MAIN SPECIALTY CODE

A unique code identifying each MAIN SPECIALTY designated by Royal Colleges. This is the same as the NHS OCCUPATION CODES describing specialties.

Specialties are divisions of clinical work which may be defined by body systems (dermatology), age (paediatrics), clinical technology (nuclear medicine), clinical function (rheumatology), group of diseases (oncology) or combinations of these factors. Only Specialty titles recognised by the Royal Colleges and Faculties should be used. This list is maintained by the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998.

Each CONSULTANT should be assigned a MAIN SPECIALTY by the Organisation to which the CONSULTANT is contracted. For physicians and surgeons with a generalist component to their work, the MAIN SPECIALTY should be general medicine or general surgery. The hallmark of a general physician or general surgeon is the continued care of unselected emergency referrals. The MAIN SPECIALTY is specific to a Health Care Provider. If, for example, a CONSULTANT physician working in two Health Care Providers has a generalist component to the work in one and not the other, general medicine is only assigned as the MAIN SPECIALTY in the former case. CONSULTANTS in general medicine or general surgery may also have specialist interests and these should be recorded as well as the MAIN SPECIALTY.

The initial source of the information should be the designation on the CONSULTANT's contract. This should be checked periodically against the work a CONSULTANT is actually doing so that the statistics can relate to a CONSULTANT's current type of work.

The MAIN SPECIALTY only should be used for the purpose of producing Specialty costing statistics and for Workforce statistics where links with ACTIVITY and finance are required. Other specialist interests of CONSULTANTS may be recorded for workforce planning purposes.

This will be used to indicate the skill level of medical and dental employees.

Pseudo MAIN SPECIALTY CODES should be used in Commissioning Data Set messages for lead CARE PROFESSIONALS other than CONSULTANT medical and dental staff e.g. 560, 950 and 960.

The MAIN SPECIALTY CODE for GENERAL PRACTITIONERS is General Medical Practice or General Dental Practice.

Joint Consultant Clinic ACTIVITY should be recorded against the MAIN SPECIALTY CODE of the CONSULTANT managing the clinic.

For further information, contact NHS Digital by email at: enquiries@nhsdigital.nhs.uk with the subject "Main Specialty and Treatment Function Codes".

Further information on the groupings and each MAIN SPECIALTY CODE is provided at: Main Specialty and Treatment Function Codes Table.

Note:

National Codes:

100General Surgery
101Urology
107Vascular Surgery
110Trauma and Orthopaedics
120Ear Nose and Throat
130Ophthalmology
140Oral Surgery
141Restorative Dentistry
142Paediatric Dentistry
143Orthodontics
145Oral and Maxillofacial Surgery
146Endodontics
147Periodontics
148Prosthodontics
149Surgical Dentistry
150Neurosurgery
160Plastic Surgery
170Cardiothoracic Surgery
171Paediatric Surgery
191Pain Management  (Retired 1 April 2004)
180Emergency Medicine
190Anaesthetics
192Intensive Care Medicine
200Aviation and Space Medicine
300General Internal Medicine
301Gastroenterology
302Endocrinology and Diabetes
303Clinical Haematology
304Clinical Physiology
305Clinical Pharmacology
310Audio Vestibular Medicine
311Clinical Genetics
312CLINICAL CYTOGENETICS and MOLECULAR GENETICS (Retired 1 April 2010)
National Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010
313Clinical Immunology
314Rehabilitation Medicine
315Palliative Medicine
317Allergy
320Cardiology
321Paediatric Cardiology
325Sport and Exercise Medicine
326Acute Internal Medicine
330Dermatology
340Respiratory Medicine
350Infectious Diseases
352Tropical Medicine
360Genitourinary Medicine
361Renal Medicine
370Medical Oncology
371Nuclear Medicine
400Neurology
401Clinical Neurophysiology
410Rheumatology
420Paediatrics
421Paediatric Neurology
430Geriatric Medicine
450Dental Medicine
451Special Care Dentistry
460Medical Ophthalmology
500Obstetrics and Gynaecology
National Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
501Obstetrics
502Gynaecology
504Community Sexual and Reproductive Health
510Antenatal Clinic (Retired 1 April 2004)
520Postnatal Clinic (Retired 1 April 2004)
560Midwifery
600General Medical Practice
601General Dental Practice
610Maternity Function (Retired 1 April 2004)
620Other than Maternity (Retired 1 April 2004)
700Intellectual Disability
710Adult Mental Illness
711Child and Adolescent Psychiatry
712Forensic Psychiatry
713Medical Psychotherapy
715Old Age Psychiatry
800Clinical Oncology
810Radiology
820General Pathology
821Blood Transfusion
822Chemical Pathology
823Haematology
824Histopathology
830Immunopathology
831Medical Microbiology and Virology
832Neuropathology (Retired 1 April 2004)
833Medical Microbiology
834Medical Virology
900Community Medicine
901Occupational Medicine
902Community Health Services Dental
903Public Health Medicine
904Public Health Dental
950Nursing
960Allied Health Professional
990Joint Consultant Clinics (Retired 1 April 2004)
 

This attribute is also known by these names:
ContextAlias
pluralMAIN SPECIALTY CODES