Classification: Official
Publication approval reference: PAR343
National Cost Collection 2019/20 Report For data relating to financial year 2019/20: commentary on headlines and introduction to the available data for acute, community, ambulance and mental health providers.
Contents
Foreword ...... 2
1. Acute services ...... 6
2. Community health services...... 8
3. Mental health services ...... 10
4. Ambulance services ...... 11
5. Introduction to the data ...... 12
Annex 1 ...... 14
1 | Contents
Foreword
National Cost Collection 2020
1. Our aim is that costing data should support the delivery of high-quality care for patients and deliver better value for the NHS.
2. As a result of the pandemic and the first year of mandation for ambulance and mental health trusts, the cost collections for 2019/20 were spilt into two separate windows.
Table 1: Submission windows for financial year 2019/20 data
Sector Timetable
Acute and community 7 September 2020 to 13 November 2020
Ambulance, mental health and IAPT 11 to 29 January 2021
3. This document supports the publication of the National Cost Collection 2020 which comprises cost data for financial year 2019/20 (FY1920) for all sectors.
4. The cost data submitted by 208 NHS providers in England gives the most comprehensive insight into how the sector spent £72.6 billion delivering healthcare to patients in 2019/20.
5. The National Cost Collection is a nationally mandated collection of cost data from secondary care and tertiary care providers that are delivering services in the NHS.
6. In 2020, the publication comprises: • Aggregated costs1 – the average unit cost to the NHS of providing defined services to NHS patients in England.
1 Formally known as reference costs.
2 | Acute services
• Patient-level costs2 – a unique cost that is based on the specific interactions a patient has and the events related to their healthcare activity. It provides data about how resources3 are used at a patient level.
7. The data underpinning this publication has many uses. It informs: • costing standards development • developments to National Cost Collection, including the impact assessment on mandating the submission of PLICS • development of benchmarking metrics and development and population of a benchmarking tool • modelling new methods of pricing NHS services or changes to currency design • public accountability to Parliament.
8. Therefore, the quality of a provider’s submission is extremely important.
9. It is a provider’s responsibility to improve its internal costing systems, ensuring that the costing model appropriately represents the costs of delivering services.
10. Due to this, providers are obliged to produce cost data under the conditions P1 and P2 of their provider licence (recording and report of costs).
11. National bodies have a responsibility to ensure the costs collected are fit for purpose through the production of comprehensive and clear guidance. Those providers that do not comply or do not meet the required standard of data in any given financial year will be subject to actions under the compliance and enforcement policy for the National Cost Collection ratified in 2019.
12. The following providers are excluded from the FY19/20 costing schedules used by NHS England and NHS Improvement:4
2 Also known as patient-level information costing system (PLICS). 3 For example, drugs, nursing and theatre costs. 4 NHS England and NHS Improvement is the operational name for the joint organisation formed from NHS England, Monitor and the NHS Trust Development Authority on 1 April 2019.
3 | Acute services
• RA2 - Royal Surrey County Hospital NHS Foundation Trust: the trust failed to meet the mandatory validation requirement of balancing the total cost of services delivered to their reconciliation statement to within +-1%.
• RN7 - Dartford and Gravesham NHS Trust: the trust failed to meet the mandatory validation requirement of balancing the total cost of services delivered to their reconciliation statement to within ±1%.
• RWE - University Hospitals of Leicester NHS Trust: the 2019/20 financial statements have been audited and the auditors are unable to provide an unqualified opinion on one or more aspects of the accounts.
• RJ2 - Lewisham and Greenwich NHS Trust: failure to reconcile the cost quantum to within ±1% of the 2019/20 published provider accounts.
• RGN - North West Anglia NHS Foundation Trust: failure to reconcile the cost quantum to within ±1% of the 2019/20 published provider accounts.
• RBN - St Helens and Knowsley Teaching Hospitals NHS Trust: failure to reconcile the cost quantum to within ±1% of the 2019/20 published provider accounts.
• RC9 - Luton And Dunstable University Hospital NHS Foundation Trust: failure to reconcile the cost quantum to within ±1% of the 2019/20 published provider accounts.
• REN - The Clatterbridge Cancer Centre NHS Foundation Trust: failure to reconcile the cost quantum to within ±1% of the 2019/20 published provider accounts.
• RYV - Cambridgeshire Community Services NHS Trust: failure to reconcile the cost quantum to within ±1% of the 2019/20 published provider accounts.
