Change Request

NHS Information Authority

Data Standards Programme

Reference: Change Request 280
Version No:1.7
Subject:DSCN 31/2002
Type of Change:Changes to NHS data standards
Effective Date:1 October 2002
Reason for Change:Update the NHS Data Dictionary & Manual to reflect the organisational changes identified in 'Shifting the Balance of Power'

Background:

The government is radically reforming the NHS and Social Care, in order to make the system more patient-focused as part of its NHS Plan.

The Department of Health is working towards shifting the balance of power away from central government to frontline staff, who have a day-to-day understanding of patients' needs and concerns. As part of this process it is necessary to change the structure of the NHS and Social Care to help empower patients and to help staff and patients have their say on the future.

Local Primary Care Trusts (PCTs) have become the lead NHS organisations in assessing need, planning and securing all health services and improving health in their localities. They will also provide most community services and develop primary care services, including GPs and dentists.

This DSCN updates the NHS Data Dictionary & Manual to reflect the organisation changes for the NHS in England. A review of the use of HEALTH AUTHORITY throughout the NHS Data Dictionary & Manual has been carried out and the appropriate structure required to support the 'Shifting of the Balance of Power' inserted. In doing so the following areas have been addressed:

1. Abolition of the Medical Practices Committee (MPC) and organisational changes relating to General Medical Practitioners. Some of these changes came into effect on 1st April 2002 under the Health and Social Care Act 2001.
2. Abolition of the Medical Practices Committee (MPC) and organisational changes relating to General Medical Practitioners. Some of these changes came into effect on 1st April 2002 under the Health and Social Care Act 2001.
3. The regulation of all care homes will be undertaken by a new body; the National Care Standards Commission from 1st April 2002. The Care Standards Act 2000 replaces the Registered Homes Act 1984.
4. PCTs have assumed responsibility for the implementation of population screening programmes through collaboration with other PCTs. The Strategic Health Authority will ensure all organisations work together to deliver the services through their Performance Agreements.
5. The remaining references to NHS Executive in the NHS Data Dictionary & Manual have been removed.

Summary of changes:
 
Class Definitions
ASSISTANT GMP CONTRACT   Change to description
CARE TRUST   Change to description
CHILDREN RESIDENT BY AGE GROUP   Change to relationships
COMMUNITY PHARMACY SITE APPLICATION   Change to description
COMMUNITY PHARMACY SITE APPLICATION   Change to relationships
DRUG MISUSE AGENCY   Change to description
DRUG MISUSE AGENCY   Change to relationships
DRUG MISUSER   Change to relationships
FINANCIAL PERIOD   Change to relationships
GENERAL MEDICAL PRACTITIONER PRACTICE   Change to description
GENERAL MEDICAL SERVICES CONTRACT   Change to description
GENERAL MEDICAL SERVICES PREMISES   Change to description
GEOGRAPHIC AREA   Change to description
GEOGRAPHIC AREA   Change to relationships
GMP CLAIM FOR PAYMENT OR REIMBURSEMENT   Change to description
GMP CLAIM FOR PAYMENT OR REIMBURSEMENT   Change to relationships
GMP CONTRACT   Change to description
GMP CONTRACT   Change to relationships
GMP PAYMENT OR REIMBURSEMENT   Change to description
GMP PAYMENT OR REIMBURSEMENT   Change to relationships
GMP TRAINING CONTRACT   Change to description
GMP TRAINING CONTRACT   Change to relationships
HEALTH AUTHORITY   Change to description
HEALTH AUTHORITY   Change to relationships
HEALTH AUTHORITY PROGRAMME   Change to name
HEALTH AUTHORITY PROGRAMME   Change to description
HEALTH AUTHORITY PROGRAMME   Change to relationships
HEALTH AUTHORITY PROGRAMME STATEMENT   Change to name
HEALTH AUTHORITY PROGRAMME STATEMENT   Change to aliases, change to description
HEALTH AUTHORITY PROGRAMME STATEMENT   Change to relationships
HEALTH CARE PROVIDER   Change to description
JOINT INVESTMENT PLAN   Change to description
JOINT INVESTMENT PLAN ASSOCIATION   Change to description
LOCUM GMP CONTRACT   Change to description
NHS TRUST   Change to description
NURSING HOME   Change to description
NURSING IN THE COMMUNITY PROGRAMME   Change to description
OTHER CLAIM BY GMP   Change to description
PRIMARY CARE GROUP   Change to attributes
PRIMARY CARE TRUST   Change to description
PRIMARY CARE TRUST   Change to relationships
PRIOR NOTIFICATION LIST FOR CYTOLOGY   Change to relationships
REGISTERED SITE INSPECTION   Change to description
RUBELLA IMMUNISATION TARGET   Change to description
SCREENING POPULATION   Change to description
SCREENING TEST   Change to attributes
SERVICE PROVIDED   Change to relationships
SERVICE TO THE COMMUNITY PROGRAMME   Change to description
SINGLE SEX ACCOMMODATION TARGET   Change to description
SMOKING CESSATION SERVICE   Change to description
SMOKING CESSATION SERVICE   Change to relationships
STRATEGIC HEALTH AUTHORITY   New Class
 
Attribute Definitions
ACTUAL EXPENDITURE   Change to description
COMPLAINT FHS SUBJECT   Change to description
COMPLAINT HCHS SUBJECT   Change to description
CONTRACEPTIVE LIST ENTRY   Change to description
COVERAGE ACHIEVED   Change to description
CYTOLOGY SCREENING ACTION TYPE   Change to description
CYTOLOGY SCREENING PLAN NUMBER   Change to description
DRUG MISUSE AGENCY CODE   Change to description
GENERAL OR PERSONAL MEDICAL SERVICES   Change to description
GMP PAYMENT NUMBER   Change to description
LEVEL OF SERVICE PROVIDED   Change to aliases, change to description
MATERNITY NOTES POLICY   Deleted
MINOR SURGERY LIST ENTRY   Change to description
NIGHT VISIT LIST ENTRY   Change to description
OBSTETRICS LIST ENTRY   Change to description
ORGANISATION TYPE   Change to description
PRACTITIONER APPLICATION DATE   Change to description
PRIMARY CARE GROUP LEVEL   Deleted
PROGRAMME   Change to description
PROGRAMME DESCRIPTION   Change to description
PROGRAMME HEADING CODE   Change to description
PROJECTED EXPENDITURE   Change to description
REGULATION OPENING DATE   Change to description
REQUEST CATEGORY   Change to description
RESIDENT CHILDREN TOTAL   Change to description
RUBELLA AGE GROUP   Change to description
SCREENING PROGRAMME TOTAL WOMEN   Change to description
SCREENING RESULT SENT DATE   Change to description
SINGLE SEX TARGET DATE   Change to description
SINGLE SEX TARGET REVISED DATE   Change to description
STAFF GROUP CODE   Change to description
TARGET COVERAGE   Change to description
 
Data Elements
GMP (CODE OF REGISTERED OR REFERRING GMP)   Change to description
HA OF RESIDENCE   Change to name
HA OF RESIDENCE   Change to description
HRG DOMINANT GROUPING VARIABLE-PROCEDURE   Change to description
NHS SERVICE AGREEMENT   Change to description
ORGANISATION CODE (CODE OF COMMISSIONER)   Change to description
OUT OF AREA TREATMENT   Change to description
PCG OR PCT OF RESIDENCE   Change to name
PCG OR PCT OF RESIDENCE   Change to aliases
 
Data Sets (CDS, CMDS, HES)
ACCIDENT AND EMERGENCY ATTENDANCE CDS TYPE   Change to table
ADMITTED PATIENT CARE CDS TYPE - BIRTH EPISODE   Change to table
ADMITTED PATIENT CARE CDS TYPE - DELIVERY EPISODE   Change to table
ADMITTED PATIENT CARE CDS TYPE - DETAINED+- OR LONG TERM PSYCHIATRIC CENSUS   Change to table
ADMITTED PATIENT CARE CDS TYPE - GENERAL EPISODE   Change to table
ADMITTED PATIENT CARE CDS TYPE - HOME BIRTH   Change to table
ADMITTED PATIENT CARE CDS TYPE - HOME DELIVERY   Change to table
ELECTIVE ADMISSION LIST CMDS-END OF PERIOD CENSUS   Change to table
ELECTIVE ADMISSION LIST CMDS-EVENT DURING PERIOD   Change to table
HES GENERAL EPISODE RECORD   Change to table
HES OTHER DELIVERY OTHER BIRTH EVENT RECORD   Change to table
OUT-PATIENT ATTENDANCE CDS TYPE   Change to table
WARD ATTENDANCE CDS TYPE   Change to table
 
Central Return Forms
KH06R 1   Change guidance text
KH07AR 1   Change guidance text
 
Diagrams
AD020 CORE ADMINISTRATIVE DATA - ORGANISATION DETAILS   Change to diagram contents
AD030 CORE ADMINISTRATIVE DATA - ADDRESS & GEOGRAPHIC AREA DETAILS   Change to diagram contents
CDS010 COMMISSIONING DETAILS AND SERVICE ARRANGEMENT CHANGE DETAILS - ALL CDS TYPES   Change to diagram contents
CDS020 PATIENT DETAILS - ALL CDS TYPES   Change to diagram contents
CDS030 REFERRAL DETAILS - ALL CDS TYPES   Change to diagram contents
CM020 COMMUNITY PROGRAMMES   Change to diagram contents
CM030 COMMUNITY - CHILD HEALTH AND IMMUNISATION FOR HEALTH AUTHORITIES   Change to aliases
CM030 COMMUNITY - CHILD HEALTH AND IMMUNISATION FOR HEALTH AUTHORITIES   Change to diagram contents
CM040 COMMUNITY - CHILD HEALTH AND IMMUNISATION FOR HEALTH CARE PROVIDERS   Change to diagram contents
CM070 SCREENING FOR HEALTH CARE PROVIDERS   Change to diagram contents
CM120 DRUG MISUSE   Change to diagram contents
CMDS030 GP REFERRAL LETTERS CMDS   Change to diagram contents
EXTDRUG EXTENDED DRUG MISUSE DATABASE   Change to diagram contents
GN020 ORGANISATION STRUCTURE   Change to diagram contents
GN060 SERVICES PROVIDED BY NON-HOSPITAL SERVICES   Change to diagram contents
HA48 LIST OF OPHTHALMIC PRACTITIONERS   Change to diagram contents
HP170 HOSPITAL BEDS - PLANNING INTENT   Change to diagram contents
KH06R DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED   Change to diagram contents
KH07A DEMAND FOR ELECTIVE ADMISSION: NUMBER OF PATIENTS WHO HAVE DEFERRED ADMISSION WAITING AT THE END OF THE QUARTER, PROVIDER BASED   Change to diagram contents
KH07AR DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED   Change to diagram contents
MS040 GP HOSPITAL COMMUNICATION MESSAGES - CYTOLOGY   Change to diagram contents
PC020 GMPS CLAIMS AND PAYMENTS/REIMBURSEMENTS FROM HEALTH AUTHORITIES   Change to name
PC020 GMPS CLAIMS AND PAYMENTS/REIMBURSEMENTS FROM HEALTH AUTHORITIES   Change to aliases
PC020 GMPS CLAIMS AND PAYMENTS/REIMBURSEMENTS FROM HEALTH AUTHORITIES   Change to diagram contents
PC030 GENERAL MEDICAL PRACTITIONER CONTRACTS   Change to diagram contents
PC110 COMMUNITY PHARMACIES   Change to diagram contents
PC120 GENERAL OPHTHALMIC SERVICES   Change to diagram contents
PC130 EMERGENCY DENTAL SERVICES   Change to diagram contents
QF01 DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED   Change to diagram contents
QM08R OUT-PATIENT FIRST ATTENDANCES: RESPONSIBLE POPULATION BASED   Change to diagram contents
QNW QUALIFIED NURSE WORKFORCE MONITORING RETURN   Change to diagram contents
SBE515 OPHTHALMIC SERVICES SIGHT TESTS, SPECTACLE SUPPLY AND REPAIRS   Change to diagram contents
 
Supporting Information
CM020   Change to supporting information
CM030   Change to supporting information
CM040   Change to supporting information
CM050   Change to supporting information
CM060   Change to supporting information
CM070   Change to supporting information
CM090   Change to supporting information
CM120   Change to supporting information
CONTEXTUAL OVERVIEW   Change to supporting information
GN020   Change to supporting information
GN060   Change to supporting information
NHS ADMINISTRATIVE CODES   Change to supporting information
NHS ORGANISATION CODES TABLES   Change to supporting information
NHS POSTCODE DIRECTORY   Change to supporting information
PC020   Change to supporting information
PC030   Change to supporting information
PC110   Change to supporting information
PC120   Change to supporting information
PC130   Change to supporting information
PRACTITIONER CODES   Change to supporting information
PRIMARY CARE   Change to supporting information

Name:Michelle Cambridge
Date:6 December 2002
Sponsor:Data Standards Team

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


ASSISTANT GMP CONTRACT

Change to Class: change to description

A type of GMP EMPLOYMENT CONTRACT.

An arrangement whereby a GENERAL MEDICAL PRACTITIONER is employed as an Assistant by another GENERAL MEDICAL PRACTITIONER with the consent of a . An arrangement whereby a GENERAL MEDICAL PRACTITIONER is employed as an Assistant by another GENERAL MEDICAL PRACTITIONER with the consent of a PRIMARY CARE TRUST.



This class is also known by these names:
ContextAlias
pluralASSISTANT GMP CONTRACTS


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CARE TRUST

Change to Class: change to description

A type of ORGANISATION.

CARE TRUSTSS are NHS bodies which combine either one or more Primary Care Trusts or NHS Trusts with local authority services, using the power to delegate functions under the 1999 Health Act. CARE TRUSTS are NHS bodies which combine either one or more Primary Care Trusts or NHS Trusts with local authority services, using the power to delegate functions under the 1999 Health Act.

CARE TRUSTSS are accountable to local authorities. If Primary Care Trusts are involved they are also accountable to Health Authorities. If NHS Trusts are involved they are also accountable to Regional Offices. CARE TRUSTS are accountable to local authorities. If Primary Care Trusts or NHS Trusts are involved they are also accountable to STRATEGIC HEALTH AUTHORITIES.

References:
Department of Health Publication
Care Trusts - Emerging Framework March 2001



This class is also known by these names:
ContextAlias
pluralCARE TRUSTS


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CHILDREN RESIDENT BY AGE GROUP

Change to Class: change to relationships

Each CHILDREN RESIDENT BY AGE GROUP
Kmust be related to one and only one HEALTH AUTHORITY
Kmust be related to one and only one PRIMARY CARE TRUST


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COMMUNITY PHARMACY SITE APPLICATION

Change to Class: change to description

An application by a COMMUNITY PHARMACY SITE or an ORGANISATION to a HEALTH AUTHORITY to hold a pharmaceutical contract, including applications made by GP PRACTICES. An application by a COMMUNITY PHARMACY SITE or an ORGANISATION to a PRIMARY CARE TRUST to hold a pharmaceutical contract, including applications made by GP PRACTICES. Also included are applications to change an existing contract, for extension of time or a change of ownership.



This class is also known by these names:
ContextAlias
pluralCOMMUNITY PHARMACY SITE APPLICATIONS


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COMMUNITY PHARMACY SITE APPLICATION

Change to Class: change to relationships

Each COMMUNITY PHARMACY SITE APPLICATION
Kmust be an application to one and only one HEALTH AUTHORITY
Kmust be an application to one and only one PRIMARY CARE TRUST
must be from existing one and only one COMMUNITY PHARMACY SITE
or must be from one and only one ORGANISATION


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DRUG MISUSE AGENCY

Change to Class: change to description

An organisation with DRUG MISUSE FACILITIES that provides a service to drug misusers. It encompasses all organisations offering a DRUG MISUSE FACILITY, both NHS and non-NHS located within the Health Authority boundary. It encompasses all organisations offering a DRUG MISUSE FACILITY, both NHS and non-NHS located within the PRIMARY CARE TRUST boundary.

Note: This does not correspond to an 'Agency' defined in the Drug Misuse Database which relates to a DRUG MISUSE FACILITY.



This class is also known by these names:
ContextAlias
pluralDRUG MISUSE AGENCIES


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DRUG MISUSE AGENCY

Change to Class: change to relationships

Each DRUG MISUSE AGENCY
Kmust be within geographical boundary of one and only one HEALTH AUTHORITY
Kmust be within geographical boundary of one and only one PRIMARY CARE TRUST
must be if non-NHS agency for one and only one ORGANISATION
or must be if NHS agency for one and only one SERVICE POINT
must be with an agency address of one and only one ADDRESS ASSOCIATION
may be related to one or more DRUG MISUSE FACILITY
may be the maintainer of a database containing one or more DRUG MISUSER


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DRUG MISUSER

Change to Class: change to relationships

Each DRUG MISUSER
Kmust be on a database maintained by one and only one DRUG MISUSE AGENCY
may be subject of one or more DRUG MISUSE EPISODE
may be responsible for one or more DRUG MISUSER DEPENDENT CHILD
may be if not living alone, related to one or more DRUG MISUSER LIVING WITH
may be resident in the geographical area of one and only one HEALTH AUTHORITY
may be resident in the geographical area of one and only one PRIMARY CARE TRUST


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FINANCIAL PERIOD

Change to Class: change to relationships

Each FINANCIAL PERIOD
may be related to one or more DENTAL STAFF MEMBER IN PERIOD
may be related to one or more DENTAL STAFF MEMBER IN PROG IN PERIOD
may be related to one or more GENITO-URINARY CLINIC BY PERIOD
may be related to one or more HEALTH AUTHORITY PROGRAMME STATEMENT
may be related to one or more HEALTH PROGRAMME STATEMENT
may be related to one or more ORGANISATION FINANCIAL PERIOD


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GENERAL MEDICAL PRACTITIONER PRACTICE

Change to Class: change to description

A type of GP PRACTICE.

An organisation acting as HEALTH CARE PROVIDER and constituted for the delivery of General Medical Services. A GENERAL MEDICAL PRACTITIONER PRACTICE comprises a set of POSTS IN GMP PRACTICES approved for the delivery of services in a specified GEOGRAPHIC AREA. The posts are of three types. Principal GENERAL MEDICAL PRACTITIONER PRACTICE posts are approved by the Medical Practices Committee. That committee also approves the practice area. Principal GENERAL MEDICAL PRACTITIONER PRACTICE posts are approved by the PRIMARY CARE TRUST who also approves the practice area. GENERAL MEDICAL PRACTITIONER REGISTRARS are approved by the local Postgraduate Education Committee. Other posts in the practice are approved by the HEALTH AUTHORITY. Other posts in the practice are approved by the PRIMARY CARE TRUST.

Individuals are contracted to fill these posts.

A GENERAL MEDICAL PRACTITIONER PRACTICE will survive changes in personnel or the removal or addition of approved posts.



This class is also known by these names:
ContextAlias
pluralGENERAL MEDICAL PRACTITIONER PRACTICES


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GENERAL MEDICAL SERVICES CONTRACT

Change to Class: change to description

A type of GMP CONTRACT.

A contract between the Secretary of State for Health and a GENERAL MEDICAL PRACTITIONER within a specific GENERAL MEDICAL PRACTITIONER PRACTICE. The contract is held and maintained on behalf of the Secretary of State by the HEALTH AUTHORITY. The contract is held and maintained on behalf of the Secretary of State by the PRIMARY CARE TRUST. The contract commits the practitioner to provide specified services in a particular area, from particular premises, and at specified times.

When this contract is awarded, a GENERAL MEDICAL PRACTITIONER is entered as a Principal GENERAL MEDICAL PRACTITIONER on the Medical List of the HEALTH AUTHORITY. When this contract is awarded, a GENERAL MEDICAL PRACTITIONER is entered as a Principal GENERAL MEDICAL PRACTITIONER on the Medical List of the PRIMARY CARE TRUST.



This class is also known by these names:
ContextAlias
pluralGENERAL MEDICAL SERVICES CONTRACTS


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GENERAL MEDICAL SERVICES PREMISES

Change to Class: change to description

A type of LOCATION.

A part of a postal address which is recognised by the HEALTH AUTHORITY at which General Medical services are provided, i.e. more than one premises can exist at an address. A part of a postal address which is recognised by the PRIMARY CARE TRUST at which General Medical services are provided, i.e. more than one set of premises can exist at an address.



This class is also known by these names:
ContextAlias
pluralGENERAL MEDICAL SERVICES PREMISES


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GEOGRAPHIC AREA

Change to Class: change to description

An area with definable boundaries (eg. 'Hillsborough Electoral Ward', 'Sheffield Health Authority'). An area with definable or notional boundaries (eg. 'Hillsborough Electoral Ward', 'Sheffield West PCT').

Note: GEOGRAPHIC AREA CODES and GEOGRAPHIC AREA NAMES are compatible with the use of the NHS Postcode Directory (NHS PD).



This class is also known by these names:
ContextAlias
pluralGEOGRAPHIC AREAS


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GEOGRAPHIC AREA

Change to Class: change to relationships

Each GEOGRAPHIC AREA
may be for one or more ADDRESS IN GEOGRAPHIC AREA
may be the associate for one or more GEOGRAPHIC AREA ASSOCIATION
may be from one or more GEOGRAPHIC AREA RELATIONSHIP
may be to one or more GEOGRAPHIC AREA RELATIONSHIP
may be the residential area for one and only one HEALTH AUTHORITY
may be from one or more GEOGRAPHIC AREA RELATIONSHIP
may be from one or more POSTCODE IN GEOGRAPHIC AREA
may be the residential area for one and only one PRIMARY CARE TRUST


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GMP CLAIM FOR PAYMENT OR REIMBURSEMENT

Change to Class: change to description

A claim made by a GENERAL MEDICAL PRACTITIONER to a HEALTH AUTHORITY for payment or reimbursement. A claim made by a GENERAL MEDICAL PRACTITIONER to a PRIMARY CARE TRUST for payment or reimbursement. The claim can be made in the context of ITEMS OF SERVICE DELIVERIES, or for other reasons, for example the child health surveillance fees, temporary resident fees and maintenance and improvement of GENERAL MEDICAL SERVICES PREMISES.



This class is also known by these names:
ContextAlias
pluralGMP CLAIMS FOR PAYMENT OR REIMBURSEMENTS


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GMP CLAIM FOR PAYMENT OR REIMBURSEMENT

Change to Class: change to relationships

Each GMP CLAIM FOR PAYMENT OR REIMBURSEMENT
Kmust be made by one and only one GENERAL MEDICAL PRACTITIONER
Kmust be submitted to one and only one HEALTH AUTHORITY
Kmust be submitted to one and only one PRIMARY CARE TRUST
may be approved for one or more GMP PAYMENT OR REIMBURSEMENT


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GMP CONTRACT

Change to Class: change to description

A contract approved by a HEALTH AUTHORITY and held by a GENERAL MEDICAL PRACTITIONER. A contract approved by a PRIMARY CARE TRUST and held by a GENERAL MEDICAL PRACTITIONER. This is either a GMP EMPLOYMENT CONTRACT, a LOCUM GMP CONTRACT or a GENERAL MEDICAL SERVICES CONTRACT.



This class is also known by these names:
ContextAlias
pluralGMP CONTRACTS


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GMP CONTRACT

Change to Class: change to relationships

Each GMP CONTRACT
Kmust be held by one and only one GENERAL MEDICAL PRACTITIONER
Kmust be approved by one and only one HEALTH AUTHORITY
Kmust be approved by one and only one PRIMARY CARE TRUST


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GMP PAYMENT OR REIMBURSEMENT

Change to Class: change to description

A transfer of money from a HEALTH AUTHORITY to a GENERAL MEDICAL PRACTITIONER which may be in response to a GMP CLAIM FOR PAYMENT OR REIMBURSEMENT or may be an automatic payment for services provided. A transfer of money from a PRIMARY CARE TRUST to a GENERAL MEDICAL PRACTITIONER which may be in response to a GMP CLAIM FOR PAYMENT OR REIMBURSEMENT or may be an automatic payment for services provided.



This class is also known by these names:
ContextAlias
pluralGMP PAYMENTS OR REIMBURSEMENTS


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GMP PAYMENT OR REIMBURSEMENT

Change to Class: change to relationships

Each GMP PAYMENT OR REIMBURSEMENT
Kmust be made to one and only one GENERAL MEDICAL PRACTITIONER
Kmust be made by one and only one HEALTH AUTHORITY
Kmust be made by one and only one PRIMARY CARE TRUST
may be made in the context of one and only one GMP CLAIM FOR PAYMENT OR REIMBURSEMENT


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GMP TRAINING CONTRACT

Change to Class: change to description

An arrangement under which a GENERAL MEDICAL PRACTITIONER REGISTRAR is trained in general medical practice by a GENERAL MEDICAL PRACTITIONER TRAINER. The arrangement is approved by a HEALTH AUTHORITY on behalf of the Secretary of State. The arrangement is approved by a PRIMARY CARE TRUST on behalf of the Secretary of State.



This class is also known by these names:
ContextAlias
pluralGMP TRAINING CONTRACTS


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GMP TRAINING CONTRACT

Change to Class: change to relationships

Each GMP TRAINING CONTRACT
Kmust be for the provision of training to one and only one GENERAL MEDICAL PRACTITIONER REGISTRAR
Kmust be for the provision of training by one and only one GENERAL MEDICAL PRACTITIONER TRAINER
Kmust be approved by one and only one HEALTH AUTHORITY
Kmust be approved by one and only one PRIMARY CARE TRUST


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HEALTH AUTHORITY

Change to Class: change to description

A type of ORGANISATION.

A body corporate established by parliament, and responsible for the provision of comprehensive health care for residents in a specific geographic area or to fulfil other specific objectives as a Special Health Authority. A body corporate established by parliament, and responsible for the provision of comprehensive health care for residents in Wales or to fulfil other specific objectives as a Special Health Authority.



This class is also known by these names:
ContextAlias
pluralHEALTH AUTHORITIES


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HEALTH AUTHORITY

Change to Class: change to relationships

Each HEALTH AUTHORITY
This class has no relationships.
may be related to one or more CHILDREN RESIDENT BY AGE GROUP
may be the receiver of one or more COMMUNITY PHARMACY SITE APPLICATION
may be related to one or more DRUG MISUSE AGENCY
may be related to one or more DRUG MISUSER
may be related to one or more GEOGRAPHIC AREA
may be in receipt of one or more GMP CLAIM FOR PAYMENT OR REIMBURSEMENT
may be approver of one or more GMP CONTRACT
may be the maker of one or more GMP PAYMENT OR REIMBURSEMENT
may be the approver of one or more GMP TRAINING CONTRACT
may be related to one or more HEALTH AUTHORITY PROGRAMME
may be the sender of one or more PRIOR NOTIFICATION LIST FOR CYTOLOGY
may be the coordinator of one or more SMOKING CESSATION SERVICE


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HEALTH AUTHORITY PROGRAMME

Change to Class: change to name

HEALTH AUTHORITY PROGRAMME
HEALTH PROGRAMME


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HEALTH AUTHORITY PROGRAMME

Change to Class: change to description

This is a programme run by a HEALTH AUTHORITY to provide general preventive or advisory services to groups of the population, or specific services to PATIENTS with identified needs or conditions.

HEALTH AUTHORITY PROGRAMMES are hierarchically structured to meet, at least, the mandatory accounting requirements defined by PROGRAMME HEADING CODES and other HEALTH AUTHORITY PROGRAMMES about which data are required centrally. HEALTH PROGRAMMES are hierarchically structured to meet, at least, the mandatory accounting requirements defined by PROGRAMME HEADING CODES and other HEALTH PROGRAMMES about which data are required centrally.

Each HEALTH AUTHORITY PROGRAMME has a sub-type of SERVICE TO THE COMMUNITY PROGRAMME or NURSING IN THE COMMUNITY PROGRAMME. Each HEALTH PROGRAMME has a sub-type of SERVICE TO THE COMMUNITY PROGRAMME or NURSING IN THE COMMUNITY PROGRAMME.



