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TRUSTRM2<UNIVERSITY HOSPITAL OF SOUTH MANCHESTER NHS FOUNDATION TRUSTRM3"SALFORD ROYAL NHS FOUNDATION TRUSTRM4TRAFFORD HEALTHCARE NHS TRUSTRMC*ROYAL BOLTON HOSPITAL NHS FOUNDATION TRUSTRMP&TAMESIDE HOSPITAL NHS FOUNDATION TRUSTRMY6NORFOLK AND WAVENEY MENTAL HEALTH NHS FOUNDATION TRUSTRN1-WINCHESTER AND EASTLEIGH HEALTHCARE NHS TRUSTRN3,GREAT WESTERN HOSPITALS NHS FOUNDATION TRUSTRN54BASINGSTOKE AND NORTH HAMPSHIRE NHS FOUNDATION TRUSTRN7 DARTFORD AND GRAVESHAM NHS TRUSTRNA2THE DUDLEY GROUP OF HOSPITALS NHS FOUNDATION TRUSTRNH$NEWHAM UNIVERSITY HOSPITAL NHS TRUSTRNJBARTS AND THE LONDON NHS TRUSTRNL,NORTH CUMBRIA UNIVERSITY HOSPITALS NHS TRUSTRNN(CUMBRIA PARTNERSHIP NHS FOUNDATION TRUSTRNQ/KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUSTRNS&NORTHAMPTON GENERAL HOSPITAL NHS TRUSTRNUBOXFORDSHIRE AND BUCKINGHAMSHIRE MENTAL HEALTH NHS FOUNDATION TRUSTRNZSALISBURY NHS FOUNDATION TRUSTRP10NORTHAMPTONSHIRE HEALTHCARE NHS FOUNDATION TRUSTRP43GREAT ORMOND STREET HOSPITAL FOR CHILDREN NHS TRUSTRP56DONCASTER AND BASSETLAW HOSPITALS NHS FOUNDATION TRUSTRP6,MOORFIELDS EYE HOSPITAL NHS FOUNDATION TRUSTRP7-LINCOLNSHIRE PARTNERSHIP NHS FOUNDATION TRUSTRPAMEDWAY NHS FOUNDATION TRUSTRPC,QUEEN VICTORIA HOSPITAL NHS FOUNDATION TRUSTRPGOXLEAS NHS FOUNDATION TRUSTRPY&THE ROYAL MARSDEN NHS FOUNDATION TRUSTRQ33BIRMINGHAM CHILDREN'S HOSPITAL NHS FOUNDATION TRUSTRQ6=ROYAL LIVERPOOL AND BROADGREEN UNIVERSITY HOSPITALS NHS TRUSTRQ8%MID ESSEX HOSPITAL SERVICES NHS TRUSTRQM5CHELSEA AND WESTMINSTER HOSPITAL NHS FOUNDATION TRUSTRQQ$HINCHINGBROOKE HEALTH CARE NHS TRUSTRQW)THE PRINCESS ALEXANDRA HOSPITAL NHS TRUSTRQX1HOMERTON UNIVERSITY HOSPITAL NHS FOUNDATION TRUSTRQY9SOUTH WEST LONDON AND ST GEORGE'S MENTAL HEALTH NHS TRUSTRR1%HEART OF ENGLAND NHS FOUNDATION TRUSTRR7%GATESHEAD HEALTH NHS FOUNDATION TRUSTRR8"LEEDS TEACHING HOSPITALS NHS TRUSTRRD,NORTH ESSEX PARTNERSHIP NHS FOUNDATION TRUSTRREBSOUTH STAFFORDSHIRE AND SHROPSHIRE HEALTHCARE NHS FOUNDATION TRUSTRRF2WRIGHTINGTON, WIGAN AND LEIGH NHS FOUNDATION TRUSTRRJ3THE ROYAL ORTHOPAEDIC HOSPITAL NHS FOUNDATION TRUSTRRK3UNIVERSITY HOSPITAL BIRMINGHAM NHS FOUNDATION TRUSTRRP4BARNET, ENFIELD AND HARINGEY MENTAL HEALTH NHS <TRUSTRRV8UNIVERSITY COLLEGE LONDON HOSPITALS NHS FOUNDATION TRUSTRT14CAMBRIDGESHIRE AND PETERBOROUGH NHS FOUNDATION TRUSTRT2!PENNINE CARE NHS FOUNDATION TRUSTRT31ROYAL BROMPTON AND HAREFIELD NHS FOUNDATION TRUSTRT5$LEICESTERSHIRE PARTNERSHIP NHS TRUSTRT6+SUFFOLK MENTAL HEALTH PARTNERSHIP NHS TRUSTRTD6THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUSTRTE.GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUSTRTF+NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUSTRTG$DERBY HOSPITALS NHS FOUNDATION TRUSTRTH$OXFORD RADCLIFFE HOSPITALS NHS TRUSTRTK*ASHFORD AND ST PETER'S HOSPITALS NHS TRUSTRTP&SURREY AND SUSSEX HEALTHCARE NHS TRUSTRTQ2GETHER NHS FOUNDATION TRUSTRTR)SOUTH TEES HOSPITALS NHS FOUNDATION TRUSTRTV+5 BOROUGHS PARTNERSHIP NHS FOUNDATION TRUSTRTX:UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUSTRV32CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUSTRV5.SOUTH LONDON AND MAUDSLEY NHS FOUNDATION TRUSTRV8%NORTH WEST LONDON HOSPITALS NHS TRUSTRV9HUMBER NHS FOUNDATION TRUSTRVJNORTH