• RY2 - Bridgewater Community Healthcare NHS Foundation Trust: failure to reconcile the cost quantum to within ±1% of the 2019/20 published provider accounts.
4 | Acute services
• R1L – Essex Partnership University NHS Foundation Trust: failure to reconcile the cost quantum to within ±1% of the 2019/20 published provider accounts.
• RRP – Barnet, Enfield, and Haringey Mental Health NHS Trust: failure to reconcile the cost quantum to within ±1% of the 2019/20 published provider accounts.
• RX2 - Sussex Partnership NHS Foundation Trust: failure to reconcile the cost quantum to within ±1% of the 2019/20 published provider accounts.
• RY9 - Hounslow and Richmond Community Healthcare NHS Trust: failure to reconcile the cost quantum to within ±1% of the 2019/20 published provider accounts.
• RNK - Tavistock and Portman NHS Foundation Trust: failure to reconcile the cost quantum to within ±1% of the 2019/20 published provider accounts.
13. The excluded providers’ raw data will be published separately in a flat file alongside the national costing schedules. Costing Transformation Programme (CTP)
14. 2020 marked a significant step forward in delivering a single National Cost Collection that is submitted entirely from PLICS datasets.
15. The cost schedule for acute providers has been solely built from patient-level costs for admitted patient care (APC), outpatients (OP) and accident and emergency (AE) following the mandation of these services for acute providers.
16. In addition, 133 acute trusts submitted supplementary information (SI) and 69 acute trusts submitted adult critical care (SWC) at patient-level as part of the transition from the National Cost Collection workbook.
5 | Acute services
1. Acute services
17. The value of acute services in FY19/20, including APC, OP, AE, SWC and SI (see paragraphs 15 and 16), totalled £56.8bn.
18. Total costs for all acute services are shown in Table 25.
Table 2: Total Cost by department from the Acute Sector
FY15/16 FY16/17 FY17/18 FY18/19 FY19/20 Total cost by department (£bn) (£bn) (£bn) (£bn) (£bn)
Day case 4.3 4.5 4.4 4.5 4.8
Elective inpatient 5.5 5.4 5.4 5.4 5.4
Non-elective inpatient 16.7 17 18 17.9 19.1
Sub-total core APC 26.5 26.9 27.7 27.8 29.3
Other acute services 10.6 11 11.4 11.2 12.1
Outpatient attendance 8.8 8.9 9.3 9.6 9.8
Outpatient procedure 1.6 1.8 1.8 2 2
Accident and emergency (AE) 2.7 3 3.2 3.4 3.6
Sub-total all acute services 50.2 51.6 53.4 54.1 56.8
Mental health 6.9 7.1 7.2 7.5 8.0
Community health services 5.4 5.6 5.5 5.4 5.5
Ambulances 1.7 1.9 1.9 2 2.3
Total 64.2 66.1 68 69 72.6
5 A detailed breakdown of the units of currency can be found in the organisation-level source data zip file.
6 | Acute services
19. The values in the above table for 2019/20 were calculated from costed patient-level datasets submitted as part of the first mandated PLICS collection.
20. For 2020, additional detail can be found in the PLICS portal.67
6 https://analytics.improvement.nhs.uk/#/views/NationalPLICSPortal/TermsandConditions?:iid=1 7 University College London Hospitals (ULCH) NHS Foundation Trust have flagged some changes in the recording of their activity data following the implementation of a new Patient Records System in 2019. While the trust’s submission passed all NCC validation checks, users are advised to be aware of this when using the UCLH data.
7 | Acute services
2. Community health services
21. The total value of community health services in FY19/20 was £5.5bn.
22. These services are collected using care contact8 as the unit of activity, with a few exceptions such as some audiology services, some elements of intermediate care and some wheelchair services.