This class is also known by these names:
ContextAlias
pluralHEALTH AUTHORITY PROGRAMMES


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HEALTH AUTHORITY PROGRAMME

Change to Class: change to relationships

Each HEALTH AUTHORITY PROGRAMME Each HEALTH PROGRAMME
Kmust be related to one and only one HEALTH AUTHORITY
may be subdivided into one or more HEALTH AUTHORITY PROGRAMME
may be a subdivision of one or more HEALTH AUTHORITY PROGRAMME
may be related to one or more HEALTH AUTHORITY PROGRAMME STATEMENT
Kmust be led by one and only one PRIMARY CARE TRUST
may be subdivided into one or more HEALTH PROGRAMME
may be a subdivision of one or more HEALTH PROGRAMME
may be related to one or more HEALTH PROGRAMME STATEMENT
may be related to one or more SERVICE PROVIDED


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HEALTH AUTHORITY PROGRAMME STATEMENT

Change to Class: change to name

HEALTH AUTHORITY PROGRAMME STATEMENT
HEALTH PROGRAMME STATEMENT


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HEALTH AUTHORITY PROGRAMME STATEMENT

Change to Class: change to aliases, change to description

A statement, made each FINANCIAL PERIOD, which establishes and reviews local policies and objectives and sets targets for a HEALTH AUTHORITY PROGRAMME. A statement, made each FINANCIAL PERIOD, which establishes and reviews local policies and objectives and sets targets for a HEALTH PROGRAMME.



This class is also known by these names:
ContextAlias
pluralHEALTH AUTHORITY PROGRAMME STATEMENTS
pluralHEALTH PROGRAMME STATEMENTS


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HEALTH AUTHORITY PROGRAMME STATEMENT

Change to Class: change to relationships

Each HEALTH AUTHORITY PROGRAMME STATEMENT Each HEALTH PROGRAMME STATEMENT
Kmust be related to one and only one FINANCIAL PERIOD
Kmust be related to one and only one HEALTH AUTHORITY PROGRAMME
Kmust be related to one and only one HEALTH PROGRAMME


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HEALTH CARE PROVIDER

Change to Class: change to description

An ORGANISATION acting as a direct provider of health care services. A HEALTH CARE PROVIDER is a legal entity, or a sub-set of a legal entity, which may provide health care under NHS SERVICE AGREEMENTS; it may operate on one or more sites within and outside hospitals.

This definition covers a Local Authority Social Services Department working in cooperation with an NHS HEALTH CARE PROVIDER on nationally targeted and prioritised care as delivered within CARE SPELLS. Lead responsibility for such care may be solely led by one HEALTH CARE PROVIDER or jointly shared by two or more HEALTH CARE PROVIDERS each of which must share equal responsibility.

The following types of ORGANISATION may act as HEALTH CARE PROVIDERS:

a. GP Practice
b. NHS Trust
c. Registered non-NHS Provider
d. Unregistered non-NHS Provider
e. Health Authority
e. Primary Care Trust
f. Local Authority Social Services
f. Care Trust
g. Other agencies
g. Local Authority Social Services
h. Other agencies



This class is also known by these names:
ContextAlias
pluralHEALTH CARE PROVIDERS


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JOINT INVESTMENT PLAN

Change to Class: change to description

An agreed local joint investment plan between a HEALTH AUTHORITY and other ORGANISATIONS. An agreed local joint investment plan between a PRIMARY CARE TRUST and other ORGANISATIONS. These plans focus on those services and individual needs which are to be jointly planned and delivered by the NHS and Local Authorities.

For each JOINT INVESTMENT PLAN, the FUNCTIONAL GROUP classifies the service being planned and delivered by the HEALTH AUTHORITY whilst JOINT INVESTMENT PLAN ASSOCIATIONS identify the other ORGANISATIONS party to the plan. For each JOINT INVESTMENT PLAN, the FUNCTIONAL GROUP classifies the service being planned and delivered by the PRIMARY CARE TRUST whilst JOINT INVESTMENT PLAN ASSOCIATIONS identify the other ORGANISATIONS party to the plan.



This class is also known by these names:
ContextAlias
pluralJOINT INVESTMENT PLANS


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JOINT INVESTMENT PLAN ASSOCIATION

Change to Class: change to description

An association which identifies the other ORGANISATIONS party to an agreed local joint investment plan with a HEALTH AUTHORITY. An association which identifies the other ORGANISATIONS party to an agreed local joint investment plan with a PRIMARY CARE TRUST.



This class is also known by these names:
ContextAlias
pluralJOINT INVESTMENT PLAN ASSOCIATIONS


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LOCUM GMP CONTRACT

Change to Class: change to description

A type of GMP CONTRACT.

A contract between a HEALTH AUTHORITY and a GENERAL MEDICAL PRACTITIONER. A contract between a PRIMARY CARE TRUST and a GENERAL MEDICAL PRACTITIONER. In the contract the GENERAL MEDICAL PRACTITIONER agrees to fulfil the duties of the holder of a GENERAL MEDICAL SERVICES CONTRACT who is temporarily absent.

The contract is made in the expectation that the other GENERAL MEDICAL PRACTITIONER will return and resume tenure of his or her post.



This class is also known by these names:
ContextAlias
pluralLOCUM GMP CONTRACTS


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NHS TRUST

Change to Class: change to description

A type of ORGANISATION.

An NHS TRUSTS is a legal entity, set up by order of the Secretary of State under section 5 of 'The National Health Service and Community Care Act 1990'. An NHS TRUST is a legal entity, set up by order of the Secretary of State under section 5 of 'The National Health Service and Community Care Act 1990' and performance managed by a STRATEGIC HEALTH AUTHORITY.

NHS TRUSTSS may act as HEALTH CARE PROVIDERS and provide hospital services, community services and/or other aspects of patient care, such as patient transport facilities. NHS TRUSTS may act as HEALTH CARE PROVIDERS and provide hospital services, community services and/or other aspects of patient care, such as patient transport facilities. They may also act as commissioners when sub-contracting patient care services to other providers of health care.

An NHS TRUSTS may be approved to provide high security psychiatric services in high security accommodation for PATIENTS liable to be detained in hospital under provisions of the Mental Health Act 1983, who require treatment under conditions of special security on account of their dangerous, violent or criminal propensities. The services will be provided at one or more HOSPITAL SITES of the NHS TRUSTS.

To provide such services, the NHS TRUSTS must be approved by the Secretary of State under paragraph 10(2) and (3) of Schedule 2 to the National Health Service and Community Care Act 1990. To provide such services, the NHS TRUSTS must be approved by the Secretary of State under paragraph 10(2) and (3) of Schedule 2 to the "National Health Service and Community Care Act 1990".

References:
Statutory Instrument 2000 No. 267; The National Health Service (Functions of Health Authorities and Administration Arrangements) Amendment Regulations 2000



This class is also known by these names:
ContextAlias
pluralNHS TRUSTS


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NURSING HOME

Change to Class: change to description

A type of ORGANISATION SITE.

A facility staffed by NURSES or MIDWIVES 24 hours a day, providing services for client/patients requiring residential nursing care. Medical care continues to be the responsibility of the client/ patient's GENERAL PRACTITIONER.

The premises may be used for nursing people suffering from sickness, injury or infirmity; pregnant women or women after childbirth; provision for certain services such as endoscopy or a premises used for nursing or treatment for mentally disordered patients (mental NURSING HOME).

Exceptionally some PATIENTS may remain under the care of a CONSULTANT, ie CONSULTANT EPISODES (HOSPITAL PROVIDER) may occur in NURSING HOMES. This is likely to be where the complexity or intensity of their clinical care (whether medical, nursing or other), or the need for frequent not easily predictable interventions, requires the regular supervision of a CONSULTANT.

A non NHS run NURSING HOME must be registered with a HEALTH AUTHORITY under Section 23 Part II of the Registered Homes Act 1984. A NURSING HOME must be registered with the National Care Standards Commission.

References:
HSG 95(8) NHS Responsibilities for meeting Continuing Health Care needs.



This class is also known by these names:
ContextAlias
pluralNURSING HOMES


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NURSING IN THE COMMUNITY PROGRAMME

Change to Class: change to description

A type of HEALTH AUTHORITY PROGRAMME. A type of HEALTH PROGRAMME.

A programme of care delivered by a group of nurses (COMMUNITY NURSE STAFF GROUP) or ancillary staff working in the community to PATIENTS with an identified physical or mental illness or disability. HEALTH AUTHORITY PROGRAMMES are classified by COMMUNITY NURSE STAFF GROUP. HEALTH PROGRAMMES are classified by COMMUNITY NURSE STAFF GROUP.

It should be noted that work done by ancillary staff should be credited to the nursing programme to which they belong.



This class is also known by these names:
ContextAlias
pluralNURSING IN THE COMMUNITY PROGRAMMES


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OTHER CLAIM BY GMP

Change to Class: change to description

A type of GMP CLAIM FOR PAYMENT OR REIMBURSEMENT.

A claim made by a GENERAL MEDICAL PRACTITIONER to a HEALTH AUTHORITY for payment or reimbursement, other than for ITEMS OF SERVICE DELIVERIES. A claim made by a GENERAL MEDICAL PRACTITIONER to a PRIMARY CARE TRUST for payment or reimbursement, other than for ITEMS OF SERVICE DELIVERIES. These claims include the maintenance and improvement of GENERAL MEDICAL SERVICES PREMISES.

Note that OTHER CLAIMS BY GMPS cannot be made by those GENERAL MEDICAL PRACTITIONERS who hold a Personal Medical Services, as opposed to a General Medical Services, contract.



This class is also known by these names:
ContextAlias
pluralOTHER CLAIMS BY GMPS


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PRIMARY CARE GROUP

Change to Class: change to attributes

Attributes of this Class are:
PRIMARY CARE GROUP LEVEL
This class has no attributes.


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PRIMARY CARE TRUST

Change to Class: change to description

A type of ORGANISATION.

A PRIMARY CARE TRUSTS is a legal entity, set up by order of the Secretary of State. It is a free-standing NHS body separate from, but accountable to, a HEALTH AUTHORITY. It is a free-standing NHS body, performanced managed by a STRATEGIC HEALTH AUTHORITY.

The overall function of a Primary Care Trust is to improve the health of the community; develop primary and community health services; and commission secondary care services. A Primary Care Trust will, if it so wishes and is capable of doing so, be able to directly provide a range of community health services, creating new opportunities to integrate primary and community health services as well as health and social care provision.

Primary Care Trusts can operate at level 3 or level 4. A level 3 Primary Care Trust will be able to commission services but not provide them. A Level 4 Primary Care Trust will bring together commissioning and primary care development with the provision of community health services. With "Shifting the Balance of Power", Primary Care Trust's will be the leading NHS organisation for partnership with Local Authorities and a range of other partners, including NHS Trusts Strategic Health Authorities and a range of other Primary Care Trusts and local communities to improve health and deliver wider objectives for social and economic regeneration.

PRIMARY CARE TRUSTS provide some services themselves and others through agreement with other organisations. Several PRIMARY CARE TRUSTS may decide to work together to provide certain services. In this case a lead Primary Care Trust will be identified for the group.

There may be occasions when relationships are formed on a larger scale. For example the provision of a highly specialised service, such as specialist cancer or spinal injury services, may be done collaboratively across a population larger even than strategic health authority.

References:
NHS Executive Booklet "Primary Care Trusts: Establishing Better Services" (Ref. Department of Health Booklet "Primary Care Trusts: Establishing Better Services" (Ref. PCT1), issued April 1999. Shifting the Balance of Power publications.



This class is also known by these names:
ContextAlias
pluralPRIMARY CARE TRUSTS


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PRIMARY CARE TRUST

Change to Class: change to relationships

This class has no relationships. Each PRIMARY CARE TRUST
may be related to one or more CHILDREN RESIDENT BY AGE GROUP
may be the receiver of one or more COMMUNITY PHARMACY SITE APPLICATION
may be related to one or more DRUG MISUSE AGENCY
may be related to one or more DRUG MISUSER
may be related to one or more GEOGRAPHIC AREA
may be in receipt of one or more GMP CLAIM FOR PAYMENT OR REIMBURSEMENT
may be approver of one or more GMP CONTRACT
may be the maker of one or more GMP PAYMENT OR REIMBURSEMENT
may be the approver of one or more GMP TRAINING CONTRACT
may be the lead PCT for one or more HEALTH PROGRAMME
may be the sender of one or more PRIOR NOTIFICATION LIST FOR CYTOLOGY
may be the lead PCT coordinator of one or more SMOKING CESSATION SERVICE


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PRIOR NOTIFICATION LIST FOR CYTOLOGY

Change to Class: change to relationships

Each PRIOR NOTIFICATION LIST FOR CYTOLOGY
Kmust be received from one and only one HEALTH AUTHORITY
Kmust be received from one and only one PRIMARY CARE TRUST
must be sent to one and only one GENERAL MEDICAL PRACTITIONER
may be related to one or more PRIOR NOTIFICATION LIST ENTRY


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REGISTERED SITE INSPECTION

Change to Class: change to description

An inspection of a registered/chartered ORGANISATION SITE by a HEALTH AUTHORITY Registration and Inspection Unit. An inspection of a registered/chartered ORGANISATION SITE by the National Care Standards Commission.



This class is also known by these names:
ContextAlias
pluralREGISTERED SITE INSPECTIONS


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RUBELLA IMMUNISATION TARGET

Change to Class: change to description

Statistics of the number of girls resident within the boundaries of the HEALTH AUTHORITY at a given date. Statistics of the number of girls resident within the boundaries of the PRIMARY CARE TRUST at a given date. The population statistics are by age group set by RUBELLA AGE GROUP.



This class is also known by these names:
ContextAlias
pluralRUBELLA IMMUNISATION TARGETS


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SCREENING POPULATION

Change to Class: change to description

The population within a particular age group that is of interest to a SCREENING PROGRAMME at a given date.

For breast cancer screening, this is the number of eligible women resident in the HEALTH AUTHORITY on 31st March within the target population. SCREENING PROGRAMMES need to serve larger populations than those of individual PRIMARY CARE TRUSTS; in some cases these populations will be larger than STRATEGIC HEALTH AUTHORITIES. Effective population sizes will vary with individual screening programmes. Approximate population sizes for securing and delivering any given screening programme will be determined at a national level.

For cervical cytology, this is the population of women for whom the HEALTH AUTHORITY and its constituent PRIMARY CARE GROUPS are responsible. It includes those women registered with GENERAL MEDICAL PRACTITIONERS with practices within a PRIMARY CARE GROUP accountable to the HEALTH AUTHORITY, some of whom may not be resident within the HEALTH AUTHORITY area. It also includes those women resident within the HEALTH AUTHORITY's boundary who are not registered with a GMP. It excludes women who are resident in the area but registered with a GMP within a PRIMARY CARE GROUP accountable to another HEALTH AUTHORITY. The populations responsibilities of a PRIMARY CARE TRUST are for patients on the lists of the GPs in the PRIMARY CARE TRUST and for the unregistered population who live in the geographical area for which the PRIMARY CARE TRUST is responsible.



This class is also known by these names:
ContextAlias
pluralSCREENING POPULATIONS


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SCREENING TEST

Change to Class: change to attributes

Attributes of this Class are:
KTEST NUMBER
OBREAST CANCER SCREENING TEST OUTCOME
   breast screening only
OCYTOLOGY RESULT TYPE
OCYTOLOGY SCREENING ACTION TYPE
LOCATION TYPE
ONON ROUTINE RECALL INTERVAL
OPPORTUNISTIC SCREENING INDICATOR
   cervical screening only
OPATHOLOGY RESULT REPORTED DATE
ORESULT SENT DIRECT
   cervical cytology only
SCREENED WHILE SUSPENDED INDICATOR
   cervical screening only
OSCREENING RESULT DATE
OSCREENING RESULT SENT DATE
   cervical cytology result sent by HEALTH AUTHORITY
   cervical cytology result sent by PRIMARY CARE TRUST
SCREENING TEST DATE
OSCREENING TEST RESULT


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SERVICE PROVIDED

Change to Class: change to relationships

Each SERVICE PROVIDED
Kmust be a treatment or service provided by one and only one HEALTH CARE PROVIDER
may be part of one and only one HEALTH AUTHORITY PROGRAMME
or may be related to one and only one SURVEILLANCE PROGRAMME STAGE
may be related to one and only one SURVEILLANCE PROGRAMME STAGE
may be related to one or more GROUP SESSION
or may be related to one or more HEALTH PROMOTION OTHER ACTIVITY
or may be related to one or more PERSON IN A CONTACT TRACING PROGRAMME
or may be related to one or more PERSON IN A SCREENING PROGRAMME
may be related to one or more ACCIDENT AND EMERGENCY DEPARTMENT
may be related to one or more ACCIDENT AND EMERGENCY EPISODE
may be related to one or more ADMINISTRATIVE CATEGORY IN EPISODE
may be related to one or more ADMINISTRATIVE CATEGORY IN SPELL
may be related to one or more AMBULANCE SERVICE
may be provided as one or more ANTI-CANCER DRUG PROGRAMME
may be related to one or more AUDIOLOGY ATTENDANCE
may be provided within one and only one CARE PLAN
may be provided as one or more CARE PROGRAMME APPROACH EPISODE
may be for care responsibility part of one and only one CARE SPELL
may be related to one or more CLINICAL INTERVENTION
may be related to one or more CLINIC ATTENDANCE NON-CONSULTANT
may be related to one or more COMMUNITY EPISODE
may be provided as one or more CONSULTANT EPISODE (ACUTE HOME-BASED)
may be related to one or more CONSULTANT EPISODE (HOSPITAL PROVIDER)
may be provided as one or more CONSULTANT OUT-PATIENT EPISODE
may be related to one or more DENTAL EPISODE
may be related to one or more DENTAL STAFF MEMBER IN PROGRAMME
may be related to one or more DOMICILIARY CONSULTATION
may be related to one or more DRUG MISUSE EPISODE
may be related to one or more ELECTIVE ADMISSION LIST ENTRY
may be related to one or more FACE TO FACE CONTACT OPTICAL
may be provided as one or more FACE TO FACE CONTACT SOCIAL WORKER
may be related to one or more FAMILY PLANNING DOMICILIARY VISIT
may be part of one and only one HEALTH PROGRAMME
may be related to one or more HEALTH PROMOTION ACTIVITY HIV AND AIDS
may be related to one or more HEALTHY PERSON STAY
may be related to one or more HOME ASSESSMENT VISIT
may be related to one or more HOME DIALYSIS EPISODE
may be provided as one or more HOME HELP VISIT
may be related to one or more IMMUNISATION PROGRAMME FOR PERSON
may be related to one or more LABOUR AND DELIVERY
may be related to one or more LITHOTRIPSY COURSE ATTENDANCE
may be provided in one and only one LOCATION
may be related to one or more MATERNITY DOMICILIARY VISIT
may be related to one or more MIDWIFE EPISODE
may be related to one or more NHS SERVICE AGREEMENT CHANGE
may be related to one or more NURSE OR MIDWIFE CONTACT
may be related to one or more NURSING EPISODE
may be provided as one or more NURSING HOME STAY (CONSULTANT CARE)
may be related to one or more NURSING HOME STAY (NURSING CARE)
may be related to one or more OUT-PATIENT CLINIC
may be related to one or more OVERSEAS VISITOR STATUS
may be provided as one or more PALLIATIVE CARE EPISODE
may be related to one or more PATIENT JOURNEY
may be related to one or more PERSON IN ADVICE AND SUPPORT PROGRAMME
may be related to one or more PERSON IN A SURVEILLANCE STAGE
may be related to one or more PERSON OBSERVATION
may be providing one or more PERSON SMOKING CESSATION EPISODE
may be related to one or more POST MORTEM
may be related to one or more PROFESSIONAL STAFF GROUP EPISODE
may be related to one or more PROFESSIONAL STAFF GROUP SERVICE
may be related to one or more RADIOTHERAPY TREATMENT COURSE
may be initiated by one and only one REFERRAL REQUEST
may be provided as one or more REGULAR ATTENDER EPISODE
may be related to one or more REQUEST FOR DIAGNOSTIC TEST
may be provided as one or more RESIDENTIAL CARE OR GROUP HOME STAY
may be subdivided into one or more SERVICE PROVIDED
may be a subdivision of one or more SERVICE PROVIDED
may be related to one or more SERVICE PROVIDED UNDER AGREEMENT
may be provided at one or more SERVICE PROVISION POINT
may be related to one or more SERVICE REPORTED
may be reported by one and only one SERVICE REPORT HEADER
may be provided as one or more SHELTERED WORK ATTENDANCE
may be part of one and only one SMOKING CESSATION SERVICE
may be provided as one or more SOCIAL SERVICES STATUTORY ASSESSMENT
may be related to one or more VASECTOMY PERFORMED
may be related to one or more WARD ATTENDANCE
may be related to one or more WARD STAY


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SERVICE TO THE COMMUNITY PROGRAMME

Change to Class: change to description

A type of HEALTH AUTHORITY PROGRAMME. A type of HEALTH PROGRAMME.

A SERVICE TO THE COMMUNITY PROGRAMMES is a grouping of services of prevention or intervention which are provided as a matter of public policy rather than individual demands for treatment or care.



This class is also known by these names:
ContextAlias
pluralSERVICE TO THE COMMUNITY PROGRAMMES


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SINGLE SEX ACCOMMODATION TARGET

Change to Class: change to description

A target for monitoring the implementation of standards for the provision of acceptable segregated hospital accommodation. The objective target may be

- ensuring that the appropriate organisational arrangements, for example procedures, are in place to secure good standards of privacy and dignity for hospital patients,

- segregated washing and toilet facilities or

- providing single sex safe facilities for people who are mentally ill in hospital which protect their privacy and dignity.

A SINGLE SEX TARGET DATE for achieving the target is agreed between the HEALTH AUTHORITY and the NHS Executive Regional Office. A revision to this date, the SINGLE SEX TARGET REVISED DATE, may be agreed with the NHS Executive Regional Office if the original target date cannot be met. A SINGLE SEX TARGET DATE for achieving the target is agreed between the PRIMARY CARE TRUST and the STRATEGIC HEALTH AUTHORITY. A revision to this date, the SINGLE SEX TARGET REVISED DATE, may be agreed with the STRATEGIC HEALTH AUTHORITY if the original target date cannot be met.



This class is also known by these names:
ContextAlias
pluralSINGLE SEX ACCOMMODATION TARGETS


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SMOKING CESSATION SERVICE

Change to Class: change to description

A service set up by a HEALTH AUTHORITY to help people give up smoking and to monitor the service. A service set up by a PRIMARY CARE TRUST to help people give up smoking and to monitor the service.

To be designated as an NHS SMOKING CESSATION SERVICE requires that minimum quality standards should be met. To meet these minimum quality standards all advisers should:

- have received appropriate training for their role,
- carry out the 4 week follow-up promptly, in accordance with the current guidance,
- complete the minimum data set (the individual client data monitoring forms) for each client,
fully and accurately, and return the information required to the coordinator in good time,
- offer weekly support for at least the first four weeks of a quit attempt,
- attempt to confirm smoking status of all clients self-reporting as having quit at 4 week follow-up by use of a CO monitor, except where follow-up is carried out by telephone.

The majority of services will operate broadly on the 'Maudsley' model of a clinic providing intensive support, usually on a group therapy basis, to the most dependent smokers. The service should also continue to be supplemented by a range of services in various settings in primary care, secondary care and the community.

Central monitoring of data regarding 52 week follow-up is no longer required however, follow-up at 52 week stage is still recommended as good practice to establish long-term success rates and this information should still be collected locally.

References:
HSC 1999/087 New NHS Smoking Cessation Services, April 1999
Department of Health Monitoring Return: Smoking Cessation Services, April 2001



This class is also known by these names:
ContextAlias
pluralSMOKING CESSATION SERVICES


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SMOKING CESSATION SERVICE

Change to Class: change to relationships

Each SMOKING CESSATION SERVICE
Kmust be coordinated by one and only one HEALTH AUTHORITY
Kmust be coordinated as lead PCT by one and only one PRIMARY CARE TRUST
may be supporting one or more PERSON SMOKING CESSATION EPISODE
may be providing one or more SERVICE PROVIDED


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STRATEGIC HEALTH AUTHORITY

Change to Class: New Class

STRATEGIC HEALTH AUTHORITY

A type of ORGANISATION.

An NHS organisation established to lead the strategic development of the local health service and manage Primary Care Trusts and NHS Trusts on the basis of local accountability agreements.

The main responsibilities of STRATEGIC HEALTH AUTHORITIES are:

- Creating a coherent strategic framework for services development across the full range of local NHS organisations.
- Performance management of local NHS Trusts and Primary Care Trusts.
- Together with Primary Care Trusts and NHS Trusts, enhance the involvement of patients, the public and health & social care profession in developing services.

References:
Shifting the Balance of Power publications



This class is also known by these names:
ContextAlias
pluralSTRATEGIC HEALTH AUTHORITIES

This class has no attributes.

This class has no relationships.


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ACTUAL EXPENDITURE

Change to Attribute: change to description

This records the estimated actual expenditure for a HEALTH AUTHORITY PROGRAMME. This records the estimated actual expenditure for a HEALTH PROGRAMME.

Expenditure on community health programmes will be produced using estimates of staff time devoted to each HEALTH AUTHORITY PROGRAMME. Expenditure on community health programmes will be produced using estimates of staff time devoted to each HEALTH PROGRAMME. For national purposes, expenditure by type of programme only will be required.



This attribute is also known by these names:
ContextAlias
pluralACTUAL EXPENDITURES


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COMPLAINT FHS SUBJECT

Change to Attribute: change to description

The subject of a WRITTEN COMPLAINT ON FHS.

Classification:
a. Communication/Attitude
b. Premises
c. Practice/Surgery management
d. Health authority FHS administration
d. FHS administration
e. Clinical
f. Other



This attribute is also known by these names:
ContextAlias
pluralCOMPLAINT FHS SUBJECTS


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COMPLAINT HCHS SUBJECT

Change to Attribute: change to description

The subject of a WRITTEN COMPLAINT ON HCHS.

Classification:
For all organisations:
a. Admission, discharge and transfer arrangements
b. Aids and appliances, equipment, premises (including access)
c. Appointments, delay/cancellation (out-patients)
d. Appointments, delay/cancellation (in-patients)
e. Attitude of staff
f. All aspects of clinical treatment
g. Communication/information to patients (written and oral)
h. Consent to treatment
i. Complaints handling
j. Patients' privacy and dignity
k. Patients' property and expenses
l. Independent sector services commissioned by Health Authorities
l. Independent sector services commissioned by Primary Care Trusts
m. Personal records (including medical and/or complaints)
n. Failure to follow agreed procedures
o. Patients' status, discrimination (e.g. racial, gender, age)
p. Mortuary and post mortem arrangements
q. Transport (ambulances and other)
r. Code of openness - complaints
s. Hotel services (including food)
t. Other

For Health Authorities and NHS Trusts only: For NHS Trusts only:

u. Length of time waiting for a response, or to be seen: NHS Direct
v. Length of time waiting for a response, or to be seen: Walk in centres
w.HA / PRIMARY CARE GROUP commissioning (including waiting lists)
w.PRIMARY CARE TRUST commissioning (including waiting lists)
x. Independent sector services commissioned by NHS Trusts
y. Policy and commercial decisions of NHS Trusts

References:
KO41(A) HCHS Complaints



This attribute is also known by these names:

ContextAlias
pluralCOMPLAINT HCHS SUBJECTS


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CONTRACEPTIVE LIST ENTRY

Change to Attribute: change to description

An indication of whether or not a GENERAL MEDICAL PRACTITIONER is on a HEALTH AUTHORITY's Contraceptive Services List, and can therefore provide such services. An indication of whether or not a GENERAL MEDICAL PRACTITIONER is on a PRIMARY CARE TRUSTS Contraceptive Services List, and can therefore provide such services.