BRISTOL NHS TRUSTRVL)BARNET AND CHASE FARM HOSPITALS NHS TRUSTRVN6AVON AND WILTSHIRE MENTAL HEALTH PARTNERSHIP NHS TRUSTRVR2EPSOM AND ST HELIER UNIVERSITY HOSPITALS NHS TRUSTRVV3EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUSTRVW.NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUSTRVY)SOUTHPORT AND ORMSKIRK HOSPITAL NHS TRUSTRW1*HAMPSHIRE PARTNERSHIP NHS FOUNDATION TRUSTRW3<CENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUSTRW4MERSEY CARE NHS TRUSTRW5$LANCASHIRE CARE NHS FOUNDATION TRUSTRW6!PENNINE ACUTE HOSPITALS NHS TRUSTRWA+HULL AND EAST YORKSHIRE HOSPITALS NHS TRUSTRWD'UNITED LINCOLNSHIRE HOSPITALS NHS TRUSTRWE+UNIVERSITY HOSPITALS OF LEICESTER NHS TRUSTRWF'MAIDSTONE AND TUNBRIDGE WELLS NHS TRUSTRWG&WEST HERTFORDSHIRE HOSPITALS NHS TRUSTRWH&EAST AND NORTH HERTFORDSHIRE NHS TRUSTRWJSTOCKPORT NHS FOUNDATION TRUSTRWK EAST LONDON NHS FOUNDATION TRUSTRWN7SOUTH ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUSTRWP(WORCESTERSHIRE ACUTE HOSPITALS NHS TRUSTRWQ2WORCESTERSHIRE MENTAL HEALTH PARTNERSHIP NHS TRUSTRWR.HERTFORDSHIRE PARTNERSHIP NHS FOUNDATION TRUSTRWVDEVON PARTNERSHIP NHS TRUSTRWW4WARRINGTON AND HALTON HOSPITALS NHS FOUNDATION TRUSTRWX)BERKSHIRE HEALTHCARE NHS FOUNDATION TRUSTRWY0CALDERDALE AND HUDDERSFIELD NHS FOUNDATION TRUSTRX1)NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUSTRX2'SUSSEX PARTNERSHIP NHS FOUNDATION TRUSTRX3/TEES, ESK AND WEAR VALLEYS NHS FOUNDATION TRUSTRX42NORTHUMBERLAND, TYNE AND WEAR NHS FOUNDATION TRUSTRXA4CHESHIRE AND WIRRAL PARTNERSHIP NHS FOUNDATION TRUSTRXCEAST SUSSEX HOSPITALS NHS TRUSTRXEHROTHERHAM, DONCASTER AND SOUTH HUMBER MENTAL HEALTH NHS FOUNDATION TRUSTRXF!MID YORKSHIRE HOSPITALS NHS TRUSTRXG5SOUTH WEST YORKSHIRE PARTNERSHIP NHS FOUNDATION TRUSTRXH2BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS TRUSTRXK0SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUSTRXL8BLACKPOOL, FYLDE AND WYRE HOSPITALS NHS FOUNDATION TRUSTRXM+DERBYSHIRE MENTAL HEALTH SERVICES NHS TRUSTRXN2LANCASHIRE TEACHING HOSPITALS NHS FOUNDATION TRUSTRXP1COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUSTRXQ$BUCKINGHAMSHIRE HEALTHCARE NHS TRUSTRXR#EAST LANCASHIRE HOSPITALS NHS TRUSTRXT:BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUSTRXV:GREATER MANCHESTER WEST MENTAL HEALTH NHS FOUNDATION TRUSTRXW)SHREWSBURY AND TELFORD HOSPITAL NHS TRUSTRXX3SURREY AND BORDERS PARTNERSHIP NHS FOUNDATION TRUSTRXY5KENT AND MEDWAY NHS AND SOCIAL CARE PARTNERSHIP TRUSTRY3+NORFOLK COMMUNITY HEALTH AND CARE NHS TRUSTRYG/COVENTRY AND WARWICKSHIRE PARTNERSHIP NHS TRUSTRYJ%IMPERIAL COLLEGE HEALTHCARE NHS TRUSTRYK6DUDLEY AND WALSALL MENTAL HEALTH PARTNERSHIP NHS TRUSTRYQ!SOUTH LONDON HEALTHCARE NHS TRUSTRYR"WESTERN SUSSEX HOSPITALS NHS TRUSTRYV+CAMBRIDGESHIRE COMMUNITY SERVICES NHS TRUSTRYW)BIRMINGHAM COMMUNITY HEALTHCARE NHS TRUSTTADBRADFORD DISTRICT CARE TRUSTTAE.MANCHESTER MENTAL HEALTH AND SOCIAL CARE TRUSTTAF)CAMDEN AND ISLINGTON NHS FOUNDATION TRUSTTAH5SHEFFIELD HEALTH AND SOCIAL CARE NHS FOUNDATION TRUSTTAJ;SANDWELL MENTAL HEALTH AND SOCIAL CARE NHS FOUNDATION TRUSTTALTORBAY CARE TRUSTTAN'NORTH EAST LINCOLNSHIRE CARE TRUST PLUS Foot Notes Provider NameYSource : Monthly Post Reconciliation APC PbR Spells extracts for April 2010 to March 2011 The provider breakdown