23. Table 3 shows the unit cost and total costs for community health services between FY1718 and FY1920.
Table 3: Costs by area for community health services
FY17/18 FY18/19 FY19/20
Service area Unit cost Total cost Unit cost Total cost Unit cost Total cost (£) (£m) (£) (£m) (£) (£m)
Allied health 63 880 73 895 78 919 professionals
Audiology 57 201 61 187 69 193
Community 85 91 96 131 102 167 rehabilitation
Day care facilities 131 32 70 15 162 14 regular attendances
Health visiting and 61 1,053 67 938 74 778 midwifery
Intermediate care 127 724 119 886 122 959
8 A detailed breakdown of the units of currency can be found in the organisation-level source data 4 zip file.
8 | Community health services
FY17/18 FY18/19 FY19/20
Service area Unit cost Total cost Unit cost Total cost Unit cost Total cost (£) (£m) (£) (£m) (£) (£m)
Medical and dental 137 205 148 199 169 190
Nursing 45 2,089 46 2,078 51 2,172
Wheelchair services 177 135 193 113 200 107
Total 5,404 5,444 5,500
9 | Community health services
3. Mental health services
24. The total value of mental health services in FY19/20 was £8.0bn.
25. Of this:
i) £2.5bn was costed against mental health care contacts9 ii) £2.9bn was costed against mental health inpatient admissions10.
26. There was a change in the way providers submitted mental health data in FY19/20, with some mental health costs submitted in the previous aggregate format, and the remainder submitted at a patient level.
Table 4: Summary statistics for mental health
Service area FY17/18 FY18/19 FY19/20 (£b) (£b) (£m)
Costs collected at aggregate 7.2 7.5 2,200 level
PLICS IAPT n/a n/a 405
PLICS Care Contacts n/a n/a 2,496
PLICS Inpatient Admissions n/a n/a 2,885
9 This doesn’t represent the entire cohort of data in England, as some of the data has been submitted in the previous year format. 10 This doesn’t represent the entire cohort of data in England, as some of the data has been submitted in the previous year format.
10 | Mental health services
4. Ambulance services
30. The total value of ambulance services in FY19/20 was £2.3bn.
31. Ambulance services are split into four currencies, with units of activity, as follows:
i) other ii) hear and treat – per patient iii) see and treat – per incident iv) see, treat and convey – per incident.
32. Of the total value of ambulance services in FY19/20, £1.6 billion was reported against the ‘see, treat and convey’ currency.
33. Table 5 shows the unit cost and total costs for ambulance services from FY17/18 to FY19/20.
Table 5: Costs by currency for ambulance services
FY17/18 FY18/19 FY19/20
Service area Unit cost Total cost Unit cost Total cost Unit cost Total (£) (£m) (£) (£m) (£) cost (£m)
Other11 * * * * 70 124
Hear and treat or 37 33 47 38 52 49 refer
See and treat or 192 472 209 519 206 557 refer
See and treat 252 1,342 257 1,395 292 1,556 and convey
11 For FY19/20 ambulance cost data was collected predominantly via PLICS, and the ‘Other’ category replaces the category ‘Calls’. As such there is no comparable cost data from previous years.
11 | Ambulance services
5. Introduction to the data
34. The NCC cost data is presented in four ways:
• the national schedule of NHS costs • the national cost collection index (NCCI) • the reconciliation statement • organisation-level source data.
35. All the data will be published on NHS England website12. Low Number Suppression
36. In a change to previous years, we now follow NHS Digital’s disclosure control rules for any data that they collect on our behalf. This year they were our collection partner for all the acute PLICS data. As this comprises over half of the cost data collected this year, we have decided to apply their disclosure control principles to all of the National Cost Collection data.
37. This means that in the sources data, which is provided at organisation>department>service code>currency level, where the activity count is less than 8 the actual figure has been replaced with a ‘*’. The row of data will still be available with the costs shown so you are able to reconcile to a full national quantum of costs using the source data. National schedule of NHS costs
38. The national schedule of NHS costs13 shows the national average unit cost for each service submitted by 208 NHS providers in 2019/20.
39. The schedule shows:
• activity, measured by the number of attendances, bed days, episodes, tests or other unit of activity appropriate to the service
12 https://www.england.nhs.uk/national-cost-collection/ 13 Formerly known as National Schedule of Reference Costs (NSRC)
12 | Introduction to the data
• total cost, measured by the number of attendances, bed days, episodes, tests or other unit of activity appropriate to the service • the national average (mean) unit cost, ie total cost divided by total activity • the number of data submissions, ie the number of providers reporting costs against each service.
40. The costs included in the schedule are the average of the actual reported costs. We have not removed the market forces factor (MFF) index, which reflects unavoidable cost differences due to geographic location.
41. Within the schedule, we have used unit costs and activity reported by the NHS to estimate:
• the total cost of each activity (by healthcare resource group (HRG), etc) across all settings • the total cost of all activity in each setting (inpatients, day cases, outpatients, etc).