Those GENERAL MEDICAL PRACTITIONERS who hold a General Medical Services contract, as opposed to a Personal Medical Services contract, may claim fees for the delivery of these services.

Classification:
a. Yes
b. No



This attribute is also known by these names:
ContextAlias
pluralCONTRACEPTIVE LIST ENTRIES


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COVERAGE ACHIEVED

Change to Attribute: change to description

This is recorded for services to the community only and measures the extent to which the HEALTH AUTHORITY PROGRAMME is reaching its target population. This is recorded for services to the community only and measures the extent to which the HEALTH PROGRAMME is reaching its target population. This is normally measured as a percentage of the target population.



This attribute is also known by these names:
ContextAlias
pluralCOVERAGE ACHIEVED


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CYTOLOGY SCREENING ACTION TYPE

Change to Attribute: change to description

The action recommended as a consequence of a Cytology SCREENING TEST.

Classification:
a. Standard Health Authority recall interval (Normal) (A)
a. Standard Primary Care Trust recall interval (Normal) (A)
b. Repeat at interval specified (R)
c. Refer for medical assessment or under medical treatment (Suspend) (S)
d. Make no change to recall date (H)

References:
GP - Health Authority Information Flows 1996.
DH Form KC53 Adult Screening Programmes: Cervical Screening



This attribute is also known by these names:
ContextAlias
pluralCYTOLOGY SCREENING ACTION TYPES


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CYTOLOGY SCREENING PLAN NUMBER

Change to Attribute: change to description

A unique identifier created by the HEALTH AUTHORITY for a PRIOR NOTIFICATION LIST FOR CYTOLOGY. A unique identifier created by the PRIMARY CARE TRUST for a PRIOR NOTIFICATION LIST FOR CYTOLOGY.

References:
GP - Health Authority Information Flows 1996.



This attribute is also known by these names:
ContextAlias
pluralCYTOLOGY SCREENING PLAN NUMBERS


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DRUG MISUSE AGENCY CODE

Change to Attribute: change to description

A unique identifier of a DRUG MISUSE AGENCY within a Health Authority boundary. A unique identifier of a DRUG MISUSE AGENCY within a PRIMARY CARE TRUST boundary.



This attribute is also known by these names:
ContextAlias
pluralDRUG MISUSE AGENCY CODES


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GENERAL OR PERSONAL MEDICAL SERVICES

Change to Attribute: change to description

An indication of whether the GENERAL MEDICAL PRACTITIONERS within the GENERAL MEDICAL PRACTITIONER PRACTICE have a contract for General Medical Services or Personal Medical Services.

The General Medical Services (GMS) provided by a GENERAL MEDICAL PRACTITIONER are normally provided under a standard national contract between GENERAL MEDICAL PRACTITIONERS and the Secretary of State for Health. A Personal Medical Services contract allows GENERAL MEDICAL PRACTITIONERS and other NHS staff or organisations to contract for such services under an alternative arrangement with their HEALTH AUTHORITY or PRIMARY CARE TRUST. A Personal Medical Services contract allows GENERAL MEDICAL PRACTITIONERS and other NHS staff or organisations to contract for such services under an alternative arrangement with their PRIMARY CARE TRUST.

Although these contracts are with individual GENERAL MEDICAL PRACTITIONERS, all the GENERAL MEDICAL PRACTITIONERS within a particular GENERAL MEDICAL PRACTITIONER PRACTICE should have the same type of contract.

Classification:
a. General Medical Services contracts
b. Personal Medical Services contracts



This attribute is also known by these names:
ContextAlias
pluralGENERAL OR PERSONAL MEDICAL SERVICES


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GMP PAYMENT NUMBER

Change to Attribute: change to description

The identifier allocated to a GMP PAYMENT OR REIMBURSEMENT by the HEALTH AUTHORITY. The identifier allocated to a GMP PAYMENT OR REIMBURSEMENT by the PRIMARY CARE TRUST.



This attribute is also known by these names:
ContextAlias
pluralGMP PAYMENT NUMBERS


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LEVEL OF SERVICE PROVIDED

Change to Attribute: change to aliases, change to description

The level of service provided which is recorded in a HEALTH AUTHORITY PROGRAMME STATEMENT. The level of service provided which is recorded in a HEALTH PROGRAMME STATEMENT. It is the level of care that has been provided to a given target population, expressed as a percentage of the target level of care.



This attribute is also known by these names:
ContextAlias
pluralLEVEL OF SERVICE PROVIDED
pluralLEVELS OF SERVICE PROVIDED


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MATERNITY NOTES POLICY

Change to Attribute: Deleted

Deleted
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MINOR SURGERY LIST ENTRY

Change to Attribute: change to description

An indication of whether or not a GENERAL MEDICAL PRACTITIONER is on a HEALTH AUTHORITY's Minor Surgery Services List, and can therefore provide and claim fees for the delivery of such services. An indication of whether or not a GENERAL MEDICAL PRACTITIONER is on a PRIMARY CARE TRUST's Minor Surgery Services List, and can therefore provide and claim fees for the delivery of such services.

Classification:
a. Yes
b. No



This attribute is also known by these names:
ContextAlias
pluralMINOR SURGERY LIST ENTRIES


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NIGHT VISIT LIST ENTRY

Change to Attribute: change to description

An indication of whether or not a GENERAL MEDICAL PRACTITIONER is on a HEALTH AUTHORITY's Out of Hours (Night Visit) Services List, and can therefore make night visits. An indication of whether or not a GENERAL MEDICAL PRACTITIONER is on a PRIMARY CARE TRUST's Out of Hours (Night Visit) Services List, and can therefore make night visits.

Those GENERAL MEDICAL PRACTITIONERS who hold a General Medical Services contract, as opposed to a Personal Medical Services contract, may claim fees for these visits.

Classification:
a. Yes
b. No



This attribute is also known by these names:
ContextAlias
pluralNIGHT VISIT LIST ENTRIES


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OBSTETRICS LIST ENTRY

Change to Attribute: change to description

An indication of whether or not a GENERAL MEDICAL PRACTITIONER is on a HEALTH AUTHORITY's Obstetrics List. An indication of whether or not a GENERAL MEDICAL PRACTITIONER is on a PRIMARY CARE TRUST's Obstetrics List.

Classification:


a. GMP is on Obstetrics List
b. GMP is not on Obstetrics List



This attribute is also known by these names:
ContextAlias
pluralOBSTETRICS LIST ENTRIES


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ORGANISATION TYPE

Change to Attribute: change to description

A classification of ORGANISATIONS according to the nature of the ORGANISATION (eg. 'NHS Trust', 'Health Authority'). 'NHS Trust', 'Strategic Health Authority').

Classification:
a. Health Authority
A body corporate with succession and common seal established by the HA Bill and responsible for the provision of comprehensive health for the residents of the Authority, in England.
a. Strategic Health Authority
A body corporate with succession and common seal established by the National Health Service Reform and Health Care Professions Bill 2002.
b. Regional Office
The regional outposts of the NHS Executive tasked with monitoring Health Care performance.
b. Director of Health and Social Care
The regional outposts of the Department of Health tasked with monitoring performance - managing strategic health authorities.
c. NHS Trust
A legal entity set up by order of the Secretary of State under Section 5 of the 'The National Health Service and Community Care Act 1990'. NHS Trusts may act as HEALTH CARE PROVIDERS and provide hospital services, community services and/or other aspects of patient care, such as patient transport facilities. They may also act as commissioner when sub-contracting patient care to other providers of health care.
d. GP Practice
A single GP practising otherwise than in a partnership or two or more GPs practising in partnership. Includes all Practices in England and Wales.
e. Other NHS Organisation
f. Armed Forces
g. MOD Hospital
A Hospital run and maintained by the MOD for use by Service personnel and their relatives.
h. IM&T Service
i. Special Trustee
j. University
A University involved in Medical Training.
k. Other Statutory Authority
An Authority set up within the NHS to provide specific health care related services and support to the NHS.
l. NHS Administration Unit
Any NHS Administration Section that needs to be recognised and coded
m. Breast Screening Unit
An NHS Clinic or mobile facility that provides Breast Screening Services
n. Pathology Laboratory
A Pathology Laboratory that provides Cervical Screening services to the NHS.
o. Department of Health
p. Other Government Department
q. Registered non-NHS Provider
A facility staffed by nurses 24 hours a day providing services for client/patients requiring residential nursing care. Medical care continues to be the responsibility of the clients GENERAL MEDICAL PRACTITIONER. It is located on a privately owned site registered under section 23 of the Registered Homes Act. Registered non-NHS Providers may act as HEALTH CARE PROVIDERS and provide health care under NHS SERVICE AGREEMENTS
r. Unregistered non-NHS Provider (except Local Authority)
An organisation contracting with individual NHS organisations for the provision of health care services. Unregistered non-NHS Providers may act as HEALTH CARE PROVIDERS and provide health care under NHS SERVICE AGREEMENTS
s. Non-NHS Commissioner (except Local Authority)
A non-NHS organisation that commissions health care from the NHS.
t. Local Authority
u. Pharmacy
A non-NHS dispensing contractor identified by the Prescription Pricing Authority
v. Appliance Contractor
A non-NHS dispensing contractor identified by the Prescription Pricing Authority
v. Appliance Contractor
A non-NHS dispensing contractor identified by the Prescription Pricing Authority
w. Specialised Services Commissioning Consortium.
w. PRIMARY CARE GROUP
x. Specialised Services Commissioning Consortium.
y. PRIMARY CARE TRUST



This attribute is also known by these names:
ContextAlias
pluralORGANISATION TYPES


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PRACTITIONER APPLICATION DATE

Change to Attribute: change to description

The date that a GENERAL MEDICAL PRACTITIONER applied to a HEALTH AUTHORITY for a GENERAL MEDICAL SERVICES CONTRACT. The date that a GENERAL MEDICAL PRACTITIONER applied to a PRIMARY CARE TRUST for a GENERAL MEDICAL SERVICES CONTRACT.



This attribute is also known by these names:
ContextAlias
pluralPRACTITIONER APPLICATION DATES


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PRIMARY CARE GROUP LEVEL

Change to Attribute: Deleted

Deleted
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PROGRAMME

Change to Attribute: change to description

A unique identifier for each HEALTH AUTHORITY PROGRAMME. A unique identifier for each HEALTH PROGRAMME.



This attribute is also known by these names:
ContextAlias
pluralPROGRAMMES


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PROGRAMME DESCRIPTION

Change to Attribute: change to description

A description of a HEALTH AUTHORITY PROGRAMME. A description of a HEALTH PROGRAMME.



This attribute is also known by these names:
ContextAlias
pluralPROGRAMME DESCRIPTIONS


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PROGRAMME HEADING CODE

Change to Attribute: change to description

A classification of HEALTH AUTHORITY PROGRAMME or other services in the community for financial accounting purposes to which costs and workload are attributed by health care professionals when providing general preventative or advisory services to groups of the population, or specific services to people with identified needs or conditions. A classification of HEALTH PROGRAMME or other services in the community for financial accounting purposes to which costs and workload are attributed by health care professionals when providing general preventative or advisory services to groups of the population, or specific services to people with identified needs or conditions.

Classification:
a. Paediatric Community Services - Assessment and Development
b. Paediatric Community Services - Vaccination & Immunisation
c. Paediatric Community Services - Dental
d. Paediatric Community Services - Other Professional Advice & Support
e. Mental Illness
f. Learning Disabilities
g. General - Professional Advice & Support
h. General - Nursing
i. General - Chiropody
j. General - Other PROFESSIONAL STAFF GROUP
k. General - Screening
l. General - Home Dialysis
m. General - Family Planning
n. Maternity Services
o. Services to GPs under open access
p. Services for Local Authorities
q. Health Education and Promotion
r. Other services



This attribute is also known by these names:
ContextAlias
pluralPROGRAMME HEADING CODES


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PROJECTED EXPENDITURE

Change to Attribute: change to description

This records the estimated projected expenditure for the HEALTH AUTHORITY PROGRAMME. This records the estimated projected expenditure for the HEALTH PROGRAMME.



This attribute is also known by these names:
ContextAlias
pluralPROJECTED EXPENDITURES


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REGULATION OPENING DATE

Change to Attribute: change to description

The date the COMMUNITY PHARMACY SITE is required by regulation to be open by. The regulation time period is 6 months from the date a COMMUNITY PHARMACY SITE APPLICATION is granted. This time period can be extended by a further period of 18 months at the discretion of the HEALTH AUTHORITY. This time period can be extended by a further period of 18 months at the discretion of the PRIMARY CARE TRUST.



This attribute is also known by these names:
ContextAlias
pluralREGULATION OPENING DATES


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REQUEST CATEGORY

Change to Attribute: change to description

A classification of REQUEST FOR DIAGNOSTIC TEST including the category of PATIENT (NHS or private) and the type of location from which the request was sent.

Classification:
a. Request in respect of a NHS patient, including amenity patients and overseas visitors charged under section 121 of the NHS Act 1977 as amended by Section 7(12) and (14) of the Health and Medicine Act 1988:
i. from NHS facilities of another provider
ii. being treated in a non-NHS institution
iii. being treated in other than i or ii
b. Request in respect of a private patient using accommodation or services authorised under Section 65 or 66 of the NHS Act 1977 (Section 7(10) of the Health and Medicine Act 1988 refers) as amended by Section 26 of the National Health Service and Community Care Act 1990
c. Request in respect of a private patient in a non-NHS institution under a contractual arrangement when a Health Authority or NHS Trust is providing a service to the institution in accord with Section 58 of the NHS Act 1977
c. Request in respect of a private patient in a non-NHS institution under a contractual arrangement when a Primary Care Trust or NHS Trust is providing a service to the institution in accord with Section 58 of the NHS Act 1977
d. Category II request; those received as a result of work undertaken by hospital doctors within the scope of category II of the Schedule to paragraph 37 of the Terms and Conditions of Hospital Medical and Dental Staff. For example, requests may arise from examinations and reports on prospective emigrants for insurance and legal purposes and on behalf of the Employment Medical Advisory Service
e. Request in respect of other human sources:
i. from a NHS facility or
ii. from a non-NHS institution under a contractual arrangement as specified at (c)
f. Request in respect of a non-human source from any non-NHS organisation
g. Request in respect of a non-human source from a NHS organisation

It should be noted that for pathology requests category a. is subdivided into:
i. those from NHS labs
ii. those from PHLS labs



This attribute is also known by these names:
ContextAlias
pluralREQUEST CATEGORIES


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RESIDENT CHILDREN TOTAL

Change to Attribute: change to description

On a CENSUS DATE, the number of children resident in a HEALTH AUTHORITY in an IMMUNISATION AGE GROUP. On a CENSUS DATE, the number of children resident in a PRIMARY CARE TRUST in an IMMUNISATION AGE GROUP.



This attribute is also known by these names:
ContextAlias
pluralRESIDENT CHILDREN TOTALS


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RUBELLA AGE GROUP

Change to Attribute: change to description

The age groups of girls resident within the boundaries of the HEALTH AUTHORITY whose immunisation status as at 31st March against Rubella is to be recorded. The age groups of girls resident within the boundaries of the PRIMARY CARE TRUST whose immunisation status as at 31st March against Rubella is to be recorded.

Classification:
a. Age up to 14 years
b. Reached age 14 within previous 12 months
c. Age older than (b.)



This attribute is also known by these names:
ContextAlias
pluralRUBELLA AGE GROUPS


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SCREENING PROGRAMME TOTAL WOMEN

Change to Attribute: change to description

The total number of eligible women in a SCREENING PROGRAMME on a census date or the total number of women for whom the HEALTH AUTHORITY is responsible on a census date. The total number of eligible women in a SCREENING PROGRAMME on a census date or the total number of women for whom the PRIMARY CARE TRUST is responsible on a census date.



This attribute is also known by these names:
ContextAlias
pluralSCREENING PROGRAMME TOTAL WOMENS
pluralSCREENING PROGRAMME TOTALS WOMEN


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SCREENING RESULT SENT DATE

Change to Attribute: change to description

The date on which the result of a cervical smear is sent from the HEALTH AUTHORITY. The date on which the result of a cervical smear is sent from the PRIMARY CARE TRUST.



This attribute is also known by these names:
ContextAlias
pluralSCREENING RESULT SENT DATES


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SINGLE SEX TARGET DATE

Change to Attribute: change to description

The original target date agreed by the ORGANISATION with the Regional Office for achieving the SINGLE SEX TARGET OBJECTIVE. The original target date agreed by the ORGANISATION with the Strategic Health Authority for achieving the SINGLE SEX TARGET OBJECTIVE.



This attribute is also known by these names:
ContextAlias
pluralSINGLE SEX TARGET DATES


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SINGLE SEX TARGET REVISED DATE

Change to Attribute: change to description

The revised target date agreed by the ORGANISATION with the Regional Office for achieving the SINGLE SEX TARGET OBJECTIVE. The revised target date agreed by the ORGANISATION with the Strategic Health Authority for achieving the SINGLE SEX TARGET OBJECTIVE.



This attribute is also known by these names:
ContextAlias
pluralSINGLE SEX TARGET REVISED DATES


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STAFF GROUP CODE

Change to Attribute: change to description

A unique identifier for a STAFF GROUP.

Classification:
a. Medical and Dental
b. Nursing and Midwifery
i. Enrolled Nurses and District Enrolled Nurses
ii. Registered Nurses and District Nurses
iii. Health Visitors
iv. Registered Midwives
v. Tutorial Nurse
c. PAMS
i. Physiotherapists
ii. Occupational Therapists
iii. Chiropodists
iv. Radiographers
v. Orthoptists
vi. Dietitians
vii. Art, Music and Drama Therapists
viii. Hearing Therapists
d. Scientific and Professional
i. Pharmacists
ii. Clinical Psychologists
iii. Speech Therapists
iv. Scientists
e. Managers
i. NHS Trust managers
ii. Health Authority managers
ii. Primary Care Trust managers
iii. Other managers
f. Admin and Clerical
g. Ancillary (excluding Nursing auxiliaries)
h. Ambulance
i. ambulancemen and women
ii. ambulance officers and control assistants
i. Works
j. Maintenance
k. Other (including Health Care Assistants and Nursing Auxiliaries)



This attribute is also known by these names:
ContextAlias
pluralSTAFF GROUP CODES


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TARGET COVERAGE

Change to Attribute: change to description

This is recorded as part of the statement for a HEALTH AUTHORITY PROGRAMME identifying the target level of coverage. This is recorded as part of the statement for a HEALTH PROGRAMME identifying the target level of coverage.



This attribute is also known by these names:
ContextAlias
pluralTARGET COVERAGES


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GMP (CODE OF REGISTERED OR REFERRING GMP)

Change to Data Element: change to description

Format/length: an8
HES item: REGGMP
National Codes:
Default Codes: G9999998 - GP code is unknown
  G9999981 - No registered GP
  R9999981 - Referrer other than GMP, GDP or Consultant
  Other GP Codes
  A9999998 - MOD doctor refers
  P9999981 - Prison doctor

Notes:
This is the code of either the GENERAL MEDICAL PRACTITIONER (GMP) with whom the PATIENT is registered, or for the GP Referral Letters CMDS only it is also the GMP referring the PATIENT. Please note that for HES purposes, the referring GMP is recorded as REFERRER CODE.

A doctor receives a GMC number on qualification. If he/she then chooses to enter general practice, a further number is allocated - the GMP code - by the Department of Health (STATS(W)). This number is passed to the HEALTH AUTHORITY (HA) requesting the number who then liaise with the Prescription Pricing Authority (PPA) on the issue of prescription pads etc. The code of the GMP linked to his/her main practice is included on the Organisation Codes Service (OCS) CD-ROM. This number is passed to the PRIMARY CARE TRUST (PCT) requesting the number who then liaise with the Prescription Pricing Authority (PPA) on the issue of prescription pads etc. The code of the GMP linked to his/her main practice is included on the Organisation Codes Service (OCS) CD-ROM.

The GMP code is an eight character alphanumeric code, see NHS Administrative Codes - Practitioner Codes, PERSON IDENTIFIER and PERSON IDENTIFIER TYPES.

When a locum refers, use the code of the GP for whom the locum is acting. See PERSON IDENTIFIER TYPE classification 'Code of General Practitioner - PPA Code'.

For GPs working in hospitals, the following codes should be used:

- if the GP is working as an assistant, use the code of the responsible consultant;
- if the GP is working as a consultant, use the GP's GMC code.

Whilst both MOD and prison doctors provide general medical services to their communities, they are not GMPs and should not be recorded as Registered GMPs. They can refer (Referrer code).



This data element is also known by these names:
ContextAlias
pluralGMP (CODE OF REGISTERED OR REFERRING GMP)


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HA OF RESIDENCE

Change to Data Element: change to name

HA OF RESIDENCE
ORGANISATION CODE (PCT OF RESIDENCE)


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HA OF RESIDENCE

Change to Data Element: change to description

Format/length: an3
HES item: HAR
National Codes:
Default Codes:

Notes:
This is the ORGANISATION CODE normally derived by a computer process from the PATIENT's POSTCODE, see NHS Postcode Directory. It identifies the HEALTH AUTHORITY where the PATIENT is resident, so that the authority can receive information about the care given to its residents. In certain circumstances, the HA OF RESIDENCES is not applicable. In certain circumstances, the ORGANISATION CODES (PCT OF RESIDENCE) is not applicable. In these cases, such as overseas visitors, including those from the Channel Islands, the default code is X98.



This data element is also known by these names:
ContextAlias
pluralHA OF RESIDENCES


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HRG DOMINANT GROUPING VARIABLE-PROCEDURE

Change to Data Element: change to description

Format/length: annn
HES item:
National Codes:
Default Codes:

Notes:
The National Schedule of Reference Costs, developed by the NHS Executive, uses Healthcare Resource Groups (HRGs) as the basis for costing in-patient and day case services. The National Schedule of Reference Costs, developed by the Department of Health, uses Healthcare Resource Groups (HRGs) as the basis for costing in-patient and day case services. Healthcare Resource Groups (HRGs) are derived from existing CDS data items using an algorithm and a software package developed by the NHS Information Authority (Casemix Programme).

HRG DOMINANT GROUPING VARIABLE-PROCEDURES (DGVP) is a field derived by the HRG Acute Inpatient Grouper. It represents the procedure that the HRG grouping algorithm has identified as having the greatest effect upon the resources consumed by a PATIENT. It is required for the production of the National Schedule of Reference Costs reports.

The DGVP has the same data format, rules and attributes as OPCS-4 codes for PATIENT PROCEDURE, see also PROCEDURE CODING.

DSCN 08/2000 includes HRG DOMINANT GROUPING VARIABLE-PROCEDURES in the core CDS to standardise the handling of this data item within the CDS, the NHSCDS EDIFACT message and the NWCS database. It is mandatory from 01/10/2001



This data element is also known by these names:
ContextAlias
pluralHRG DOMINANT GROUPING VARIABLE-PROCEDURES


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NHS SERVICE AGREEMENT

Change to Data Element: change to description

Format/length:
HES item:
National Codes:
Default Codes:

Notes:
Services may be commissioned in four ways :

* Nationally, arranged through the National Specialist Commissioning Advisory Group (NSCAG);
* Health Authorities acting collectively through Regional or sub-Regional arrangements for Specialised Services;
* Primary Care Trusts acting collectively through Regional or sub-Regional arrangements for Specialised Services;
* At Health Authority level for Out of Area Treatments, for certain limited services commissioned directly by the Health Authority (e.g. screening services) and for Primary Care Groups/Primary Care Trusts acting collectively;
* At Primary Care Trust level for Out of Area Treatments, for certain limited services commissioned directly by the Primary Care Trust (e.g. screening services) and for Primary Care Trusts acting collectively;
* By Primary Care Groups/Primary Care Trusts, acting individually or as part of a commissioning consortia.
* By Primary Care Trusts, acting individually or as part of a commissioning consortia.

The costs of a Service Agreement accrue to the organisation responsible for commissioning the treatment. For OUT OF AREA TREATMENTS, costs accrue to the NHS Trust’s main commissioner (normally the HA with the highest value of Service Agreements with the NHS Trust). For OUT OF AREA TREATMENTS, costs accrue to the NHS Trust's main commissioner (normally the PCT with the highest value of Service Agreements with the NHS Trust).



This data element is also known by these names:
ContextAlias
pluralNHS SERVICE AGREEMENTS


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ORGANISATION CODE (CODE OF COMMISSIONER)

Change to Data Element: change to description

Format/length: an5
HES item: PURCODE
National Codes:
Default Codes:

Notes:
This is the ORGANISATION CODE of the ORGANISATION commissioning health care. However, when the HEALTH AUTHORITY commissions treatment/care on behalf of a PRIMARY CARE GROUP or PRIMARY CARE TRUST, the organisation code of the PCG or PCT should be recorded in the ORGANISATION CODES (CODE OF COMMISSIONER) field. The organisation code of the PRIMARY CARE TRUST should be recorded in the ORGANISATION CODES (CODE OF COMMISSIONER) field. Organisations may wish to use a component of the COMMISSIONING SERIAL NUMBER in the CDS to identify the actual commissioner of the Service Agreement.

The ORGANISATION CODES of the PRIMARY CARE GROUPS or PRIMARY CARE TRUST should be used as described above when the PRIMARY CARE GROUPS or PRIMARY CARE TRUST is itself the commissioner. The ORGANISATION CODES of the PRIMARY CARE TRUST which is the NHS Trust's main commissioner (normally the PRIMARY CARE TRUST with the highest value of Service Agreements with the NHS Trust) is recorded for OUT OF AREA TREATMENTS. For Specialised Services, the ORGANISATION CODES required would be that of the commissioning consortium. The code may be the ORGANISATION CODES of the 'lead' commissioner.

The ORGANISATION CODES of the HEALTH AUTHORITY which is the NHS Trust’s main commissioner (normally the HEALTH AUTHORITY with the highest value of Service Agreements with the NHS Trust) is recorded for OUT OF AREA TREATMENTS. For Specialised Services, the ORGANISATION CODES required would be that of the commissioning consortium. The code may be the ORGANISATION CODES of the ‘lead’ commissioner. Commissioning responsibility for individual patients rests with the Primary Care Trust (PCT) with whom the patient is registered. This means that patients registered with a GP in one PCT area may reside in a neighbouring or other area but remain the responsibility of the PCT with whom their GP of registration is associated. PCTs are also responsible for non-registered patients who are resident within their boundaries.

See NHS Administrative Codesfor a description of ORGANISATION CODESS.



This data element is also known by these names:
ContextAlias
pluralORGANISATION CODES (CODE OF COMMISSIONER)


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OUT OF AREA TREATMENT

Change to Data Element: change to description

Format/length:
HES item:
National Codes:
Default Codes:

Notes:
OUT OF AREA TREATMENTS are covered by NHS SERVICE AGREEMENTS between a 'main commissioner' and the Trust providing treatment. They cover:

* Patients registered with a GP or resident in an English Primary Care Group or Primary Care Trust with which the NHS Trust has no Service Agreement for that treatment or for that service;
* Patients registered with a GP or resident in an English Primary Care Trust with which the NHS Trust has no Service Agreement for that treatment or for that service;
* Patients registered with a GP or resident in Wales, Scotland or Northern Ireland who are not covered by a Service Agreement with the NHS Trust;
* Overseas visitors



This data element is also known by these names:
ContextAlias
pluralOUT OF AREA TREATMENTS


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PCG OR PCT OF RESIDENCE

Change to Data Element: change to name

PCG OR PCT OF RESIDENCE
PCT OF RESIDENCE


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PCG OR PCT OF RESIDENCE

Change to Data Element: change to aliases

Format/length:
HES item:
National Codes:
Default Codes:

Notes:
See PRIMARY CARE GROUP (PCG) and PRIMARY CARE TRUST (PCT) for the definitions of these ORGANISATIONS. See PRIMARY CARE TRUST (PCT) for the definitions of this ORGANISATION.

