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Patient-Level Information and Costing Systems

Two information standards for patient-level costing, to provide a consistent approach to reporting cost information at patient level.

About these information standards

These information standards support the implementation of NHS England and NHS Improvement's Patient Costing Transformation programme which is intended to deliver:

  • better benchmarking of costs and patient pathways, enabling a reduction in unwarranted variation
  • better understanding of patient pathways, supporting the introduction of more effective care models
  • an improvement in accuracy of the national tariff and local prices, helping to strengthen efficiency incentives.

The information standards mandate providers of acute, ambulance, mental health and Improving Access to Psychological Therapies (IAPT) services within England to submit patient-level activity and financial data to NHS Digital, acting on behalf of NHS England and NHS Improvement.

For the 2020-2021 financial year, 2 standards have been approved:

  • DAPB4001 Ambulance
  • DAPB4000 Integrated
    • covering acute, mental health and Improving Access to Psychological Therapies (IAPT).

Note that the Community collection is still in pilot so does not yet need to be submitted for DAPB approval.

These information standards are published under section 250 of the Health and Social Care Act 2012.  An Information Standards Notice for each standard (see below) provides an overview of scope and implementation timescales, and the other documents provide further detail for those who have to implement the information standards.

In the event of issues or questions about any of these standards, please contact the developers at NHS England and NHS Improvement: costing@england.nhs.uk


Previous releases

DCB2123 Acute

DCB2123-02 Ambulance

DCB2123-03 Mental Health 

DCB2123-04 Improving Access to Psychological Therapies (IAPT)

Last edited: 6 September 2021 10:31 am