42. As in previous years, we exclude HRG UZ01Z (data invalid for grouping) from the schedules. It also excludes high cost homecare drugs, unmatched imaging and unmatched radiology.
13 | Introduction to the data
Annex 1
Table 6: Acute Trusts Included in Report
Org Code Org Description
R0A MANCHESTER UNIVERSITY NHS FOUNDATION TRUST
R0B SOUTH TYNESIDE AND SUNDERLAND NHS FOUNDATION TRUST
R1F ISLE OF WIGHT NHS TRUST
R1H BARTS HEALTH NHS TRUST
R1K LONDON NORTH WEST HEALTHCARE NHS TRUST
RA3 WESTON AREA HEALTH NHS TRUST
RA4 YEOVIL DISTRICT HOSPITAL NHS FOUNDATION TRUST
RA7 UNIVERSITY HOSPITALS BRISTOL NHS FOUNDATION TRUST
RA9 SOUTH DEVON HEALTHCARE NHS FOUNDATION TRUST
RAE BRADFORD TEACHING HOSPITALS NHS FOUNDATION TRUST
RAJ SOUTHEND UNIVERSITY HOSPITAL 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
RAX KINGSTON HOSPITAL NHS FOUNDATION TRUST
RBA TAUNTON AND SOMERSET NHS FOUNDATION TRUST
RBD DORSET COUNTY HOSPITAL NHS FOUNDATION TRUST
RBK WALSALL HEALTHCARE NHS TRUST
RBL WIRRAL UNIVERSITY TEACHING HOSPITAL NHS FOUNDATION 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
14 | Introduction to the data
RBV THE CHRISTIE NHS FOUNDATION TRUST
RBZ NORTHERN DEVON HEALTHCARE NHS TRUST
RC1 BEDFORD HOSPITAL NHS 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
RD3 POOLE HOSPITAL NHS FOUNDATION TRUST
RD8 MILTON KEYNES HOSPITAL NHS FOUNDATION TRUST
RDD BASILDON AND THURROCK UNIVERSITY HOSPITALS NHS FOUNDATION TRUST
RDE EAST SUFFOLK AND NORTH ESSEX NHS FOUNDATION TRUST
RDU FRIMLEY HEALTH NHS FOUNDATION TRUST
RDZ THE ROYAL BOURNEMOUTH AND CHRISTCHURCH HOSPITALS NHS FOUNDATION TRUST
REF ROYAL CORNWALL HOSPITALS NHS TRUST
REM LIVERPOOL UNIVERSITY HOSPITALS 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
RGM PAPWORTH HOSPITAL NHS FOUNDATION TRUST
RGP JAMES PAGET UNIVERSITY HOSPITALS NHS FOUNDATION TRUST
RGR WEST SUFFOLK NHS FOUNDATION TRUST
RGT CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST
RH8 ROYAL DEVON AND EXETER NHS FOUNDATION TRUST
RHM UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST
15 | Introduction to the data
RHQ SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST
RHU PORTSMOUTH HOSPITALS NHS TRUST
RHW ROYAL BERKSHIRE NHS FOUNDATION TRUST
RJ1 GUY'S AND ST THOMAS' NHS FOUNDATION 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 PLYMOUTH HOSPITALS NHS TRUST
RKB UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE NHS TRUST
RKE THE WHITTINGTON HOSPITAL NHS TRUST
RL1 THE ROBERT JONES AND AGNES HUNT ORTHOPAEDIC HOSPITAL NHS FOUNDATION TRUST
RL4 THE ROYAL WOLVERHAMPTON NHS TRUST
RLQ WYE VALLEY NHS TRUST
RLT GEORGE ELIOT HOSPITAL NHS TRUST
RM1 NORFOLK AND NORWICH UNIVERSITY HOSPITALS NHS FOUNDATION TRUST
RM3 SALFORD ROYAL NHS FOUNDATION TRUST
RMC BOLTON NHS FOUNDATION TRUST
RMP TAMESIDE HOSPITAL NHS FOUNDATION TRUST
RN3 GREAT WESTERN HOSPITALS NHS FOUNDATION TRUST
RN5 HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST
RNA THE DUDLEY GROUP NHS FOUNDATION TRUST
