Requirements Specification For Patient Level Information and Costing Systems (PLICS) Mandatory Collections Continued Implementation

Requirements Specification for Patient Level Information and Costing
Document filename:
Systems (PLICS) Mandatory Collections continued implementation
Project / Programme PLICS Data Acquisition
Document Reference TBC
Project Manager John Winter Status Approved
Owner John Winter Version 1.0
Author Sarah Williams Version issue date 16/07/2021
Requirements Specification
for Patient Level Information
and Costing Systems
(PLICS) Mandatory
Collections continued
implementation
Copyright ©2021 Health and Social Care Information Centre Page 1 of 40
The Health and Social Care Information Centre is a non-departmental body created by statute, also known as NHS Digital.
Requirements Specification for Patient Level Information and Costing Systems (PLICS) Mandatory Collections
continued implementation v 1.0 Approved 16/07/2021
Document management
Revision History
Version Date Summary of Changes
V0.1 29/02/2021 Initial draft for review
V0.2 01/04/2021 Further draft including initial comments from Magi Nwolie
V0.3 27/04/2021 Updated draft
V0.4 30/04/2021 Updated draft
Updated draft to incorporate comments from NHS Digital IG and Legal
V0.5 18/05/2021
review
V0.6 25/06/2021 Updated draft including updates following NHS Digital IG and Legal review
V1.0 16/07/2021 Issued as a version 1.0 following approval by Richard Steele
Reviewers
This document must be reviewed by the following people:
Reviewer name Title / Responsibility Date Version
PLICS Programme
John Winter 21/04/2021 V0.2
Manager, NHS Digital
Head of Costing,
Candice Goold 25/06/2021 V0.6
NHSEI
Principal IG Specialist
and Associate Data 11/05/2021 V0.4
Magi Nwolie
Protection Officer 25/06/2021 V0.6
(DPO), NHS Digital
NHS Digital legal review Legal review 06/05/2021 V0.4
Approved by
This document must be approved by the following people:
Name Signature Title Date Version
Richard Steele Approved via email Programme Head 08/07/2021 0.6
Glossary of Terms
Term / Abbreviation What it stands for
CTP Costing Transformation Programme
IAPT Improving Access to Psychological Therapies
PLICS Patient Level Information and Costing Systems
1 As per https://www.england.nhs.uk/wp-content/uploads/2021/03/UPDATED-POST-PUBLICATION-ACG_Intro_2021.pdf
Copyright © 2021 Health and Social Care Information Centre. Page 2 of 40

Document Control:
The controlled copy of this document is maintained in the NHS Digital corporate network.
Any copies of this document held outside of that area, in whatever format (e.g. paper, email
attachment), are considered to have passed out of control and should be checked for
currency and validity.

Purpose of document
This document sets out the requirements for the Patient Level Information and Costing
Systems (PLICS) Mandatory Collections continued implementation Mandatory Request and
should be read alongside the Patient Level Information and Costing Systems (PLICS)
Mandatory Collections continued implementation Mandatory Request issued by NHS
Improvement.
Introduction / Purpose of data collection

NHS England and NHS Improvement's Costing Transformation Programme (CTP) was set
up to implement PLICS across acute, mental health, ambulance and community providers.
The CTP involves:
• introducing and implementing new standards for patient-level costing
• developing and implementing one single national cost collection to replace current
multiple collections
• establishing the minimum required standards for costing software and promoting its
adoption
• driving and encouraging sector support to adopt Patient Level Costing methodology
and technology
Patient Level Information Costing data is used to standardise the method of reporting cost
information. All designated providers of acute, ambulance, mental health and IAPT
(Improving Access to Psychological Therapies) activity are required to submit patient level
costing data in accordance with Annex A, Section 1 and Section 3 of this document in
Autumn 2021 and on an annual basis thereafter.
PLICS data enables NHS Improvement to perform its pricing and licensing functions under
the Health and Social Care Act 2012 (the 2012 Act) more effectively. The data is used to:
• inform new methods of pricing NHS services;
• inform new approaches and other changes to the design of the currencies used to
price NHS services;
• contribute to NHS Improvement’s strategic objective of a ‘single national cost
collection1’;
• inform the relationship between provider characteristics and cost;
• help Trusts to maximise use of their resources and improve efficiencies, as required
by the provider licence;
• identify the relationship between patient characteristics and cost;
• identify the relationship between incident characteristics and cost;
• support an approach to benchmarking for regulatory purposes; and
• allow NHS Improvement to report the impact of the COVID-19 pandemic on the cost
base in the English NHS.

Data collection
Scope
Under section 259(1)(a) of the 2012 Act, a Data Provision Notice will be served on the Trusts
named at Annex A Section 2 to provide the data at Annex A Section 1 and on the Trusts
named at Annex A Section 4 to provide the data at Annex A Section 3 of this document.
Source
PLICS data will be collected from:
• Acute providers
• Mental Health providers
• IAPT providers
• Ambulance providers
Specific details of the trusts can be found in Annex A; Section 2 and Section 4 of this
document.
In future years, data for other services such as community services may be included within
this Specification (following appropriate consultation and as agreed between NHS Digital and
NHS Improvement).
Category
This is a collection of identifiable patient level data, which will be held by NHS Digital. A full
list of data items is shown at Annex A.
Frequency
The PLICS collection year operates on a financial year basis and data is reported annually.
Due to the impacts of the COVID-19 pandemic, the collection of FY20/21 data is planned to
take place between 6 September and 29 October 2021. The intention in the medium to long
term is that PLICS is collected during a submission window in the summer.
Analysis
Internal processing
Data received at NHS Digital is validated against an XML (Extensible Markup Language)
schema. The outcome of schema validation is provided to providers, along with summary
data quality reports being issued to providers and NHSEI during the collection window. Data
is stored and then matched if relevant. Data is processed, including further data quality
checks, calculations and derivations being undertaken if relevant, and then pseudonymised
before being provided to NHS Improvement.