below is based upon data which providers have submitted to SUS within the monthly post reconciliation deadlines for each month. There is a data quality note which accompanies this analysis which details some known issues and observations relating to the provider breakdown below which should be read prior to using the data. Further quality issues not contained within the data quality note could remain so caution should be applied when interpreting these data.The provider level breakdown below displays a number of spell level counts alongside payment information based upon the PbR business rules. The data below relates to the organisation providing the healthcare therefore the PbR tariff information relates to income that should be received by the health care provider based upon the PbR business rules for Admitted Patient Care. The tariff information relates to PbR qualifying activity which for this analysis is activity where there is a national mandatory tariff greater than 0 available.EProvider Breakdown of APC PbR Spells and PbR Payment Elements 2010-11For a detailed description of what is contained within the tabulation below please refer to the 'Notes' worksheet and the footnotes at the bottom of this spreadsheet.1 Summing the Tariff Pre MFF National column and MFF adjustment column may give a slightly different value to the Final Tariff column, this is due to rounding effects at record level  3 A correction has been applied to some of the data for independent sector treatment centres (codes starting with 'N') where their codes do not begin 'NT& '. This change was to correct an issue with the provider code used for this analysis which was introduced during processing of submitted data within SUS. This change ensures that all ISTC codes are displayed at a 5 character level where a valid provider code recognised within ODS data was originally submitted. UNKNOWN2 Providers in this table have been mapped in accordance with organisation data service (ODS) data and in line with remapping advice provided by the Health and Social Care Information Centre's Data Quality team. This means that in some instances provider codes will appear in local PbR data extracts from SUS which will not appear in this table. Provider codes subject to this mapping are listed below: Original code Mapped to 5DF 5QC 5GL 5PX TAG 5PX 5P3 5QV 5P4 5QV NVC00 ???????????? NT200 NT233 RJ5 RYJ RQN RYJ RR2 5QT RV7 RWN &Avg. (Mean) price per qualifying spellAcute NHS provider? \= aQ*btAzGi6a.*a wD p Q  W}6PtAh3e2c7k8 e(  [ (  i 6d_}&0)w\!h9W'kH _ J    Jt: !!ik"9#$$x%`o&d' (()_*,j+8,,-.`/90 g1>223>4!Q5166y7;k8@9 : :b ;S </ = s> S?"@@]AHxD(PccB f2ɀ U  dMbP?_*+%,&ffffff?'ffffff?(?)?",B333333?333333?E &<3U| (  ,   JP2TextBox 2"ÒPK![Content_Types].xmlJ0*miG]`Hm6 Xwt?. g#Wi3E).+7 >ON ޑ1ˋz "+R RhB.} /<^ITխ%rHK4uK~I0xM e`|X}đ I`߽N4aG2$RKIZ)4(M9`ctB{m:f@`3n|O,ܗr޾jxR0T ,0@}WBLǬ5vPK! _Rdrs/shapexml.xml\r6ߙ}.6񬣟IoMfk97HHhY}}}jl˲cEsKy3M~gw9|:=z}eS%~g)L_yJ3 !;sk^DsqU;U:z֋5_`,=_L\ vEiUE*~ =N~LWVKL?˶Fo4nz贈Fzf_ W|5u9Y#;fŹMl@dzc͒x$pBNC0{f162nHw>Y8Pqf< aW7~/="eE1"=)9,ԍb4~G:cT4Qi%imp SxI,4e*o:[ Ff9ș[c261yc#Wh { ,نe*bNa,{"=_J%_xĄ4vs)iv1xjR~%7H&\WgBxI$MsSn4U`(M}myO0mCxM߱RcDM s`tڨ]<:Kuw"YcSN[g?@cɉ;.g<<Ӫ1uri0G=^h;< Nq1();i[cءMOߍ0 H΄av.ԏWMZϱF{::ƃ19,&HK`gIO'ќ? guفq#ȃC6Ya?