2026/27 NHS Payment Scheme consultation

Closes 16 Dec 2025

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Payment mechanism: Aligned payment and incentive (API)

Details of these proposals are set out in Section 6 of the consultation notice.

To what extent do you support the proposed scope of the API payment mechanism?
To what extent do you support the proposed API fixed element?

To what extent do you support the proposals for providers and commissioners to review their fixed payments?

To what extent to you support the proposed API variable element?
To what extent do you support the proposed blended payment for urgent and emergency care?

To what extent do you support the proposed price for same day emergency care (SDEC)

To what extent do you support the proposed blended payment for radiotherapy?
To what extent do you support the proposed blended payment for genomic testing services?
To what extent do you support the proposed approach to specialised services?
To what extent do you support the proposed approach to variations from the default API design?
Do you have any other comments about the proposed API payment mechanism?