Data linkage
PLICS data may be linked to data held by NHS Digital from other data sets and collections.
PLICS data may also be linked to external data sources.
For PLICS data collected in 2021 under this Mandatory Request, the data will be linked to
HES (Hospital Episode Statistics) and MHSDS (Mental Health Services Dataset). PLICS
data may also be linked to the IAPT (Improving Access to Psychological Therapies) dataset.
No linkage will be undertaken in 2021 to the Ambulance Data Set (ADS) as this is still in the
pilot stage.
Consultation
Upon receipt of the Mandatory Request for the continued implementation of PLICS
collections, NHS Digital has, as required under section 258 of the Health and Social Care
Act 2012, consulted with the following persons:
• NHS England and NHS Improvement
• Providers of Acute, Mental Health, IAPT and Ambulance services in accordance with
Annex A, Section 2 and Section 4, of this document.
• Representatives of other stakeholders who NHS Digital considers are likely to use the
information to which the Mandatory Request relates, for example, relevant Arm’s
Length Bodies (ALBs).
This consultation took place between March 29th and April 28th 2021.
In addition to the above, the NHS Digital PLICS team are liaising with the Data Standards
Assurance Service (DSAS) and the Data Alliance Partnership Board (DAPB). This function
has been established as part of a system-wide information and technology governance
model to provide assurance. The Data Alliance Partnership Sub Board (DAPSB) acts with
delegated authority from the DAPB and directly from the Secretary of State as the main
governance route through which all data collections and standards requirements are agreed
and priorities assigned).
Dissemination/Sharing
Regular Dissemination/Sharing
NHS Improvement requests that NHS Digital exercises the powers it has under section
261(1) and 261(4) of the 2012 Act to disseminate the information it has obtained by
complying with this Mandatory Request to NHS Improvement.
It is also intended that information from the data collected will be made available through the
provision of data extracts (including linked data) to other organisations, subject to relevant
information governance approvals.

Data Access Request Service (DARS)

NHS Digital disseminates data via the Data Access Request Service (DARS) process. This
process verifies that there is an appropriate legal basis for an applicant to access the
requested data and that appropriate safeguards are in place to ensure that the applicant will
store and handle data safely and securely.
A signed Data Sharing Framework Contract (DSFC) and Data Sharing Agreement (DSA) are
each already in place between NHS Digital and NHS England and NHS Improvement,
having been through the DARS process.
A change to that DSA will require a further application through DARS and may require
consideration by the Independent Group Advising on the Release of Data (IGARD).
Requests for data from external bodies for analysis and/or publication purposes will be
subject to approval from NHS Digital, such as through DARS and consideration by IGARD
as referenced above.
Publication
Data to be published
NHS Digital uses collected PLICS data in order to publish analysis of PLICS data as per
requirements of release of Official Statistics, of which PLICS data collected under this
request falls within. It is intended that the information from the data collected will be made
widely available through publication to commissioners, providers, clinicians, service users
and the public (to inform choice). This will be published in a public facing manner via the
publications page of the NHS Digital website and at a trust level.
NHS Digital may also be required to undertake ad-hoc analyses utilising the data, to answer
ad-hoc analytical requests, such as parliamentary questions.
System Delivery Function

NHS Digital will utilise its existing systems to deliver the systems to enable the PLICS data
collection and required processing. These will be updated and modified to collect and
process the PLICS data for collection in 2021.
Change control process

The Specification may be updated periodically (within the confines of the scope set out in the
Mandatory Request) by being agreed between NHS Digital and NHS Improvement in writing.
Any updates to the Specification shall be agreed no later than 180 calendar days prior to the
data collection commencing, unless otherwise agreed between the parties.

Annex A – The specification

Section 1: Data to be collected for Acute, Mental Health
and IAPT services from Acute, Mental Health and IAPT
providers (as per Section 2)
(Collection to be undertaken in 2021)
Costing Transformation Programme Data Extract Requirements
NHS Digital is being asked to collect information on four levels, which collectively form the
extract requested by NHS Improvement:
• Reconciliation tables
• The message header
• The activity details
• The costing details

Reconciliation tables
(One set of reconciliation tables only are required for data to be collected for Acute, Mental
Health and IAPT services)
Message Header
Field Name Description
Organisation identifier (Code Organisation identifier (Code of submitting organisation) is
of submitting organisation) the organisation identifier of the organisation acting as the
physical sender of a data set submission.
Financial year The financial reporting period
Reporting period start date The start of the reporting period the extract covers
Reporting period end date The end of the reporting period the extract covers
Date and time data set The date and time the extract was created.
created
Patient level costing care The data set the extract covers.
activity type code
Final audited accounts table

Final audit accounts ID Identifier which describes the financial transactions
charged to the statement of comprehensive income
Cost or Income value Financial transaction value.
Service and cost exclusions

Service ID Identifier to report services and costs excluded from the
data set
Total cost The total cost on a full absorption basis, which should be
sum of patient facing and support costs for all resources
and activities reported in the service and cost exclusions.

Message Header (per activity feedtype)

Organisation Identifier (code Organisation identifier (Code of submitting organisation) is
Financial Year The financial reporting period
Reporting Period Start Date The start of the reporting period the extract covers
Reporting Period End Date The end of the reporting period the extract covers
Date and Time Data Set The date and time the extract was created
Created
Patient Level Costing Care The data set the extract covers
Activity Type Code
Patient Level Costing The total number of activity records included in the
Submission Record Count monthly extract
Patient Level Costing Care The total sum of the costs within the monthly extract
Monthly Extract Total Cost

Activity Information – Admitted patient care

Personal and Demographic Details
Organisation identifier (Code Organisation identifier (Code of provider) is the
of provider) Organisation identifier of the organisation acting as a
health care provider.
PLICS extract matching This is an attribute which will enable data linkage across
identifier all the activity feedtypes from one organisation.
CDS unique identifier A commissioning data set data element providing a
unique identity for the life-time of an episode carried in a
commissioning data set message.
NHS number The primary identifier of a person within the NHS in
England and Wales.
NHS number status indicator Codes in this field indicate whether the patients' NHS
code number is present, and if it is verified. If the NHS number
is absent, the indicator gives the reason why.
Postcode of usual address Post code of usual address.
Person birth date The date on which a person was born or is officially
deemed to have been born.
Person stated gender code Person stated gender code is self declared or inferred by
observation for those unable to declare their person stated
gender.
Care Activity Details

