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.

Top tasks

Find out more about the Secondary Uses Service (SUS)

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.

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.

SUS Data Quality Dashboards (DQDs) and KPI Reports providing detailed SUS data analysis of potential data quality issues.

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

Service Announcements and Outages

Service announcements and planned system downtime. 


New SUS Portal user manual, release notes and development roadmap.


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.

Useful Links

Further information

  1. internal

    Payment by Results Guidance

    SUS PbR Guidance is a reference resource designed to support SUS users with regard to National Tariff/Payment by Results and it's implementation in SUS. For general SUS user guidance on sending and accessing data, set-up help and system support please refer to the SUS Guidance page.

  2. internal

    SUS Data Quality Reporting

    SUS Data Quality Reporting (DQR) supports trusts by providing detailed analysis of their SUS data to highlight any potential data quality issues.

  3. internal

    Secondary Uses Services (SUS) Guidance

    SUS Guidance is a resource for SUS users on sending and accessing data, set-up and system support. For guidance on National Tariff/Payment by Results please refer to the SUS PbR Guidance page.

  4. 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.

  5. internal

    Data Landing Portal (DLP)

    NHS Digital is developing a Data Landing Portal (DLP) to enable providers to securely transfer data to DSCROs (Data Services for Commissioners Regional Office).