The Department’s Payment by Results (PbR) team is currently responsible for the development and production of the national tariff and supporting guidance, and we work closely with the Health and Social Care Information Centre and NHS Connecting for Health on issues such as groupers, clinical coding and the secondary uses service (SUS).
We recognise that sometimes it is difficult to know where to direct a query when it cuts across a number of issues and responsibilities.
Queries that the Department can help with
The PbR Guidance and PbR Code of Conduct are the first places to look if you have a query about PbR tariffs and currencies and the ‘rules’ that govern the operation of PbR. Information about PbR in 2012-13 is available.
If, having read the materials available on the PbR website, queries remain unanswered, further advice can be sought in a number of ways:
- commissioners and NHS trusts should contact their strategic health authority (SHA) PbR lead (listed below)
- NHS foundation trusts and other organisations should contact the Department’s PbR team by email via firstname.lastname@example.org
Queries that the Health and Social Care Information Centre can help with
The Health and Social Care Information Centre’s casemix service designs and refines currencies that are used by the NHS to describe healthcare activity. These currencies – known as healthcare resource groups (HRGs) – underpin PbR from costing through to payment, and support local commissioning and performance management. The casemix service also produces grouper software used for reference cost collection and tariff payment purposes.
The Health and Social Care Information Centre (HSCIC), in collaboration with NHS Connecting for Health, deliver the secondary uses service (SUS). SUS is a repository of healthcare data which enables a range of reporting and analysis to support the NHS in the delivery of healthcare services. Within SUS there is a PbR specific service available called SUS PbR.
The HSCIC can help with queries related to casemix, HRGs, grouping and groupers as well as SUS and SUS PbR.
The HSCIC can be contacted on 0845 300 6016 (available Monday to Friday, 9am to 5pm). Queries can be submitted by email to email@example.com
Queries that NHS Connecting for Health can help with
Consistent data formats and the use of appropriate coding systems is key to effective electronic healthcare in the NHS. NHS Connecting for Health (CfH) provide advice and guidance to support the effective use of data standards across the NHS.
- The data standards pages on the CfH website
- Information on the ICD and OPCS classification systems
- Information on training and accreditation for clinical coders
CfH can help with queries related to data standards, data flows, data definitions, the NHS data model and dictionary and clinical coding.
Queries relating to data standards or clinical coding should be directed to the NHS data standards helpdesk on 0845 13 00 114. Queries can be submitted by email to firstname.lastname@example.org
Strategic health authority PbR leads
- East of England: email Finance
- East Midlands: email John Loftus
- London: email Joanna Watson
- North East: email Jonathan Storey
- North West: email Carolyn Wood
- South Central: email Julie Renfrew
- South East Coast: email Robyn Rukavina
- South West: email Nicky Mowatt
- West Midlands: email Helen O’Riordan
Note: Yorkshire and Humber is covered by the SHA PbR leads for the North West.