The patient pathway identifier field together with the
Patient pathway identifier organisation identifier (patient pathway issuer), uniquely
identifies a patient pathway.
Organisation identifier
The organisation identifier of the organisation issuing the
(Patient pathway identifier
patient pathway identifier.
issuer)
Point of delivery The type of admission or attendance for treatment.
Hospital provider spell A number to provide a unique identifier for each hospital
number provider spell for a health care provider.
Field used to uniquely identify episodes and is the
Episode number sequence number for each consultant episode within a
hospital provider spell.

The date episode started.

Start date (Episode)
Use in CDS types: 120,130,140,170,180,190,200.
The date the episode ended.

End date (Episode)
Use in CDS types: 120,130,140,170,180,190,200.
Field to indicate whether the episode completed within the
Episode type financial year, or is still open at the end of the financial
year.
Treatment function code is a unique identifier for a
treatment function.
Activity treatment function Treatment function code is recorded to report the

code specialised service within which the patient is treated.
Has the same attributes as activity treatment function

code.
Under the year-of-care currency model, each Cystic
Fibrosis patient is allocated to one of seven bands,
Cystic Fibrosis Banding derived from clinical information including Cystic Fibrosis
complications and medicine requirements. Each band
describes an increasingly complex year of care.
Currency Details
Standard groupings of clinically similar treatments which

Finished consultant episode use common levels of healthcare resource. This is
healthcare resource group derived from the reference cost HRG grouper for finished
consultant episodes activity.

Hospital provider spell use common levels of healthcare resource. This is
healthcare resource group derived from the Reference cost HRG grouper for
completed spell activity.

The total number of days within a consultant episode

(hospital provider) adjusted to remove critical care days,
rehabilitation days and specialist palliative care days.
Adjusted length of stay
The adjusted length of stay should be calculated using
the national tariff payment system rules (i.e. count of
midnights).

Activity Information – Outpatients

England and Wales.
gender.

The patient pathway identifier field together with the

Patient pathway identifier organisation identifier (patient pathway issuer), uniquely
identifies a patient pathway.
The organisation identifier of the organisation issuing the
(Patient pathway identifier
patient pathway identifier.
issuer)
Point of delivery The type of admission or attendance for treatment.
A sequential number or time of day, assigned locally, that
is unique to only one activity for a patient within an
organisation. As this field is often locally generated, the
Attendance identifier
data in this field are not currently unique within a dataset.
However, as the NHS moves towards central systems this
should change.

Appointment date The appointment date for an appointment.
Appointment time The appointment time for an appointment.
Treatment function code is a unique identifier for a

treatment function.
Activity treatment function Treatment function code is recorded to report the

code specialised service within which the patient is treated.
Has the same attributes as activity treatment function

code.
Under the year-of-care currency model, each Cystic

Fibrosis patient is allocated to one of seven bands,
Cystic Fibrosis Banding derived from clinical information including Cystic Fibrosis
complications and medicine requirements. Each band
describes an increasingly complex year of care.
Currency Details

use common levels of healthcare resource. This is
Healthcare resource group
derived from the Reference cost HRG grouper for
outpatient attendance activity.

Activity Information – Emergency Care - (Historically referred to as

Accident & Emergency Care)
England and Wales.
gender.

Emergency Care Attendance identifier is an identifier
Emergency care attendance
allocated by an Emergency Care Department to provide a
identifier
unique identifier for each Emergency Care Attendance.
Arrival date at emergency

An Emergency Care Arrival Date is an Activity Date Time.
department
Arrival time at emergency An Arrival Time at Accident and Emergency Department is

department an Activity Date Time.
Emergency care department

The type of Emergency Care Department.
type

Departure date from An Emergency Care Departure Date is an Activity Date

emergency department Time.
Departure time from An Emergency Care Departure Time is an Activity Date
emergency department Time.
Currency Details

use common levels of healthcare resource. This is
Healthcare resource group
derived from the Reference cost HRG grouper for
accident and emergency attendance activity.

Activity Information – Specialist Ward Care


The specific unbundled element of care being delivered.
These are activities which identify separately significant
elements of cost and activity from the core HRG. They
Unbundled Care Activity generate a HRG in their own right in addition to a core
Type HRG for the episode or spell of care, or attendance. An
unbundled HRG may be event-based, and thus derived
from the presence of a specific OPCS-4 code in the
patient record, or duration-based.
Is a unique local ACTIVITY IDENTIFIER used to identify

the start of CARE ACTIVITY within a CRITICAL CARE
PERIOD.
Critical Care Local Identifier This locally defined variable should as a minimum include
a sequential numerical component that can discriminate
two or more CRITICAL CARE PERIODS occurring on the
same calendar day for the same patient
The type of area to which the patient was admitted during

Critical Care Unit Function
a critical care period.
Unbundled Care Activity
The date on which the unbundled care activity occurs.
Date
Field to indicate whether the critical care period completed
Critical care period type within the financial year, or is still open at the end of the
financial year.
Number of organ systems The number of ORGAN SYSTEMS SUPPORTED on a

supported day during a CRITICAL CARE PERIOD

Currency Details
These are HRG which identify separately significant

elements of cost and activity from the core HRG. These
are HRG in their own right and are generated in addition
to a core HRG for the episode or spell of care, or
Unbundled HRG attendance. An unbundled HRG may be event-based,
and thus derived from the presence of a specific OPCS-4
code in the patient record, or duration-based. One may
generate multiple unbundled HRGs in addition to a single
core HRG.

