Change Request

NHS Information Authority

Data Standards Programme

Reference: Change Request 254
Version No:1.12
Subject:DSCN 06/2002
Type of Change:Addition of the revised KH07 guidance text to the NHS Data Dictionary & Manual
Effective Date:1 March 2002
Reason for Change:To comply with the recommendations of the Triennal Review for Out-patient activity data.

Background:

DSCN 04/2001 published the latest version of KH07, which was amended by the removal of the column relating to waiting for admission with date, to comply with the recommendations of the Triennial Review for Out-patient Activity Data. However, up until the release of DSCN 29/2001 the KH07 return was still subject to review and amendment relating to changes to monitor the introduction of NHS Plan booked admissions, and therefore the guidance text could not be published in the NHS Data Dictionary & Manual. DSCN 29/2001 established that the KH06 return would be changed to monitor the NHS Plan booked admissions instead of KH07, and therefore the KH07 form and guidance text, has now been included in the NHS Data Dictionary & Manual.

Summary of changes:
 
Central Return Form
kh07 1   Change guidance text
kh07 2   Change guidance text
kh07 3   Change guidance text
kh07 4   Change guidance text
kh07 5   Change guidance text
kh07 6   Change guidance text
kh07 7   Change guidance text

Name:Michelle Cambridge
Date:15 November 2002
Sponsor:Data Standards Team

Note: Additions shown in highlighted with a blue background. Deletions are shown using strikeout.


kh07 1

Change to Central Return Form: Change guidance text

Central Return Form Guidance

 Central Return Form Guidance

KH07 - Demand for Elective Admission: Position at the End of the Quarter (Provider Based)

    Contextual Overview

  1. The Department requires performance management measures of waiting times by HQ and Regional Offices on a HEALTH CARE PROVIDER basis. The information is used for monitoring HAs and Trusts. The resulting statistics on 'waiting times' are used to help develop policies and indicate changes that enable ELECTIVE ADMISSION LIST to be managed more efficiently.

  1. Information on the return is also used in Public Expenditure Survey (PES) negotiations and supports, risk analysis, the production of in-patient and out-patient modelling and Departmental accountability.

  1. Information on the return is published in the Quarterly Review, Hospital Waiting List Statistics: England, Health and Personal Social Services, and the Annual Reports.

    Completing the Return KH07 - Demand for Elective Admission: Position at the End of the Quarter

  1. The return KH07 is provider-based and is submitted by NHS TRUST and PRIMARY CARE TRUST regardless of where the PATIENTS live. The returns are for all PATIENTS waiting for admission to NHS hospitals, i.e. include PATIENTS who are:

    -private patients
    -PATIENTS from overseas

  1. KH07 gives the status of the waiting list showing the number of PATIENTS awaiting elective admission at the end of a three month period - on 30 June, 30 September, 31 December and 31 March at 12 midnight.

  1. Note that PATIENTS waiting for tissue or organ transplants are classified as suspended patients and are excluded from the central return.

  1. Suspended patients are PATIENTS who have been suspended from the ELECTIVE ADMISSION LIST for medical reasons or who are unavailable for admission for a specified period because of family commitments, holidays or other reasons. During this period, an OFFER OF ADMISSION should not be made.

  1. A table is provided with the return KH06 to help you make consistency checks with KH07 and KH07A. The difference line should be zero if all the data are consistent.

  1. All four quarterly returns require data collected at SPECIALTY FUNCTION CODE level. Returns must be submitted by the fifteenth working day after the end of the quarter.


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kh07 2

Change to Central Return Form: Change guidance text

Central Return Form Guidance

 Central Return Form Guidance

KH07 - Demand for Elective Admission: Position at the End of the Quarter (Provider Based)

    Part 1: Ordinary Admissions

  1. Part 1 of KH07 should be completed for intended ordinary admissions.

    Main Specialty Function and Code

  1. ELECTIVE ADMISSION LIST ENTRY should be counted by SPECIALTY FUNCTION CODE. Note that SPECIALTY FUNCTION is based on SPECIALTY but is not identical to it.

    Patients waiting for admission

  1. A count of PATIENT with an ELECTIVE ADMISSION LIST ENTRY who have been classified as booked admissions or waiting list admissions. This count excludes planned admissions or suspended patients. In addition, note that PATIENTS waiting for tissue or organ transplants are classified as suspended patients and should be excluded.

  1. PATIENTS with an OFFERED FOR ADMISSION DATE at the date of the census should be counted as waiting with a date. PATIENTS who have been given an OFFERED FOR ADMISSION DATE in the past and have declined it (i.e. with an ADMISSION OFFER OUTCOME of Patient failed to arrive or Admission cancelled by, or on behalf of, patient) are not counted as waiting with a date until another OFFERED FOR ADMISSION DATE has been offered.

