National Programme for Information Technology

The Secondary Uses Service

Jeremy Thorp

Director of Business Requirements Technology Office

Objectives of SUSImprove access to data to support the business requirements of the NHS and its stakeholders

Provide a range of software tools and functionality which enable users to analyse report and present this data

Be the single, authoritative and comprehensive source of high quality data to

- enable linkage of data across all care settings

- ensure the consistent derivation of data items and construction of indicators for analysis

- improve the timeliness of data for analysis purposes

Provide a secure environment which enables patient confidentiality to be maintained according to national standards

What it does

• SUS acts as the central data hub for the NHS• Fed by a range of standard / official data flows

generated by local and national operational processes

• Provides centralised validation and cleaning functions

• One version of the “truth” for use in multiple down-stream business processes e.g. Payment by Results and Practice Based Commissioning

Data Sources Data Management Presentation

• datamarts will be

provided to enable users

to access tailored views

of information which will

already have been pre -

processed – these may

be logical or physical

• information provided

to users will be

pseudonymised

according to processes

and guidelines to be

agreed

• in addition to storage

of submitted data, there

will also be storage of a

number of “derived”

fields, e.g. age, ward

code

• all data will be held in

a “secure database”, but

no users will have direct

access to this database

• initially, SUS will be fed

by specific datasets

although it is intended that

SUS will be populated by

operational event

messages

• validation of data will be

performed before loading

into SUS to ensure, as far

as possible, good quality

data is received

• data changes will only

be made at source and not

in the data warehouse

Design Principles

Rich Content

• Patient - demographics• Admissions• Discharges• Episodes and Spells• Clinical• Health Resource Groups

• Organisation• Geographical• Practitioner• Augmented/critical care• Maternity

• 16+ Terabytes of data in SUS

• > £30 billion of PbR transactions processed

• 700+ million Activity records submitted to SUS

• Over 1 million records entering SUS each day

• Over 90,000 managed service extract reports produced from SUS

• Over 12,000 user-defined extracts produced

• Over 1500 users registered

• Currently over 320 organisations submitting data

Some Statistics

Who can access SUS data and SUS applications?

• Directly

• NHS organisations via the Spine portal• In-directly

• Non-NHS organisations via the proposed SUS Extract Service

Current Developments

• Release 1 for PBR 07/08 and data for PBC comparators (April 2007) – completed

• NHS Comparator data (April and September) – completed

• Release 2 giving non-functional upgrade to Oracle 10g and uplift for more users – completed

• Release 3L providing “landing” capability for cds v6, plus loads from PDS and Choose and Book – December 07

• Release 3R providing processing and reporting for 18 weeks and further reporting for CAB and PDS – April 08

• Further developments of• 18 week waits

• Payment by results

• Commissioning

• Demographics, e.g cohort management

• Research and Development

• Public Health

• Reporting work with Local Service Providers

Future Directions

NHS comparators

NHS comparators

• Future releases planned in January and April 2008 to cover

• 18 week reporting• Further comparators for practice-based

commissioning

For Further Information

http://www.connectingforhealth.nhs.uk/systemsandservices/sus

Contact Jeremy.Thorp@nhs.net