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.
- New National Codes for MAIN SPECIALTY CODE were introduced from 2 April 2020 as part of the update to the DCB0028: Treatment Function and Main Specialty Standard. Note that new codes should not be reported nationally until the functionality to do so becomes available in the next release of the affected data sets and any associated XML Schemas. Prior to these updates, health and care Organisations must review the impact of this information standard and make appropriate changes to local health IT systems from 2 April 2020 and before 1 April 2021. Where new National Codes are recorded locally, these will need to be mapped to an appropriate existing code for transmission and reporting purposes.
|110||Trauma and Orthopaedics|
|120||Ear Nose and Throat|
|145||Oral and Maxillofacial Surgery|
|191||Pain Management (Retired 1 April 2004)|
|192||Intensive Care Medicine|
|200||Aviation and Space Medicine|
|300||General Internal Medicine|
|302||Endocrinology and Diabetes|
|310||Audio Vestibular Medicine|
|312||CLINICAL 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
|325||Sport and Exercise Medicine|
|326||Acute Internal Medicine|
|451||Special Care Dentistry|
|500||Obstetrics and Gynaecology|
National Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
|504||Community Sexual and Reproductive Health|
|510||Antenatal Clinic (Retired 1 April 2004)|
|520||Postnatal Clinic (Retired 1 April 2004)|
|600||General Medical Practice|
|601||General Dental Practice|
|610||Maternity Function (Retired 1 April 2004)|
|620||Other than Maternity (Retired 1 April 2004)|
|710||Adult Mental Illness|
|711||Child and Adolescent Psychiatry|
|715||Old Age Psychiatry|
|831||Medical Microbiology and Virology|
|832||Neuropathology (Retired 1 April 2004)|
|902||Community Health Services Dental|
|903||Public Health Medicine|
|904||Public Health Dental|
|960||Allied Health Professional|
|990||Joint Consultant Clinics (Retired 1 April 2004)|
This attribute is also known by these names:
|plural||MAIN SPECIALTY CODES|