The Secondary Uses Service (SUS +) is a collection of healthcare data required by hospitals and used for planning health care, supporting payments, commissioning policy development and research.

The Secondary Uses Services Payment By Results data set is derived from SUS+ and includes key data in support of the national tariff system which is used to determine the reimbursement of NHS funded care in England.

Following the handover of responsibility for the NHS Payment system from DH to NHS England and NHS improvements (formerly Monitor) in April 2013, PbR was effectively replaced by the National Tariff Payment System (NTPS) in April 2014. This new payment system currently retains the vast majority of PbR policy. Due to the embedded terminology, data item and extract naming consistency, SUS continues to refer PbR in SUS and therefore the terms 'Payment by Results', 'PbR', 'National Tariff Payment System' and 'NTPS' should be considered interchangeable when using SUS or any SUS Guidance.

Payment by Results (PbR) provides a transparent, rules-based national tariff system, used to determine the reimbursement of NHS funded care in England. PbR rewards efficiency, supports patient choice and diversity and encourages activity for sustainable waiting time reductions. Payment is linked to activity and adjusted for casemix. This ensures a fair and consistent basis for hospital funding rather than being reliant principally on historic budgets and the negotiating skills of individual managers. PbR is the payment system in England under which commissioners pay providers of NHS-funded healthcare for each patient seen or treated, considering the complexity of the patient’s healthcare needs. The two fundamental features of PbR are nationally determined currencies and tariffs. Currencies are the unit of healthcare for which a payment is made and can take a number of forms covering different time periods from an outpatient attendance or a stay in hospital, to a year SUS+ PbR Reference Manual v4.64 Copyright © 2019 NHS Digital 5 of care for a long-term condition. Tariffs are the set prices paid for each currency.

PbR currently covers most of the acute healthcare in hospitals, with national tariffs for admitted patient care, outpatient attendances and accident and emergency. This activity is submitted using Commissioning Data Sets (CDS). Current policy intends that the scope of PbR and national tariff will expand in future by introducing currencies and tariffs for mental health, community and other services

Timescales for dissemination can be found under 'Our Service Levels' at the following link: [