Drugs Patient Level Contract Monitoring Data Set

IntroductionThe purpose of the Drugs Patient Level Contract Monitoring Data Set (DrPLCM) is to enable the interchange, in a uniform format, of monthly PATIENT level drug Contract Monitoring data between all purchasers and Health Care Providers.

Overview

Introduction

The purpose of the Drugs Patient Level Contract Monitoring Data Set  (DrPLCM) is to enable the interchange, in a uniform format, of monthly PATIENT level drug Contract Monitoring data between all purchasers and Health Care Providers. This will ensure that  drug Contract Monitoring and reporting is consistent, comparable and fit for purpose across all commissioning ORGANISATIONS.

The Drugs Patient Level Contract Monitoring Data Set is a PATIENT level report containing PATIENT identifiers relating to high cost (National Tariff-excluded) drugs. Its purpose is to substantiate and provide detail to the aggregate information contained within the Aggregate Contract Monitoring Data Set (ACM).

Scope

The scope of the Drugs Patient Level Contract Monitoring Data Set  is all NHS-funded  PRESCRIBED ITEMS  not reimbursed through National Tariff Payment System, as defined by the NHS Improvement National Tariff Payment System High Cost Tariff Excluded Drugs list, provided to PATIENTS for all NHS commissioners.

This covers:

Note that the totality of expenditure in the Drugs Patient Level Contract Monitoring Data Set must be equivalent to the aggregate monetary value shown relating to  High Cost Tariff Excluded Drugs in the  Aggregate Contract Monitoring Data Set.

Submission

The Drugs Patient Level Contract Monitoring Data Set is required to be submitted on a monthly basis to the respective Data Services for Commissioners Regional Office  (DSCRO) as nominated by each commissioning function in line with the dates documented in the data submission timetable within Schedule 6 of the NHS Standard Contract.

The completed monthly Drugs Patient Level Contract Monitoring Data Set should be transmitted using the NHS Digital Data Landing Portal (DLP).

For further information on the Drugs Patient Level Contract Monitoring Data Set, see the NHS England  website at:  Directly Commissioned Services Reporting Requirements.

Mandation

The Mandation column indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present

  • R = Required: NHS business processes cannot be delivered without this data element

  • O = Optional: the inclusion of this data element is optional as required for local purposes.

Data Set Constraints

For guidance on the Data Set constraints, see the Drugs Patient Level Contract Monitoring Data Set Constraints.

Specification

SUBMISSION HEADER

To carry the submission header details.One occurrence of this group is required.

Mandation

Data Elements

M

FINANCIAL MONTH

M

FINANCIAL YEAR

M

DATE AND TIME DATA SET CREATED

ORGANISATION DETAILS

To carry the Organisation details of the Provider and Commissioner.One occurrence of this group is required.

Mandation

Data Elements

M

ORGANISATION IDENTIFIER (CODE OF PROVIDER)

M

ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY)

M

ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)

M

GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

DEMOGRAPHICS

To carry the demographic details of the patient.One occurrence of this group is required.

Mandation

Data Elements

R

WITHHELD IDENTITY REASON

R

NHS NUMBER

R

LOCAL PATIENT IDENTIFIER (EXTENDED)

R

POSTCODE OF USUAL ADDRESS

R

PERSON BIRTH DATE

R

AGE AT ACTIVITY DATE (CONTRACT MONITORING)

R

PERSON STATED GENDER CODE

CARE ACTIVITY DETAILS

To carry the care activity details.One occurrence of this group is required.

Mandation

Data Elements

R

ACTIVITY TREATMENT FUNCTION CODE

R

HOSPITAL PROVIDER SPELL NUMBER

R

ATTENDANCE IDENTIFIER

R

CLINICAL INTERVENTION DATE (DRUG ADMINISTERED)

R

THERAPEUTIC INDICATION CODE (SNOMED CT)

O

HIGH COST TARIFF EXCLUDED DRUG CODE (SNOMED CT DM+D)

O

DM+D TAXONOMY CODE (HIGH COST TARIFF EXCLUDED DRUG)

R

DRUG NAME (HIGH COST TARIFF EXCLUDED DRUG)

R

ROUTE OF ADMINISTRATION (SNOMED CT DM+D)

R

DRUG STRENGTH (HIGH COST TARIFF EXCLUDED DRUG)

R

DRUG VOLUME (HIGH COST TARIFF EXCLUDED DRUG)

O

DRUG PACK SIZE (HIGH COST TARIFF EXCLUDED DRUG)

R

DRUG QUANTITY OR WEIGHT PROPORTION (HIGH COST TARIFF EXCLUDED DRUG)

R

UNIT OF MEASUREMENT (SNOMED CT DM+D)

R

DISPENSING ROUTE (HIGH COST TARIFF EXCLUDED DRUG)

SERVICE AGREEMENT AND COMMISSIONING DETAILS

To carry the service agreement and commissioning details.One occurrence of this group is required.

Mandation

Data Elements

R

PROVIDER REFERENCE NUMBER

M

COMMISSIONED SERVICE CATEGORY CODE

R

SPECIALISED SERVICE CODE

M

POINT OF DELIVERY CODE

R

POINT OF DELIVERY FURTHER DETAIL CODE

R

POINT OF DELIVERY FURTHER DETAIL DESCRIPTION

O

CONTRACT MONITORING ADDITIONAL DETAIL (FIRST)

O

CONTRACT MONITORING ADDITIONAL DESCRIPTION (FIRST)

O

CONTRACT MONITORING ADDITIONAL DETAIL (SECOND)

O

CONTRACT MONITORING ADDITIONAL DESCRIPTION (SECOND)

O

CONTRACT MONITORING ADDITIONAL DETAIL (THIRD)

O

CONTRACT MONITORING ADDITIONAL DESCRIPTION (THIRD)

O

CONTRACT MONITORING ADDITIONAL DETAIL (FOURTH)

O

CONTRACT MONITORING ADDITIONAL DESCRIPTION (FOURTH)

O

CONTRACT MONITORING ADDITIONAL DETAIL (FIFTH)

O

CONTRACT MONITORING ADDITIONAL DESCRIPTION (FIFTH)

COST AND PRICING DETAILS

To carry the service cost and pricing details.One occurrence of this group is required.

Mandation

Data Elements

M

UNIT PRICE (SUPPLIER)

M

UNIT PRICE (COMMISSIONER)

M

HOME DELIVERY CHARGE (HIGH COST TARIFF EXCLUDED DRUG)

M

VALUE ADDED TAX CHARGED INDICATOR (CONTRACT MONITORING)

M

TOTAL COST

Also Known As

This data set is also known by these names:

Context Alias
Also known as DrPLCM
Short name Drugs Patient Level Contract Monitoring