    Patients waiting for admission by months waiting

  1. The waiting time for each PATIENT on the ELECTIVE ADMISSION LIST is calculated as the time period between the DECIDED TO ADMIT DATE for this provider and the date at the end of the applicable period for the return. If the PATIENT has been suspended at all during this time, the period(s) of suspension should be subtracted from the total waiting time.

  1. Patients with an ADMISSION OFFER OUTCOME of Patient failed to arrive or Admission cancelled by, or on behalf of, patient (deferred admissions) are included in the count but the waiting time is calculated differently. After the OFFERED FOR ADMISSION DATE has passed, the waiting time is calculated as the difference between the date at the end of the period and the OFFERED FOR ADMISSION DATE that the PATIENT turned down or failed to keep.

    Time Periods

  1. The periods listed - 3-5 months, 6-8 months and so on - refer to completed whole months, not partially completed ones. For example, in a case where the waiting time is between 5 and 6 months, the 3-5 months box should be used, not the 6-8 months one. Make sure that the hospital computer system does not round up time periods, as this could give misleading counts.

    Page total

  1. The total by column of all Patients waiting admission and Patients waiting for admission by months waiting for all the SPECIALTY FUNCTION CODES appearing on the page.


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kh07 3

Change to Central Return Form: Change guidance text

Central Return Form Guidance

 Central Return Form Guidance

KH07 - Demand for Elective Admission: Position at the End of the Quarter (Provider Based)

    Part 1: Ordinary Admissions - continued

  1. Part 1 of KH07 should be completed for intended ordinary admissions.

    Main Specialty Function and Code

  1. ELECTIVE ADMISSION LIST ENTRY should be counted by SPECIALTY FUNCTION CODE. Note that SPECIALTY FUNCTION is based on SPECIALTY but is not identical to it.

    Patients waiting for admission

  1. A count of PATIENT with an ELECTIVE ADMISSION LIST ENTRY who have been classified as booked admissions or waiting list admissions. This count excludes planned admissions or suspended patients. In addition, note that PATIENTS waiting for tissue or organ transplants are classified as suspended patients and should be excluded.

  1. PATIENTS with an OFFERED FOR ADMISSION DATE at the date of the census should be counted as waiting with a date. PATIENTS who have been given an OFFERED FOR ADMISSION DATE in the past and have declined it (i.e. with an ADMISSION OFFER OUTCOME of Patient failed to arrive or Admission cancelled by, or on behalf of, patient) are not counted as waiting with a date until another OFFERED FOR ADMISSION DATE has been offered.

    Patients waiting for admission by months waiting

  1. The waiting time for each PATIENT on the ELECTIVE ADMISSION LIST is calculated as the time period between the DECIDED TO ADMIT DATE for this provider and the date at the end of the applicable period for the return. If the PATIENT has been suspended at all during this time, the period(s) of suspension should be subtracted from the total waiting time.

  1. Patients with an ADMISSION OFFER OUTCOME of Patient failed to arrive or Admission cancelled by, or on behalf of, patient (deferred admissions) are included in the count but the waiting time is calculated differently. After the OFFERED FOR ADMISSION DATE has passed, the waiting time is calculated as the difference between the date at the end of the period and the OFFERED FOR ADMISSION DATE that the PATIENT turned down or failed to keep.

    Time Periods

  1. The periods listed - 3-5 months, 6-8 months and so on - refer to completed whole months, not partially completed ones. For example, in a case where the waiting time is between 5 and 6 months, the 3-5 months box should be used, not the 6-8 months one. Make sure that the hospital computer system does not round up time periods, as this could give misleading counts.

    Page total

  1. The total by column of all Patients waiting admission and Patients waiting for admission by months waiting for all the SPECIALTY FUNCTION CODES appearing on the page.


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kh07 4

Change to Central Return Form: Change guidance text

Central Return Form Guidance

 Central Return Form Guidance

KH07 - Demand for Elective Admission: Position at the End of the Quarter (Provider Based)

    Part 1: Ordinary Admissions - continued

  1. Part 1 of KH07 should be completed for intended ordinary admissions.

    Main Specialty Function and Code

  1. ELECTIVE ADMISSION LIST ENTRY should be counted by SPECIALTY FUNCTION CODE. Note that SPECIALTY FUNCTION is based on SPECIALTY but is not identical to it.

    Patients waiting for admission

  1. A count of PATIENT with an ELECTIVE ADMISSION LIST ENTRY who have been classified as booked admissions or waiting list admissions. This count excludes planned admissions or suspended patients. In addition, note that PATIENTS waiting for tissue or organ transplants are classified as suspended patients and should be excluded.

