Main Specialty and Treatment Function Codes Table

For further information regarding the definition and use of MAIN SPECIALTY see the attribute MAIN SPECIALTY CODE.

Description

For further information regarding the definition and use of MAIN SPECIALTY  see the attribute MAIN SPECIALTY CODE.

For further information regarding the definition and use of TREATMENT FUNCTION  see the attribute TREATMENT FUNCTION CODE.

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

Note:

  • New National Codes for MAIN SPECIALTY CODE  and TREATMENT FUNCTION CODE were introduced from 2 April 2020 as part of the update to the DCB0028: Treatment Function and Main Specialty Standard.

    • Page 8 of the "Change Specification" provides a list of the new TREATMENT FUNCTION CODES.

    • 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.

Table 1 Main Specialty codes

 

Code

Main Specialty Title Comments
Surgical Specialties

 

100

General Surgery

For further information, see: Royal College of Surgeons - General Surgery

 

101

Urology

For further information, see: Royal College of Surgeons - Urology

 

107

Vascular Surgery

For further information, see: Royal College of Surgeons - Vascular Surgery

 

110

Trauma and Orthopaedics

For further information, see: Royal College of Surgeons - Orthopaedic Surgery

 

120

Ear Nose and Throat

Formerly known as ENT. For further information, see: Royal College of Surgeons - Ear, Nose and Throat (ENT)

 

130

Ophthalmology

For further information, see: The Royal College of Ophthalmologists

 

140

Oral Surgery

For further information, see: Royal College of Surgeons - Oral and Maxillofacial Surgery

 

141

Restorative Dentistry

For further information, see: The British Society for Restorative Dentistry (BSRD)

 

142

Paediatric Dentistry

For further information, see: The British Society of Paediatric Dentistry

 

143

Orthodontics

For further information, see: British Orthodontic Society

 

145

Oral and Maxillofacial Surgery

For further information, see: Royal College of Surgeons - Oral and Maxillofacial Surgery

 

146

Endodontics

For further information, see: British Endodontic Society

 

147

Periodontics

For further information, see: British Society of Periodontology

 

148

Prosthodontics

For further information, see: The British Society of Prosthodontics (BSSPD)

 

149

Surgical Dentistry

For further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)

 

150

Neurosurgery

For further information, see: Royal College of Surgeons - Neurosurgery

 

160

Plastic Surgery

For further information, see: Royal College of Surgeons - Plastic and Reconstructive

 

170

Cardiothoracic Surgery

For further information, see: Royal College of Surgeons - Cardiothoracic Surgery

 

171

Paediatric Surgery

For further information, see: Royal College of Surgeons - Paediatric Surgery

 

191

Pain Management (Retired 1 April 2004)

 

Medical Specialties

 

180

Emergency Medicine

Formerly known as Accident and Emergency. For further information, see: The Royal College of Emergency Medicine

 

190

Anaesthetics

For further information, see: Royal College of Anaesthetists

 

192

Intensive Care Medicine

Formerly known as Critical Care Medicine. For further information, see: The Faculty of Intensive Care Medicine

 

200

Aviation and Space Medicine

For further information, see: Joint Royal Colleges of Physicians Training Board - Aviation and Space Medicine

 

300

General Internal Medicine

Formerly known as General Medicine. For further information, see: Joint Royal Colleges of Physicians Training Board - General Internal Medicine (GIM)

 

301

Gastroenterology

For further information, see: Joint Royal Colleges of Physicians Training Board - Gastroenterology

 

302

Endocrinology and Diabetes

Formerly known as Endocrinology. For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus

 

303

Clinical Haematology

For further information, see: Joint Royal Colleges of Physicians Training Board - Haematology

 

304

Clinical Physiology

For further information, see: The Registration Council for Clinical Physiologists

 

305

Clinical Pharmacology

For further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Pharmacology and Therapeutics (CPT)

 

310

Audio Vestibular Medicine

Formerly known as Audiological Medicine. For further information, see: Joint Royal Colleges of Physicians Training Board - Audio vestibular Medicine

 

311

Clinical Genetics

For further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Genetics

*

312

Clinical Cytogenetics and Molecular Genetics (Retired 1 April 2010)

 

 

313

Clinical Immunology

Formerly known as Clinical Immunology and Allergy. For further information, see: Joint Royal Colleges of Physicians Training Board - Immunology

 

314

Rehabilitation Medicine

Formerly known as Rehabilitation. For further information, see: Joint Royal Colleges of Physicians Training Board - Rehabilitation Medicine

 

315

Palliative Medicine

For further information, see: Joint Royal Colleges of Physicians Training Board - Palliative Medicine

 

317

Allergy

For further information, see: Joint Royal Colleges of Physicians Training Board - Allergy

 

320

Cardiology

For further information, see: Joint Royal Colleges of Physicians Training Board - Cardiology

 

321

Paediatric Cardiology

For further information, see: Joint Royal Colleges of Physicians Training Board - Paediatric Cardiology

 

325

Sport and Exercise Medicine

For further information, see: Faculty of Sport and Exercise Medicine

 

326

Acute Internal Medicine

For further information, see: Joint Royal Colleges of Physicians Training Board - Acute Internal Medicine

 

330

Dermatology

For further information, see: Joint Royal Colleges of Physicians Training Board - Dermatology

 

340

Respiratory Medicine

Also known as Thoracic Medicine. For further information, see: Joint Royal Colleges of Physicians Training Board - Respiratory Medicine

 

