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Publication, Part of

Acute Patient Level Activity and Costing, 2018-19

Experimental statistics, Other reports and statistics

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Acute Patient Level Activity and Costing, 2018-19


This report presents analysis of costing data for accident and emergency (A&E), admitted patient care (APC) and outpatient (OP) activity in 2018-19 submitted to the Patient Level Information and Costing System (PLICS) data collection by acute NHS providers in England. This was the first year of mandatory data submission to the PLICS Acute collection for acute NHS providers for these activity types.

The PLICS Acute data collection is part of NHS England and NHS Improvement’s Costing Transformation Programme (CTP). The CTP aims to improve the quality of costing information in the NHS, and support providers to improve the efficiency of their services.

The report includes analysis of costing data linked to activity reported in Hospital Episode Statistics (HES), demonstrating the opportunities for richer analysis of costing data using the linked data.

These statistics are classified as experimental and should be used with caution. Experimental statistics are new official statistics undergoing evaluation. They are published in order to involve users and stakeholders in their development and to build in quality at an early stage. More information about experimental statistics can be found on the UK Statistics Authority website.

The data from the 2018-19 PLICS Acute collection is used by NHS England and NHS Improvement in the National Cost Collection (NCC) publication. Information on how analysis in this report may differ from the NCC published analysis is included in the section ‘Relationship to NHS England and NHS Improvement’s National Cost Collection outputs’.

146 providers reported a total cost of £44.3 billion relating to 18.4 million A&E attendances, 18.4 million APC episodes and 78.7 million OP appointments.

Acute setting Total reported cost Percentage of reported cost
Accident and emergency £3,298,448,615 7%
Admitted patient care £29,088,359,528 66%
Outpatients £11,939,124,528 27%

(Partial submissions received from the two other providers within scope of the PLICS Acute collection are known to be highly incomplete and have been excluded from analysis in this report. Details are included in the coverage section of the data quality statement.)

Last edited: 29 January 2020 2:16 pm