Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1095
Version No:1.0
Subject:NHS Data Model and Dictionary Modelling Changes - Employment
Effective Date:Immediate
Reason for Change:Change to Data Standards
Publication Date:19 January 2010

Background:

The NHS Data Model and Dictionary Service are currently working with the Department of Health and Information Centre for Health and Social Care to develop a number of Data Sets.

During the business analysis stage, it has been identified that these Data Sets cover a number of common areas which are either not currently in the NHS Data Model and Dictionary or amendments are required to make the current information suitable for use in these Data Sets.

This Data Set Change Notice adds the common data items and associated data modelling changes for "Employment" into the NHS Data Model and Dictionary in preparation for these Data Sets. The changes are detailed in the "Summary of changes" below.

The primary purpose is to ensure that “Employment Statuses" can be added to the NHS Data Model and Dictionary in a consistent manner to support the new data sets currently under development. This involves renaming the Mental Health specific Attribute to match the associated Data Element to indicate it is for use in the Mental Health Minimum Data Set only. This then allows the creation of a generic Employment Status Attribute to be used across all new data sets.

These changes do not need to be implemented in end-user systems until the Data Set Change Notices for the specific data sets come into effect. Other specific items will be added to the Data Sets during development.

Summary of changes:

Diagrams
LISTS   Changed Diagram
ORGANISATION   Changed Diagram
PRESCRIBING AND DISPENSING   Changed Diagram
RADIOTHERAPY   Changed Diagram
 
Class Definitions
EMPLOYMENT   Changed Description, Attributes
PATIENT   Changed Attributes
PERSON   Changed Relationships
 
Attribute Definitions
EMPLOYMENT STATUS   New Attribute
EMPLOYMENT STATUS FOR MENTAL HEALTH renamed from EMPLOYMENT STATUS   Changed Description, Aliases, Name
 
Data Elements
EMPLOYMENT STATUS   New Data Element
 

Date:19 January 2010
Sponsor:Ken Lunn, Director of Data Standards and Products, NHS Connecting for Health

Note: New text is shown with a blue background. Deleted text is crossed out. Retired text is shown in grey. Within the Diagrams deleted classes and relationships are red, changed items are blue and new items are green.

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LISTS

Change to Diagram: Changed Diagram

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ORGANISATION

Change to Diagram: Changed Diagram

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PRESCRIBING AND DISPENSING

Change to Diagram: Changed Diagram

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RADIOTHERAPY

Change to Diagram: Changed Diagram

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EMPLOYMENT

Change to Class: Changed Description, Attributes

A subtype of PERSON PROPERTY.

The EMPLOYMENT STATUS of a PERSON and the number of hours worked during a week.EMPLOYMENT records observations regarding the employment of a PERSON.

 

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EMPLOYMENT

Change to Class: Changed Description, Attributes

Attributes of this Class are:
EMPLOYMENT STATUS
EMPLOYMENT STATUS FOR MENTAL HEALTH
WEEKLY HOURS WORKED

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PATIENT

Change to Class: Changed Attributes

Attributes of this Class are:
KNHS NUMBER
CARER PERMISSION DATE
CARER SUPPORT INDICATOR
CHRONICALLY SICK OR DISABLED
DRUG MISUSE DATABASE NUMBER
DRUG MISUSER INJECTED EVER
DRUG MISUSER SHARED NEEDLE EVER
EMPLOYMENT STATUS
ENLISTMENT DATE
INJECTED IN LAST 4 WEEKS
LAST DISCHARGE DATE
NHS NUMBER OLD
OVERSEAS VISITOR UK ARRIVAL DATE
REFUGEE OR STATELESS PERSON INDICATOR
SHARED NEEDLE OR SYRINGE IN LAST 4 WEEKS
YEAR OF FIRST KNOWN PSYCHIATRIC CARE