Activity Information – Supplementary Information


Unbundled Care Activity

The date on which the unbundled care activity occurs.
Date
Currency Details
Unbundled Currency
Type of currency that applies for the unbundled activity.
Scheme in Use
The currency code from the Unbundled Currency Scheme

Unbundled Currency in Use that applies to the Supplementary Information
unbundled care activity

Activity Information – Mental health provider spells

Organisation identifier (Code of provider) is the

Organisation identifier of the organisation acting as
(Code of provider)
a health care provider.
PLICS extract matching This is an attribute which will enable data linkage
identifier across all the activity feedtypes from one
organisation.

The unique identifier for a SERVICE REQUEST for

Service request identifier
the Health Care Provider.
Hospital provider spell A number to provide a unique identifier for each

number hospital provider spell for a health care provider.
Start date (Hospital

The start date of a Hospital Provider Spell.
provider spell)
Discharge date (Hospital

The discharge date from a Hospital Provider Spell.
provider spell)
Field to indicate whether the spell completed within

Spell type the financial year or is still open at the end of the
financial year.

Currency Details
Field to indicate whether the patient has either been

assigned an ADULT MENTAL HEALTH CARE
Patient cluster CLUSTER CODE that is still within its assessment
assessment status period, was assessed but not accepted into service,
has not been assessed or clustered or the patients
treatment is not a clustered mental health service.
Patient cluster
The start date of the Patient cluster assessment
assessment status start
status.
date
Patient cluster
The end date of the Patient cluster assessment
assessment status end
status.
date
The allocation of the ADULT MENTAL HEALTH
CARE CLUSTER CODE by the CARE
Adult mental health care PROFESSIONAL. The determination of the ADULT
cluster code MENTAL HEALTH CARE CLUSTER CODE may or
may not have involved the use of the National Tariff
Payment System clustering algorithm.
Start date (care cluster The date on which the assignment of a patient to a
assignment period) Care Cluster started.
End date (care cluster The date on which the assignment of a patient to a
assignment period) Care Cluster ended.

Activity Information – Mental health care contacts


(Code of provider)
organisation.


The CARE CONTACT IDENTIFIER is used to

Care contact identifier uniquely identify the CARE CONTACT within the
Health Care Provider.
The date on which a Care Contact took place, or, if

Care contact date
cancelled, was scheduled to take place.
Attended or did not An indication of whether an APPOINTMENT for a

attend code CARE CONTACT took place.
Currency Details

has not been assessed or clustered or the patients

Activity Information – IAPT contacts


(Code of provider)
organisation.
The primary identifier of a person within the NHS in

NHS number
England and Wales.
Codes in this field indicate whether the patients'

NHS number status NHS number is present, and if it is verified. If the
indicator code NHS number is absent, the indicator gives the
reason why.
The POSTCODE of the ADDRESS nominated by
Postcode of usual the PATIENT with ADDRESS ASSOCIATION TYPE
address 'Main Permanent Residence' or 'Other Permanent
Residence'.
The date on which a PERSON was born or is

Person birth date
officially deemed to have been born.
Person stated gender code is self declared or

Person stated gender
inferred by observation for those unable to declare
code
their person stated gender.


Local patient identifier This is a number used to identify a PATIENT

(Extended) uniquely within a Health Care Provider.

The CARE CONTACT IDENTIFIER is used to

Care Contact Identifier uniquely identify the CARE CONTACT within the
Health Care Provider.
The date on which a Care Contact took place, or, if

Care contact date
cancelled, was scheduled to take place.
Care contact time The time at which a Care Contact took place.
Attended or did not An indication of whether an APPOINTMENT for a

attend code CARE CONTACT took place.
Currency Details

has not been assessed or clustered or the patient’s

Activity to be submitted in 2021

Admitted Patient Care, Outpatients and Emergency Care
The collection year begins on 1 April 2020 and ends on 31 March 2021. All episodes,
attendances and contacts completed within the collection year must be costed and submitted.
All episodes including incomplete are to be costed as per Figure 1 below.
There are four Episode Types:
1 = Started in previous financial year and ended in reporting financial year (ended)
2 = Started but not ended during reporting financial year (open)
3 = Started and ended in reporting financial year (ended)
4 = Started in previous financial year but not ended in reporting financial year (open)
Figure 1: Episode types

Specialist Ward Care

The collection year begins on 1 April 2020 and ends on 31 March 2021. All occupied critical
care bed days within that period must be submitted.
For critical care stays (periods) which started before 1 April 2020 or ended after the end of 31
March 2021 only the days within the financial year 2020/21 should be costed and submitted.
Figure 2: Critical Care Periods
Day being costed
Critical Care Period Explained 31 March 01 April 31 March 01 April
Over Start Period OUT IN
Over End Period IN OUT
In Period IN IN IN
Ongoing throughout period OUT IN IN IN IN IN OUT

Supplementary Information
The collection year begins on 1 April 2020 and ends on 31 March 2021. All scans completed
(even if not reported by a radiologist) within the collection year must be costed and
submitted. All high cost drugs, high cost blood products and excluded devices (see National
Tariff Annex A Worksheet 13a and 13b) issued within the collection year must be costed and
submitted.
Mental Health Provider Spells

The collection year begins on 1 April 2020 and ends on 31 March 2021. All hospital provider
spells completed within the collection year, or hospital provider spells still open at the end of
the collection year, are in scope of this collection. All mental health care contacts completed
within the collection year, are in scope of this collection. Figure 3 shows which part of a spell
should be costed in the collection year.
Figure 3 incomplete hospital provider spells
Mental Health Care Contacts

The collection year begins on 1 April 2020 and ends on 31 March 2021. All mental health
care contacts completed within the collection year, are in scope of this collection as per
Figure 4.
Figure 4 scope of care contacts collected

IAPT
The collection year begins on 1 April 2020 and ends on 31 March 2021. All attended IAPT
appointments within the collection year are in scope of this collection. Data for Long Term
Care/IAPT integrated services pilots and Employment Advisor pilots is not in scope.

