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Secondary Uses Service (SUS)

The Secondary Uses Service (SUS) is the single, comprehensive repository for healthcare data in England which enables a range of reporting and analyses to support the NHS in the delivery of healthcare services.

When a patient or service user is treated or cared for, information is collected which supports their treatment. This information is also useful to commissioners and providers of NHS-funded care for 'secondary' purposes - purposes other than direct or 'primary' clinical care - such as:

  • healthcare planning
  • commissioning of services
  • National Tariff reimbursement
  • development of national policy

SUS is a secure data warehouse that stores this patient-level information in line with national standards and applies complex derivations which support national tariff policy and secondary analysis. 

Access to SUS is managed using Role-Based Access Control (RBAC) which grants appropriate access levels to identifiable, anonymised or pseudonymised data based on the users job role. 

SUS User Support and Guidance

What's new

Latest SUS news and developments.

Service Announcements and Outages

Service announcements and planned system downtime. 

SUS guidance

General SUS user support guidance resource.

SUS Payment by Results (PbR) guidance

SUS Payment by Results (PbR) reference resource designed to support SUS PbR users in SUS implementation of National Tariff policy.

Operational support

View the status of your organisation's data submissions to and levels of activity in SUS, on a monthly basis.

  • Monthly Trust Statements
  • Monthly Database Counts
  • Monthly Performance Reviews


Support for users on the development on the replacement SUS+ solution.

Service Desk

Please report any service issues to the NHS Digital National Service Desk (NSD) via the NSD weblog tool (log in required), or call 0300 303 5035.

Further information

internal Secondary Uses Service (SUS) user group

Our Secondary Uses Service (SUS) user group meets monthly. Find out how to get involved, and download the agenda and minutes of our previous meetings.

internal Data Landing Portal (DLP)

The Data Landing Portal (DLP) allows data to be transferred securely between organisations through a centrally managed system.

Last edited: 15 February 2022 2:10 pm