Patients not registered with a GP but resident in the geographical area covered by a PRIMARY CARE GROUP or PRIMARY CARE TRUST are the responsibility of that PRIMARY CARE GROUP's or PRIMARY CARE TRUST's HEALTH AUTHORITY. Patients not registered with a GP but resident in the geographical area covered by a PRIMARY CARE TRUST are the responsibility of that PRIMARY CARE TRUST. The Organisation Codes Service provides postcode files which link postcodes to PCG OR PCT OF RESIDENCES. See NHS Postcode Directory.



This data element is also known by these names:
ContextAlias
pluralPCG OR PCT OF RESIDENCES
pluralPCT OF RESIDENCES


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ACCIDENT AND EMERGENCY ATTENDANCE CDS TYPE

Change to Data Set (CDS, CMDS, HES): Change to table

COMMISSIONING DATA SET (CDS)

ACCIDENT AND EMERGENCY ATTENDANCE CDS TYPE

The Accident and Emergency Commissioning Data Set Type carries the data for an Accident and Emergency Attendance Episode.

The column headed Opt (Optionality) shows whether the Data item is Mandatory M, Optional O or Must Not Be Used *.

Opt CDS Data Item U/A
Person Group (Patient):

To carry the personal details of the Patient. One occurrence of this Group is permitted.
M LOCAL PATIENT IDENTIFIER  
M ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)  
M ORGANISATION CODE TYPE  
O NHS NUMBER  
M BIRTH DATE  
O CARER SUPPORT INDICATOR  
* ETHNIC CATEGORY  
* MARITAL STATUS
(psychiatric patients only)
 
M NHS NUMBER STATUS INDICATOR  
M SEX  
O NAME FORMAT CODE  
O PATIENT NAME  
O ADDRESS FORMAT CODE  
O PATIENT USUAL ADDRESS  
M POSTCODE OF USUAL ADDRESS  
M HA OF RESIDENCE  
M ORGANISATION CODE (PCT OF RESIDENCE)  
M ORGANISATION CODE TYPE  
  Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present.
 
(HCA) GP Registration:

To carry the details of the Patient's Registered GMP. One occurrence of this Group is permitted.
M GMP (CODE OF REGISTERED OR REFERRING GMP)  
O CODE OF GP PRACTICE (REGISTERED GMP)  
O ORGANISATION CODE TYPE  
(HCA) Attendance Occurrence Activity Characteristics:

To carry the details of the Accident and Emergency attendance.
M A+E ATTENDANCE NUMBER  
M A+E ARRIVAL MODE  
M A+E ATTENDANCE CATEGORY  
M A+E ATTENDANCE DISPOSAL  
M A+E INCIDENT LOCATION TYPE  
M A+E PATIENT GROUP  
M SOURCE OF REFERRAL FOR A+E  
M ARRIVAL DATE  
M A+E ATTENDANCE CONCLUSION TIME  
M A+E DEPARTURE TIME  
M A+E INITIAL ASSESSMENT TIME  
M A+E TIME SEEN FOR TREATMENT  
M ARRIVAL TIME  
(HCA) Attendance Occurrence - Service Agreement Details:

To carry the details of the Service Agreement for the Accident and Emergency Attendance.
M COMMISSIONING SERIAL NUMBER  
O NHS SERVICE AGREEMENT LINE NUMBER  
O PROVIDER REFERENCE NUMBER  
O COMMISSIONER REFERENCE NUMBER  
M ORGANISATION CODE (CODE OF PROVIDER)  
M ORGANISATION CODE TYPE  
M ORGANISATION CODE (CODE OF COMMISSIONER)  
M ORGANISATION CODE TYPE  
(HCA) Attendance Occurrence Person Group (Consultant):

To carry the details of the responsible Clinician. One occurrence of this Group is permitted.
M A+E STAFF MEMBER CODE  
(HCA) Attendance Occurrence - Clinical Information Group (Diagnosis Occurrence):

To carry the details of the coded Diagnosis Scheme and the Diagnoses. Up to 2 occurrences of this Group are permitted.
M DIAGNOSIS SCHEME IN USE  
M ACCIDENT AND EMERGENCY DIAGNOSIS - FIRST  
M ACCIDENT AND EMERGENCY DIAGNOSIS - SECOND  
(HCA) Attendance Occurrence - Clinical Information Group (Investigation Occurrence):

To carry the details of the coded Investigation Activities undertaken. Up to 2 occurrences of this Group are permitted.
M INVESTIGATION SCHEME IN USE  
M ACCIDENT AND EMERGENCY INVESTIGATION - FIRST  
M ACCIDENT AND EMERGENCY INVESTIGATION - SECOND  
(HCA) Attendance Occurrence - Clinical Information Group (Treatment Occurrence):

To carry the details of the coded Treatment Activities undertaken. Up to 2 occurrences of this Group are permitted.
M PROCEDURE SCHEME IN USE  
M ACCIDENT AND EMERGENCY TREATMENT - FIRST  
M ACCIDENT AND EMERGENCY TREATMENT - SECOND  
(HCA) Healthcare Resource Group Activity - Activity Characteristics:

To carry the details of the Healthcare Resource Group and will be mandatory from 01/10/2001. Each CDS may contain only a single occurrence of this Group.
M HEALTHCARE RESOURCE GROUP CODE  
M HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER  
  Note:
In addition, Accident and Emergency reference costs are mandated and collected via a direct, non-NWCS data flow between Providers and the NHS Executive Headquarters.
 
  Note:
In addition, Accident and Emergency reference costs are mandated and collected via a direct, non-NWCS data flow between Providers and the Department of Health.
 
(HCA) Healthcare Resource Group Activity - Clinical Activity Group:

To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted. Only one Procedure either OPCS or READ may be specified
O PROCEDURE SCHEME IN USE  
O HRG DOMINANT GROUPING VARIABLE-PROCEDURE  


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ADMITTED PATIENT CARE CDS TYPE - BIRTH EPISODE

Change to Data Set (CDS, CMDS, HES): Change to table

COMMISSIONING DATA SET (CDS)

ADMITTED PATIENT CARE CDS TYPE - BIRTH EPISODE

The Admitted Patient Care Birth Episode Commissioning Data Set Type carries the data for a finished or unfinished Birth Episode.

The column headed Opt (Optionality) shows whether the Data item is Mandatory M or Optional O.

The column headed U/A (Unfinished Episode / Annual Census) indicates whether the Data Item is required to be recorded on an unfinished Birth Episode record and on an End of Year Census record. An R in the U/A column idicates that it is required to be present, a blank indicates that it is not required to be present.

Opt CDS Data Item U/A
Person Group (Patient):

To carry the personal details of the Patient (the baby). One occurrence of this Group is permitted.
M LOCAL PATIENT IDENTIFIER R
M ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) R
M ORGANISATION CODE TYPE R
O NHS NUMBERS R
M BIRTH DATES R
M BIRTH WEIGHTS R
M LIVE OR STILL BIRTHS R
O ETHNIC CATEGORIES R
M NHS NUMBER STATUS INDICATOR R
M SEX R
O NAME FORMAT CODES R
O PATIENT NAMES R
  Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present.

Birth Episodes do not carry address details for a baby. By local agreement, it may be assumed that the baby's address details are identical to that of the mother whose details may be carried in the Person Group (Mother) of the Birth Occurrence Group.
 
(HCA) Hospital Provider Spell - Activity Characteristics:

To carry the details of the Spell containing the Birth Episode. One occurrence of this Group is permitted.
M HOSPITAL PROVIDER SPELL NUMBERS R
M ADMINISTRATIVE CATEGORIES
(on admission)
R
M PATIENT CLASSIFICATIONS R
M ADMISSION METHOD (HOSPITAL PROVIDER SPELL) R
M DISCHARGE DESTINATIONS (HOSPITAL PROVIDER SPELL)  
M DISCHARGE METHODS (HOSPITAL PROVIDER SPELL)  
M SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) R
M START DATES (HOSPITAL PROVIDER SPELL) R
M DISCHARGE DATES (HOSPITAL PROVIDER SPELL)  
(HCA) Consultant Episode - Activity Characteristics:

To carry the details of the Birth Episode undergone by the Patient. One occurrence of this Group is permitted.
M EPISODE NUMBERS R
M LAST EPISODE IN SPELL INDICATORS R
M NEONATAL LEVEL OF CARE R
M OPERATION STATUS
(per episode)
R
M NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODES R
M START DATES (EPISODE) R
M END DATES (EPISODE)  
(HCA) Consultant Episode - Service Agreement Details:

To carry the details of the Service Agreement for the Birth Episode.
M COMMISSIONING SERIAL NUMBERS R
O NHS SERVICE AGREEMENT LINE NUMBERS R
O PROVIDER REFERENCE NUMBERS  
M COMMISSIONER REFERENCE NUMBERS R
M ORGANISATION CODES (CODE OF PROVIDER) R
M ORGANISATION CODE TYPE  
M ORGANISATION CODES (CODE OF COMMISSIONER) R
M ORGANISATION CODE TYPE  
(HCA) Consultant Episode - Person Group (Consultant):

To carry the details of the responsible Consultant, Midwife or Nurse. One occurrence of this Group is permitted.
M CONSULTANT CODES R
M SPECIALTY FUNCTION CODES R
M CONSULTANT SPECIALTY FUNCTION CODES R
(HCA) Consultant Episode - Clinical Information Group (ICD):

To carry the details of the ICD Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
M DIAGNOSIS SCHEME IN USE R
M PRIMARY DIAGNOSIS (ICD) R
M SECONDARY DIAGNOSIS (ICD)
(1st to 12th, there may be up to 12 repetitions)
R
(HCA) Consultant Episode - Clinical Information Group (READ):

To carry the details of the READ Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
O DIAGNOSIS SCHEME IN USE  
O PRIMARY DIAGNOSIS (READ)  
O SECONDARY DIAGNOSIS (READ)
(1st to 12th, there may be up to 12 repetitions)
 
(HCA) Consultant Episode - Clinical Activity Group (OPCS):

To carry the details of the OPCS coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
M PROCEDURE SCHEME IN USES  
M PRIMARY PROCEDURE (OPCS)  
M PROCEDURE DATES  
M PROCEDURE (OPCS)
(2nd to 12th, there may be up to 11 repetitions)
 
M PROCEDURE DATE
(2nd to 12th, there may be up to 11 repetitions)
 
(HCA) Consultant Episode - Clinical Activity Group (READ):

To carry the details of the READ coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
O PROCEDURE SCHEME IN USES  
O PRIMARY PROCEDURE (READ)  
O PROCEDURE DATE  
O PROCEDURE (READ)
(2nd to 12th, there may be up to 11 repetitions)
 
O PROCEDURE DATE
(2nd to 12th, there may be up to 11 repetitions)
 
(HCA) Consultant Episode - Location Group - Start of Episode:

To carry the details of the location at the start of the Consultant/ Midwife/ Nurse Episode (eg the ward). One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M LOCATION CLASS R
M SITE CODE (OF TREATMENT)
(at start of episode)
R
M ORGANISATION CODE TYPE  
O INTENDED CLINICAL CARE INTENSITY R
O AGE GROUP INTENDED R
O SEX OF PATIENTS R
O WARD DAY PERIOD AVAILABILITY R
O WARD NIGHT PERIOD AVAILABILITY R
(HCA) Consultant Episode - Location Group - Ward Stay:

To carry the details of one or more Ward Stays. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M LOCATION CLASS  
M SITE CODE (OF TREATMENT)  
M ORGANISATION CODE TYPE  
O INTENDED CLINICAL CARE INTENSITY  
O AGE GROUP INTENDED  
O SEX OF PATIENTS  
O WARD DAY PERIOD AVAILABILITY  
O WARD NIGHT PERIOD AVAILABILITY  
O START DATE
(at start of stay)
 
O END DATE
(at end of stay)
 
(HCA) Consultant Episode - Location Group - End of Episode:

To carry the details of the location at the end of the Consultant/ Midwife/ Nurse Episode (eg the ward). One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M LOCATION CLASS  
M SITE CODE (OF TREATMENT)
(at end of episode)
 
M ORGANISATION CODE TYPE  
O INTENDED CLINICAL CARE INTENSITY  
O AGE GROUP INTENDED  
O SEX OF PATIENTS  
O WARD DAY PERIOD AVAILABILITY  
O WARD NIGHT PERIOD AVAILABILITY  
(HCA) Augmented Care Period:

To carry the details of the Augmented Care undergone by the Patient. Up to the 9 most recent Augmented Care Periods that occur during a Consultant/ Midwife/ Nurse Episode may be included.
M AUGMENTED CARE PERIOD NUMBERS R
O AUGMENTED CARE PERIOD LOCAL IDENTIFIER R
M START DATES (AUGMENTED CARE PERIOD) R
M AUGMENTED CARE PERIOD SOURCES R
M INTENSIVE CARE LEVEL DAYS R
M HIGH DEPENDENCY CARE LEVEL DAYS R
M NUMBER OF ORGAN SYSTEMS SUPPORTED
for intensive care level only)
R
M AUGMENTED CARE PLANNED INDICATORS R
M AUGMENTED CARE OUTCOME INDICATORS  
M AUGMENTED CARE PERIOD DISPOSALS  
M END DATES (AUGMENTED CARE PERIOD)  
M SPECIALTY FUNCTION CODES (AUGMENTED CARE PERIOD) R
M LOCATION CLASS R
M AUGMENTED CARE LOCATIONS R
(HCA) GP Registration:

To carry the details of the baby's mother's Registered GMP. One occurrence of this Group is permitted.
M GMP (CODE OF REGISTERED OR REFERRING GMP) R
O CODE OF GP PRACTICE (REGISTERED GMP) R
O ORGANISATION CODE TYPE  
(HCA) Referral:

To carry the details of the referrer. This will be the referral that led to the mother's Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted.
M REFERRER CODES R
M REFERRING ORGANISATION CODES R
M ORGANISATION CODE TYPE  
(HCA) Pregnancy Activity Characteristics:

To carry the number of babies resulting from this pregnancy. One occurrence of this Group is permitted.
M NUMBER OF BABIES R
(HCA) Antenatal Care Activity Characteristics:

To carry details of the start of the antenatal care. One occurrence of this Group is permitted.
M FIRST ANTENATAL ASSESSMENT DATES R
(HCA) Antenatal Care Person Group (Responsible Clinician):

To carry details of the responsible clinician. One occurrence of this Group is permitted.
M GMP (CODE OF GMP RESPONSIBLE FOR ANTENATAL CARE) R
O CODE OF GP PRACTICE (REGISTERED GMP - ANTENATAL CARE) R
O ORGANISATION CODE TYPE  
(HCA) Antenatal Care Location Group (Delivery Place Intended):

To carry details of the intended delivery place. One occurrence of this Group is permitted.
M LOCATION CLASS R
M DELIVERY PLACE CHANGE REASONS R
M DELIVERY PLACE TYPE (INTENDED) R
(HCA) Hospital Labour/Delivery Activity Characteristics:

To carry details of the Labour/Delivery. One occurrence of this Group is permitted.
M ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY R
M ANAESTHETIC GIVEN POST LABOUR OR DELIVERY R
O GESTATION LENGTH (LABOUR ONSET) R
M LABOUR OR DELIVERY ONSET METHODS R
M DELIVERY DATES R
(HCA) Birth Occurrence Activity Characteristics:

To carry details of the birth occurrence. One occurrence of this Group is permitted.
M BIRTH ORDERS R
M DELIVERY METHODS R
M GESTATION LENGTH (ASSESSMENT) R
M RESUSCITATION METHODS R
M STATUS OF PERSON CONDUCTING DELIVERIES R
(HCA) Birth Occurrence Person Group (Mother):

To carry the personal details of the baby's mother. One occurrence of this Group is permitted.
O LOCAL PATIENT IDENTIFIER (MOTHER) R
O ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER)) R
O ORGANISATION CODE TYPE (MOTHER)  
O NHS NUMBER (MOTHER) R
O NHS NUMBER STATUS INDICATOR (MOTHER) R
M BIRTH DATE (MOTHER) R
O ADDRESS FORMAT CODE (MOTHER)  
O PATIENT USUAL ADDRESS (MOTHER)  
M POSTCODE OF USUAL ADDRESS R
M HA OF RESIDENCES R
M ORGANISATION CODE (PCT OF RESIDENCE) R
M ORGANISATION CODE TYPE  
(HCA) Birth Occurrence Location - Delivery Place Actual:

To carry the type of place where delivery actually occurred. One occurrence of this Group within each Birth Group is permitted.
M LOCATION CLASS  
M DELIVERY PLACE TYPE (ACTUAL) R
(HCA) Healthcare Resource Group Activity - Activity Characteristics:

To carry the details of the Healthcare Resource Group and will be mandatory from 01/10/2001. Each CDS may contain only a single occurrence of this Group.
M HEALTHCARE RESOURCE GROUP CODE  
M HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER  
(HCA) Healthcare Resource Group Activity - Clinical Activity Group:

To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted. Only one Procedure either OPCS or READ may be specified
O PROCEDURE SCHEME IN USES  
O HRG DOMINANT GROUPING VARIABLE-PROCEDURE  


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ADMITTED PATIENT CARE CDS TYPE - DELIVERY EPISODE

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COMMISSIONING DATA SET (CDS)

ADMITTED PATIENT CARE CDS TYPE - DELIVERY EPISODE

The Admitted Patient Care Delivery Episode Commissioning Data Set Type carries the data for a finished or unfinished General Consultant/ Midwife/ Nurse Delivery Episode.

The column headed Opt (Optionality) shows whether the Data item is Mandatory M or Optional O.

The column headed U/A (Unfinished Episode / Annual Census) indicates whether the Data Item is required to be recorded on an unfinished Consultant/ Midwife/ Nurse Delivery Episode record and on an End of Year Census record. An R in the U/A column idicates that it is required to be present, a blank indicates that it is not required to be present.

Opt CDS Data Item U/A
Person Group (Patient):

To carry the personal details of the Patient. One occurrence of this Group is permitted.
M LOCAL PATIENT IDENTIFIER R
M ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) R
M ORGANISATION CODE TYPE  
M NHS NUMBER R
M BIRTH DATE R
O CARER SUPPORT INDICATORS R
M LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)
(psychiatric patients only)
R
M ETHNIC CATEGORY R
M MARITAL STATUS
(psychiatric patients only)
R
M NHS NUMBER STATUS INDICATOR R
M SEX R
M PREGNANCY TOTAL PREVIOUS PREGNANCIES  
O NAME FORMAT CODE R
O PATIENT NAME R
O ADDRESS FORMAT CODE  
O PATIENT USUAL ADDRESS R
M POSTCODE OF USUAL ADDRESS R
M HA OF RESIDENCE R
M ORGANISATION CODE (PCT OF RESIDENCE) R
M ORGANISATION CODE TYPE R
  Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present.
 
(HCA) Hospital Provider Spell - Activity Characteristics:

To carry the details of the Spell containing the Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted.
M HOSPITAL PROVIDER SPELL NUMBERS R
M ADMINISTRATIVE CATEGORY
(on admission)
R
M PATIENT CLASSIFICATIONS R
M ADMISSION METHOD (HOSPITAL PROVIDER SPELL) R
M DISCHARGE DESTINATIONS (HOSPITAL PROVIDER SPELL)  
M DISCHARGE METHODS (HOSPITAL PROVIDER SPELL)  
M SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) R
M START DATES (HOSPITAL PROVIDER SPELL) R
M DISCHARGE DATES (HOSPITAL PROVIDER SPELL)  
(HCA) Consultant Episode - Activity Characteristics:

To carry the details of the Consultant/ Midwife/ Nurse Episode undergone by the Patient. One occurrence of this Group is permitted.
M EPISODE NUMBER R
M LAST EPISODE IN SPELL INDICATORS R
M OPERATION STATUS
(per episode)
R
M PSYCHIATRIC PATIENT STATUS R
M NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODES R
M START DATES (EPISODE) R
M END DATES (EPISODE)  
(HCA) Consultant Episode - Service Agreement Details:

To carry the details of the Service Agreement for the Consultant/ Midwife/ Nurse Episode.
M COMMISSIONING SERIAL NUMBERS R
O NHS SERVICE AGREEMENT LINE NUMBERS R
O PROVIDER REFERENCE NUMBER  
M COMMISSIONER REFERENCE NUMBERS R
M ORGANISATION CODES (CODE OF PROVIDER) R
M ORGANISATION CODE TYPE  
M ORGANISATION CODES (CODE OF COMMISSIONER) R
M ORGANISATION CODE TYPE  
(HCA) Consultant Episode - Person Group (Consultant):

To carry the details of the responsible Consultant, Midwife or Nurse. One occurrence of this Group is permitted.
M CONSULTANT CODE R
M SPECIALTY FUNCTION CODES R
M CONSULTANT SPECIALTY FUNCTION CODES R
(HCA) Consultant Episode - Clinical Information Group (ICD):

To carry the details of the ICD Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
M DIAGNOSIS SCHEME IN USE  
M PRIMARY DIAGNOSIS (ICD)  
M SECONDARY DIAGNOSIS (ICD)
(1st to 12th, there may be up to 12 repetitions)
 
(HCA) Consultant Episode - Clinical Information Group (READ):

To carry the details of the READ Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
O DIAGNOSIS SCHEME IN USE  
O PRIMARY DIAGNOSIS (READ)  
O SECONDARY DIAGNOSIS (READ)
(1st to 12th, there may be up to 12 repetitions)
 
(HCA) Consultant Episode - Clinical Activity Group (OPCS):

To carry the details of the OPCS coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
M PROCEDURE SCHEME IN USE  
M PRIMARY PROCEDURE (OPCS)  
M PROCEDURE DATES  
M PROCEDURE (OPCS)
(2nd to 12th, there may be up to 11 repetitions)
 
M PROCEDURE DATE
(2nd to 12th, there may be up to 11 repetitions)
 
(HCA) Consultant Episode - Clinical Activity Group (READ):

To carry the details of the READ coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
O PROCEDURE SCHEME IN USE  
O PRIMARY PROCEDURE (READ)  
O PROCEDURE DATE  
O PROCEDURE (READ)
(2nd to 12th, there may be up to 11 repetitions)
 
O PROCEDURE DATE
(2nd to 12th, there may be up to 11 repetitions)
 
(HCA) Consultant Episode - Location Group - Start of Episode:

To carry the details of the location at the start of the Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M LOCATION CLASS R
M SITE CODE (OF TREATMENT)
(at start of episode)
R
M ORGANISATION CODE TYPE R
O INTENDED CLINICAL CARE INTENSITY R
O AGE GROUP INTENDED R
O SEX OF PATIENTS R
O WARD DAY PERIOD AVAILABILITY R
O WARD NIGHT PERIOD AVAILABILITY R
(HCA) Consultant Episode - Location Group - Ward Stay:

To carry the details of one or more Ward Stays. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
O LOCATION CLASS  
O SITE CODE (OF TREATMENT)  
O ORGANISATION CODE TYPE  
O INTENDED CLINICAL CARE INTENSITY  
O AGE GROUP INTENDED  
O SEX OF PATIENTS  
O WARD DAY PERIOD AVAILABILITY  
O WARD NIGHT PERIOD AVAILABILITY  
O START DATE
(at start of stay)
 
O END DATE
(at end of stay)
 
(HCA) Consultant Episode - Location Group - End of Episode:

To carry the details of the location at the end of the Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
O LOCATION CLASS  
O SITE CODE (OF TREATMENT)
(at end of episode)
 
O ORGANISATION CODE TYPE  
O INTENDED CLINICAL CARE INTENSITY  
O AGE GROUP INTENDED  
O SEX OF PATIENTS  
O WARD DAY PERIOD AVAILABILITY  
O WARD NIGHT PERIOD AVAILABILITY  
(HCA) Augmented Care Period:

To carry the details of the Augmented Care undergone by the Patient. Up to the 9 most recent Augmented Care Periods that occur during a Consultant/ Midwife/ Nurse Episode may be included.
M AUGMENTED CARE PERIOD NUMBERS R
O AUGMENTED CARE PERIOD LOCAL IDENTIFIER R
M START DATE (AUGMENTED CARE PERIOD) R
M AUGMENTED CARE PERIOD SOURCE R
M INTENSIVE CARE LEVEL DAYS R
M HIGH DEPENDENCY CARE LEVEL DAYS R
M NUMBER OF ORGAN SYSTEMS SUPPORTED
for intensive care level only)
R
M AUGMENTED CARE PLANNED INDICATOR R
M AUGMENTED CARE OUTCOME INDICATOR  
M AUGMENTED CARE PERIOD DISPOSAL  
M END DATE (AUGMENTED CARE PERIOD)  
M SPECIALTY FUNCTION CODES (AUGMENTED CARE PERIOD) R
M LOCATION CLASS R
M AUGMENTED CARE LOCATION R
(HCA) GP Registration:

To carry the details of the Patient's Registered GMP. One occurrence of this Group is permitted.
M GMP (CODE OF REGISTERED OR REFERRING GMP) R
O CODE OF GP PRACTICE (REGISTERED GMP) R
O ORGANISATION CODE TYPE  
(HCA) Referral:

To carry the details of the referrer. One occurrence of this Group is permitted.
M REFERRER CODE R
M REFERRING ORGANISATION CODE R
M ORGANISATION CODE TYPE  
(HCA) Pregnancy Activity Characteristics:

To carry the number of babies resulting from this pregnancy. One occurrence of this Group is permitted.
M NUMBER OF BABIES R
(HCA) Antenatal Care Activity Characteristics:

To carry details of the start of the antenatal care. One occurrence of this Group is permitted.
M FIRST ANTENATAL ASSESSMENT DATE R
(HCA) Antenatal Care Person Group (Responsible Clinician):

To carry details of the responsible clinician. One occurrence of this Group is permitted.
M GMP (CODE OF GMP RESPONSIBLE FOR ANTENATAL CARE) R
O CODE OF GP PRACTICE (REGISTERED GMP - ANTENATAL CARE)  
O ORGANISATION CODE TYPE  
(HCA) Antenatal Care Location Group (Delivery Place Intended):

To carry details of the intended delivery place. One occurrence of this Group is permitted.
M LOCATION CLASS R
M DELIVERY PLACE CHANGE REASON R
M DELIVERY PLACE TYPE (INTENDED) R
(HCA) Hospital Labour/Delivery Activity Characteristics:

To carry details of the Labour/Delivery. One occurrence of this Group is permitted.
M ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY R
M ANAESTHETIC GIVEN POST LABOUR OR DELIVERY R
O GESTATION LENGTH (LABOUR ONSET) R
M LABOUR OR DELIVERY ONSET METHOD R
M DELIVERY DATE R
(HCA) Birth Occurrence Activity Characteristics:

To carry details of the birth occurrence(s). Up to nine occurrences of the Birth Group are permitted.
M BIRTH ORDER R
M DELIVERY METHOD R
M GESTATION LENGTH (ASSESSMENT) R
M RESUSCITATION METHOD R
M STATUS OF PERSON CONDUCTING DELIVERY R
(HCA) Birth Occurrence Person Group (Baby):

To carry the personal details of the birth occurrence(s). One occurrence of this Group within each Birth Group is permitted.
O LOCAL PATIENT IDENTIFIER (BABY) R
O ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY)) R
O ORGANISATION CODE TYPE (BABY)  
O NHS NUMBER (BABY) R
O NHS NUMBER STATUS INDICATOR (BABY) R
M BIRTH DATE (BABY) R
M BIRTH WEIGHT R
M LIVE OR STILL BIRTH R
M SEX (BABY) R
(HCA) Birth Occurrence Location - Delivery Place Actual:

To carry the type of place where delivery actually occurred. One occurrence of this Group within each Birth Group is permitted.
M LOCATION CLASS R
M DELIVERY PLACE TYPE (ACTUAL) R
(HCA) Healthcare Resource Group Activity - Activity Characteristics:

To carry the details of the Healthcare Resource Group and will be mandatory from 01/10/2001. Each CDS may contain only a single occurrence of this Group.
M HEALTHCARE RESOURCE GROUP CODE  
M HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER  
(HCA) Healthcare Resource Group Activity - Clinical Activity Group:

To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted. Only one Procedure either OPCS or READ may be specified
O PROCEDURE SCHEME IN USE  
O HRG DOMINANT GROUPING VARIABLE-PROCEDURE  


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ADMITTED PATIENT CARE CDS TYPE - DETAINED+- OR LONG TERM PSYCHIATRIC CENSUS

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COMMISSIONING DATA SET (CDS)

ADMITTED PATIENT CARE CDS TYPE - DETAINED+- or LONG TERM PSYCHIATRIC CENSUS

The Admitted Patient Care Detained and/or Long Term Psychiatric Census Commissioning Data Set Type carries the data for a Detained and/or Long Term Psychiatric Census. This is a snapshot of a general episode, unfinished as at 31 March, for which either the patient is detained or the episode is part of a Hospital Provider Spell which has lasted longer than one year and for which the majority of time has been spent under the care of a consultant in one of the psychiatric specialties.

