Secondary Uses Service (SUS)
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.
What is SUS?
When a patient or service user is treated or cared for, information is collected which supports their treatment. This information is also useful for many other purposes such as:
- Healthcare planning
- Commissioning services
- Payment by Results
- Improving public health
- Developing national policy
SUS is a data warehouse containing this patient-level information. Data can be clear (patient identifiable), anonymised or pseudonymised as required for the user's needs. NHS providers and commissioners can use this data for 'secondary uses'; purposes other than primary clinical care. SUS provides a range of services and functionality which you can use to analyse, report and present this data.
SUS data are held in a secure environment that maintains patient confidentiality to national standards.
Who is it for?
SUS can be accessed by:
- any healthcare provider that submits patient data to SUS (NHS and independent sector)
- organisations that commission data from SUS
- organisations that check healthcare compliance and consistency with national standards, such as Area Teams (previously SHA)
SUS access is managed using role-based access controls (RBAC) and restricted to three individuals per organisation.
Freely available aggregated data containing details of all admissions to NHS hospitals in England are provided by the Hospital Episodes Statistics (HES) service.
How do I apply for access to view SUS data?
SUS operates a strict information governance process to ensure data is protected from unauthorised access. Users can only view information relevant to the purposes applied for.
Step one: You will require an N3 connection (also known as the 'National Framework') to access the SPINE and SUS. NHS networks should automatically be configured with an N3 connection. Users outside of the NHS network requiring N3 will need to complete an 'expression of interest' form:
Step two: Approach your local registration authority for local advice on how to apply. Access can be granted electronically but the process is managed by each local team. Registration authority contacts tend to be members of an IT department or an IG representative.
Step three: Local registration authority sponsor will assign correct access rights (business functions) to a user's smartcard.
Independent sector healthcare provider:
Independent providers should fill in the independent sector registration from.
How do I apply for access to submit data to SUS?
To enable data submissions senders must follow these steps in the correct order:
Step one: Apply for a legitimate organisation code, if you do not already have one, from the Organisation Data Service (ODS)
Step two: To obtain a commissioning data set (CDS) interchange sender identity you should complete an EDI registration form
Step three: Submit a completed SR1 (SUS Sender Registration) form to the National Service Desk who will register your new organisation code(s) and log your contact details .
Step four: You should enlist an approved XML supplier to ensure that CDS data are in the correct XML format. The Data Sender Deployment Guide includes details of approved suppliers and how to work with them:
- SUS Guidance
- SUS Payment by Results (PbR) Guidance
- Requirements for Submission of CDS to SUS v1.0 [81kb]
- What's New
Subscribers receive an email bulletin notifying them of SUS developments, issues, updates and additions to the website and user-documentation and to keep up to date with the latest news on the SUS transition.
- National tariff payment system 2014-15
- CDS 6.2 Human Behavioural, Organisational and Technical Guidance
- NHS Data Dictionary