RNN NORTH CUMBRIA INTEGRATED CARE NHS FOUNDATION TRUST
RNQ KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST
16 | Introduction to the data
RNS NORTHAMPTON GENERAL HOSPITAL NHS TRUST
RNZ SALISBURY NHS FOUNDATION TRUST
RP4 GREAT ORMOND STREET HOSPITAL FOR CHILDREN NHS FOUNDATION TRUST
RP5 DONCASTER AND BASSETLAW HOSPITALS NHS FOUNDATION TRUST
RP6 MOORFIELDS EYE HOSPITAL NHS FOUNDATION TRUST
RPA MEDWAY NHS FOUNDATION TRUST
RPC QUEEN VICTORIA HOSPITAL NHS FOUNDATION TRUST
RPY THE ROYAL MARSDEN NHS FOUNDATION TRUST
RQ3 BIRMINGHAM CHILDREN'S HOSPITAL NHS FOUNDATION TRUST
RQ8 MID ESSEX HOSPITAL SERVICES NHS TRUST
RQM CHELSEA AND WESTMINSTER HOSPITAL NHS FOUNDATION TRUST
RQW THE PRINCESS ALEXANDRA HOSPITAL NHS TRUST
RQX HOMERTON UNIVERSITY HOSPITAL NHS FOUNDATION TRUST
RR7 GATESHEAD HEALTH NHS FOUNDATION TRUST
RR8 LEEDS TEACHING HOSPITALS NHS TRUST
RRF WRIGHTINGTON, WIGAN AND LEIGH NHS FOUNDATION TRUST
RRJ THE ROYAL ORTHOPAEDIC HOSPITAL NHS FOUNDATION TRUST
RRK UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST
RRV UNIVERSITY COLLEGE LONDON HOSPITALS NHS FOUNDATION TRUST
RT3 ROYAL BROMPTON & HAREFIELD NHS FOUNDATION 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 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
RTX UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST
17 | Introduction to the data
RVJ NORTH BRISTOL 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
RW6 PENNINE ACUTE HOSPITALS NHS TRUST
RWA HULL AND EAST YORKSHIRE HOSPITALS NHS TRUST
RWD UNITED LINCOLNSHIRE HOSPITALS 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
RWP WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST
RWW WARRINGTON AND HALTON HOSPITALS NHS FOUNDATION TRUST
RWY CALDERDALE AND HUDDERSFIELD NHS FOUNDATION TRUST
RX1 NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST
RXC EAST SUSSEX HEALTHCARE NHS TRUST
RXF MID YORKSHIRE HOSPITALS NHS TRUST
RXH BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS TRUST
RXK SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST
RXL BLACKPOOL TEACHING HOSPITALS 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
RXW SHREWSBURY AND TELFORD HOSPITAL NHS TRUST
RYJ IMPERIAL COLLEGE HEALTHCARE NHS TRUST
RYR WESTERN SUSSEX HOSPITALS NHS FOUNDATION TRUST
18 | Introduction to the data
Table 7: Community Trusts Included in this Report
Org Code Org Description
R1A WORCESTERSHIRE HEALTH AND CARE NHS TRUST
R1C SOLENT NHS TRUST
R1D SHROPSHIRE COMMUNITY HEALTH NHS TRUST
RDR SUSSEX COMMUNITY NHS TRUST
RH5 SOMERSET PARTNERSHIP NHS FOUNDATION TRUST
RJ8 CORNWALL PARTNERSHIP NHS FOUNDATION TRUST
RP1 NORTHAMPTONSHIRE HEALTHCARE NHS FOUNDATION TRUST
RY3 NORFOLK COMMUNITY HEALTH AND CARE NHS TRUST
RY4 HERTFORDSHIRE COMMUNITY NHS TRUST
RY5 LINCOLNSHIRE COMMUNITY HEALTH SERVICES NHS TRUST
RY6 LEEDS COMMUNITY HEALTHCARE NHS TRUST
RY7 WIRRAL COMMUNITY NHS TRUST
RY8 DERBYSHIRE COMMUNITY HEALTH SERVICES NHS FOUNDATION TRUST
RYW BIRMINGHAM COMMUNITY HEALTHCARE NHS TRUST
RYX CENTRAL LONDON COMMUNITY HEALTHCARE NHS TRUST