The column headed Opt (Optionality) shows whether the Data item is Mandatory M or Optional O.

Opt CDS Data Item U/A
Person Group (Patient):

To carry the personal details of the Patient. One occurrence of this Group is permitted.
M LOCAL PATIENT IDENTIFIER  
M ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)  
M ORGANISATION CODE TYPE  
M NHS NUMBER  
M BIRTH DATES  
O CARER SUPPORT INDICATORS  
M LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)  
M LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)  
M ETHNIC CATEGORIES  
M MARITAL STATUS  
M NHS NUMBER STATUS INDICATOR  
M SEX  
M DATE DETENTION COMMENCEDS  
M AGE AT CENSUS  
M DURATION OF CARE TO PSYCHIATRIC CENSUS DATES  
M DURATION OF DETENTIONS  
M MENTAL CATEGORIES  
M STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS  
O NAME FORMAT CODES  
O PATIENT NAMES  
O ADDRESS FORMAT CODE  
O PATIENT USUAL ADDRESS  
M POSTCODE OF USUAL ADDRESS  
M HA OF RESIDENCES  
M ORGANISATION CODE (PCT OF RESIDENCE)  
M ORGANISATION CODE TYPE  
  Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present.
 
(HCA) Hospital Provider Spell - Activity Characteristics:

To carry the details of the Spell containing the Consultant Episode on the Psychiatric Census Date. One occurrence of this Group is permitted.
M HOSPITAL PROVIDER SPELL NUMBERS  
M ADMINISTRATIVE CATEGORY
(on admission)
 
M PATIENT CLASSIFICATIONS  
M ADMISSION METHOD (HOSPITAL PROVIDER SPELL)  
M SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)  
M START DATES (HOSPITAL PROVIDER SPELL)  
(HCA) Consultant Episode - Activity Characteristics:

To carry the details of the Consultant Episode on the Psychiatric Census Date. One occurrence of this Group is permitted.
M EPISODE NUMBERS  
M PSYCHIATRIC PATIENT STATUS  
M START DATES (CONSULTANT EPISODE)  
(HCA) Consultant Episode - Service Agreement Details:

To carry the details of the Service Agreement for the Consultant Episode on the Psychiatric Census Date.
M COMMISSIONING SERIAL NUMBERS  
O NHS SERVICE AGREEMENT LINE NUMBERS  
O PROVIDER REFERENCE NUMBER  
M COMMISSIONER REFERENCE NUMBERS  
M ORGANISATION CODES (CODE OF PROVIDER)  
M ORGANISATION CODE TYPE  
M ORGANISATION CODES (CODE OF COMMISSIONER)  
M ORGANISATION CODE TYPE  
(HCA) Consultant Episode - Person Group (Consultant):

To carry the details of the responsible Consultant on the Psychiatric Census Date. One occurrence of this Group is permitted.
M CONSULTANT CODES  
M SPECIALTY FUNCTION CODES  
M CONSULTANT SPECIALTY FUNCTION CODES  
(HCA) Consultant Episode - Clinical Information Group (ICD):

To carry the details of the ICD Diagnosis Scheme and the Diagnoses on the Psychiatric Census Date. Up to 13 occurrences of this Group are permitted.
M DIAGNOSIS SCHEME IN USE  
M PRIMARY DIAGNOSIS (ICD)  
M SECONDARY DIAGNOSIS (ICD)
(1st to 12th, there may be up to 12 repetitions)
 
(HCA) Consultant Episode - Clinical Information Group (READ):

To carry the details of the READ Diagnosis Scheme and the Diagnoses on the Psychiatric Census Date. Up to 13 occurrences of this Group are permitted.
O DIAGNOSIS SCHEME IN USE  
O PRIMARY DIAGNOSIS (READ)  
O SECONDARY DIAGNOSIS (READ)
(1st to 12th, there may be up to 12 repetitions)
 
(HCA) Consultant Episode - Location Group - Start of Episode:

To carry the details of the Ward Type at the start of the Consultant Episode. One occurrence of this Group is permitted.
M LOCATION CLASS  
M SITE CODE (OF TREATMENT)
(at start of episode)
 
M ORGANISATION CODE TYPE  
O INTENDED CLINICAL CARE INTENSITY  
O AGE GROUP INTENDED  
O SEX OF PATIENTS  
O WARD DAY PERIOD AVAILABILITY  
O WARD NIGHT PERIOD AVAILABILITY  
(HCA) Consultant Episode - Location Group - Ward Stay at Psychiatric Census Date:

To carry the details of the Ward Type at Psychiatric Census Date. One occurrence of this Group is permitted.
M LOCATION CLASS  
M SITE CODE (OF TREATMENT)  
M ORGANISATION CODE TYPE  
M INTENDED CLINICAL CARE INTENSITY  
M AGE GROUP INTENDED  
M SEX OF PATIENTS  
M WARD DAY PERIOD AVAILABILITY  
M WARD NIGHT PERIOD AVAILABILITY  
M DETAINED AND/OR LONG TERM PSYCHIATRIC CENSUS DATE  
(HCA) GP Registration:

To carry the details of the Patient's Registered GMP. One occurrence of this Group is permitted.
M GMP (CODE OF REGISTERED OR REFERRING GMP)  
O CODE OF GP PRACTICE (REGISTERED GMP)  
O ORGANISATION CODE TYPE  
(HCA) Referral:

To carry the details of the referrer. One occurrence of this Group is permitted.
M REFERRER CODES  
M REFERRING ORGANISATION CODES  
M ORGANISATION CODE TYPE  
(HCA) Elective Admission List Entry:

To carry the details of the Elective Admission List Entry. One occurrence of this Group is permitted.
M DURATION OF ELECTIVE WAITS  
M INTENDED MANAGEMENTS  
M DECIDED TO ADMIT DATES
(for this provider)
 
(HCA) Healthcare Resource Group Activity - Activity Characteristics:

To carry the details of the Healthcare Resource Group where required. If users do not want to send HRGs, the segments may be omitted. Each CDS may contain only a single occurrence of this Group.
O HEALTHCARE RESOURCE GROUP CODE  
O HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER  
(HCA) Healthcare Resource Group Activity - Clinical Activity Group:

To carry the details of the HRG Dominant Grouping Variable - Procedure. Only one Procedure either OPCS or READ may be specified
O PROCEDURE SCHEME IN USE  
O HRG DOMINANT GROUPING VARIABLE-PROCEDURE  


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ADMITTED PATIENT CARE CDS TYPE - GENERAL EPISODE

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COMMISSIONING DATA SET (CDS)

ADMITTED PATIENT CARE CDS TYPE - GENERAL EPISODE

The Admitted Patient Care General Episode Commissioning Data Set Type carries the data for a finished or unfinished General Consultant/ Midwife/ Nurse Episode.

The column headed Opt (Optionality) shows whether the Data item is Mandatory M or Optional O.

The column headed U/A (Unfinished Episode / Annual Census) indicates whether the Data Item is required to be recorded on an unfinished Consultant/ Midwife/ Nurse Episode record and on an End of Year Census record. An R in the U/A column idicates that it is required to be present, a blank indicates that it is not required to be present.

Opt CDS Data Item U/A
Person Group (Patient):

To carry the personal details of the Patient. One occurrence of this Group is permitted.
M LOCAL PATIENT IDENTIFIER R
M ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) R
M ORGANISATION CODE TYPE R
M NHS NUMBER R
M BIRTH DATE R
O CARER SUPPORT INDICATOR R
M LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)
(psychiatric patients only)
R
M ETHNIC CATEGORY R
M MARITAL STATUS
(psychiatric patients only)
R
M NHS NUMBER STATUS INDICATOR R
M SEX R
O NAME FORMAT CODE R
O PATIENT NAME R
O ADDRESS FORMAT CODE  
O PATIENT USUAL ADDRESS R
M POSTCODE OF USUAL ADDRESS R
M HA OF RESIDENCE R
M ORGANISATION CODE (PCT OF RESIDENCE) R
M ORGANISATION CODE TYPE R
  Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present.
 
(HCA) Hospital Provider Spell - Activity Characteristics:

To carry the details of the Spell containing the Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted.
M HOSPITAL PROVIDER SPELL NUMBER R
M ADMINISTRATIVE CATEGORY
(on admission)
R
M PATIENT CLASSIFICATION R
M ADMISSION METHOD (HOSPITAL PROVIDER SPELL) R
M DISCHARGE DESTINATIONS (HOSPITAL PROVIDER SPELL)  
M DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)  
M SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) R
M START DATE (HOSPITAL PROVIDER SPELL) R
M DISCHARGE DATE (HOSPITAL PROVIDER SPELL)  
(HCA) Consultant Episode - Activity Characteristics:

To carry the details of the Consultant/ Midwife/ Nurse Episode undergone by the Patient. One occurrence of this Group is permitted.
M EPISODE NUMBER R
M FIRST REGULAR DAY OR NIGHT ADMISSION R
M LAST EPISODE IN SPELL INDICATOR R
M NEONATAL LEVEL OF CARE R
M OPERATION STATUS
(per episode)
R
M PSYCHIATRIC PATIENT STATUS R
M NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODE R
M START DATE (EPISODE) R
M END DATE (EPISODE)  
(HCA) Consultant Episode - Service Agreement Details:

To carry the details of the Service Agreement for the Consultant/ Midwife/ Nurse Episode.
M COMMISSIONING SERIAL NUMBER R
O NHS SERVICE AGREEMENT LINE NUMBER R
O PROVIDER REFERENCE NUMBER  
M COMMISSIONER REFERENCE NUMBER R
M ORGANISATION CODE (CODE OF PROVIDER) R
M ORGANISATION CODE TYPE  
M ORGANISATION CODE (CODE OF COMMISSIONER) R
M ORGANISATION CODE TYPE  
(HCA) Consultant Episode - Person Group (Consultant):

To carry the details of the responsible Consultant, Midwife or Nurse. One occurrence of this Group is permitted.
M CONSULTANT CODE R
M SPECIALTY FUNCTION CODE R
M CONSULTANT SPECIALTY FUNCTION CODE R
(HCA) Consultant Episode - Clinical Information Group (ICD):

To carry the details of the ICD Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
M DIAGNOSIS SCHEME IN USE  
M PRIMARY DIAGNOSIS (ICD)  
M SECONDARY DIAGNOSIS (ICD)
(1st to 12th, there may be up to 12 repetitions)
 
(HCA) Consultant Episode - Clinical Information Group (READ):

To carry the details of the READ Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
O DIAGNOSIS SCHEME IN USE  
O PRIMARY DIAGNOSIS (READ)  
O SECONDARY DIAGNOSIS (READ)
(1st to 12th, there may be up to 12 repetitions)
 
(HCA) Consultant Episode - Clinical Activity Group (OPCS):

To carry the details of the OPCS coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
M PROCEDURE SCHEME IN USE  
M PRIMARY PROCEDURE (OPCS)  
M PROCEDURE DATE  
M PROCEDURE (OPCS)
(2nd to 12th, there may be up to 11 repetitions)
 
M PROCEDURE DATE
(2nd to 12th, there may be up to 11 repetitions)
 
(HCA) Consultant Episode - Clinical Activity Group (READ):

To carry the details of the READ coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
O PROCEDURE SCHEME IN USE  
O PRIMARY PROCEDURE (READ)  
O PROCEDURE DATE  
O PROCEDURE (READ)
(2nd to 12th, there may be up to 11 repetitions)
 
O PROCEDURE DATE
(2nd to 12th, there may be up to 11 repetitions)
 
(HCA) Consultant Episode - Location Group - Start of Episode:

To carry the details of the location at the start of the Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M LOCATION CLASS R
M SITE CODE (OF TREATMENT)
(at start of episode)
R
M ORGANISATION CODE TYPE R
O INTENDED CLINICAL CARE INTENSITY R
O AGE GROUP INTENDED R
O SEX OF PATIENTS R
O WARD DAY PERIOD AVAILABILITY R
O WARD NIGHT PERIOD AVAILABILITY R
(HCA) Consultant Episode - Location Group - Ward Stay:

To carry the details of one or more Ward Stays. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M LOCATION CLASS  
M SITE CODE (OF TREATMENT)  
M ORGANISATION CODE TYPE  
O INTENDED CLINICAL CARE INTENSITY  
O AGE GROUP INTENDED  
O SEX OF PATIENTS  
O WARD DAY PERIOD AVAILABILITY  
O WARD NIGHT PERIOD AVAILABILITY  
O START DATE
(at start of stay)
 
O END DATE
(at end of stay)
 
(HCA) Consultant Episode - Location Group - End of Episode:

To carry the details of the location at the end of the Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M LOCATION CLASS  
M SITE CODE (OF TREATMENT)
(at end of episode)
 
M ORGANISATION CODE TYPE  
O INTENDED CLINICAL CARE INTENSITY  
O AGE GROUP INTENDED  
O SEX OF PATIENTS  
O WARD DAY PERIOD AVAILABILITY  
O WARD NIGHT PERIOD AVAILABILITY  
(HCA) Augmented Care Period:

To carry the details of the Augmented Care undergone by the Patient. Up to the 9 most recent Augmented Care Periods that occur during a Consultant/ Midwife/ Nurse Episode may be included.
M AUGMENTED CARE PERIOD NUMBER R
O AUGMENTED CARE PERIOD LOCAL IDENTIFIER R
M START DATE (AUGMENTED CARE PERIOD) R
M AUGMENTED CARE PERIOD SOURCE R
M INTENSIVE CARE LEVEL DAYS R
M HIGH DEPENDENCY CARE LEVEL DAYS R
M NUMBER OF ORGAN SYSTEMS SUPPORTED
for intensive care level only)
R
M AUGMENTED CARE PLANNED INDICATOR R
M AUGMENTED CARE OUTCOME INDICATOR  
M AUGMENTED CARE PERIOD DISPOSAL  
M END DATE (AUGMENTED CARE PERIOD)  
M SPECIALTY FUNCTION CODES (AUGMENTED CARE PERIOD) R
M LOCATION CLASS R
M AUGMENTED CARE LOCATIONS R
(HCA) GP Registration:

To carry the details of the Patient's Registered GMP. One occurrence of this Group is permitted.
M GMP (CODE OF REGISTERED OR REFERRING GMP) R
O CODE OF GP PRACTICE (REGISTERED GMP) R
O ORGANISATION CODE TYPE R
(HCA) Referral:

To carry the details of the referrer. One occurrence of this Group is permitted.
M REFERRER CODES R
M REFERRING ORGANISATION CODES R
M ORGANISATION CODE TYPE R
(HCA) Elective Admission List Entry:

To carry the details of the Elective Admission List Entry. One occurrence of this Group is permitted.
M DURATION OF ELECTIVE WAITS R
M INTENDED MANAGEMENTS R
M DECIDED TO ADMIT DATES
(for this provider)
R
(HCA) Healthcare Resource Group Activity - Activity Characteristics:

To carry the details of the Healthcare Resource Group. This is mandatory from 01/10/2001. One occurrence of this Group is permitted.
M HEALTHCARE RESOURCE GROUP CODE  
M HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER  
(HCA) Healthcare Resource Group Activity - Clinical Activity Group:

To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted. Only one Procedure either OPCS or READ may be specified
O PROCEDURE SCHEME IN USE  
O HRG DOMINANT GROUPING VARIABLE-PROCEDURE  


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ADMITTED PATIENT CARE CDS TYPE - HOME BIRTH

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COMMISSIONING DATA SET (CDS)

ADMITTED PATIENT CARE CDS TYPE - HOME BIRTH

The Admitted Patient Care Home Birth Commissioning Data Set Type carries the data for a Home Birth.

The column headed Opt (Optionality) shows whether the Data item is Mandatory M or Optional O.

Opt CDS Data Item U/A
Person Group (Patient):

To carry the personal details of the Patient (the baby). One occurrence of this Group is permitted.
M LOCAL PATIENT IDENTIFIER  
M ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)  
M ORGANISATION CODE TYPE  
O NHS NUMBERS  
M BIRTH DATES  
M BIRTH WEIGHTS  
M LIVE OR STILL BIRTHS  
O ETHNIC CATEGORIES  
M NHS NUMBER STATUS INDICATOR  
M SEX  
O NAME FORMAT CODES  
O PATIENT NAMES  
  Note:
Birth Episodes need not carry an address of the baby. By local agreement, it may be assumed that the baby's address details are identical to that of the mother whose details may be carried in the Person Group (Mother) of the Birth Occurrence Group.
 
(HCA) GP Registration:

To carry the details of the baby's mother's Registered GMP. One occurrence of this Group is permitted.
M GMP (CODE OF REGISTERED OR REFERRING GMP)  
O CODE OF GP PRACTICE (REGISTERED GMP)  
O ORGANISATION CODE TYPE  
(HCA) Pregnancy Activity Characteristics:

To carry the number of babies resulting from this pregnancy. One occurrence of this Group is permitted.
M NUMBER OF BABIES  
(HCA) Antenatal Care Activity Characteristics:

To carry details of the start of the antenatal care. One occurrence of this Group is permitted.
M FIRST ANTENATAL ASSESSMENT DATES  
(HCA) Antenatal Care Person Group (Responsible Clinician):

To carry details of the responsible clinician. One occurrence of this Group is permitted.
M GMP (CODE OF GMP RESPONSIBLE FOR ANTENATAL CARE)  
O CODE OF GP PRACTICE (REGISTERED GMP - ANTENATAL CARE)  
O ORGANISATION CODE TYPE  
(HCA) Antenatal Care Location Group (Delivery Place Intended):

To carry details of the intended delivery place. One occurrence of this Group is permitted.
M LOCATION CLASS  
M DELIVERY PLACE CHANGE REASONS  
M DELIVERY PLACE TYPE (INTENDED)  
(HCA) Hospital Labour/Delivery Activity Characteristics:

To carry details of the Labour/Delivery. One occurrence of this Group is permitted.
M ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY  
M ANAESTHETIC GIVEN POST LABOUR OR DELIVERY  
O GESTATION LENGTH (LABOUR ONSET)  
M LABOUR OR DELIVERY ONSET METHODS  
M DELIVERY DATES  
(HCA) Home Labour/Delivery - Service Agreement Details:

To carry the details of the Service Agreement for the Consultant/ Midwife/ Nurse Episode.
M COMMISSIONING SERIAL NUMBERS  
O NHS SERVICE AGREEMENT LINE NUMBERS  
O PROVIDER REFERENCE NUMBERS  
O COMMISSIONER REFERENCE NUMBERS  
M ORGANISATION CODES (CODE OF PROVIDER)  
M ORGANISATION CODE TYPE  
M ORGANISATION CODES (CODE OF COMMISSIONER)  
M ORGANISATION CODE TYPE  
(HCA) Birth Occurrence Activity Characteristics:

To carry details of the birth occurrence. One occurrence of this Group is permitted.
M BIRTH ORDERS  
M DELIVERY METHODS  
M GESTATION LENGTH (ASSESSMENT)  
M RESUSCITATION METHODS  
M STATUS OF PERSON CONDUCTING DELIVERIES  
(HCA) Birth Occurrence Person Group (Mother):

To carry the personal details of the baby's mother. One occurrence of this Group is permitted.
O LOCAL PATIENT IDENTIFIER (MOTHER)  
O ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER))  
O ORGANISATION CODE TYPE (MOTHER)  
O NHS NUMBER (MOTHER)  
O NHS NUMBER STATUS INDICATOR (MOTHER)  
M BIRTH DATE (MOTHER)  
O ADDRESS FORMAT CODE (MOTHER)  
O PATIENT USUAL ADDRESS (MOTHER)  
M POSTCODE OF USUAL ADDRESS  
M HA OF RESIDENCES  
M ORGANISATION CODE (PCT OF RESIDENCE)  
M ORGANISATION CODE TYPE  
  Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present.
 
(HCA) Birth Occurrence Location - Delivery Place Actual:

To carry the type of place where delivery actually occurred. One occurrence of this Group within each Birth Group is permitted.
M LOCATION CLASS  
M DELIVERY PLACE TYPE (ACTUAL)  


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ADMITTED PATIENT CARE CDS TYPE - HOME DELIVERY

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COMMISSIONING DATA SET (CDS)

ADMITTED PATIENT CARE CDS TYPE - HOME DELIVERY

The Admitted Patient Care Home Delivery Commissioning Data Set Type carries the data for Home Delivery Episode.

The column headed Opt (Optionality) shows whether the Data item is Mandatory M or Optional O.

Opt CDS Data Item U/A
Person Group (Patient):

To carry the personal details of the Patient. One occurrence of this Group is permitted.
M LOCAL PATIENT IDENTIFIER  
M ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)  
M ORGANISATION CODE TYPE  
M NHS NUMBERS  
M BIRTH DATES  
O CARER SUPPORT INDICATORS  
M ETHNIC CATEGORIES  
M MARITAL STATUS
(psychiatric patients only)
 
M NHS NUMBER STATUS INDICATOR  
M SEX  
M PREGNANCY TOTAL PREVIOUS PREGNANCIES  
O NAME FORMAT CODES  
O PATIENT NAMES  
O ADDRESS FORMAT CODE  
O PATIENT USUAL ADDRESS  
M POSTCODE OF USUAL ADDRESS  
M HA OF RESIDENCES  
M ORGANISATION CODE (PCT OF RESIDENCE)  
M ORGANISATION CODE TYPE  
  Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present.
 
(HCA) GP Registration:

To carry the details of the Patient's Registered GMP. One occurrence of this Group is permitted.
M GMP (CODE OF REGISTERED OR REFERRING GMP)  
O CODE OF GP PRACTICE (REGISTERED GMP)  
O ORGANISATION CODE TYPE  
(HCA) Pregnancy Activity Characteristics:

To carry the number of babies resulting from this pregnancy. One occurrence of this Group is permitted.
M NUMBER OF BABIES  
(HCA) Antenatal Care Activity Characteristics:

To carry details of the start of the antenatal care. One occurrence of this Group is permitted.
M FIRST ANTENATAL ASSESSMENT DATES  
(HCA) Antenatal Care Person Group (Responsible Clinician):

To carry details of the responsible clinician. One occurrence of this Group is permitted.
M GMP (CODE OF GMP RESPONSIBLE FOR ANTENATAL CARE)  
O CODE OF GP PRACTICE (REGISTERED GMP - ANTENATAL CARE)  
O ORGANISATION CODE TYPE  
(HCA) Antenatal Care Location Group (Delivery Place Intended):

To carry details of the intended delivery place. One occurrence of this Group is permitted.
M LOCATION CLASS  
M DELIVERY PLACE CHANGE REASONS  
M DELIVERY PLACE TYPE (INTENDED)  
(HCA) Home Labour/Delivery Activity Characteristics:

To carry details of the Labour/Delivery. One occurrence of this Group is permitted.
M ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY  
M ANAESTHETIC GIVEN POST LABOUR OR DELIVERY  
O GESTATION LENGTH (LABOUR ONSET)  
M LABOUR OR DELIVERY ONSET METHODS  
M DELIVERY DATES  
(HCA) Home Labour/Delivery Service Agreement Details:

To carry the details of the Service Agreement for the Consultant/ Midwife/ Nurse Episode.
M COMMISSIONING SERIAL NUMBERS  
O NHS SERVICE AGREEMENT LINE NUMBERS  
O PROVIDER REFERENCE NUMBERS  
O COMMISSIONER REFERENCE NUMBERS  
M ORGANISATION CODES (CODE OF PROVIDER)  
M ORGANISATION CODE TYPE  
M ORGANISATION CODES (CODE OF COMMISSIONER)  
M ORGANISATION CODE TYPE  
(HCA) Birth Occurrence Activity Charactersistics:

To carry details of the birth occurrence(s). Up to nine occurrences of the Birth Group are permitted.
M BIRTH ORDERS  
M DELIVERY METHODS  
M GESTATION LENGTH (ASSESSMENT)  
M RESUSCITATION METHODS  
M STATUS OF PERSON CONDUCTING DELIVERIES  
(HCA) Birth Occurrence Person Group (Baby):

To carry the personal details of the birth occurrence(s). One occurrence of this Group within each Birth Group is permitted.
O LOCAL PATIENT IDENTIFIER (BABY)  
O ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY))  
O ORGANISATION CODE TYPE (BABY)  
O NHS NUMBER (BABY)  
O NHS NUMBER STATUS INDICATOR (BABY)  
M BIRTH DATE (BABY)  
M BIRTH WEIGHTS  
M LIVE OR STILL BIRTHS  
M SEX (BABY)  
(HCA) Birth Occurrence Location - Delivery Place Actual:

To carry the type of place where delivery actually occurred. One occurrence of this Group within each Birth Group is permitted.
M LOCATION CLASS  
M DELIVERY PLACE TYPE (ACTUAL)  


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ELECTIVE ADMISSION LIST CMDS-END OF PERIOD CENSUS

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COMMISSIONING MINIMUM DATA SET (CMDS)

ELECTIVE ADMISSION LIST CMDS-End of Period Census

The Elective Admission List CMDS is split into two data sets or lists of data items. The first data set consists of records of individual patients waiting for elective admission at a specified point in time, called the End of Period Census. The mandatory End of Period Census CMDS must flow for all booked, planned and waiting list admissions.

The End of Period Census carries details of all patients currently on an Elective Admission List. For this reason the Removal Details are not included in the Census, since they apply to patients who have been taken off the list. If agreed locally, the Removal details may be included in the End of Period Census, to give a complete picture of a patient's waiting list experience.

The information should be sent within one month of the end of the period to which it relates, unless a shorter time scale has been stipulated by the recipient. For example, the information for April should be sent by the end of May.

In the table below, the column headed Opt shows the optionality with M denoting Mandatory and O denoting Optional.

