SUS+ was implemented in April 2017, replacing SUS (see the document above for more information). NHS Improvement, NHS England and NHS Digital have worked together to produce this document which explains how providers and commissioners should manage any financial impact of this transition.

Most providers and commissioners monitor their contracts using local information flows, rather than SUS. In these cases, the change from SUS to SUS+ should not affect the information they are using to monitor contracts. Providers and commissioners that have been using SUS to inform monthly contract monitoring may see a change in the number of spells and tariffs with SUS+. In these cases, the financial impact of any differences between SUS and SUS+ should be neutralised using the NHS Standard Contract rules on counting and coding (see the Annex for a summary of these rules).