=\oȰwlRk E y mQu7( H,DdݰmFXZ'm[smiy\$6%e8dL4[I`{zR]Z.d|5?Զ7^P} . bLu=!{pg8*4.yS(gH2'<Kd,λsxx؈t^8NMb59N #]9I'Т"4.eTM,`:|b퓽DͅQCW O"JB3I/ #7/^g?"nL%~gY⶷.LdAy0WcSZ9ӥITmf pZ4re,^ & %#'&GpԖry'aQ ѺL}Fy0^?lWNıVgI #o pD VIOlV5Yio'& C0eaj&1{'v ˼u6WkOfz^rrn+?3:VS$)w+hyBv=Ƴ*O"@i,y.tnO =b1M$^! 434"䣡sAE䔝K:BkRSpLF%z%Sp >0 (֎̀v6ShػilJn^[e+ n\ cM48Ơ.)*78IZ ")Q-qlSڷpֈޥtI =ksE<$)j"lE_%g]/ 5d:A#S9w!5e#3.(a/Uŧx9!:^k,,{T]sr@<[ҝzjbti0MəPkb ]vF:^/ZT$Nb&|[ |+؋@!Õ9ؒ;k 6`ӻ)03g企'N~&,[{D3kj0*r A:] cyd!! ,dZYؽ JS.5<2v'9" 2l oYi ÈL#Q$8B2^@ 6&)R0wTYyvY^F@AfRu38z.;~-f9!j34|NozD/ˆ=\LyT3,>,`ŵnoD֍Ȅ.D6#dVl0WGS%/Ҙ8 a 'IFSFT'],s۝JN7T0#hJ=;Pn 5I*67DY[TFd@= *]'#WPe`z  .u~EjיFmn?; V|Go 5}Z(:wct٪*Jje]T&kDh:t.Λ 5#W]@?" uN.BC"(>C@ !5a+j|&|ez~3N)QUQ0&xbJU) iDZ;sv/諾WCxZq 8*{l0+/"V޸Jv8eseAM÷yk5 Ԙmuߞy<<{B\ kzGg.B W(. QnĉS 3|D!sz̹RюF_D@`*|: UPe<~cIS7)D4*AҒˀ՘Ⱦ)Dh[,zx&&ZL5$-Jr_jѵm PK!$[jdrs/downrev.xmlL_O0M5M:A AQ%aZڎ-V6w o=ws'hW>2 'Kez7"kg 0^_MXڮ>[!69"ݘ ex蹝x;oxDTz^c4M5BwP~ !oD~%%X3v{̟DΜ-&Jφcܻdp$;l|)W] ` ;<<Background The Health and Social Care Information Centre (HSCIC) receives monthly extracts of admitted patient care (APC) data from the Secondary Uses Service (SUS) which have had the Payment by Results (PbR) business rules applied to them. Further information about the PbR business rules, which are set by the Department of Health, can be found on their website using the following link : http://www.dh.gov.uk/en/Managingyourorganisation/NHSFinancialReforms/index.htm Additional information regarding the APC PbR data which is available from HES can be obtained using the following link : https://www.hesonline.org.uk/Ease/servlet/ContentServer?siteID=1937&categoryID=1768 Data Sources The following analysis is based on monthly post reconciliation SUS PbR APC spells extracts for April 2010 to March 2011 Provider Analysis 1011 Column Key Acute NHS Provider : Indicates whether the provider is considered to be an acute NHS provider for the purposes of analysis within this topic of interest paper. In the absence of a definitive national list of acute NHS providers we have used the list of providers currently used by the Audit Commission to carry out their audits as part of their PbR Data Assurance Framework. Number of spells : The total number of spells contained within the APC PbR data for the given period. Number of qualifying spells : The total number of spells considered to be qualifying following the application of the PbR business rules. Qualifying activity has a national mandatory tariff applied. Note that there is a small amount of activity which receives a tariff of 0 which is considered to be qualifying under the PbR business rules. Number of qualifying spells with tariff greater than 0 : The total number of qualifying spells where the PbR final tariff was greater than 0. For the purposes of the analysis contained within the PbR topic of interest this figure is used as the qualifying spell count. Number of qualifying spells with 0 tariff : The total number of qualifying spells with a PbR final tariff of 0. Qualifying spells in 10/11 with a 0 tariff have a spell core HRG of UZ01Z (data invalid for grouping) or PB03Z (healthy baby). Number of qualifying spells with 0 tariff and HRG of UZ01Z : The total number of qualifying spells with a PbR final