The History of the National Tariff and Payment by Results

Executive Summary

• The National Tariff Payment System, also known as Payment by Results (PbR), is a payment system through which healthcare providers are partially reimbursed for each patient seen or treated
• PbR currently covers the majority of acute healthcare in hospitals, with national tariffs for admitted patient care, outpatient attendances, accident and emergencies (A&E), and some outpatient procedures
  • For example, £119 for an outpatient attendance in obstetrics or £5,323 for a hip operation¹