RYY KENT COMMUNITY HEALTH NHS FOUNDATION TRUST
Table 8: Mental Health Trusts Included in this Report
Org Code Org Description
RAT NORTH EAST LONDON NHS FOUNDATION TRUST
RDY DORSET HEALTHCARE NHS FOUNDATION TRUST
RGD LEEDS AND YORK PARTNERSHIP NHS FOUNDATION TRUST
RHA NOTTINGHAMSHIRE HEALTHCARE NHS TRUST
RKL WEST LONDON MENTAL HEALTH NHS TRUST
RLY NORTH STAFFORDSHIRE COMBINED HEALTHCARE NHS TRUST
RMY NORFOLK AND SUFFOLK NHS FOUNDATION TRUST
19 | Introduction to the data
RNU OXFORD HEALTH NHS FOUNDATION TRUST
RP7 LINCOLNSHIRE PARTNERSHIP NHS FOUNDATION TRUST
RPG OXLEAS NHS FOUNDATION TRUST
RQY SOUTH WEST LONDON AND ST GEORGE'S MENTAL HEALTH NHS TRUST
RRE SOUTH STAFFORDSHIRE AND SHROPSHIRE HEALTHCARE NHS FOUNDATION TRUST
RT1 CAMBRIDGESHIRE AND PETERBOROUGH NHS FOUNDATION TRUST
RT2 PENNINE CARE NHS FOUNDATION TRUST
RT5 LEICESTERSHIRE PARTNERSHIP NHS TRUST
RTQ 2GETHER NHS FOUNDATION TRUST
RTV 5 BOROUGHS PARTNERSHIP NHS FOUNDATION TRUST
RV3 CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST
RV5 SOUTH LONDON AND MAUDSLEY NHS FOUNDATION TRUST
RV9 HUMBER NHS FOUNDATION TRUST
RVN AVON AND WILTSHIRE MENTAL HEALTH PARTNERSHIP NHS TRUST
RW1 SOUTHERN HEALTH NHS FOUNDATION TRUST
RW4 MERSEY CARE NHS TRUST
RW5 LANCASHIRE CARE NHS FOUNDATION TRUST
RWK EAST LONDON NHS FOUNDATION TRUST
RWR HERTFORDSHIRE PARTNERSHIP NHS FOUNDATION TRUST
RWV DEVON PARTNERSHIP NHS TRUST
RWX BERKSHIRE HEALTHCARE NHS FOUNDATION TRUST
RX3 TEES, ESK AND WEAR VALLEYS NHS FOUNDATION TRUST
RX4 NORTHUMBERLAND, TYNE AND WEAR NHS FOUNDATION TRUST
RXA CHESHIRE AND WIRRAL PARTNERSHIP NHS FOUNDATION TRUST
RXE ROTHERHAM DONCASTER AND SOUTH HUMBER NHS FOUNDATION TRUST
RXG SOUTH WEST YORKSHIRE PARTNERSHIP NHS FOUNDATION TRUST
20 | Introduction to the data
RXM DERBYSHIRE HEALTHCARE NHS FOUNDATION TRUST
RXT BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST
RXV GREATER MANCHESTER WEST MENTAL HEALTH NHS FOUNDATION 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
RYK DUDLEY AND WALSALL MENTAL HEALTH PARTNERSHIP NHS TRUST
TAD BRADFORD DISTRICT CARE TRUST
TAF CAMDEN AND ISLINGTON NHS FOUNDATION TRUST
TAH SHEFFIELD HEALTH AND SOCIAL CARE NHS FOUNDATION TRUST
TAJ BLACK COUNTRY PARTNERSHIP NHS FOUNDATION TRUST
Table 9: Ambulance Trusts Included in this Report
Org Code Org Description
RRU LONDON AMBULANCE SERVICE NHS TRUST
RX6 NORTH EAST AMBULANCE SERVICE NHS FOUNDATION TRUST
RX7 NORTH WEST AMBULANCE SERVICE NHS TRUST
RX8 YORKSHIRE AMBULANCE SERVICE NHS TRUST
RX9 EAST MIDLANDS AMBULANCE SERVICE NHS TRUST
RYA WEST MIDLANDS AMBULANCE SERVICE NHS FOUNDATION TRUST
RYC EAST OF ENGLAND AMBULANCE SERVICE NHS TRUST
RYD SOUTH EAST COAST AMBULANCE SERVICE NHS FOUNDATION TRUST
RYE SOUTH CENTRAL AMBULANCE SERVICE NHS FOUNDATION
RYF SOUTH WESTERN AMBULANCE SERVICE NHS FOUNDATION TRUST
21 | Introduction to the data
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© NHS England and NHS Improvement June 2021 Publication approval reference: PAR343