Patient Level Contract Monitoring Data Set

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

Overview

Introduction

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

The Patient Level Contract Monitoring Data Set is a PATIENT level report containing PATIENT identifiers. Its purpose is to substantiate and provide detail to the information contained within the Aggregate Contract Monitoring Data Set (ACM). It will contain details of PATIENT level clinical activities that are not found in flows of standard Commissioning Data Sets (CDS) submitted to the Secondary Uses Service.

Scope

The scope of the Patient Level Contract Monitoring Data Set  Information Standard is all NHS-funded acute and community clinical care (excluding drugs and MEDICAL DEVICES not covered by the National Tariff Payment System) provided to PATIENTS, as well as financial adjustments not attributed directly to clinical care, for all commissioners.

This covers:

Note that the totality of expenditure in the Patient Level Contract Monitoring Data Set must be equivalent to the monetary value (excluding drugs and MEDICAL DEVICES not covered by the National Tariff Payment System) shown in the Aggregate Contract Monitoring Data Set.

Submission

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

For further information on the 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 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)

R

ORGANISATION SITE IDENTIFIER (OF TREATMENT)

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

R

ETHNIC CATEGORY

CARE ACTIVITY DETAILS

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

Mandation

Data Elements

R

CDS UNIQUE IDENTIFIER

R

NON CDS UNIQUE IDENTIFIER

R

ACTIVITY TREATMENT FUNCTION CODE

O

LOCAL SUB-SPECIALTY CODE

R

HOSPITAL PROVIDER SPELL NUMBER

R

ATTENDANCE IDENTIFIER

R

EMERGENCY CARE ATTENDANCE IDENTIFIER

R

ACTIVITY START DATE (CONTRACT MONITORING)

R

ACTIVITY END DATE (CONTRACT MONITORING)

R

PACKAGE OF CARE OR YEAR OF CARE START DATE (CONTRACT MONITORING)

M

UNBUNDLED EPISODE INDICATOR

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

R

NHS SERVICE AGREEMENT LINE 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

LOCAL POINT OF DELIVERY CODE

O

LOCAL POINT OF DELIVERY 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 activity and costing details.One occurrence of this group is required.

Mandation

Data Elements

R

TARIFF CODE

M

NATIONAL TARIFF INDICATOR

M

ACTIVITY COUNT (POINT OF DELIVERY)

M

ACTIVITY UNIT PRICE

M

TOTAL COST

Also Known As

This data set is also known by these names:

Context Alias
Also known as PLCM
Short name Patient Level Contract Monitoring