost reduction, and that is in the best interests of patients.




Operates in a very complex environment with considerable variety of delivery modes.
Costing of delivery of an intervention depends on a number of factors, and costs can vary widely between providers.
Local pricing models often work in a different way to the national tariff system (e.g. block contracts).