tariff of 0 and a spell core HRG of UZ01Z (data invalid for grouping). Tariff initial amount : This is a sum of the initial tariffs that are applied to each spell based on the spell core HRG and whether the spell is elective, non-elective , daycase or short stay emergency. On the SUS PbR APC Spells extract this field is called 'Tariff Initial Amount National'. Service adjustment : This is a sum of the specialist service adjustments that have been applied to some spells which meet some specific criteria set out within the PbR business rules. Certain activity considered to be of a specialist nature attracts top-up adjustments. On the SUS PbR APC Spells extract this field is called 'Tariff Service Adjustment National'. Long stay payment : This is a sum of long stay payments which have been applied to some spells where their length of stay has been longer than anticipated based on their spell core HRG. On the SUS PbR APC Spells extract this field is called 'Tariff Long Stay Payment National'. Unbundled national adjustment : This is a sum of unbundled HRG adjustments that have been applied to some spells which have generated unbundled HRGs that attract national unbundled tariffs. On the SUS PbR APC Spells extract this field is called 'Aggregate Unbundled Adjustment National'. Financial adjustment national : This is a sum of other financial adjustments which are applied to some spells. These adjustments can relate to the use of high cost drugs or can also relate to adjustments being applied for spells which meet specific Best Practice criteria. Many best practice adjustments are negative hence this field appears as a negative value for the majority of providers. On the SUS PbR APC Spells extract this field is called 'Tariff Financial Adjustment National'. Tariff pre MFF national : This is a sum of all the tariff adjustment fields prior to the Market Forces Factor (MFF) being applied. This field can be calculated by summing the following columns : tariff initial amount, service adjustment, long stay payment, unbundled national adjustment and financial adjustment national. On the SUS PbR APC Spells extract this field is called 'Tariff Pre MFF Adjusted National'. MFF adjustment : This is a sum of all the Market Forces Factor adjustments which are applied to spells. These adjustments are made to account for things such as location specific cost differences. On the SUS PbR APC Spells extract this field is called 'MFF Adjustment'. Final tariff : The final tariff for a spell can be calculated by adding the 'Tariff pre MFF national' and the 'MFF adjustment' together. This field is a sum of the final tariff for all qualifying spells. All mandatory elements of the PbR business rules have been applied within this tariff field. On the SUS PbR APC Spells extract this field is called 'PbR Final Tariff'. Avg. (Mean) price per qualifying spell : This is a calculated field displaying the average (mean) tariff per spell for each provider. It is calculated using the 'Final tariff' as the numerator and the 'Number of qualifying spells with tariff greater than 0' as the denominator. < ST,-.PQfw/0G H  6 m n       456789:;   A??HESonlineLogo3Picture 13HESonlineLogo3 `&]& `   A?? 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