Costing information (per activity feedtype)

Patient Level Costing Collection Unique identifier to report activities, which are
Activity Identifier measurable amount of work performed using
resources to deliver elements of patient care.
Patient activity can be recorded and reported
through various feeder systems.
Patient Level Costing Collection The number or duration of activities undertaken, eg

Activity Count number of tests or duration in theatre
Patient Level Costing Collection Unique identifier to report resources, which are
Resource Identifier components used to deliver activities, such as
staffing, supplies, systems and facilities.
Patient Level Costing Collection The unit cost for each resource and activity
Total Cost combination reported in the service, patient facing,
and support costs should be reported separately.

Section 2: Acute, Mental Health and IAPT Providers

Trust ID Trust
R0A MANCHESTER UNIVERSITY NHS FOUNDATION TRUST
R0B SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST
R0D UNIVERSITY HOSPITALS DORSET NHS FOUNDATION TRUST
R1F ISLE OF WIGHT NHS TRUST
R1H BARTS HEALTH NHS TRUST
R1K LONDON NORTH WEST UNIVERSITY HEALTHCARE NHS TRUST
R1L ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST
RA2 ROYAL SURREY COUNTY HOSPITAL NHS FOUNDATION TRUST
RA4 YEOVIL DISTRICT HOSPITAL NHS FOUNDATION TRUST
RA7 UNIVERSITY HOSPITALS BRISTOL AND WESTON NHS FOUNDATION TRUST
RA9 TORBAY AND SOUTH DEVON NHS FOUNDATION TRUST
RAE BRADFORD TEACHING HOSPITALS NHS FOUNDATION TRUST
RAJ MID AND SOUTH ESSEX NHS FOUNDATION TRUST
RAL ROYAL FREE LONDON NHS FOUNDATION TRUST
RAN ROYAL NATIONAL ORTHOPAEDIC HOSPITAL NHS TRUST
RAP NORTH MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST
RAS THE HILLINGDON HOSPITALS NHS FOUNDATION TRUST
RAT NORTH EAST LONDON NHS FOUNDATION TRUST
RAX KINGSTON HOSPITAL NHS FOUNDATION TRUST
RBD DORSET COUNTY HOSPITAL NHS FOUNDATION TRUST
RBK WALSALL HEALTHCARE NHS TRUST
RBL WIRRAL UNIVERSITY TEACHING HOSPITAL NHS FOUNDATION TRUST
RBN ST HELENS AND KNOWSLEY TEACHING HOSPITALS NHS TRUST
RBQ LIVERPOOL HEART AND CHEST HOSPITAL NHS FOUNDATION TRUST
RBS ALDER HEY CHILDREN'S NHS FOUNDATION TRUST
RBT MID CHESHIRE HOSPITALS NHS FOUNDATION TRUST
RBV THE CHRISTIE NHS FOUNDATION TRUST
RBZ NORTHERN DEVON HEALTHCARE NHS TRUST
RC9 BEDFORDSHIRE HOSPITALS NHS FOUNDATION TRUST
RCB YORK TEACHING HOSPITAL NHS FOUNDATION TRUST
RCD HARROGATE AND DISTRICT NHS FOUNDATION TRUST
RCF AIREDALE NHS FOUNDATION TRUST
RCU SHEFFIELD CHILDREN'S NHS FOUNDATION TRUST
RCX THE QUEEN ELIZABETH HOSPITAL, KING'S LYNN, NHS FOUNDATION TRUST
RD1 ROYAL UNITED HOSPITALS BATH NHS FOUNDATION TRUST
RD8 MILTON KEYNES UNIVERSITY HOSPITAL NHS FOUNDATION TRUST
RDE EAST SUFFOLK AND NORTH ESSEX NHS FOUNDATION TRUST
RDU FRIMLEY HEALTH NHS FOUNDATION TRUST
RDY DORSET HEALTHCARE UNIVERSITY NHS FOUNDATION TRUST
REF ROYAL CORNWALL HOSPITALS NHS TRUST

REM LIVERPOOL UNIVERSITY HOSPITALS NHS FOUNDATION TRUST

REN THE CLATTERBRIDGE CANCER CENTRE NHS FOUNDATION TRUST
REP LIVERPOOL WOMEN'S NHS FOUNDATION TRUST
RET THE WALTON CENTRE NHS FOUNDATION TRUST
RF4 BARKING, HAVERING AND REDBRIDGE UNIVERSITY HOSPITALS NHS TRUST
RFF BARNSLEY HOSPITAL NHS FOUNDATION TRUST
RFR THE ROTHERHAM NHS FOUNDATION TRUST
RFS CHESTERFIELD ROYAL HOSPITAL NHS FOUNDATION TRUST
RGD LEEDS AND YORK PARTNERSHIP NHS FOUNDATION TRUST
RGM ROYAL PAPWORTH HOSPITAL NHS FOUNDATION TRUST
RGN NORTH WEST ANGLIA NHS FOUNDATION TRUST
RGP JAMES PAGET UNIVERSITY HOSPITALS NHS FOUNDATION TRUST
RGR WEST SUFFOLK NHS FOUNDATION TRUST
RGT CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST
RH5 SOMERSET NHS FOUNDATION TRUST
RH8 ROYAL DEVON AND EXETER NHS FOUNDATION TRUST
RHA NOTTINGHAMSHIRE HEALTHCARE NHS FOUNDATION TRUST
RHM UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST
RHQ SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST
RHU PORTSMOUTH HOSPITALS UNIVERSITY NATIONAL HEALTH SERVICE TRUST
RHW ROYAL BERKSHIRE NHS FOUNDATION TRUST
RJ1 GUY'S AND ST THOMAS' NHS FOUNDATION TRUST
RJ2 LEWISHAM AND GREENWICH NHS TRUST
RJ6 CROYDON HEALTH SERVICES NHS TRUST
RJ7 ST GEORGE'S UNIVERSITY HOSPITALS NHS FOUNDATION TRUST
RJC SOUTH WARWICKSHIRE NHS FOUNDATION TRUST
RJE UNIVERSITY HOSPITALS OF NORTH MIDLANDS NHS TRUST
RJL NORTHERN LINCOLNSHIRE AND GOOLE NHS FOUNDATION TRUST
RJN EAST CHESHIRE NHS TRUST
RJR COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST
RJZ KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST
RK5 SHERWOOD FOREST HOSPITALS NHS FOUNDATION TRUST
RK9 UNIVERSITY HOSPITALS PLYMOUTH NHS TRUST
RKB UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE NHS TRUST
RKE WHITTINGTON HEALTH NHS TRUST
RKL WEST LONDON NHS TRUST
THE ROBERT JONES AND AGNES HUNT ORTHOPAEDIC HOSPITAL NHS
RL1 FOUNDATION TRUST
RL4 THE ROYAL WOLVERHAMPTON NHS TRUST
RLQ WYE VALLEY NHS TRUST
RLT GEORGE ELIOT HOSPITAL NHS TRUST
RLY NORTH STAFFORDSHIRE COMBINED HEALTHCARE NHS TRUST
NORFOLK AND NORWICH UNIVERSITY HOSPITALS NHS FOUNDATION
RM1 TRUST

