Download the HRG4+ 2021/22 Local Payment Grouper application
The HRG4+ 2021/22 Local Payment Grouper subsumes and replaces the HRG4+ 2021/22 Consultation Grouper published on 24 February 2021.
The updated Grouper should be used for the 2021/22 financial year from 1 April 2021, as it contains the latest updates to the underlying ICD-10 classification, as well as updates to the CDS 6.2.0 with regard to new Main Specialty and Treatment Function codes.
Historically both the Consultation and Local Payment Grouper releases have been used to support the NHS England and Improvement Section 118 Consultation process, and implement the updated tariff proposals. This financial year both publications are not yet available. These releases do not pre-empt anything to be included in the NHSE&I publications in relation to the 2021/22 tariff.
The Local Payment Grouper can be used to:
- group data and derive HRGs
- support data quality
- conduct what-if modelling
- assist service redesign
- assess local reimbursement under the National Reimbursement rules for the 2021/22 financial year
It should be used in conjunction with the Grouper User Manual, which explains how data should be sorted and presented for processing by the Grouper.
As with previous releases, users must be aware that the Grouper does not apply certain tariff business rules; for example, Prescribed Specialised Service flagging, which are used to apply reimbursement top-ups if applicable.
Activities relating to Treatment Function Code or other pre-processing exclusions should also be removed from the input data before running through the Local Grouper. As HRG exclusions are at spell level, and the HRG4+ Grouper produces both episode and spell-level HRGs during the same run, HRG exclusions should be made at spell level following grouping. There is no requirement to group data twice. Organisations choosing not to remove exclusion data may generate HRGs that are excluded from national tariff under national funding policy.