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PERSON

Change to Class: Changed Relationships

Each PERSON
must be the user of one or more PERSON NAME
must be the owner of one or more PERSON ORGAN
may be registered as one and only one CARE PROFESSIONAL
may be contacted via one or more COMMUNICATION CONTACT INFORMATION
may be born in one and only one COUNTRY
may be classified by one or more EDUCATION
may be recorded as one or more EMPLOYEE
may be supervisor of one or more EMPLOYEE SUPERVISOR
may be classified by one or more EMPLOYMENT
may be classified by one or more NATIONALITY OR RESIDENCY
may be registered as one and only one PATIENT
may be the subject of one or more PERSON DEATH DETAILS
may be related to one or more PERSON OR ORGANISATION ADDRESS
may be the reporter of one or more PERSON PROPERTY
may be the recorder of one or more PERSON PROPERTY
may be the owner of one or more PERSON PROPERTY
may be the observer of one or more PERSON PROPERTY
may be the second party in one or more PERSON RELATIONSHIP
may be the first party in one or more PERSON RELATIONSHIP
may be holder of one or more PROFESSIONAL REGISTRATION
may be required to complete one or more QUESTIONNAIRE OR RATING SCALE
may be the recipient of one or more TISSUE TRANSPLANT

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EMPLOYMENT STATUS

Change to Attribute: New Attribute

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

EMPLOYMENT STATUS is the current EMPLOYMENT status of a PERSON.

National Codes:

01Employed
02Unemployed and Seeking Work
03Students who are undertaking full (at least 16 hours per week) or part-time (less than 16 hours per week) education or training and who are not working or actively seeking work
04Long-term sick or disabled, those who are receiving Incapacity Benefit, Income Support or both
05Homemaker looking after the family or home and who are not working or actively seeking work
06Not receiving benefits and who are not working or actively seeking work
07Unpaid voluntary work who are not working or actively seeking work
08Retired from paid work
ZNot Stated (PERSON asked but declined to provide a response)
 

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EMPLOYMENT STATUS

Change to Attribute: New Attribute

EMPLOYMENT STATUS
 
Data Elements:
EMPLOYMENT STATUS

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EMPLOYMENT STATUS FOR MENTAL HEALTH  renamed from EMPLOYMENT STATUS

Change to Attribute: Changed Description, Aliases, Name

The current EMPLOYMENT STATUS of the PATIENT.This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.

The current EMPLOYMENT status of the PATIENT as recorded in the Mental Health Minimum Data Set.

Employed refers to those who are employed by a company and have their National Insurance paid for directly from their wages. It also includes those who are self-employed (i.e. those who work for themselves and generally pay their National Insurance themselves); those who are in supported employment; and those who are in permitted work (i.e. those who are in paid work and who are also receiving Incapacity Benefit). It should also include those who are unpaid family workers (i.e. those who do unpaid work for a business they own or for a business a relative owns).

Unemployed refers to those who are not in paid work but are actively seeking work and are available to start, or are waiting to start a paid job they have already obtained.

Other employment status such as education or training includes those who are economically inactive, that is, those who are not in paid work and who are not actively seeking work, or they are not available to start.
It includes the following:

-Students who are undertaking full (at least 16 hours per week) or part-time (less than 16 hours per week) education or training and who are not working or actively seeking work;
-The long-term sick or disabled, including those who are receiving Incapacity Benefit, income support or both, and who are not working or actively seeking work;
-Those looking after the family or home and who are not working or actively seeking work;
-Those who are not receiving benefits and who are not working or actively seeking work;
-Those who are in unpaid voluntary work who are not working or actively seeking work;
-Those of working age who have retired from paid work.

National Codes:

01Employed
02Unemployed
03Other employment status such as in education or training
 

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EMPLOYMENT STATUS FOR MENTAL HEALTH  renamed from EMPLOYMENT STATUS

Change to Attribute: Changed Description, Aliases, Name


EMPLOYMENT STATUS

Change to Data Element: New Data Element

Format/Length:an2
HES Item: 
National Codes:See EMPLOYMENT STATUS
Default Codes: 

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes: 
EMPLOYMENT STATUS is the same as attribute EMPLOYMENT STATUS.

 

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EMPLOYMENT STATUS

Change to Data Element: New Data Element

EMPLOYMENT STATUS
 
Attribute:
EMPLOYMENT STATUS

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For enquiries about this Data Set Change Notice, please email datastandards@nhs.net