Opt CMDS Data Item
Commissioning Details
M ORGANISATION CODES (CODE OF PROVIDER)
M ORGANISATION CODES (CODE OF COMMISSIONER)
M COMMISSIONING SERIAL NUMBERS
O NHS SERVICE AGREEMENT LINE NUMBERS
M COMMISSIONER REFERENCE NUMBERS
Patient Details
M NHS NUMBER
M NHS NUMBER STATUS INDICATOR
O PATIENT NAMES
O NAME FORMAT CODES
O PATIENT USUAL ADDRESS
M POSTCODE OF USUAL ADDRESS
M HA OF RESIDENCES
M ORGANISATION CODE (PCT OF RESIDENCE)
M SEX
O CARER SUPPORT INDICATORS
M BIRTH DATES
M BIRTH DATE STATUS
M GMP (CODE OF REGISTERED OR REFERRING GMP)
O CODE OF GP PRACTICE (REGISTERED GMP)
M LOCAL PATIENT IDENTIFIER
Referral Details
M REFERRER CODES
M REFERRING ORGANISATION CODES
Elective Admission List Details
M ELECTIVE ADMISSION LIST ENTRY NUMBERS
M ADMINISTRATIVE CATEGORY
M ELECTIVE ADMISSION TYPES
M DECIDED TO ADMIT DATES
(for this provider)
M DECIDED TO ADMIT DATE STATUS
M ORIGINAL DECIDED TO ADMIT DATES
M ORIGINAL DECIDED TO ADMIT DATE STATUS
O GUARANTEED ADMISSION DATES
O GUARANTEED ADMISSION DATE STATUS
M INTENDED PROCEDURE STATUS
O INTENDED PROCEDURE (OPCS)
O INTENDED PROCEDURE 2 (OPCS)
O INTENDED PROCEDURE 3 (OPCS)
O INTENDED PROCEDURE (READ)
O INTENDED PROCEDURE 2 (READ)
O INTENDED PROCEDURE 3 (READ)
M INTENDED MANAGEMENTS
O INTENDED SITE CODES (OF TREATMENT)
M PRIORITY TYPES
(new patients)
M ELECTIVE ADMISSION LIST STATUS
M SPECIALTY FUNCTION CODES
M CONSULTANT SPECIALTY FUNCTION CODES
O LOCAL SUB-SPECIALTY CODES
M CONSULTANT CODES
M DATE OF ELECTIVE ADMISSION LIST CENSUS
M LAST DNA OR PATIENT CANCELLED DATES
M LAST DNA OR PATIENT CANCELLED DATE STATUS
O WAITING LIST ENTRY LAST REVIEWED DATES
O WAITING LIST ENTRY LAST REVIEWED DATE STATUS
Commissioning Change Details
O NHS SERVICE AGREEMENT CHANGE TYPES
O NHS SERVICE AGREEMENTS CHANGE DATES
O NHS SERVICE AGREEMENT CHANGE DATE STATUS
Suspension Details
M COUNT OF DAYS SUSPENDEDS
Offer of Admission Details
M OFFERED FOR ADMISSION DATES
M OFFERED FOR ADMISSION DATE STATUS
O ADMISSION OFFER OUTCOMES
Healthcare Resource Group Details
O HEALTHCARE RESOURCE GROUP CODE
O HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER
O HRG DOMINANT GROUPING VARIABLE-PROCEDURE

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ELECTIVE ADMISSION LIST CMDS-EVENT DURING PERIOD

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COMMISSIONING MINIMUM DATA SET (CMDS)

ELECTIVE ADMISSION LIST CMDS-Event During Period

The Event During Period CMDS gives details of all events - patients added or removed from the Elective Admission List - that have taken place during the period.

This CMDS is intended from those providers / commissioners who have the capability to implement transaction-based processing.

The optional Event During Period CMDSs, if implemented, should flow as required, i.e. whenever an event takes place. They should be supplemented by an annual End of Period Census.

In the table below, the column headed Opt shows the optionality with M denoting Mandatory and O denoting Optional.

Opt CMDS Data Item
Commissioning Details
M ORGANISATION CODES (CODE OF PROVIDER)
M ORGANISATION CODES (CODE OF COMMISSIONER)
M COMMISSIONING SERIAL NUMBERS
O NHS SERVICE AGREEMENT LINE NUMBERS
M COMMISSIONER REFERENCE NUMBERS
Patient Details
M NHS NUMBER
M NHS NUMBER STATUS INDICATOR
O PATIENT NAMES
O NAME FORMAT CODES
O PATIENT USUAL ADDRESS
M POSTCODE OF USUAL ADDRESS
M HA OF RESIDENCES
M ORGANISATION CODE (PCT OF RESIDENCE)
M SEX
O CARER SUPPORT INDICATORS
M BIRTH DATES
M BIRTH DATE STATUS
M GMP (CODE OF REGISTERED OR REFERRING GMP)
O CODE OF GP PRACTICE (REGISTERED GMP)
M LOCAL PATIENT IDENTIFIER
Referral Details
M REFERRER CODES
M REFERRING ORGANISATION CODES
Elective Admission List Details
M ELECTIVE ADMISSION LIST ENTRY NUMBERS
M ELECTIVE ADMISSION LIST RECORD TYPES
M ADMINISTRATIVE CATEGORY
M ELECTIVE ADMISSION TYPES
M DECIDED TO ADMIT DATES
(for this provider)
M DECIDED TO ADMIT DATE STATUS
M ORIGINAL DECIDED TO ADMIT DATES
M ORIGINAL DECIDED TO ADMIT DATE STATUS
O GUARANTEED ADMISSION DATES
O GUARANTEED ADMISSION DATE STATUS
M INTENDED PROCEDURE STATUS
O INTENDED PROCEDURE (OPCS)
O INTENDED PROCEDURE 2 (OPCS)
O INTENDED PROCEDURE 3 (OPCS)
O INTENDED PROCEDURE (READ)
O INTENDED PROCEDURE 2 (READ)
O INTENDED PROCEDURE 3 (READ)
M INTENDED MANAGEMENTS
O INTENDED SITE CODES (OF TREATMENT)
M PRIORITY TYPES
(new patients)
M ELECTIVE ADMISSION LIST STATUS
M SPECIALTY FUNCTION CODES
M CONSULTANT SPECIALTY FUNCTION CODES
O LOCAL SUB-SPECIALTY CODES
M CONSULTANT CODES
M LAST DNA OR PATIENT CANCELLED DATES
M LAST DNA OR PATIENT CANCELLED DATE STATUS
O WAITING LIST ENTRY LAST REVIEWED DATES
O WAITING LIST ENTRY LAST REVIEWED DATE STATUS
Commissioning Change Details
O NHS SERVICE AGREEMENT CHANGE TYPES
O NHS SERVICE AGREEMENTS CHANGE DATES
O NHS SERVICE AGREEMENT CHANGE DATE STATUS
Suspension Details
M SUSPENSION START DATES
M SUSPENSION START DATE STATUS
M SUSPENSION END DATES
M SUSPENSION END DATE STATUS
Offer of Admission Details
M OFFERED FOR ADMISSION DATES
M OFFERED FOR ADMISSION DATE STATUS
O ADMISSION OFFER OUTCOMES
Elective Admission Removal Details
M ELECTIVE ADMISSION LIST REMOVAL DATES
M ELECTIVE ADMISSION LIST REMOVAL DATE STATUS
M ELECTIVE ADMISSION LIST REMOVAL REASONS
Healthcare Resource Group Details
O HEALTHCARE RESOURCE GROUP CODE
O HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER
O HRG DOMINANT GROUPING VARIABLE-PROCEDURE


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HES GENERAL EPISODE RECORD

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HOSPITAL EPISODE STATISTICS (HES)

HES GENERAL EPISODE RECORD

The HES General Episode covers all NHS and private Admitted Patient Care (day case and inpatient) activity taking place in any acute, community, psychiatric NHS Trust or Primary Care Trust or other NHS hospital under the care of a consultant, midwife or nurse. Additionally, NHS funded Admitted Patient Care taking place in non-NHS hospitals and institutions is required for HES.

The table below lists the HES data items for the General Episode and indicates whether the data items should be included in the Unfinished Episode and Annual Census. This inclusion and indication are given in the column headed U/A (Unfinished Episode / Annual Census). An R in the U/A column idicates that it is required to be present, a blank indicates that it is not required to be present.

An Unfinished General Episode record is required for all unfinished general episodes at midnight on 31 March. Unfinished General Episode records are also required for short-stay informal psychiatric patients who are resident in hopsital or on leave of absence (home leave) on 31 March and who have been in hospital for less than 12 months.

Field HES Data Item U/A
General Details
1 RECORD TYPE R
2 ORGANISATION CODES (CODE OF PROVIDER) R
3 ORGANISATION CODES (CODE OF COMMISSIONER) R
4 SEX R
5 MARITAL STATUS
(psychiatric patients only)
R
6 POSTCODE OF USUAL ADDRESS R
7 BIRTH DATES R
8 ETHNIC CATEGORIES R
Note:
ETHNIC CATEGORY is not required for Birth and Other Birth Event Records
9 START DATES (HOSPITAL PROVIDER SPELL) R
10 ADMISSION METHOD (HOSPITAL PROVIDER SPELL) R
11 SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL) R
12 DECIDED TO ADMIT DATES R
13 CATEGORY OF PATIENTS R
14 DURATION OF ELECTIVE WAITS R
15 START DATES (EPISODE) R
16 AGE AT START OF EPISODE  
Note:
AGE AT START OF EPISODE is not required but is retained in the data set to allow the position of other fields to remain unaltered
17 SPECIALTY FUNCTION CODES R
18 CONSULTANT SPECIALTY FUNCTION CODES R
Patient Diagnosis
19 PRIMARY (ICD-10)  
20 SUBSIDIARY (ICD-10)  
Note:
SUBSIDIARY (ICD-10) is not required but is retained in the data set to allow the position of other fields to remain unaltered
21 FIRST SECONDARY (ICD-10)  
22 SECOND SECONDARY (ICD-10)  
23 THIRD SECONDARY (ICD-10)  
24 FOURTH SECONDARY (ICD-10)  
25 FIFTH SECONDARY (ICD-10)  
Patient Operative Procedure
26 PRIMARY OPERATION (OPCS-4)  
27 PRIMARY PROCEDURE DATES  
28 SECOND OPERATION (OPCS-4)  
29 SECOND OPERATION DATE  
30 THIRD OPERATION (OPCS-4)  
31 THIRD OPERATION DATE  
32 FOURTH OPERATION (OPCS-4)  
33 FOURTH OPERATION DATE  
Patient Discharge
34 EPISODE NUMBERS R
35 DURATION OF EPISODE  
Note:
DURATION OF EPISODE is not required but is retained in the data set to allow the position of other fields to remain unaltered
36 END DATES (EPISODE)  
37 DISCHARGE DATES (HOSPITAL PROVIDER SPELL)  
38 DISCHARGE METHODS (HOSPITAL PROVIDER SPELL) R
39 DISCHARGE DESTINATIONS (HOSPITAL PROVIDER SPELL) R
40 PATIENT CLASSIFICATIONS R
41 NEONATAL LEVEL OF CARE R
42 PSYCHIATRIC PATIENT STATUS R
43 LAST EPISODE IN SPELL INDICATORS R
44 ADMINISTRATIVE CATEGORY
(on admission)
R
45 LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) R
Note:
Approval was granted for collection of LEGAL STATUS CLASSIFICATION CODE for years 1998/1999, 1999/2000, 2000/2001 and 2001/2002.
46 REFERRER CODES R
47 INTENDED MANAGEMENTS R
48 HOSPITAL PROVIDER SPELL NUMBERS R
49 WARD TYPE AT START OF EPISODE R
50 CARER SUPPORT INDICATORS R
51 NHS NUMBER R
52 LOCAL PATIENT IDENTIFIER R
53 CONSULTANT CODES R
54 GMP (CODE OF REGISTERED OR REFERRING GMP) R
55 CODE OF GP PRACTICE (REGISTERED GMP) R
56 SITE CODE (OF TREATMENT)
(at start of episode)
R
57 HA OF RESIDENCE  
57 ORGANISATION CODE (PCT OF RESIDENCE)  
58 DETENTION CATEGORY  
59 HEALTHCARE RESOURCE GROUP CODE R
60 HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER R


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HES OTHER DELIVERY OTHER BIRTH EVENT RECORD

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HOSPITAL EPISODE STATISTICS (HES)

HES OTHER DELIVERY OTHER BIRTH EVENT RECORD

This applies to all delivery events other than those resulting in delivery or birth episodes under NHS funding or in any other facility supplied under a service agreement with the NHS.

The data in these records come from birth notification records and require only a limited data set to be completed.

Maternity events, taking place in either NHS hospitals or in non-NHS hospitals funded by the NHS, will be recorded as ordinary Delivery and Birth episodes.

Field HES Data Item
General Details
1 RECORD TYPE
2 ORGANISATION CODES (CODE OF PROVIDER)
3 ORGANISATION CODES (CODE OF COMMISSIONER)
4 SEX
5 MARITAL STATUS
(psychiatric patients only)
6 POSTCODE OF USUAL ADDRESS
7 BIRTH DATES
8 ETHNIC CATEGORIES
Note:
ETHNIC CATEGORY is not required for Birth and Other Birth Event Records
10 ADMISSION METHOD (HOSPITAL PROVIDER SPELL)
11 SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)
13 CATEGORY OF PATIENTS
14 DURATION OF ELECTIVE WAITS
16 AGE AT START OF EPISODE
Note:
AGE AT START OF EPISODE is not required but is retained in the data set to allow the position of other fields to remain unaltered
17 SPECIALTY FUNCTION CODES
18 CONSULTANT SPECIALTY FUNCTION CODES
Patient Discharge
34 EPISODE NUMBERS
35 DURATION OF EPISODE
38 DISCHARGE METHODS (HOSPITAL PROVIDER SPELL)
39 DISCHARGE DESTINATIONS (HOSPITAL PROVIDER SPELL)
40 PATIENT CLASSIFICATIONS
41 NEONATAL LEVEL OF CARE
42 PSYCHIATRIC PATIENT STATUS
43 LAST EPISODE IN SPELL INDICATORS
44 ADMINISTRATIVE CATEGORY
(on admission)
45 LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)
Note:
Approval was granted for collection of LEGAL STATUS CLASSIFICATION CODE for years 1998/1999, 1999/2000, 2000/2001 and 2001/2002.
57 HA OF RESIDENCE
57 ORGANISATION CODE (PCT OF RESIDENCE)
Delivery Details from Notification
61 FIRST ANTENATAL ASSESSMENT DATES
62 PREGNANCY TOTAL PREVIOUS PREGNANCIES
63 DELIVERY PLACE TYPE (ACTUAL)
64 DELIVERY PLACE TYPE (INTENDED)
65 DELIVERY PLACE CHANGE REASONS
66 GESTATION LENGTH
67 LABOUR OR DELIVERY ONSET METHODS
68 DELIVERY METHODS
69 STATUS OF PERSON CONDUCTING DELIVERIES
70 ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY
71 ANAESTHETIC GIVEN POST LABOUR OR DELIVERY
72 NUMBER OF BABIES
73 SEX (BABY)
74 BIRTH ORDERS
75 LIVE OR STILL BIRTHS
76 BIRTH WEIGHTS
77 RESUSCITATION METHODS
78 BIRTH DATE (BABY)
79 BIRTH DATE (MOTHER)


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OUT-PATIENT ATTENDANCE CDS TYPE

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COMMISSIONING DATA SET (CDS)

OUT-PATIENT ATTENDANCE CDS TYPE

The Out-Patient Attendance Commissioning Data Set Type carries the data for an Out-Patient Attendance or a missed appointment. The data set only applies for Consultant attendances and appointments.

The column headed Opt (Optionality) shows whether the Data item is Mandatory M, Optional O or Must Not Be Used *.

Opt CDS Data Item U/A
Person Group (Patient):

To carry the personal details of the Patient. One occurrence of this Group is permitted.
M LOCAL PATIENT IDENTIFIER  
M ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)  
M ORGANISATION CODE TYPE  
M NHS NUMBERS  
M BIRTH DATES  
O CARER SUPPORT INDICATORS  
* ETHNIC CATEGORIES  
* MARITAL STATUS
(psychiatric patients only)
 
M NHS NUMBER STATUS INDICATOR  
M SEX  
O NAME FORMAT CODES  
O PATIENT NAMES  
O ADDRESS FORMAT CODE  
O PATIENT USUAL ADDRESS  
M POSTCODE OF USUAL ADDRESS  
M HA OF RESIDENCES  
M ORGANISATION CODE (PCT OF RESIDENCE)  
M ORGANISATION CODE TYPE  
  Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present.
 
(HCA) Consultant Out-Patient Episode - Person Group (Consultant):

To carry the details of the responsible Consultant. One occurrence of this Group is permitted.
M CONSULTANT CODES  
M SPECIALTY FUNCTION CODES  
M CONSULTANT SPECIALTY FUNCTION CODES  
(HCA) Consultant Out-Patient Episode - Clinical Information Group (ICD):

To carry the details of the ICD Diagnosis Scheme and the Diagnoses. Up to 2 occurrences of this Group are permitted.
O DIAGNOSIS SCHEME IN USE  
O PRIMARY DIAGNOSIS (ICD)  
O SECONDARY DIAGNOSIS (ICD)
(1st Secondary)
 
(HCA) Consultant Out-Patient Episode - Clinical Information Group (READ):

To carry the details of the READ Diagnosis Scheme and the Diagnoses. Up to 2 occurrences of this Group are permitted.
O DIAGNOSIS SCHEME IN USE  
O PRIMARY DIAGNOSIS (READ)  
O SECONDARY DIAGNOSIS (READ)
(1st Secondary)
 
(HCA) Attendance Occurrence Activity Characteristics:

To carry the details of the Out-Patient Attendance or missed appointment.
M ATTENDANCE IDENTIFIERS  
M ADMINISTRATIVE CATEGORY  
M ATTENDED OR DID NOT ATTEND  
M FIRST ATTENDANCES  
M MEDICAL STAFF TYPE SEEING PATIENTS  
M OPERATION STATUS
(per attendance)
 
M OUTCOME OF ATTENDANCES  
M APPOINTMENT DATE  
(HCA) Attendance Occurrence - Service Agreement Details:

To carry the details of the Service Agreement for the Out-Patient Attendance.
M COMMISSIONING SERIAL NUMBERS  
O NHS SERVICE AGREEMENT LINE NUMBERS  
O PROVIDER REFERENCE NUMBERS  
M COMMISSIONER REFERENCE NUMBERS  
M ORGANISATION CODES (CODE OF PROVIDER)  
M ORGANISATION CODE TYPE  
M ORGANISATION CODES (CODE OF COMMISSIONER)  
M ORGANISATION CODE TYPE  
(HCA) Attendance Occurrence - Clinical Activity Group (OPCS):

To carry the details of the OPCS coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
O PROCEDURE SCHEME IN USES  
O PRIMARY PROCEDURE (OPCS)  
O PROCEDURE (OPCS)
(2nd to 12th, there may be up to 11 repetitions)
 
(HCA) Attendance Occurrence - Clinical Activity Group (READ):

To carry the details of the READ coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
O PROCEDURE SCHEME IN USES  
O PRIMARY PROCEDURE (READ)  
O PROCEDURE (READ)
(2nd to 12th, there may be up to 11 repetitions)
 
(HCA) Attendance Occurrence - Location Group - Out-Patient Attendance:

To carry the details of the location for the Out-Patient Attendance - Site Code of Treatment. One occurrence of this Group is permitted. One occurrence of this Group is permitted.
M LOCATION CLASS  
M SITE CODE (OF TREATMENT)  
M ORGANISATION CODE TYPE  
(HCA) GP Registration:

To carry the details of the Patient's Registered GMP. One occurrence of this Group is permitted.
M GMP (CODE OF REGISTERED OR REFERRING GMP)  
O CODE OF GP PRACTICE (REGISTERED GMP)  
O ORGANISATION CODE TYPE  
(HCA) Referral Activity Characteristics:

To carry the details of the referral. One occurrence of this Group is permitted.
M PRIORITY TYPES
 
M SERVICE TYPE REQUESTEDS  
M SOURCE OF REFERRAL FOR OUT-PATIENTS  
M REFERRAL REQUEST RECEIVED DATES  
(HCA) Referral Person Group:

To carry the details of the referrer. One occurrence of this Group is permitted.
M REFERRER CODES  
M REFERRING ORGANISATION CODES  
M ORGANISATION CODE TYPE  
(HCA) Missed Appointment Occurrence:

To carry the details of the missed appointment. One occurrence of this Group is permitted.
M LAST DNA OR PATIENT CANCELLED DATES  
(HCA) Healthcare Resource Group Activity - Activity Characteristics:

To carry the details of the Healthcare Resource Group from 01/10/2001. Each CDS may contain only a single occurrence of this Group.
O HEALTHCARE RESOURCE GROUP CODE  
O HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER  
  Note:
If there is no HRG agreed for the Specialty, or samples only are required for the specialty which does not include this particular out-patient attendance, the segments relating to HRGs need not be sent. HRG Dominant Grouping Variable does not apply to out-patient attendances.
 


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WARD ATTENDANCE CDS TYPE

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COMMISSIONING DATA SET (CDS)

WARD ATTENDANCE CDS TYPE

The Ward Attender Commissioning Data Set Type carries the data for a Ward Attender.

The column headed Opt (Optionality) shows whether the Data item is Mandatory M, Optional O or Must Not Be Used *.

Opt CDS Data Item U/A
Person Group (Patient):

To carry the personal details of the Patient. One occurrence of this Group is permitted.
M LOCAL PATIENT IDENTIFIERS  
M ORGANISATION CODES (LOCAL PATIENT IDENTIFIER)  
M ORGANISATION CODE TYPES  
M NHS NUMBERS  
M BIRTH DATES  
O CARER SUPPORT INDICATORS  
M NHS NUMBER STATUS INDICATORS  
M SEX  
O NAME FORMAT CODES  
O PATIENT NAMES  
O ADDRESS FORMAT CODES  
O PATIENT USUAL ADDRESS  
M POSTCODE OF USUAL ADDRESS  
M HA OF RESIDENCES  
M ORGANISATION CODE (PCT OF RESIDENCE)  
M ORGANISATION CODE TYPES  
  Note:
For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present.
 
(HCA) Ward Attendance Occurrence Activity Characteristics:

To carry the details of the Ward Attender.
M ATTENDANCE IDENTIFIERS  
M ADMINISTRATIVE CATEGORIES  
* MEDICAL STAFF TYPE SEEING PATIENTS  
M OPERATION STATUS
(per attendance)
 
M ATTENDANCE DATES  
(HCA) Ward Attendance Occurrence - Service Agreement Details:

To carry the details of the Service Agreement for the Ward Attender.
M COMMISSIONING SERIAL NUMBERS  
O NHS SERVICE AGREEMENT LINE NUMBERS  
O PROVIDER REFERENCE NUMBERS  
* COMMISSIONER REFERENCE NUMBERS  
M ORGANISATION CODES (CODE OF PROVIDER)  
M ORGANISATION CODE TYPES  
M ORGANISATION CODES (CODE OF COMMISSIONER)  
M ORGANISATION CODE TYPES  
(HCA) Ward Attendance Occurrence - Clinical Information Group (ICD):

To carry the details of the ICD Diagnosis Scheme and the Diagnoses. Up to 2 occurrences of this Group are permitted.
O DIAGNOSIS SCHEME IN USES  
O PRIMARY DIAGNOSIS (ICD)  
O SECONDARY DIAGNOSIS (ICD)
(1st Secondary)
 
(HCA) Ward Attendance Occurrence - Clinical Information Group (READ):

To carry the details of the READ Diagnosis Scheme and the Diagnoses. Up to 2 occurrences of this Group are permitted.
O DIAGNOSIS SCHEME IN USES  
O PRIMARY DIAGNOSIS (READ)  
O SECONDARY DIAGNOSIS (READ)
(1st Secondary)
 
(HCA) Ward Attendance Occurrence - Clinical Activity Group (OPCS):

To carry the details of the OPCS coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
O PROCEDURE SCHEME IN USES  
O PRIMARY PROCEDURE (OPCS)  
O PROCEDURE (OPCS)
(2nd to 12th, there may be up to 11 repetitions)
 
(HCA) Ward Attendance Occurrence - Clinical Activity Group (READ):

To carry the details of the READ coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
O PROCEDURE SCHEME IN USES  
O PRIMARY PROCEDURE (READ)  
O PROCEDURE (READ)
(2nd to 12th, there may be up to 11 repetitions)
 
(HCA) Attendance Occurrence - Location Group - Ward Attendance:

To carry the details of the location for the Out-Patient Attendance - Site Code of Treatment. One occurrence of this Group is permitted. One occurrence of this Group is permitted.
M LOCATION CLASS  
M SITE CODE (OF TREATMENT)  
M ORGANISATION CODE TYPES  
M INTENDED CLINICAL CARE INTENSITY  
M AGE GROUP INTENDED  
M SEX OF PATIENTS  
(HCA) GP Registration:

To carry the details of the Patient's Registered GMP. One occurrence of this Group is permitted.
M GMP (CODE OF REGISTERED OR REFERRING GMP)  
O CODE OF GP PRACTICE (REGISTERED GMP)  
O ORGANISATION CODE TYPES  


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KH06R 1

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Central Return Form Guidance

KH06R - Demand for Elective Admission: Events Occurring during the Quarter (Responsible Population Based)

    Contextual Overview

  1. The Department requires performance management measures of waiting times, by HQ and Regional Offices. The Department uses this information to help monitor national waiting list trends. These are used to develop policies and indicate changes which can enable ELECTIVE ADMISSION LISTS 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 based on the return is not published directly; however, the details are used to confirm the responsible population based waiting list statistics.

    Completing Return KH06R - Demand for Elective Admission: Events Occurring During the Quarter

  1. The KH06R return is submitted by HEALTH AUTHORITIES and is based on the population for which the Health Authority is responsible This includes all patients registered with GPs who form part of PRIMARY CARE GROUPS and PRIMARY CARE TRUSTS for which the Health Authority is responsible, including those who are not resident within the Health Authority's geographical area. If a patient waiting for admission to hospital does not have an NHS GP, the responsible Primary Care Group or Primary Care Trust is determined by the postcode of the patient's home. The Health Authority's geographical area is divided up among its Primary Care Groups and Primary Care Trusts for this purpose. The responsible Health Authority is then determined from the Primary Care Group's or Primary Care Trusts's line of accountability, as usual. PATIENTS treated under out of area treatments (OATs) are exceptions, who should be counted by the 'main commissioner'. This is normally the HA with the highest value of Service Agreements with the NHS Trust.

  1. The KH06R return is submitted by PRIMARY CARE TRUSTS and is based on the population for which the Primary Care Trust is responsible This includes all patients registered with GPs who form part of the PRIMARY CARE TRUST, including those who are not resident within the Primary Care Trust's geographical area. If a patient waiting for admission to hospital does not have an NHS GP, the responsible Primary Care Trust is determined by the postcode of the patient's home. PATIENTS treated under out of area treatments (OATs) are exceptions, who should be counted by the 'main commissioner'. This is normally the PCT with the highest value of Service Agreements with the NHS Trust.

  1. KH06R requires information only about waiting list admissions and booked admissions. Do not include planned admissions.

  1. The Health Authority return indicates the experience of PATIENTS for whom the HEALTH AUTHORITY is responsible in terms of their waiting times for admission to hospital, and includes NHS funded PATIENTS waiting for admission either to private or to other non-NHS establishments.

  1. The Primary Care Trust return indicates the experience of PATIENTS for whom the PRIMARY CARE TRUST is responsible in terms of their waiting times for admission to hospital, and includes NHS funded PATIENTS waiting for admission either to private or to other non-NHS establishments.

  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 LISTS for medical reasons or who are unavailable for admission for a specified period because of family commitments, holidays or other reasons. During this period of suspension a PATIENT on an ELECTIVE ADMISSION LIST is unavailable for admisison and therefore should not be given an OFFER OF ADMISSION for that interval.

  1. The return excludes:

    - private patients
    - PATIENTS from overseas.

  1. HA based returns should count a PATIENT once, whether or not the PATIENT is on the waiting lists of two or more NHS Trusts for the same condition.

  1. The return relates to a three month period, the first quarter starting on 1 April and the last quarter ending on 31 March. All four quarterly returns require data at SPECIALTY FUNCTION CODE level. Returns must be submitted by the thirtieth working day after the end of the quarter.


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KH07AR 1

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Central Return Form Guidance

KH07AR - Demand for Elective Admission: Number of Patients who have deferred admission waiting at the end of the Quarter (Responsible Population Based)

    Contextual Overview

  1. The Department requires HQ and Regional Offices to manage waiting time performance. The Department uses the information from this return to help monitor national waiting list trends. These are used to develop policies and indicate changes which can enable ELECTIVE ADMISSION LISTS to be managed more effectively.

  1. The Department requires HQ and Strategic Health Authorities to manage waiting time performance. The Department uses the information from this return to help monitor national waiting list trends. These are used to develop policies and indicate changes which can enable ELECTIVE ADMISSION LISTS to be managed more effectively.

  1. Information on the return is not published directly; however, the details are used to confirm the responsible population based waiting list statistics.