  1. PATIENTS with an OFFERED FOR ADMISSION DATE at the date of the census should be counted as waiting with a date. PATIENTS who have been given an OFFERED FOR ADMISSION DATE in the past and have declined it (i.e. with an ADMISSION OFFER OUTCOME of Patient failed to arrive or Admission cancelled by, or on behalf of, patient) are not counted as waiting with a date until another OFFERED FOR ADMISSION DATE has been offered.

    Patients waiting for admission by months waiting

  1. The waiting time for each PATIENT on the ELECTIVE ADMISSION LIST is calculated as the time period between the DECIDED TO ADMIT DATE for this provider and the date at the end of the applicable period for the return. If the PATIENT has been suspended at all during this time, the period(s) of suspension should be subtracted from the total waiting time.

  1. Patients with an ADMISSION OFFER OUTCOME of Patient failed to arrive or Admission cancelled by, or on behalf of, patient (deferred admissions) are included in the count but the waiting time is calculated differently. After the OFFERED FOR ADMISSION DATE has passed, the waiting time is calculated as the difference between the date at the end of the period and the OFFERED FOR ADMISSION DATE that the PATIENT turned down or failed to keep.

    Time Periods

  1. The periods listed - 3-5 months, 6-8 months and so on - refer to completed whole months, not partially completed ones. For example, in a case where the waiting time is between 5 and 6 months, the 3-5 months box should be used, not the 6-8 months one. Make sure that the hospital computer system does not round up time periods, as this could give misleading counts.

    Page total

  1. The total by column of all Patients waiting admission and Patients waiting for admission by months waiting for all the SPECIALTY FUNCTION CODES appearing on the page.

    FINAL TOTAL

  1. The total by column of all Ordinary Admission Patients waiting admission and Patients waiting for admission by months waiting for all the SPECIALTY FUNCTION CODES.


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kh07 5

Change to Central Return Form: Change guidance text

Central Return Form Guidance

 Central Return Form Guidance

KH07 - Demand for Elective Admission: Position at the end of the Quarter (Provider Based)

    Part 2: Day Case Admissions

  1. Part 2 of KH07 should be completed for admissions intended to be treated as day case admissions.

    Main Specialty Function and Code

  1. ELECTIVE ADMISSION LIST ENTRY should be counted by SPECIALTY FUNCTION CODE. Note that SPECIALTY FUNCTION is based on SPECIALTY but is not identical to it.

    Patients waiting for admission

  1. A count of PATIENT with an ELECTIVE ADMISSION LIST ENTRY who have been classified as booked admissions or waiting list admissions. This count excludes planned admissions or suspended patients. In addition, note that PATIENT waiting for tissue or organ transplants are classified as suspended patients and should be excluded.

  1. PATIENT with an OFFERED FOR ADMISSION DATE at the date of the census should be counted as waiting with a date. PATIENT who have been given an OFFERED FOR ADMISSION DATE in the past and have declined it (i.e. with an ADMISSION OFFER OUTCOME of Patient failed to arrive or Admission cancelled by, or on behalf of, patient) are not counted as waiting with a date until another OFFERED FOR ADMISSION DATE has been offered.

    Patients waiting for admission by months waiting

  1. The waiting time for each PATIENT on the ELECTIVE ADMISSION LIST is calculated as the time period between the DECIDED TO ADMIT DATE for this provider and the date at the end of the applicable period for the return. If the PATIENT has been suspended at all during this time, the period(s) of suspension should be subtracted from the total waiting time.

  1. Patients with an ADMISSION OFFER OUTCOME of Patient failed to arrive or Admission cancelled by, or on behalf of, patient (deferred admissions) are included in the count but the waiting time is calculated differently. After the OFFERED FOR ADMISSION DATE has passed, the waiting time is calculated as the difference between the date at the end of the period and the OFFERED FOR ADMISSION DATE that the PATIENT turned down or failed to keep.

    Time Periods

  1. The periods listed - 3-5 months, 6-8 months and so on - refer to completed whole months, not partially completed ones. For example, in a case where the waiting time is between 5 and 6 months, the 3-5 months box should be used, not the 6-8 months one. Make sure that the hospital computer system does not round up time periods, as this could give misleading counts.

    Page total

  1. The total by column of all Patients waiting admission and Patients waiting for admission by months waiting for all the SPECIALTY FUNCTION CODES appearing on the page.


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kh07 6

Change to Central Return Form: Change guidance text

Central Return Form Guidance

 Central Return Form Guidance

KH07 - Demand for Elective Admission: Position at the end of the Quarter (Provider Based)

    Part 2: Day Case Admissions - continued

  1. Part 2 of KH07 should be completed for admissions intended to be treated as day case admissions.

    Main Specialty Function and Code

  1. ELECTIVE ADMISSION LIST ENTRY should be counted by SPECIALTY FUNCTION CODE. Note that SPECIALTY FUNCTION is based on SPECIALTY but is not identical to it.

