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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.

General SUS PbR Guidance

SUS PbR Reference Manual

Guidance on all aspects of SUS PbR, including concepts, functionality and policy implementation. This document has replaced release-specific Technical Guidance documents and consolidates applicable historical guidance.

Extract Specification

Data item details for each extract available via the Portal.

Indicators, Errors and Data Quality Rules

Derived data items applied and output in scheduled extracts.

Commissioner Assignment Method

Readmissions

2020-21 SUS PbR (SUS+

Submission Timetable 2020-21

SUS+ 2020-21 Submission Timetable

2019-20 SUS PbR (SUS+)

Submission Timetable

2019-20 financial year timetable for Reconciliation, Post-Reconciliation, HES deadlines and Annual HES Refresh inclusion dates.

Submission must be received by SUS+ before 5pm on inclusion date.

Activity month Reconciliation - inclusion Reconciliation - publication Post-reconciliation - inclusion Post-reconciliation - publication HES: APC/OP/A&E deadline Annual HES refresh - inclusion
Apr 2019 Mon 20 May 2019 Fri 24 May 2019 Wed 19 Jun 2019 Tue 25 Jun 2019 Mon 20 May 2019  
May 2019 Wed 19 Jun 2019 Tue 25 Jun 2019 Wed 17 Jul 2019 Tue 23 Jul 2019 Wed 19 Jun 2019  
Jun 2019 Wed 17 Jul 2019 Tue 23 Jul 2019 Mon 19 Aug 2019 Fri 23 Aug 2019 Wed 17 Jul 2019  
Jul 2019 Mon 19 Aug 2019 Fri 23 Aug 2019 Wed 18 Sep 2019 Tue 24 Sep 2019 Mon 19 Aug 2019  
Aug 2019 Wed 18 Sep 2019 Tue 24 Sep 2019 Thu 17 Oct 2019 Wed 23 Oct 2019 Wed 18 Sep 2019  
Sep 2019 Thu 17 Oct 2019 Wed 23 Oct 2019 Tue 19 Nov 2019 Mon 25 Nov 2019 Thu 17 Oct 2019  
Oct 2019 Tue 19 Nov 2019 Mon 25 Nov 2019 Tue 17 Dec 2019 Mon 23 Dec 2019 Tue 19 Nov 2019  
Nov 2019 Tue 17 Dec 2019 Mon 23 Dec 2019 Mon 20 Jan 2020 Fri 24 Jan 2020 Tue 17 Dec 2019  
Dec 2019 Mon 20 Jan 2020 Fri 24 Jan 2020 Wed 19 Feb 2020 Tue 25 Feb 2020 Mon 20 Jan 2020  
Jan 2020 Wed 19 Feb 20 Tue 25 Feb 20 Wed 18 Mar 20 Tue 24 Mar 20 Wed 19 Feb 20  
Feb 2020 Wed 18 Mar 20 Tue 24 Mar 20 Tue 21 Apr 20 Mon 27 Apr 20 Wed 18 Mar 20  
Mar 2020 Tue 21 Apr 20 Mon 27 Apr 20 Wed 20 May 20 Wed 27 May 20 Tue 21 Apr 20 Wed 20 May 20

* SUS+ will endeavour to publish ahead of the publication date

SUS+ 2019-20 Submission Timetable v1.1

Definitions

Inclusion Date: Deadline for data submissions to be included in the frozen views of data.

Publication Date: Guaranteed SUS+ publication date for all inclusion extracts run on the inclusion day, inclusion +1 day and inclusion +2 days, by 8am on the day.

Reconciliation and post-reconciliation (first-phase and second-phase)

SUS+ provides for a two phase reconciliation process to arrive at a final agreed position for each month's activity as defined in the NHS Standard Contract.

Reconciliation (first-phase)

In the first phase of reconciliation, providers submit initial calendar month activity data to SUS+. At a nationally determined deadline (Inclusion date), a snapshot of this data is taken. The point at which this first snapshot is taken is referred to in SUS+ as the Reconciliation point. The NHS Standard Contract uses the term First Reconciliation Date for the point at which this first snapshot is available from SUS+. Under the contract, providers will base the first reconciliation account they send to commissioners on the first-phase reconciliation data they submit to SUS+ by the Reconciliation Inclusion date above.

Post-reconciliation (second-phase)

In the second phase, providers and commissioners review and validate the data submitted in the first phase with the aim of agreeing the final level of payment to be made for the period. At a second nationally determined inclusion date a second snapshot of the data is taken. This second snapshot point is referred to in SUS+ as the Post-reconciliation point; the NHS Standard Contract uses the term Final Reconciliation Date for the point at which the data in this snapshot is processed and available. Under the contract, providers base the final reconciliation account they send to commissioners on this second-phase reconciliation data which they submit to SUS+ by the Post-Reconciliation Inclusion date. Once the provider has sent the final reconciliation account, the contract then allows the commissioner a brief period to validate the final data and contest any elements of the final reconciliation account which it believes are incorrect via the process set out in the contract.

Reference data tables 2019-20

2018-19 SUS PbR (SUS+)

Submission timetable 2018-19

2018-19 financial year timetable for Reconciliation, Post-Reconciliation, HES deadlines and Annual HES Refresh inclusion dates.

Reference data tables 2018-19

2017-18 SUS PbR (SUS+)

Submission timetable 2017-18

2017-18 financial year timetable for Reconciliation, Post-Reconciliation, HES deadlines and Annual HES Refresh inclusion dates.

User Release Note 2017-18

Summary of what to expect in SUS+ and details of 'Go-live' timescales.

Reference data tables 2017-18

Preliminary version of the SUS+ Reference Data tables.

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

Service announcements and outages

Find important SUS service announcements, information on planned outages and known issues.

Weekly trust reports

The latest weekly trust reports are available on the Operational Support page.

Last edited: 4 November 2019 11:59 am