    Completing the Return KH07AR - Demand for Elective Admission: Number of Patients who have deferred admission waiting at the end of the Quarter

  1. The return KH07AR is submitted by HEALTH AUTHORITIES and is based on the population for which the Health Authority is responsible. This includes all patients registered with GPs who form part of PRIMARY CARE GROUPS and PRIMARY CARE TRUSTS for which the Health Authority is responsible, including those who are not resident within the Health Authority's geographical area. If a patient waiting for admission to hospital does not have an NHS GP, the responsible Primary Care Group or Primary Care Trust is determined by the postcode of the patient's home. The Health Authority's geographical area is divided up among its Primary Care Groups and Primary Care Trusts for this purpose. The responsible Health Authority is then determined from the Primary Care Group's or Primary Care Trusts's line of accountability, as usual. PATIENTS treated under out of area treatments (OATs) are exceptions, who should be counted by the 'main commissioner'. This is normally the HA with the highest value of Service Agreements with the NHS Trust.

  1. The return KH07AR is submitted by NHS TRUSTS and PRIMARY CARE TRUSTS and is based on the population for which the NHS Trust or Primary Care Trust is responsible. This includes all patients registered with GPs who form part of the PRIMARY CARE TRUSTS including those who are not resident within the Primary Care Trust's geographical area. If a patient waiting for admission to hospital does not have an NHS GP, the responsible Primary Care Trust is determined by the postcode of the patient's home. PATIENTS treated under out of area treatments (OATs) are exceptions, who should be counted by the 'main commissioner'. This is normally the PCT with the highest value of Service Agreements with the NHS Trust.

  1. KH07AR requires information only about waiting list admissions and booked admissions. Planned admissions are excluded.

  1. The return indicates the experience of PATIENTS for whom the HEALTH AUTHORITY is responsible in terms of their waiting times for admission to hospital, and includes NHS funded PATIENTS waiting for admission either to private or to other non-NHS establishments.

  1. The return indicates the experience of PATIENTS for whom the PRIMARY CARE TRUST is responsible in terms of their waiting times for admission to hospital, and includes NHS funded PATIENTS waiting for admission either to private or to other non-NHS establishments.

  1. The return is sub-divided into deferred admissions and suspended patients each of which are then divided into those intended to be treated as ordinary admissions and those intended to be treated as day case admissions. Deferred admissions and suspended patients should be counted by SPECIALTY FUNCTION CODE.

    Deferred admissions

  1. Deferred admissions are patients with an ADMISSION OFFER OUTCOME of Patient failed to arrive or Admission cancelled by, or on behalf of, patient.

  1. A PATIENT can only be included in the count of deferred admissions once the offered date for admission has passed. This means that PATIENTS who have self-deferred during the period but whose offered admission dates have not passed at the CENSUS DATE are not included. Note that PATIENTS who have self-deferred a planned admission are excluded from this return.

    Suspended patients

  1. Suspended patients are PATIENTS who have been suspended from the ELECTIVE ADMISSION LISTS for medical reasons or who are unavailable for admission for a specified period because of family commitments, holidays or other reasons. During this period of suspension a PATIENT on an ELECTIVE ADMISSION LIST is unavailable for admission and therefore should not be given an OFFER OF ADMISSION for that interval. The return excludes:

    - private patients
    - PATIENTS from overseas.

  1. HA based returns should count a PATIENT once, whether or not the PATIENT is on the waiting lists of two or more NHS Trusts for the same condition.

  1. The inclusion of suspended patients in KH07AR allows the data in KH06R and QF01 to be checked for consistency. PATIENTS waiting at the end of the period should be equivalent to PATIENTS waiting at the end of the last period plus the number of additions and minus the number of PATIENTS admitted in the period or removed from the ELECTIVE ADMISSION LISTS for other reasons. For the figures to balance, suspended patients must also be taken into account.

  1. The return relates to a three month period, the first quarter starting on 1 April and the last quarter ending on 31 March. All four quarterly returns require data at SPECIALTY FUNCTION CODE level. Returns must be submitted by the thirtieth working day after the end of the quarter.


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AD020 CORE ADMINISTRATIVE DATA - ORGANISATION DETAILS

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 AD020 Core Administrative Data - Organisation Details 


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AD030 CORE ADMINISTRATIVE DATA - ADDRESS & GEOGRAPHIC AREA DETAILS

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 AD030 Core Administrative Data - Address & Geographic Area Details 


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CDS010 COMMISSIONING DETAILS AND SERVICE ARRANGEMENT CHANGE DETAILS - ALL CDS TYPES

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 CDS010 Commissioning Details and Service Arrangement Change Details - all CDS Types 


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CDS020 PATIENT DETAILS - ALL CDS TYPES

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 CDS020 Patient Details - all CDS Types 


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CDS030 REFERRAL DETAILS - ALL CDS TYPES

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 CDS030 Referral Details - all CDS Types 


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CM020 COMMUNITY PROGRAMMES

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 CM020 Community Programmes 


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CM030 COMMUNITY - CHILD HEALTH AND IMMUNISATION FOR HEALTH AUTHORITIES

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CM030 COMMUNITY - CHILD HEALTH AND IMMUNISATION FOR HEALTH AUTHORITIES

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 CM030 Community - Child Health and Immunisation for Health Authorities  CM030 Community - Child Health and Immunisation for Primary Care Trusts 


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CM040 COMMUNITY - CHILD HEALTH AND IMMUNISATION FOR HEALTH CARE PROVIDERS

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 CM040 Community - Child Health and Immunisation for Health Care Providers 


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CM070 SCREENING FOR HEALTH CARE PROVIDERS

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 CM070 Screening for Health Care Providers 


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CM120 DRUG MISUSE

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 CM120 Drug Misuse 


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CMDS030 GP REFERRAL LETTERS CMDS

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 CMDS030 GP Referral Letters CMDS 


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EXTDRUG EXTENDED DRUG MISUSE DATABASE

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 EXTDRUG Extended Drug Misuse Database 


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GN020 ORGANISATION STRUCTURE

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 GN020 Organisation Structure 


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GN060 SERVICES PROVIDED BY NON-HOSPITAL SERVICES

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 GN060 Services Provided by Non-Hospital Services 


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HA48 LIST OF OPHTHALMIC PRACTITIONERS

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 HA48 List of Ophthalmic Practitioners 


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HP170 HOSPITAL BEDS - PLANNING INTENT

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 HP170 Hospital Beds - Planning Intent 


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KH06R DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED

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 KH06R Demand for Elective Admission: Position at the End of the Quarter, Responsible Population Based 


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KH07A DEMAND FOR ELECTIVE ADMISSION: NUMBER OF PATIENTS WHO HAVE DEFERRED ADMISSION WAITING AT THE END OF THE QUARTER, PROVIDER BASED

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 KH07A Demand for Elective Admission: Number of Patients who have Deferred Admission Waiting at the End of the Quarter, Provider Based 


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KH07AR DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED

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 KH07AR Demand for Elective Admission: Position at the End of the Quarter, Responsible Population Based 


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MS040 GP HOSPITAL COMMUNICATION MESSAGES - CYTOLOGY

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 MS040 GP Hospital Communication Messages - Cytology 


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PC020 GMPS CLAIMS AND PAYMENTS/REIMBURSEMENTS FROM HEALTH AUTHORITIES

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PC020 GMPS CLAIMS AND PAYMENTS/REIMBURSEMENTS FROM HEALTH AUTHORITIES

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PC020 GMPS CLAIMS AND PAYMENTS/REIMBURSEMENTS FROM HEALTH AUTHORITIES

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 PC020 GMPS Claims and Payments/Reimbursements from Health Authorities  PC020 GMPS Claims and Payments/Reimbursements from Primary Care Trusts 


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PC030 GENERAL MEDICAL PRACTITIONER CONTRACTS

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 PC030 General Medical Practitioner Contracts 


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PC110 COMMUNITY PHARMACIES

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 PC110 Community Pharmacies 


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PC120 GENERAL OPHTHALMIC SERVICES

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 PC120 General Ophthalmic Services 


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PC130 EMERGENCY DENTAL SERVICES

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 PC130 Emergency Dental Services 


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QF01 DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED

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 QF01 Demand for Elective Admission: Position at the End of the Quarter, Responsible Population Based 


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QM08R OUT-PATIENT FIRST ATTENDANCES: RESPONSIBLE POPULATION BASED

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 QM08R Out-Patient First Attendances: Responsible Population Based 


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QNW QUALIFIED NURSE WORKFORCE MONITORING RETURN

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 QNW Qualified Nurse Workforce Monitoring Return 


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SBE515 OPHTHALMIC SERVICES SIGHT TESTS, SPECTACLE SUPPLY AND REPAIRS

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 SBE515 Ophthalmic Services Sight Tests, Spectacle Supply and Repairs 


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CM020

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Model View Diagram - Overview

CM020 - COMMUNITY PROGRAMMES

  1. This diagram identifies the recognised types of HEALTH AUTHORITY PROGRAMME. Each HEALTH AUTHORITY PROGRAMME will have an allocation of resources to provide a level of service to meet planned objectives (HEALTH AUTHORITY PROGRAMME STATEMENT) during a FINANCIAL PERIOD.

  1. This diagram identifies the recognised types of HEALTH PROGRAMME. Each HEALTH PROGRAMME will have an allocation of resources to provide a level of service to meet planned objectives (HEALTH PROGRAMME STATEMENT) during a FINANCIAL PERIOD.

  1. The approach taken in the diagrams concerned with the planning and delivery of HEALTH AUTHORITY PROGRAMMES is to separate HEALTH AUTHORITY information needs from HEALTH CARE PROVIDER information needs. HEALTH AUTHORITIES will continue to run HEALTH AUTHORITY PROGRAMMES to meet specific health targets in the local population and clearly need to continue to hold relevant information to achieve this. They may contract one or more HEALTH CARE PROVIDERS to provide services within the framework of an HEALTH AUTHORITY PROGRAMME and providers will need to collect relevant information to be able to deliver these SERVICES PROVIDED.

  1. The approach taken in the diagrams concerned with the planning and delivery of HEALTH PROGRAMMES is to separate PRIMARY CARE TRUST information needs from HEALTH CARE PROVIDER information needs. PRIMARY CARE TRUSTS will continue to run HEALTH PROGRAMMES to meet specific health targets in the local population and clearly need to continue to hold relevant information to achieve this. They may contract one or more HEALTH CARE PROVIDERS to provide services within the framework of an HEALTH PROGRAMME and providers will need to collect relevant information to be able to deliver these SERVICES PROVIDED.

  1. The range and number of HEALTH AUTHORITY PROGRAMMES are determined by each HEALTH AUTHORITIES, but each will be in one of two distinct groups of services; namely, SERVICE TO THE COMMUNITY PROGRAMMES and NURSING IN THE COMMUNITY PROGRAMMES. The latter is described in diagram CM110.

  1. The range and number of HEALTH PROGRAMMES are determined by each PRIMARY CARE TRUST, but each will be in one of two distinct groups of services; namely, SERVICE TO THE COMMUNITY PROGRAMMES and NURSING IN THE COMMUNITY PROGRAMMES. The latter is described in diagram CM110.

  1. SERVICE TO THE COMMUNITY PROGRAMMESS are either STRUCTURED PROGRAMMES (those delivered within a structured framework) or PROF ADVICE AND SUPPORT PROGRAMMES, described in diagram CM080.

  1. The six types of STRUCTURED PROGRAMMESS are also described in more detail in other models, namely:

    - IMMUNISATION PROGRAMMES, diagram CM030 and CM040

    - CONTACT TRACING PROGRAMMES, diagram CM110

    - SCREENING PROGRAMMES, diagram CM050

    - SURVEILLANCE PROGRAMMES, diagram CM030 and CM040

    - HEALTH PROMOTION PROGRAMMES, diagram CM050

    - ORAL HEALTH PROGRAMMES, diagram CM100


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CM030

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Model View Diagram - Overview

CM030 - COMMUNITY - CHILD HEALTH AND IMMUNISATION FOR HEALTH AUTHORITIES

CM030 - COMMUNITY - CHILD HEALTH AND IMMUNISATION FOR PRIMARY CARE TRUSTS

  1. This diagram illustrates a HEALTH AUTHORITY’s information requirements for two types of HEALTH AUTHORITY PROGRAMME, immunisation and screening.

  1. This diagram illustrates a PRIMARY CARE TRUSTS information requirements for two types of HEALTH PROGRAMME, immunisation and screening.

  1. An IMMUNISATION PROGRAMME is aimed at a specific group of individuals, often within a pre-defined age band, to maintain an adequate level of immunisation for a particular disease. As an example, an IMMUNISATION PROGRAMME for IMMUNISATION DISEASE TYPE rubella delivers protection against the disease to one or more SURVEILLANCE PROGRAMMES.

  1. For SURVEILLANCE PROGRAMMES, the broad objective is to monitor health and development. This involves an assessment of a selected group of the population by means of practical and uniform observations and measurements which can be applied rapidly.

  1. Once a group is selected for surveillance, the type of assessment performed is often related to the age of the SURVEILLANCE AGE GROUP. There may be one or more SURVEILLANCE PROGRAMME STAGES in a SURVEILLANCE PROGRAMME. Each SURVEILLANCE PROGRAMME STAGE relates to a specific age band, SURVEILLANCE AGE GROUP, and to one or more HEALTH CARE PROVIDERS.

  1. Because SURVEILLANCE PROGRAMME STAGES cannot be precisely defined to meet the needs of every HEALTH AUTHORITY, each HEALTH AUTHORITY will define its SURVEILLANCE PROGRAMMES and such SURVEILLANCE PROGRAMME STAGES that are necessary to monitor the health of its targeted resident population.

  1. Because SURVEILLANCE PROGRAMME STAGES cannot be precisely defined to meet the needs of every PRIMARY CARE TRUST, each PRIMARY CARE TRUST will define its SURVEILLANCE PROGRAMMES and such SURVEILLANCE PROGRAMME STAGES that are necessary to monitor the health of its targeted resident population.

  1. HEALTH AUTHORITIES may contract one or more HEALTH CARE PROVIDERS to provide services within the framework of an IMMUNISATION PROGRAMME or a SURVEILLANCE PROGRAMME STAGE and providers will need to collect relevant information to be able to deliver these SERVICES PROVIDED (see CM040).

  1. PRIMARY CARE TRUSTS may contract one or more HEALTH CARE PROVIDERS to provide services within the framework of an IMMUNISATION PROGRAMME or a SURVEILLANCE PROGRAMME STAGE and providers will need to collect relevant information to be able to deliver these SERVICES PROVIDED (see CM040).


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CM040

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Model View Diagram - Overview

CM040 - COMMUNITY - CHILD HEALTH AND IMMUNISATION FOR HEALTH CARE PROVIDERS

  1. This diagram illustrates a HEALTH CARE PROVIDER’s information requirements for two types of HEALTH AUTHORITY PROGRAMME: immunisation and screening.

  1. This diagram illustrates a HEALTH CARE PROVIDERS information requirements for two types of HEALTH PROGRAMME: immunisation and screening.

  1. Each PERSON who is part of an IMMUNISATION PROGRAMME is registered as an IMMUNISATION PROGRAMME FOR PERSON for each course and if a PERSON’s programme is not started or completed, the reason is needed.

  1. An IMMUNISATION PROGRAMME FOR PERSON may have more than one IMMUNISATION DOSES GIVEN to provide protection against the disease, as in the case of a tetanus primary course, and may have a TEST OF IMMUNITY, e.g. for the disease tuberculosis.

  1. Each PERSON who is admitted to a SURVEILLANCE PROGRAMME STAGE is registered as a PERSON IN A SURVEILLANCE STAGE.

  1. Once registered as a PERSON IN A SURVEILLANCE STAGE, one or more FACE TO FACE CONTACTS SURVEILLANCE and EDUCATIONAL ASSESSMENTS may be made.


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CM050

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Model View Diagram - Overview

CM050 - CONTACT TRACING, SCREENING, HEALTH PROMOTION FOR HEALTH AUTHORITIES

  1. This diagram describes a HEALTH AUTHORITY’s information requirements for four HEALTH AUTHORITY PROGRAMME types: CONTACT TRACING PROGRAMMES, SCREENING PROGRAMMES, HEALTH PROMOTION PROGRAMME HIV AND AIDS and HEALTH PROMOTION PROGRAMMES.

  1. This diagram describes a HEALTH AUTHORITY’s information requirements for four HEALTH PROGRAMME types: CONTACT TRACING PROGRAMMES, SCREENING PROGRAMMES, HEALTH PROMOTION PROGRAMME HIV AND AIDS and HEALTH PROMOTION PROGRAMMES.

  1. A CONTACT TRACING PROGRAMME is initiated to identify and trace people known or suspected to have been in contact with a specific communicable disease , for example meningococcal meningitis.

  1. SCREENING PROGRAMMES, such as those for cancer of the cervix, are directed towards the detection of a specific disease or condition . For cervical cytology and breast cancer SCREENING PROGRAMMES, there will be a SCREENING POPULATION indicating coverage for women by age group.

  1. HEALTH PROMOTION PROGRAMMES are run to promote health care and prevent illness and disease. Each HEALTH PROMOTION PROGRAMME and each HEALTH PROMOTION PROGRAMME HIV AND AIDS has specific HEALTH PROMOTION PROGRAMME AIM. This includes providing general preventative or advisory services to groups or specific services to clients with identified needs or conditions.

  1. HEALTH PROMOTION PROGRAMME HIV AND AIDS may have a number of No reference found for this link.


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CM060

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Model View Diagram - Overview

CM060 - CONTACT TRACING, HEALTH PROMOTION FOR HEALTH CARE PROVIDERS

  1. This diagram illustrates a HEALTH CARE PROVIDER’s information requirements for two HEALTH AUTHORITY PROGRAMME types: CONTACT TRACING PROGRAMMES and HEALTH PROMOTION PROGRAMMES.

  1. This diagram illustrates a HEALTH CARE PROVIDER’s information requirements for two HEALTH PROGRAMME types: CONTACT TRACING PROGRAMMES and HEALTH PROMOTION PROGRAMMES.

  1. A SERVICE PROVIDED by a HEALTH CARE PROVIDER to fulfill the needs of a CONTACT TRACING PROGRAMME will be to register people who are known or suspected to have been in contact with a specific communicable disease. Once a PERSON IN A CONTACT TRACING PROGRAMME is known, a number of CONTACT TRACING ACTIVITIES may be required.


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CM070

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Model View Diagram - Overview

CM070 - SCREENING FOR HEALTH CARE PROVIDERS

  1. This diagram illustrates a HEALTH CARE PROVIDER’s information requirements for the HEALTH AUTHORITY PROGRAMME type SCREENING PROGRAMMES.

  1. This diagram illustrates a HEALTH CARE PROVIDERS information requirements for the HEALTH PROGRAMME type SCREENING PROGRAMMES.

  1. A PERSON may have a SCREENING TEST either as a result of a REFERRAL FOR SCREENING TEST or because they have received SCREENING TEST INVITATIONS but a PERSON may request a SCREENING TEST without a referral or invitation. Depending on the result of the screening test, a PERSON may then require a further referral; either a REFERRAL FOR BREAST ASSESSMENT, a REFERRAL FOR BIOPSY or a REFERRAL FOR BREAST TREATMENT.


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CM090

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Model View Diagram - Overview

CM090 - COMMUNITY - GENITO-URINARY CLINICS

  1. This diagram shows entity types relevant to genito-urinary clinics. A genito- urinary clinic is an arrangement whereby clinic sessions are held specifically for genito-urinary medicine. It is either a CONSULTANT CLINIC GENITO-URINARY or a NURSE CLINIC GENITO-URINARY and is classified as a type of OUT-PATIENT CLINIC.

  1. Each genito-urinary clinic is separately identified and coded and will be managed by one SERVICE POINT in an ORGANISATION. It is possible that a SERVICE POINT may control or monitor a group of genito-urinary clinics.

  1. All services provided by a CONSULTANT CLINIC GENITO-URINARY or NURSE CLINIC GENITO-URINARY will be treated as one SERVICE PROVIDED and will be the responsibility of one purchaser, the HEALTH AUTHORITY.

  1. All services provided by a CONSULTANT CLINIC GENITO-URINARY or NURSE CLINIC GENITO-URINARY will be treated as one SERVICE PROVIDED and will be the responsibility of one purchaser.

  1. When a PATIENT is attending a genito-urinary clinic for treatment, it will be part of a GENITO-URINARY EPISODE. Most PATIENTS attend genito-urinary clinics for the treatment of a disease that is sexually transmitted.

  1. Each GENITO-URINARY EPISODE may be made up of a number of GENITO-URINARY CLINIC ATTENDANCES.


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CM120

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Model View Diagram - Overview

CM120 - DRUG MISUSE

  1. This diagram shows entity types relevant to the provision of care to DRUG MISUSERS. This diagram is not only relevant to services provided by the NHS; but to every DRUG MISUSE AGENCY within a Health Authority's boundaries that offers a service to DRUG MISUSERS.

  1. This diagram shows entity types relevant to the provision of care to DRUG MISUSERS. This diagram is not only relevant to services provided by the NHS; but to every DRUG MISUSE AGENCY within a PRIMARY CARE TRUSTS boundaries that offers a service to DRUG MISUSERS.

  1. Each DRUG MISUSE AGENCY may offer more than one DRUG MISUSE FACILITY to DRUG MISUSERS.

  1. A DRUG MISUSER using services provided by a DRUG MISUSE AGENCY could have concurrent DRUG MISUSE EPISODES with the agency if he/she uses more than one DRUG MISUSE FACILITY. Each DRUG MISUSE EPISODE ends when a user has not returned to a DRUG MISUSE FACILITY for six months.

  1. A DRUG MISUSER may have one or more DRUG MISUSER LIVING WITH to indicate whether they are living alone or living with others who may also be DRUG MISUSERS. A DRUG MISUSER may also have one or more DRUG MISUSER DEPENDENT CHILDREN, who may or may not be known to be living with them.

  1. During the DRUG MISUSE EPISODE a DRUG MISUSER PRESCRIBING PLANS may be drawn up for up to three PRESCRIBED DMD DRUGS.

  1. Each known SUBSTANCE MISUSED during the DRUG MISUSE EPISODE should be recorded. The SUBSTANCE MISUSED ROUTE classifies the means by which the SUBSTANCE MISUSED is taken by the DRUG MISUSER.

  1. A DRUG MISUSE EPISODE is not shown as a SERVICE PROVIDED, even though services are being provided to a PATIENT, sometimes by a HEALTH CARE PROVIDER. This is because the services provided by a HEALTH CARE PROVIDER during a DRUG MISUSE EPISODE will always be recorded as a SERVICE PROVIDED elsewhere; for example as a COMMUNITY EPISODE, a HOSPITAL PROVIDER SPELL or a CONSULTANT OUT-PATIENT EPISODE.


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CONTEXTUAL OVERVIEW

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CDS, CMDS and HES

CDS, CMDS and HES Contextual Overview

Contextual Overview

    A. Information Requirements
  1. Inormation on care provided by NHS hospitals and Primary Care Trusts is required to:

    Main commissioners need access to data to monitor OUT OF AREA TREATMENT activity as part of the management of their Service Agreements. PRIMARY CARE GROUPS and PRIMARY CARE TRUSTS also need to monitor in-year referrals to investigate the sources and reasons for Out of Area Treatments.

  1. Inormation on care provided by NHS hospitals and Primary Care Trusts is required to:

    Main commissioners need access to data to monitor OUT OF AREA TREATMENT activity as part of the management of their Service Agreements. PRIMARY CARE TRUSTS also need to monitor in-year referrals to investigate the sources and reasons for Out of Area Treatments.

  1. The Department of Health (DH) needs a complete record of all patients admitted to NHS hospitals and Primary Care Trusts, including patients receiving private treatment. Hospital Episode Statistics (HES) are derived from the Admitted Patient Care CDS Types submitted via the NHS-wide Clearing Service (NWCS). These records provide information about hospital and patient management and epidemiological data on patient diagnoses and operative procedures. The HES database has already been used to support every aspect of the new Performance Framework.

    B. Data Flows
  1. HES records are extracted from the NWCS database quarterly. The timely provision of Admitted Patient Care (APC) records to the NWCS, complete with clinical information, is now a performance issue for NHS Trusts.

  1. The strategic direction set out within Information for Health is to develop comprehensive and consistent electronic health records for patients from clinical information flows. In the short term, access to and the analysis of CDS Types/CMDSs will remain important, and the exchange of these data sets should continue on at least a monthly basis.

  1. To determine who receives CDS Types/CMDSs, NHS Trusts and Primary Care Trusts need to take all of the following factors into account, not necessarily in the order specified here:


    The information data flows are shown in the Tables below.
  1. To determine who receives CDS Types/CMDSs, NHS Trusts and Primary Care Trusts need to take all of the following factors into account, not necessarily in the order specified here:


    The information data flows are shown in the Tables below.
    C. CDS and CMDS Data Flow Definitions
  1. The exchange of individual CDS Types/CMDSs may be mandatory or optional. All Admitted Patient Care CDS Type exchanges, for example, are mandatory, but exchanges of individual CDS Types for accident and emergency attendances are not, and require local agreement between the parties concerned.

  1. Where CDS Types/CMDSs are exchanged, the data items within the CDS Type/CMDS have a mandatory or optional status. A data item marked as mandatory (M) means that it must be included in the CDS Type; a data item marked as optional (O) means that the data item need only be included if both parties agree to its exchange. Although the exchange of the Accident and Emergency CDS Type may be optional, this does not apply to the status of the data items within this CDS Type.

  1. For records relating to CDS and CMDS activity from the 1st April 2002 see REVISED CDS INFORMATION FLOW ADDRESSING GRID - Activity from 1st April 2002 below.

  1. For records relating to CDS and CMDS activity up to 31st March 2002, see PREVIOUS CDS INFORMATION FLOW ADDRESSING GRID - Activity up to 31st March 2002 below.

    REVISED CDS INFORMATION FLOW ADDRESSING GRID - Activity from 1st April 2002

      CDS PRIME RECIPIENT CDS COPY RECIPIENTS
    Patient/Service Agreement PCG OR PCT OF RESIDENCE PCG OR PCT responsible Main Comm-issioner Organisa-tion to which costs of treatment accrue
    Patient/Service Agreement PCT OF RESIDENCE PCT responsible Main Comm-issioner Organisa-tion to which costs of treatment accrue
    Patient registered with GP with PCG/PCT Service Agreement * *    
    Patient registered with GP with PCT Service Agreement * *    
    Patient not registered with a GP but resident in an area covered by a PCG/PCT with a PCG/PCT Service Agreement * *    
    Patient not registered with a GP but resident in an area covered by a PCT with a PCT Service Agreement * *    
    Patient registered with a GP treated as an Out Of Area Treatment (OAT) * * *  
    Patient not registered with a GP treated as an Out Of Area Treatment (OAT) * * *  
    Overseas visitor exempt from charges and not registered with a GP *
    (TDH00)
      *  
    Overseas visitor exempt from charges and registered with a GP *
    (TDH00)
    * *  
    Overseas visitor liable for NHS charges and not registered with a GP *
    (VPP00)
         
    Overseas visitor liable for NHS charges and registered with a GP *
    (VPP00)
    *    
    Patient registered with GP with a Specialised Services & Other Commissioning Consortia Service Agreement * *   *
    Patient not registered with GP with a Specialised Services & Other Commissioning Consortia Service Agreement * *   *
    Private Patient * *    

    Notes:

    a. Some flows will be sent for unfinished episodes. For example, a consultant episode may be in progress when a data flow is sent. In such cases the end date is not known and the patient has not been discharged. These data items will therefore not be included in that data flow.

    b. Note that if two recipients are identical (e.g. PCG or PCT of Residence is the same as the Main Commissioner only one data set should be sent to that recipient. Note that if two recipients are identical (PCT of Residence is the same as the Main Commissioner only one data set should be sent to that recipient.

    c. For further information please refer to DSCN 46/2002.

    PREVIOUS CDS INFORMATION FLOW ADDRESSING GRID - Activity up to 31st March 2002

  1. All records relating to CDS and CMDS activity up to 31st March 2002, including unfinished episodes on that date, will use the previous data flow addressing grid irrespective of when the records are actually sent to the NWCS. For example, an admitted patient episode which ended in March 2002 should be addressed to the appropriate HA or PCG/PCT in existence in March 2002 even though the record may not be sent until 1st April 2002 or later.