    Patients waiting for admission

  1. A count of PATIENT with an ELECTIVE ADMISSION LIST ENTRY who have been classified as booked admissions or waiting list admissions. This count excludes planned admissions or suspended patients. In addition, note that PATIENT waiting for tissue or organ transplants are classified as suspended patients and should be excluded.

  1. PATIENT with an OFFERED FOR ADMISSION DATE at the date of the census should be counted as waiting with a date. PATIENT who have been given an OFFERED FOR ADMISSION DATE in the past and have declined it (i.e. with an ADMISSION OFFER OUTCOME of Patient failed to arrive or Admission cancelled by, or on behalf of, patient) are not counted as waiting with a date until another OFFERED FOR ADMISSION DATE has been offered.

    Patients waiting for admission by months waiting

  1. The waiting time for each PATIENT on the ELECTIVE ADMISSION LIST is calculated as the time period between the DECIDED TO ADMIT DATE for this provider and the date at the end of the applicable period for the return. If the PATIENT has been suspended at all during this time, the period(s) of suspension should be subtracted from the total waiting time.

  1. Patients with an ADMISSION OFFER OUTCOME of Patient failed to arrive or Admission cancelled by, or on behalf of, patient (deferred admissions) are included in the count but the waiting time is calculated differently. After the OFFERED FOR ADMISSION DATE has passed, the waiting time is calculated as the difference between the date at the end of the period and the OFFERED FOR ADMISSION DATE that the PATIENT turned down or failed to keep.

    Time Periods

  1. The periods listed - 3-5 months, 6-8 months and so on - refer to completed whole months, not partially completed ones. For example, in a case where the waiting time is between 5 and 6 months, the 3-5 months box should be used, not the 6-8 months one. Make sure that the hospital computer system does not round up time periods, as this could give misleading counts.

    Page total

  1. The total by column of all Patients waiting admission and Patients waiting for admission by months waiting for all the SPECIALTY FUNCTION CODES appearing on the page.


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kh07 7

Change to Central Return Form: Change guidance text

Central Return Form Guidance

 Central Return Form Guidance

KH07 - Demand for Elective Admission: Position at the end of the Quarter (Provider Based)

    Part 2: Day Case Admissions -continued

  1. Part 2 of KH07 should be completed for admissions intended to be treated as day case admissions.

    Main Specialty Function and Code

  1. ELECTIVE ADMISSION LIST ENTRY should be counted by SPECIALTY FUNCTION CODE. Note that SPECIALTY FUNCTION is based on SPECIALTY but is not identical to it.

    Patients waiting for admission

  1. A count of PATIENT with an ELECTIVE ADMISSION LIST ENTRY who have been classified as booked admissions or waiting list admissions. This count excludes planned admissions or suspended patients. In addition, note that PATIENT waiting for tissue or organ transplants are classified as suspended patients and should be excluded.

  1. PATIENT with an OFFERED FOR ADMISSION DATE at the date of the census should be counted as waiting with a date. PATIENT who have been given an OFFERED FOR ADMISSION DATE in the past and have declined it (i.e. with an ADMISSION OFFER OUTCOME of Patient failed to arrive or Admission cancelled by, or on behalf of, patient) are not counted as waiting with a date until another OFFERED FOR ADMISSION DATE has been offered.

    Patients waiting for admission by months waiting

  1. The waiting time for each PATIENT on the ELECTIVE ADMISSION LIST is calculated as the time period between the DECIDED TO ADMIT DATE for this provider and the date at the end of the applicable period for the return. If the PATIENT has been suspended at all during this time, the period(s) of suspension should be subtracted from the total waiting time.

  1. Patients with an ADMISSION OFFER OUTCOME of Patient failed to arrive or Admission cancelled by, or on behalf of, patient (deferred admissions) are included in the count but the waiting time is calculated differently. After the OFFERED FOR ADMISSION DATE has passed, the waiting time is calculated as the difference between the date at the end of the period and the OFFERED FOR ADMISSION DATE that the PATIENT turned down or failed to keep.

    Time Periods

  1. The periods listed - 3-5 months, 6-8 months and so on - refer to completed whole months, not partially completed ones. For example, in a case where the waiting time is between 5 and 6 months, the 3-5 months box should be used, not the 6-8 months one. Make sure that the hospital computer system does not round up time periods, as this could give misleading counts.

    Page total

  1. The total by column of all Patients waiting admission and Patients waiting for admission by months waiting for all the SPECIALTY FUNCTION CODES appearing on the page.

    FINAL TOTAL

  1. The total by column of all Day Case Admission Patients waiting admission and Patients waiting for admission by months waiting for all the SPECIALTY FUNCTION CODES.


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