Monitor and NHS England’s long-term aim is to develop a transparent, flexible and accountable NHS payment system that rewards good-quality, efficient care that delivers the best possible outcomes for patients. The proposed changes to the 2015/16 National Tariff Payment System are designed to help maintain financial discipline while promoting quality high-quality care for patients in tough economic conditions. The proposals would also encourage a speedier expansion of innovative patterns of care to meet the needs of patients. Healthcare providers and commissioners are encouraged to respond to these proposals in order to influence the final national tariff which will be published later in the year. This consultation closes on 15 August 2014.