Patient/Service Agreement PCG/PCT HA responsible for PCG: HA to which PCT is accountable PCG OR PCT OF RESIDENCE HA responsible for PCG OR PCT OF RESIDENCE; Main Comm-issioner Organisa-tion to which costs of treatment accrue HA of Residence Agency acting on behalf of DH
Patient registered with GP with PCG/PCT Service Agreement * *         *  
Patient not registered with GP but resident in area covered by PCG/PCT with PCG/PCT Service Agreement     * *     *  
Patient registered with GP treated as Out of Area Treatment * *     *   *  
Patient not registered with GP treated as Out of Area Treatment     * * *   *  
Overseas visitor exempt from charges         *     *
(TDH00)
Overseas visitor - liable for NHS charges               *

(VPP00)
Patient registered with GP with Specialised Services & Other Commissioning Consortia Service Agreement * *       * *  
Patient not registered with GP with Specialised Services & Other Commissioning Consortia Service Agreement     * *   * *  
Private Patient * *         *  

Notes:

a. Some flows will be sent for unfinished episodes. For example, a consultant episode may be in progress when a data flow is sent. In such cases the end date is not known and the patient has not been discharged. These data items will therefore not be included in that data flow.

b. Note that if two recipients are identical (e.g. the HA of Residence is the same as the HA responsible for the patient’s PCG) only one data set should be sent to that recipient. Note that if two recipients are identical (e.g. the HA of Residence is the same as the HA responsible for the patient's PCG) only one data set should be sent to that recipient.


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GN020

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Model View Diagram - Overview

GN020 - ORGANISATION STRUCTURE

  1. This diagram shows the structure of ORGANISATIONS involved in supplying and supporting health care services.

  1. Each ORGANISATION may be a particular subtype such as: HEALTH AUTHORITY, NHS TRUST and GP PRACTICE. ORGANISATIONS may be hierarchically structured. Such structures are recorded using ORGANISATION STRUCTURE. Accountability and other types of relationships between ORGANISATION, such as ownership, may also be recorded. These other types of relationship need not be hierarchical.

  1. Each ORGANISATION may be a particular subtype such as: STRATEGIC HEALTH AUTHORITY, PRIMARY CARE TRUST, NHS TRUST and GP PRACTICE. ORGANISATIONS may be hierarchically structured. Such structures are recorded using ORGANISATION STRUCTURE. Accountability and other types of relationships between ORGANISATION, such as ownership, may also be recorded. These other types of relationship need not be hierarchical.

  1. An ORGANISATION is uniquely identified within the Health Service by an ORGANISATION CODE. Further ORGANISATION IDENTIFIERS that are generated by other ORGANISATIONS can be recorded.

  1. An ORGANISATION acts as a HEALTH CARE PROVIDER when providing health care services. Where a HEALTH CARE PROVIDER offers hospital services, it acts as a HOSPITAL PROVIDER.

  1. HOSPITAL SITE, RESIDENTIAL CARE HOME, GROUP HOME and NURSING HOME are types of ORGANISATION SITE.

  1. A PATIENT may be registered with a GENERAL PRACTITIONER who may work for more than one GP PRACTICE as a PERSON ROLE IN ORGANISATION. The main practice may be recorded for each GENERAL MEDICAL PRACTITIONER. A PERSON may thus be registered as a PATIENT (a PERSON ROLE IN ORGANISATION) at a GP PRACTICE that may be different to the main practice for their GENERAL MEDICAL PRACTITIONER.

  1. A PRIMARY CARE GROUP is an ORGANISATION which is accountable to a HEALTH AUTHORITY and is comprised of a number of GENERAL MEDICAL PRACTITIONER PRACTICES.


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GN060

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Model View Diagram - Overview

GN060 - SERVICES PROVIDED BY NON-HOSPITAL SERVICES

  1. This diagram, GN030, GN040 and GN050 illustrate commissioning arrangements (NHS SERVICE AGREEMENTS) including those for OUT OF AREA TREATMENTS. This diagram shows how activities and services not normally associated with hospitals relate to SERVICES PROVIDED.

  1. A SERVICE PROVIDED will comprise one or more services or activities, grouped together in order to relate to NHS SERVICE AGREEMENTS. Normally each SERVICE PROVIDED will relate to only one NHS SERVICE AGREEMENT but there will be occasions where, for instance, SERVICES PROVIDED by a FAMILY PLANNING CLINIC will relate to more than one NHS SERVICE AGREEMENT. In this case, there would be more than one SERVICE PROVIDED UNDER AGREEMENT for the FAMILY PLANNING CLINICS.

  1. Some of the entity types shown, such as FAMILY PLANNING CLINICS, COMMUNITY EPISODE and AMBULANCE SERVICE are examples of community and other NHS services and activities and are therefore linked to SERVICE PROVIDED. Other entity types, such as IMMUNISATION PROGRAMME FOR PERSON, are the subjects of NHS services and should also be linked to SERVICE PROVIDED. Services optionally linked to SERVICE PROVIDED may (but need not) be identified separately for contracting purposes.

  1. Community services being provided within a HEALTH AUTHORITY PROGRAMME or a SURVEILLANCE PROGRAMME STAGE, may be from more than one HEALTH CARE PROVIDER. Each SERVICE PROVIDED as part of a programme will be from one HEALTH CARE PROVIDER. Note that a HEALTH CARE PROVIDER may provide services chargeable to more than one HEALTH AUTHORITY or General Practitioner Fund Holder.

  1. Community services being provided within a HEALTH PROGRAMME or a SURVEILLANCE PROGRAMME STAGE, may be from more than one HEALTH CARE PROVIDER. Each SERVICE PROVIDED as part of a programme will be from one HEALTH CARE PROVIDER.


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NHS ADMINISTRATIVE CODES

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Administrative Codes and Classifications

ORGANISATION CODING FRAMES

    NHS Organisation Codes
  1. All NHS organisations (with the exception of GP Practices - see Medical & Dental Practice Codes) are coded using one of two five character coding frames; the A frame or the B frame as shown in the table:

    Char Position 1 2 3 4 5
    Format a/n a/n a/n a/n a/n
    A Frame Organisation Type Indicator Organisation Identifier
    B Frame Organisation Type Indicator Organisation Identifier Site or Sub-Division Identifier

  1. The A Frame applies to ORGANISATION TYPES with a high volume of ORGANISATIONS and with no requirements to identify sites or sub-divisions within the ORGANISATION. The ORGANISATION CODE is normally a full five characters in length.

    Examples: Primary Care Groups, Independent Providers Examples: Independent Providers

  1. The B Frame applies to ORGANISATION TYPES with a low volume of ORGANISATIONS or ORGANISATION TYPES needing to identify sites or sub-divisions within the ORGANISATION. The ORGANISATION CODE is normally three characters in length; the fourth and fifth character positions are used for identifying sites or sub-divisions.

    Examples: NHS Trusts, Primary Care Trusts

  1. Both coding frames allow the use of digits 0 (zero) to 9 and the use of all upper-case alpha characters except I and O (to avoid ambiguity); no special characters are allowed. These alphanumeric characters may be used in all character positions with the following restrictions:

  1. The structure and format of organisation codes maintained by the OCS, PPA and other agencies are detailed in the NHS ORGANISATION CODES TABLES.


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NHS ORGANISATION CODES TABLES

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Administrative Codes and Classifications

NHS ORGANISATION CODES TABLES

Table 1: CODING FORMATS for ORGANISATION in ENGLAND and WALES
Organisation Type Character Position Code allocated by: Notes/Comments
  1 2 3 4 5    
Regional Office Y 0-9 0-9     OCS Note: W00 - Wales
Health Authority Q A-9 A-9 0 0 OCS 2nd char = W for Welsh HAs
Strategic Health Authority Q A-9 A-9 0 0 OCS 2nd char = W for Welsh HAs
Primary Care Group (PCG) 4 A-9 A-9 A-9 A-9 PPA 2nd char = W for Welsh Local Health Groups
Care Trust T A-9 A-9 0 0 OCS The 00 suffix should only be used when a 5- character code is required for a Trust and no other 5-character code is available
Primary Care Trust (PCT) 5 A-9 A-9 0 0 OCS The 00 suffix should only be used when a 5-character code is required for a Trust and no other 5-character code is available
Primary Care Trust Site 5 A-9 A-9 A-9 A-9 OCS  
Special Health Authority (SHA) T 0-9 0-9 0 0 OCS  
Other Statutory Authority (OSA) X 0-9 0-9 0 0 OCS  
OSA Site X 0-9 0-9 0-9 0-9 OCS  
NHS Trust R A-9 A-9 0 0 OCS The 00 suffix should only be used when a 5-character code is required for a Trust and no other 5-character code is available
NHS Trust Site R A-9 A-9 A-9 A-9 OCS  

Hospices

(1) R A-9 0-9 0-9 0-9 OCS

A hospice may either be situated at NHS Trust level (1) or be an Independent Provider (2).

(2) 8 A-9 A-9 A-9 A-9 OCS
Independent Provider 8 A-9 A-9 A-9 A-9 OCS  
MoD Hospital X M D A, F or N 0-9 OCS A=Army, F=RAF, N=Navy
Private patient V P P 0 0 DH  

Note: A-9 indicates that characters A-Z and 0-9 are valid.

Table 2: CODING FORMATS for ORGANISATION in SCOTLAND
Organisation Type Character Position Code allocated by: Notes/Comments
  1 2 3 4 5    
Scottish Health Board S A-Z 9 9 9 ISD, Scotland  
Scottish Health Agency S D 0-9 0-9 0-9 ISD, Scotland 2nd character (D) identifies Scottish Office agencies
Scottish Provider S A-Z A,C,D 0-9 0-9 ISD, Scotland 2nd character identifies the Health Board the organisation reports to; the 3rd character identifies the organisation type:
A= Health Unit
C = Hospital Trust
D = Nursing Home

Table 3: CODING FORMATS for ORGANISATION in NORTHERN IRELAND
Organisation Type Character Position Code allocated by: Notes/Comments
  1 2 3 4 5    
NI Health Board Z E,N,S,W 0 0 0 NI HSS Executive E = Eastern
N= Northern
S = Southern
W = Western
NI Provider Z 1,7 0-9 0-9 0-9 NI HSS Executive 2nd character identifies organisation:
1=HSS Trust
7 = Independent Provider


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NHS POSTCODE DIRECTORY

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NHS Postcode Directory

NHS Postcode Directory

NHS POSTCODE DIRECTORY

  1. The NHS Postcode Directory is maintained, on behalf of the Department of Health, by the Office for National Statistics (ONS). It contains a record for every postcode in the UK, Channel Islands and the Isle of Man, and associates each postcode with a variety of geographic information, including grid references, Primary Care Groups, Primary Care Trusts and Strategic Health Authority codes. The file also includes pseudo postcodes covering defaults and overseas countries.

  1. The NHS Postcode Directory is maintained, on behalf of the Department of Health, by the Office for National Statistics (ONS). It contains a record for every postcode in the UK, Channel Islands and the Isle of Man, and associates each postcode with a variety of geographic information, including grid references, Primary Care Trusts and Strategic Health Authority codes. The file also includes pseudo postcodes covering defaults and overseas countries.

  1. The full and reduced versions of the NHS Postcode Directory are issued every quarter by the Organisation Codes Service (OCS). A CD-ROM is sent to named recipients both inside the NHS and to other recipients licensed to use this data in support of the NHS. Both versions of the NHS Postcode Directory are also available via the NHSnet.

  1. A full description of the NHS Postcode Directory and the OCS reduced postcode data files, can be found by browsing the following website: nww.nhsia.nhs.uk/ocs/onsdata.htm. This website is only available on the NHSnet. Please see Contact Details.

  1. The ONS will supply, on request and at a cost, copies of the NHS Postcode Directory, on different media, in different formats and for selected extracts. Contact the ONS for details and charges; See Contact Details.

    Postcodes
  1. All postcodes made available via OCS postcode files have been standardised to the eight character postcode format as used by the Royal Mail's Postal Address File (PAF). All NHS Organisations should ensure that they conform to the postcode format.

  1. Postcodes are of the general format :

    Character Position 1 2 3 4 5 6 7 8
    Format a a/n a/n a/n space n a a
    Coding Frame Outward Code space Inward Code

  1. The coding frame allows the use of digits 0 (zero) to 9 and the use of upper-case alpha characters; no special characters are allowed.

  1. The fifth character of all standard format postcodes is always a space, and separates the outward and inward parts of the postcode. The outward part of the postcode is left-justified and can contain 2, 3 or 4 characters, and is space-filled in character positions 3 and 4 where required. The inward part of the postcode is always 3 characters.

    The following table gives examples of typical postcodes :

    Character Position Allocated by Notes
    1 2 3 4 5 6 7 8    
    1 2 3 4 5 6 7 8    
    W 9       3 X X Royal Mail  
    D A 1     5 P L Royal Mail  
    M K 4 5   1 T E Royal Mail  
    Z Z 9 9   4 L Z OCS Pseudo Postcodes, Defaults and Overseas

  1. The "Scottish split postcode indicator" field was discontinued from the 1996/1 version of the NHS Postcode Directory. This value used to appear in the 8th character position of the postcode (the postcode field was then only 7 characters in length). The ‘Alternative’ version of the NHS Postcode Directory, showing postcodes containing this field, is available from the ONS.

    Strategic Health Authority/Health Authority/Health Board Codes
  1. Strategic Health Authorities in England and Health Authorities in Wales are indicated by their standard OCS codes (Q codes). Health Boards in Scotland use a three character version of the Health Board code (range SA9 - SZ9). The four Northern Ireland Health Boards are indicated by their standard codes - ZE0, ZN0, ZS0, ZW0.

  1. No Strategic Health Authorities exist for the Channel Islands and the Isle of Man so notional (or dummy) Strategic Health Authority codes are used to identify postcodes from these locations. The default Pseudo health authority code of X98 is used to indicate pseudo postcodes (defaults and overseas).

  1. For further information on Strategic Health Authority and Health Board codes and their values, See ADMINISTRATIVE CODES.

    Related Products
  1. The ONS produce annually two related publications : ONS Geography User Guide 9 (The Area of Residence Classification) and ONS Geography User Guide 10 (The NHS Organisation Manual). These show a breakdown of Strategic Health Authorities by Local Government authorities and Electoral Wards. Copies are available from ONS. Electronic copies are also included in the full NHS Postcode Directory on CD-ROM as provided by OCS.

  1. ONS produce a version of the Postcode Directory that is based on a stable area base to facilitate time series analysis - the 1991-based Frozen Postcode Directory. This is available from the ONS.

  1. The OCS issues the full manuals on the CD-ROM each quarter. This ensures that any new customers receive the necessary information.

    Changes
  1. The ONS should be notified of any queries relating to the allocation of postcodes to Strategic Health Authorities or Primary Care Trusts. All such queries are investigated by ONS, and any agreed changes are included in the following edition of the NHS Postcode Directory. The monthly postcode corrections are also included on the NHSnet, See Contact Details.

  1. Requests and suggestions for improvements to the NHS Postcode Directory or queries relating to its use should be directed to OCS, who are taking the lead on this product on behalf of the NHS; see Contact Details.


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PC020

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Model View Diagram - Overview

PC020 - GMPS CLAIMS AND PAYMENTS OR REIMBURSEMENTS FROM HEALTH AUTHORITIES

PC020 - GMPS CLAIMS AND PAYMENTS OR REIMBURSEMENTS FROM PRIMARY CARE TRUSTS

  1. This diagram shows the entity types concerned with the claims for payment which GENERAL MEDICAL PRACTITIONERS make to the HEALTH AUTHORITY.

  1. This diagram shows the entity types concerned with the claims for payment which GENERAL MEDICAL PRACTITIONERS make to the PRIMARY CARE TRUST.

  1. A GENERAL MEDICAL PRACTITIONER may make a number of GMP CLAIMS FOR PAYMENT OR REIMBURSEMENTS. A GMP CLAIM FOR PAYMENT OR REIMBURSEMENT is either an ITEM OF SERVICE CLAIM or OTHER CLAIM BY GMP which may be in the context of a particular GENERAL MEDICAL PRACTITIONER PRACTICE.

  1. An ITEM OF SERVICE DELIVERY is delivered to a PERSON which may be recorded as delivered at a particular ADDRESS and claimed for by a particular ITEM OF SERVICE CLAIM. An ITEM OF SERVICE DELIVERY may be one of a number of subtypes: REGISTRATION HEALTH CHECK, MATERNITY MEDICAL SERVICE, ANAESTHETIC SERVICE, CONTRACEPTIVE SERVICE, EMERGENCY TREATMENT SERVICE, NIGHT CONSULTATION VISIT, DENTAL HAEMORRHAGE SERVICE, MINOR SURGERY PROCEDURE or VACCINATION SERVICE.

  1. A HEALTH CARE PRACTITIONER may undertake a particular role in the ITEM OF SERVICE DELIVERY as ITEM OF SERVICE DELIVERY ROLE such as responsible healthcare professional or healthcare professional taking material for pathology testing.

  1. GENERAL MEDICAL PRACTITIONERS are paid via GMP PAYMENTS OR REIMBURSEMENTS for GMP CLAIMS FOR PAYMENT OR REIMBURSEMENTS.

  1. The applicable payment for a particular VACCINATION SERVICE is determined by the combination of IMMUNISATION DISEASE TYPE and IMMUNISATION COURSE TYPE.

  1. A MATERNITY MEDICAL SERVICE may result in a number of GMP CONSULTATIONS.


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PC030

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Model View Diagram - Overview

PC030 - GENERAL MEDICAL PRACTITIONER CONTRACTS

  1. A PERSON IN GMP PRACTICE POST may be appointed as principal GENERAL MEDICAL PRACTITIONER for a number of GMP CONTRACTS, which will have been approved by the appropriate HEALTH AUTHORITY.

  1. A PERSON IN GMP PRACTICE POST may be appointed as principal GENERAL MEDICAL PRACTITIONER for a number of GMP CONTRACTS, which will have been approved by the appropriate PRIMARY CARE TRUST.

  1. A GMP CONTRACT may be a GMP EMPLOYMENT CONTRACT, in which either the GENERAL MEDICAL PRACTITIONER or the GMP PARTNERSHIP are the employer; or a GENERAL MEDICAL SERVICES CONTRACT, which may be fulfilled by LOCUM GMP CONTRACTS.

  1. A GMP EMPLOYMENT CONTRACT may be an ASSISTANT GMP CONTRACT, an ASSOCIATE GMP CONTRACT, or a SALARIED DOCTOR CONTRACT.


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PC110

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Model View Diagram - Overview

PC110 - COMMUNITY PHARMACIES

  1. COMMUNITY PHARMACY SITE APPLICATIONS are made to HEALTH AUTHORITIES and consent determined based on the Pharmaceutical Services Regulations. Applications are made either from existing COMMUNITY PHARMACY SITES or another ORGANISATION.

  1. COMMUNITY PHARMACY SITE APPLICATIONS are made to PRIMARY CARE TRUSTS and consent determined based on the Pharmaceutical Services Regulations. Applications are made either from existing COMMUNITY PHARMACY SITES or another ORGANISATION.

  1. COMMUNITY PHARMACY SITES may operate waste medicine collection schemes in which case WASTE MEDICINES QUANTITY PERIOD amounts will be recorded and reported.

  1. COMMUNITY PHARMACY SITES may operate formal contacts with RESIDENTIAL CARE HOMES and NURSING HOMES for the provision of general pharmaceutical advice.

  1. If a COMMUNITY PHARMACY SITE provides additional hours then these are recorded as COMMUNITY PHARMACY ADDITIONAL HOURS. Pharmacies that operate as part of the Essential Small Pharmacies Scheme are identified by the value of the ESSENTIAL SMALL PHARMACY INDICATOR.


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PC120

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Model View Diagram - Overview

PC120 - GENERAL OPHTHALMIC SERVICES

  1. This diagram shows the entity types associated with General Ophthalmic Services (GOS).

  1. The current list of OPHTHALMIC OPTICIANS and OPHTHALMIC MEDICAL PRACTITIONERS for a HEALTH AUTHORITY are held as a set of PERSON ROLES IN ORGANISATIONS. The list identifies the sex of a Practitioner as a PERSON CHARACTERISTIC and their OQC/GOC number as a PERSON IDENTIFIER.

  1. The current list of OPHTHALMIC OPTICIANS and OPHTHALMIC MEDICAL PRACTITIONERS for a PRIMARY CARE TRUST are held as a set of PERSON ROLES IN ORGANISATIONS. The list identifies the sex of a Practitioner as a PERSON CHARACTERISTIC and their OQC/GOC number as a PERSON IDENTIFIER.

  1. SIGHT TESTS are carried out by HEALTH CARE PRACTITIONERS operating for a particular HEALTH AUTHORITY. They may be allocated to a particular SERVICE POINT, especially if they take place as part of a Hospital Eye Service. (See HP340).

  1. SIGHT TESTS are carried out by HEALTH CARE PRACTITIONERS operating for a particular PRIMARY CARE TRUST. They may be allocated to a particular SERVICE POINT, especially if they take place as part of a Hospital Eye Service. (See HP340).

  1. Spectacle details in terms of losses and recoveries are recorded by SPECTACLE SUPPLY OR REPAIRS FUNDEDS, SPECTACLE PAIRS, and SPECTACLE LENSES. Eligibility inspection outcomes are recorded as part of SPECTACLE SUPPLY OR REPAIR FUNDED.

  1. An OPHTHALMOLOGY SERVICE may be provided at an OPTICIAN SITE or an ORGANISATION SITE.


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PC130

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Model View Diagram - Overview

PC130 - EMERGENCY DENTAL SERVICES

  1. This diagram shows the entity types associated with EMERGENCY DENTAL SESSIONS.

  1. GENERAL DENTAL PRACTITIONERS undertake EMERGENCY DENTAL SESSIONS at specified LOCATIONS within a HEALTH AUTHORITY.

  1. GENERAL DENTAL PRACTITIONERS undertake EMERGENCY DENTAL SESSIONS at specified LOCATIONS within a PRIMARY CARE TRUST.

  1. PATIENTS may attend sessions as EMERGENCY DENTAL ATTENDANCES.


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PRACTITIONER CODES

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Administrative Codes and Classifications

Administrative Codes and Classifications

PRACTITIONER CODES

  1. Practitioner Codes are used to identify individual HEALTH CARE PRACTITIONERS uniquely. This unique code allows for the identification of the health care professionals involved in patient referral and the subsequent episode of care.

  1. The OCS coding standard for practitioners follows long-standing NHS conventions. These coding standards have not been fundamentally changed, except for the GMC number which no longer has a check digit.

  1. All OCS Practitioner Codes are eight characters in length, of the general format:

    Char Position 1 2 3 4 5 6 7 8
    Format a n n n n n n n
    Practitioner Coding Frame Practitioner Type Indicator
    G or D
    Doctor's Index Number or DPB number check digit
    Practitioner Type Indicator
    C
    GMC Number

  1. The practitioner coding format allows the use of digits 0 (zero) to 9 and the use of selected upper-case alpha characters in the first character position indicate the practitioner type. G indicates a General Medical Practitioner, D indicates a General Dental Practitioner and C indicates a Hospital Consultant.

    About Practitioner Identifiers
  1. A doctor receives a GMC number on qualification as a doctor. If he/she chooses to enter general practice in England or Wales, a further 6-digit number is allocated by the Department of Health. This number is referred to as the Doctor’s Index Number, the GP National Code or (less correctly) the PPA code. The latter reference arises as the number allocated by the DH is passed by the Health Authority to the Prescription Pricing Authority who use it for the issue of prescription pads, etc.

  1. A doctor receives a GMC number on qualification as a doctor. If he/she chooses to enter general practice in England or Wales, a further 6-digit number is allocated by the Department of Health. This number is referred to as the Doctor's Index Number, the GP National Code or (less correctly) the PPA code. The latter reference arises as the number allocated by the DH is passed by the Primary Care Trust to the Prescription Pricing Authority who use it for the issue of prescription pads, etc.

  1. The Prescription Pricing Authority also use it to derive the GMP code which is used by the Organisation Codes Service. This takes the code issued by the DH, prefixes it with the character ‘G’ to indicate GMP and adds a check digit at the end.

  1. The Prescription Pricing Authority also use it to derive the GMP code which is used by the Organisation Codes Service. This takes the code issued by the DH, prefixes it with the character 'G' to indicate GMP and adds a check digit at the end.

  1. A General Dental Practitioner (GDP) code is based on the DPB code issued by the Dental Practice Board. The DPB code is prefixed with "D" and suffixed with a "137137" check digit. The code is used as the Practitioner Identifier for GDPs in England and Wales.

  1. The Practitioner Identifier for all other practitioners (except GPs in Northern Ireland) is based on their GMC number.

  1. In summary:

  1. The Practitioner Identifier for GPs in England and Wales is the 6-digit number issued by the DH - the Doctor’s Index Number;
  1. The Practitioner Identifier for GPs in England and Wales is the 6-digit number issued by the DH - the Doctor's Index Number;
  1. The Practitioner Identifier for GDPs is the Dentist DPB code;
  1. The Practitioner Identifier for all other practitioners (except GPs in Northern Ireland) is based on their GMC number.

  1. Check digits are obtained using the 137137 algorithm on the 6 digit Doctor’s Index Number or DPB code, as follows:

  1. Check digits are obtained using the 137137 algorithm on the 6 digit Doctor's Index Number or DPB code, as follows:

    first numeric character
    + 3 times second (numeric) character
    + 7 times third character
    + fourth numeric character
    + 3 times fifth character
    + 7 times sixth character

    The check digit is then the unit digit of the result of this calculation. For example, if a Doctor’s Index Number is 334512, then the check digit is computed by: For example, if a Doctor's Index Number is 334512, then the check digit is computed by:

    3 + 3*3 + 7*4 + 5 + 3*1 + 7*2 = 62 - the check digit is 2

    and the full code would be: G3345122

  1. The table below gives the structure and format of the Practitioner Codes found within the OCS files.

  2. Organisation Type Character Position Alloc. by Note
      1 2 3 4 5 6 7 8    
    GP (England & Wales) G 0-9 0-9 0-9 0-9 0-9 0-9 0-9 PPA  
    GP (Scotland) S 0-9 0-9 0-9 0-9 0-9 0-9 0-9 ISD, Scotland S prefix to avoid duplication
    GP (N. Ireland) E, N, S, W 0-9 0-9 0-9 0-9 0-9 0-9 0-9 NI HSS Executive OCS Standard code under development
    Dentist (GDP) England & Wales D 0-9 0-9 0-9 0-9 0-9 0-9 0-9 DPB  
    Consultant (England & Wales) C 0-9 0-9 0-9 0-9 0-9 0-9 0-9 DH  
    MoD Doctor A Not available - use default value
    see Default Codes Summary
    DH  
    Prison Doctor P Not available - use default value
    see Default Codes Summary
    DH  
    Midwife M Not available - use default value
    see Default Codes Summary
    DH  


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PRIMARY CARE

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MODEL VIEW DIAGRAMS - PRIMARY CARE

PC010 General Medical Practitioners and Posts in GP Practices
PC020 GMPS Claims and Payments/Reimbursements from Health Authorities
PC020 GMPS Claims and Payments/Reimbursements from Primary Care Trusts
PC030 General Medical Practitioner Contracts
PC070 Generic Prescribable Items, Proprietary Products and Packs
PC080 Substances and their Strengths within Medicaments
PC090 General Medical Practitioners' Partnerships and Persons' Registration
PC100 Prescribing and Dispensing
PC110 Community Pharmacies
PC120 General Ophthalmic Services
PC130 Emergency Dental Services


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Please address enquiries about this DSCN to:-
Data Standards Team
NHS Information Authority
Aqueous II
Aston Cross
Rocky Lane
Birmingham
B6 5RQ

Tel: 0121 333 0333