NHS Payment scheme

Increasing the uptake of medtech devices and apps for the NHS

A new payment system that will allow for the accelerated uptake of medtech devices and apps by NHS England has been announced. The ‘Innovation and Technology Tariff’ will allow NHS England to bulk buy price discounts for hospitals, GP’s and patients; removing the need for multiple local price negotiations.

As part of the Innovation and Technology tariff, six innovations have been selected to benefit a variety of patients, including those with chronic lung problems, men having urological surgery, acutely ill patients and women giving birth. The six innovation categories that will be included in the NHS payment scheme include;

  • Guided mediolateral episiotomy scissors to minimise the risk of obstetric injury
  • Atrial connecting systems to reduce bacterial contamination and the accidental administration of medication
  • Pneumonia prevention systems which are designed to stop ventilator associated pneumonia
  • Web based applications for the self-management of chronic obstructive pulmonary disease
  • Frozen microbiota transplantation for recurrent Clostridium difficile infection rates
  • Prostatic urethral lift system to treat lower urinary tract symptoms of benign prostatic hyperplasia as a day case.


NHS England chief executive Simon Stevens said: “The NHS has a proud track record of world firsts in medical innovation but getting wide uptake has often been far too slow. Our new payment system brings clarity on fast track funding to get ground-breaking new treatments and technologies to NHS patients. Many of them not only improve care but will save the NHS money too.”

This new approach will ensure an accessible and effective scheme that provides timely patient access to a wide range of medical technologies. With this initiative, NHS England are helping to develop an expanded scheme for the future, as well as aiming to expand a number of innovations covered by the tariff in future years through the wider scheme.