RM3 SALFORD ROYAL NHS FOUNDATION TRUST

RMC BOLTON NHS FOUNDATION TRUST
RMP TAMESIDE AND GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST
RMY NORFOLK AND SUFFOLK NHS FOUNDATION TRUST
RN3 GREAT WESTERN HOSPITALS NHS FOUNDATION TRUST
RN5 HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST
RN7 DARTFORD AND GRAVESHAM NHS TRUST
RNA THE DUDLEY GROUP NHS FOUNDATION TRUST
RNK TAVISTOCK AND PORTMAN NHS FOUNDATION TRUST
RNN NORTH CUMBRIA INTEGRATED CARE NHS FOUNDATION TRUST
RNQ KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST
RNS NORTHAMPTON GENERAL HOSPITAL NHS TRUST
RNU OXFORD HEALTH NHS FOUNDATION TRUST
RNZ SALISBURY NHS FOUNDATION TRUST
GREAT ORMOND STREET HOSPITAL FOR CHILDREN NHS FOUNDATION
RP4 TRUST
DONCASTER AND BASSETLAW TEACHING HOSPITALS NHS FOUNDATION
RP5 TRUST
RP6 MOORFIELDS EYE HOSPITAL NHS FOUNDATION TRUST
RP7 LINCOLNSHIRE PARTNERSHIP NHS FOUNDATION TRUST
RPA MEDWAY NHS FOUNDATION TRUST
RPC QUEEN VICTORIA HOSPITAL NHS FOUNDATION TRUST
RPG OXLEAS NHS FOUNDATION TRUST
RPY THE ROYAL MARSDEN NHS FOUNDATION TRUST
RQ3 BIRMINGHAM WOMEN'S AND CHILDREN'S NHS FOUNDATION TRUST
RQM CHELSEA AND WESTMINSTER HOSPITAL NHS FOUNDATION TRUST
RQW THE PRINCESS ALEXANDRA HOSPITAL NHS TRUST
RQX HOMERTON UNIVERSITY HOSPITAL NHS FOUNDATION TRUST
RQY SOUTH WEST LONDON AND ST GEORGE'S MENTAL HEALTH NHS TRUST
RR7 GATESHEAD HEALTH NHS FOUNDATION TRUST
RR8 LEEDS TEACHING HOSPITALS NHS TRUST
RRE MIDLANDS PARTNERSHIP NHS FOUNDATION TRUST
RRF WRIGHTINGTON, WIGAN AND LEIGH NHS FOUNDATION TRUST
RRJ THE ROYAL ORTHOPAEDIC HOSPITAL NHS FOUNDATION TRUST
RRK UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST
RRP BARNET, ENFIELD AND HARINGEY MENTAL HEALTH NHS TRUST
RRV UNIVERSITY COLLEGE LONDON HOSPITALS NHS FOUNDATION TRUST
RT1 CAMBRIDGESHIRE AND PETERBOROUGH NHS FOUNDATION TRUST
RT2 PENNINE CARE NHS FOUNDATION TRUST
RT5 LEICESTERSHIRE PARTNERSHIP NHS TRUST
RTD THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST
RTE GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST
RTF NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST
RTG UNIVERSITY HOSPITALS OF DERBY AND BURTON NHS FOUNDATION TRUST

RTH OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST

RTK ASHFORD AND ST PETER'S HOSPITALS NHS FOUNDATION TRUST
RTP SURREY AND SUSSEX HEALTHCARE NHS TRUST
RTR SOUTH TEES HOSPITALS NHS FOUNDATION TRUST
RTV NORTH WEST BOROUGHS PARTNERSHIP NHS FOUNDATION TRUST
RTX UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST
RV3 CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST
RV5 SOUTH LONDON AND MAUDSLEY NHS FOUNDATION TRUST
RV9 HUMBER TEACHING NHS FOUNDATION TRUST
RVJ NORTH BRISTOL NHS TRUST
RVN AVON AND WILTSHIRE MENTAL HEALTH PARTNERSHIP NHS TRUST
RVR EPSOM AND ST HELIER UNIVERSITY HOSPITALS NHS TRUST
RVV EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST
RVW NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST
RVY SOUTHPORT AND ORMSKIRK HOSPITAL NHS TRUST
RW1 SOUTHERN HEALTH NHS FOUNDATION TRUST
RW4 MERSEY CARE NHS FOUNDATION TRUST
RW5 LANCASHIRE & SOUTH CUMBRIA NHS FOUNDATION TRUST
RW6 PENNINE ACUTE HOSPITALS NHS TRUST
RWA HULL UNIVERSITY TEACHING HOSPITALS NHS TRUST
RWD UNITED LINCOLNSHIRE HOSPITALS NHS TRUST
RWE UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST
RWF MAIDSTONE AND TUNBRIDGE WELLS NHS TRUST
RWG WEST HERTFORDSHIRE HOSPITALS NHS TRUST
RWH EAST AND NORTH HERTFORDSHIRE NHS TRUST
RWJ STOCKPORT NHS FOUNDATION TRUST
RWK EAST LONDON NHS FOUNDATION TRUST
RWP WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST
RWR HERTFORDSHIRE PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST
RWV DEVON PARTNERSHIP NHS TRUST
WARRINGTON AND HALTON TEACHING HOSPITALS NHS FOUNDATION
RWW TRUST
RWX BERKSHIRE HEALTHCARE NHS FOUNDATION TRUST
RWY CALDERDALE AND HUDDERSFIELD NHS FOUNDATION TRUST
RX1 NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST
RX2 SUSSEX PARTNERSHIP NHS FOUNDATION TRUST
RX3 TEES, ESK AND WEAR VALLEYS NHS FOUNDATION TRUST
RX4 CUMBRIA, NORTHUMBERLAND, TYNE AND WEAR NHS FOUNDATION TRUST
RXA CHESHIRE AND WIRRAL PARTNERSHIP NHS FOUNDATION TRUST
RXC EAST SUSSEX HEALTHCARE NHS TRUST
RXE ROTHERHAM DONCASTER AND SOUTH HUMBER NHS FOUNDATION TRUST
RXF MID YORKSHIRE HOSPITALS NHS TRUST
RXG SOUTH WEST YORKSHIRE PARTNERSHIP NHS FOUNDATION TRUST

RXH BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS TRUST

RXK SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST
RXL BLACKPOOL TEACHING HOSPITALS NHS FOUNDATION TRUST
RXM DERBYSHIRE HEALTHCARE NHS FOUNDATION TRUST
RXN LANCASHIRE TEACHING HOSPITALS NHS FOUNDATION TRUST
RXP COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST
RXQ BUCKINGHAMSHIRE HEALTHCARE NHS TRUST
RXR EAST LANCASHIRE HOSPITALS NHS TRUST
RXT BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST
RXV GREATER MANCHESTER WEST MENTAL HEALTH NHS FOUNDATION TRUST
RXW SHREWSBURY AND TELFORD HOSPITAL NHS TRUST
RXX SURREY AND BORDERS PARTNERSHIP NHS FOUNDATION TRUST
RXY KENT AND MEDWAY NHS AND SOCIAL CARE PARTNERSHIP TRUST
RYG COVENTRY AND WARWICKSHIRE PARTNERSHIP NHS TRUST
RYJ IMPERIAL COLLEGE HEALTHCARE NHS TRUST
RYK DUDLEY INTEGRATED HEALTH AND CARE NHS TRUST
RYR WESTERN SUSSEX HOSPITALS NHS FOUNDATION TRUST
TAD BRADFORD DISTRICT CARE NHS FOUNDATION TRUST
TAF CAMDEN AND ISLINGTON NHS FOUNDATION TRUST
TAH SHEFFIELD HEALTH & SOCIAL CARE NHS FOUNDATION TRUST
TAJ BLACK COUNTRY HEALTHCARE NHS FOUNDATION TRUST
Collection of Providers in 2021 – Mergers and Acquisitions

Weston Area Health NHS Trust (RA3) and University Hospitals Bristol NHS Foundation Trust
(RA7) merged during 2020-21 to form University Hospitals Bristol and Weston NHS
Foundation Trust (RA7). A separate costs collection return will be required for RA3, which
will be completed by RA7 in addition to RA7’s own return.
Royal Brompton & Harefield NHS Foundation Trust (RT3) was dissolved during financial
year 2020-21 and was acquired by Guy's and St Thomas' NHS Foundation Trust, (RJ1). A
separate costs collection return will be required for RT3, which will be completed by RJ1 in
addition to RJ1’s own return.
Poole Hospital NHS Foundation Trust (RD3) and The Royal Bournemouth and Christchurch
Hospitals NHS Foundation Trust (RDZ) merged during 2020-21 to form University Hospitals
Dorset NHS Foundation Trust (R0D). Separate cost collection returns will be required for
both legacy trusts RD3 and RDZ, they will be completed by the merged organisation R0D.

Section 3: Data to be collected for Ambulance services

from Ambulance providers (as per Section 4)
(Collection to be undertaken in 2021)
Costing Transformation Programme Data Extract Requirements

NHS Digital is being asked to collect information on four levels, which collectively form the
extract requested by NHS Improvement:
• The message header
• Reconciliation tables
• The activity details
• The costing details
Message Header (Reconciliation)

created
activity type code
Message Header (Activity)


created
activity type code
Patient level costing The total number of activity records included in the
submission record count monthly extract.
Patient level costing care The total sum of the costs within the monthly extract.
monthly extract total cost
Reconciliation tables
Final audited accounts table
Final audit accounts ID Identifier which describes the financial transactions
charged to the statement of comprehensive income.
Cost or income value Financial transaction value.
Service and cost exclusions

Service ID Identifier to report services and costs excluded from the
data set.
Total cost The total cost on a full absorption basis, which should be
sum of patient facing and support costs for all resources
and activities reported in the service and cost exclusions

Activity Information – Ambulance incidents

Organisation ORGANISATION IDENTIFIER (CODE OF PROVIDER) is the
Identifier (Code of ORGANISATION IDENTIFIER of the Organisation acting as a
Provider) Health Care Provider
Organisation ORGANISATION IDENTIFIER (CODE OF COMMISSIONER) is
Identifier (Code of the ORGANISATION IDENTIFIER of the Organisation
Commissioner) commissioning health care.
NHS number The primary identifier of a person within the NHS in England and
Wales.
NHS number status Codes in this field indicate whether the patients' NHS number is
indicator code present, and if it is verified. If the NHS number is absent, the
indicator gives the reason why.

Incident ID Local incident identifier
Source of Call Source of call code
Call Category Call category used for reporting purposes
Multi-Patient Incident This field is to specify whether the incident involved more than one
patient
Number of Response Number of response units mobilised to incident
Units Mobilised for
Incident
Number of Response Number of response units arriving on scene of the incident
Units arriving on
scene
Number of Response Number of response units arriving at a treatment centre
Units arriving at
treatment centre
Incident date and The incident date and time as used for reporting
time
Job cycle duration Job cycle duration in seconds.
(seconds)
Responder Type Response unit type(s) arriving on scene to the incident
Organisation Organisation identifier of handover destination is the
identifier of handover ORGANISATION IDENTIFIER of the Organisation acting as the
destination Health Care Provider following an incident handover.
Currency Details

Incident currency The currency classification of the incident. See the guidance
document for more information on this.
Costing information
Patient level costing collection Unique identifier to report activities, which are
activity identifier measurable amount of work performed using
resources to deliver elements of patient care.
Patient activity can be recorded and reported
through various feeder systems.
Patient level costing collection The number or duration of activities undertaken, eg
activity count number of tests or duration in theatre
Patient level costing collection Unique identifier to report resources, which are
resource identifier components used to deliver activities, such as
staffing, supplies, systems and facilities.
Patient level costing collection total The unit cost for each resource and activity
cost combination reported in the service, patient facing
and support costs should be reported separately.
Activity to be submitted The collection year begins on 1 April 2020 and ends on 31
March 2021. All incidents started within the collection year are in scope of this collection.

Section 4: Ambulance Providers

Trust ID Trust
RX9 EAST MIDLANDS AMBULANCE SERVICE NHS TRUST
RYC EAST OF ENGLAND AMBULANCE SERVICE NHS TRUST
R1F ISLE OF WIGHT NHS TRUST
RRU LONDON AMBULANCE SERVICE NHS TRUST
RX6 NORTH EAST AMBULANCE SERVICE NHS FOUNDATION TRUST
RX7 NORTH WEST AMBULANCE SERVICE NHS TRUST
RYE SOUTH CENTRAL AMBULANCE SERVICE NHS FOUNDATION TRUST
RYD SOUTH EAST COAST AMBULANCE SERVICE NHS FOUNDATION TRUST

RYF SOUTH WESTERN AMBULANCE SERVICE NHS FOUNDATION TRUST
RYA WEST MIDLANDS AMBULANCE SERVICE NHS FOUNDATION TRUST
RX8 YORKSHIRE AMBULANCE SERVICE NHS TRUST
To note
Isle of Wight NHS Trust (R1F) are an acute trust that also deliver ambulance services as
they are the only trust on the island, consequently they are included in Section 2 and Section
4 above as submissions for both Acute and Ambulance services are required.

Requirements Specification For Patient Level Information and Costing Systems (PLICS) Mandatory Collections Continued Implementation

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Requirements Specification For Patient Level Information and Costing Systems (PLICS) Mandatory Collections Continued Implementation

Uploaded by

Copyright:

Available Formats

Requirements Specification for Patient Level Information and Costing

Copyright ©2021 Health and Social Care Information Centre Page 1 of 40

Copyright © 2021 Health and Social Care Information Centre. Page 2 of 40

Copyright © 2021 Health and Social Care Information Centre. Page 3 of 40

Introduction / Purpose of data collection

Copyright © 2021 Health and Social Care Information Centre. Page 4 of 40

Copyright © 2021 Health and Social Care Information Centre. Page 5 of 40

Copyright © 2021 Health and Social Care Information Centre. Page 6 of 40

Data Access Request Service (DARS)

System Delivery Function

Change control process

Copyright © 2021 Health and Social Care Information Centre. Page 7 of 40

Annex A – The specification

Copyright © 2021 Health and Social Care Information Centre. Page 8 of 40

Final audited accounts table

Service and cost exclusions

Copyright © 2021 Health and Social Care Information Centre. Page 9 of 40

Message Header (per activity feedtype)

Field Name Description

Copyright © 2021 Health and Social Care Information Centre. Page 10 of 40

Activity Information – Admitted patient care

Care Activity Details

Copyright © 2021 Health and Social Care Information Centre. Page 11 of 40

The date episode started.

The date the episode ended.

Activity treatment function Treatment function code is recorded to report the

Has the same attributes as activity treatment function

Standard groupings of clinically similar treatments which

Standard groupings of clinically similar treatments which

Copyright © 2021 Health and Social Care Information Centre. Page 12 of 40

The total number of days within a consultant episode

Copyright © 2021 Health and Social Care Information Centre. Page 13 of 40

Activity Information – Outpatients

Care Activity Details

The patient pathway identifier field together with the

Copyright © 2021 Health and Social Care Information Centre. Page 14 of 40

Appointment date The appointment date for an appointment.

Appointment time The appointment time for an appointment.

Treatment function code is a unique identifier for a

Activity treatment function Treatment function code is recorded to report the

Has the same attributes as activity treatment function

Under the year-of-care currency model, each Cystic

Standard groupings of clinically similar treatments which

Copyright © 2021 Health and Social Care Information Centre. Page 15 of 40

Activity Information – Emergency Care - (Historically referred to as

Care Activity Details

Arrival date at emergency

Arrival time at emergency An Arrival Time at Accident and Emergency Department is

Emergency care department

Copyright © 2021 Health and Social Care Information Centre. Page 16 of 40

Departure date from An Emergency Care Departure Date is an Activity Date

Standard groupings of clinically similar treatments which

Copyright © 2021 Health and Social Care Information Centre. Page 17 of 40

Activity Information – Specialist Ward Care

Care Activity Details

Is a unique local ACTIVITY IDENTIFIER used to identify

The type of area to which the patient was admitted during

Number of organ systems The number of ORGAN SYSTEMS SUPPORTED on a

Copyright © 2021 Health and Social Care Information Centre. Page 18 of 40

These are HRG which identify separately significant

Copyright © 2021 Health and Social Care Information Centre. Page 19 of 40

Activity Information – Supplementary Information

Care Activity Details