350

Infectious Diseases

For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and Tropical Medicine

 

352

Tropical Medicine

For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and tropical Medicine

 

360

Genitourinary Medicine

For further information, see: Joint Royal Colleges of Physicians Training Board - Genitourinary Medicine

 

361

Renal Medicine

Formerly known as Nephrology. For further information, see: Joint Royal Colleges of Physicians Training Board - Renal Medicine

 

370

Medical Oncology

For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Oncology

 

371

Nuclear Medicine

For further information, see: Joint Royal Colleges of Physicians Training Board - Nuclear Medicine

 

400

Neurology

For further information, see: Joint Royal Colleges of Physicians Training Board - Neurology

 

401

Clinical Neurophysiology

For further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Neurophysiology

 

410

Rheumatology

For further information, see: British Society for Rheumatology

 

420

Paediatrics

For further information, see: Royal College of Paediatrics and Child Health - General Paediatrics

 

421

Paediatric Neurology

For further information, see: Royal College of Paediatrics and Child Health - Neurology

 

430

Geriatric Medicine

For further information, see: Joint Royal Colleges of Physicians Training Board - Geriatric Medicine

 

450

Dental Medicine

Formerly known as Dental Medicine Specialties. For further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)

 

451

Special Care Dentistry

For further information, see: Special Care Dentistry Association (SCDA)

 

460

Medical Ophthalmology

For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Ophthalmology

500

Obstetrics and Gynaecology

For further information, see: Royal College of Obstetricians and Gynaecologists

 

501

Obstetrics

For further information, see: Royal College of Obstetricians and Gynaecologists

 

502

Gynaecology

For further information, see: Royal College of Obstetricians and Gynaecologists

 

504

Community Sexual and Reproductive Health

For further information, see: Faculty of Sexual & Reproductive Healthcare of the Royal College of Obstetricians & Gynaecologists

 

510

Antenatal Clinic (Retired 1 April 2004)

 

 

520

Postnatal Clinic (Retired 1 April 2004)

 

 

600

General Medical Practice

For further information, see: Royal College of General Practitioners

 

601

General Dental Practice

For further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)

 

610

Maternity Function (Retired 1 April 2004)

 

 

620

Other Than Maternity (Retired 1 April 2004)

 

 

831

Medical Microbiology and Virology

For further information, see: The Royal College of Pathologists - Medical Microbiology and The Royal College of Pathologists - Virology

 

833

Medical Microbiology

Also known as Microbiology and Bacteriology. For further information, see: The Royal College of Pathologists - Medical Microbiology

 

834

Medical Virology

For further information, See: The Royal College of Pathologists - Medical Virology

Psychiatry

 

700

Intellectual Disability

Formerly known as Learning Disability. For further information, see: Royal College of Psychiatrists - Faculty of the Psychiatry of Intellectual Disability

 

710

Adult Mental Illness

For further information, see: NHS England - Adult and older adult mental health

 

711

Child and Adolescent Psychiatry

For further information, see: Royal College of Psychiatrists - Faculty of Child and Adolescent Psychiatry

 

712

Forensic Psychiatry

For further information, see: Royal College of Psychiatrists - Faculty of Forensic Psychiatry

 

713

Medical Psychotherapy

For further information, see: Royal College of Psychiatrists - Faculty of Medical Psychotherapy

 

715

Old Age Psychiatry

For further information, see: Royal College of Psychiatrists - Faculty of Old Age Psychiatry

Other

 

560

Midwifery

Formerly known as Midwife Episode. For further information, see: Royal College of Midwives

 

800

Clinical Oncology

Formerly known as Radiotherapy. For further information, see: The Royal College of Radiologists - Clinical Oncology

 

810

Radiology

For further information, see: The Royal College of Radiologists (RCR)

 

820

General Pathology

For further information, see: The Royal College of Pathologists

 

821

Blood Transfusion

For further information, see: The Royal College of Pathologists - Blood Transfusion

 

822

Chemical Pathology

For further information, see: The Royal College of Pathologists

 

823

Haematology

For further information, see: The Royal College of Pathologists - Haematology

 

824

Histopathology

For further information, see: The Royal College of Pathologists - Histopathology

 

830

Immunopathology

For further information, see: The Royal College of Pathologists - Immunology

 

832

Neuropathology (Retired 1 April 2004)

 

 

900

Community Medicine

For further information, see: Faculty of Public Health

 

901

Occupational Medicine

For further information, see: Royal College of Physicians - Faculty of Occupational Medicine

 

902

Community Health Services Dental

For further information, see: Faculty of Public Health

 

903

Public Health Medicine

For further information, see: Faculty of Public Health

 

904

Public Health Dental

For further information, see: GOV.uk - Oral Health

 

950

Nursing

Formerly known as Nursing Episode. For further information, see: Nursing & Midwifery Council

 

960

Allied Health Professional

Formerly known as Allied Health Professional Episode. For further information, see: Health and Care Professions Council

 

990

Joint Consultant Clinics (Retired 1 April 2004)

 

Code 500 is not acceptable for data sets/collections including Hospital Episode Statistics

*

Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010.

Table 2 Treatment Function codes

Code

Treatment Function Title

Comments

Surgical Specialties

100

General Surgery Service

SERVICES

delivering surgical ACTIVITY not covered by other subspecialty areas. The majority of elective procedures, about 80 per cent, fall outside subspecialty areas. For further information, see: Royal College of Surgeons - Surgical Specialties

101

Urology Service

Surgical SERVICES for the treatment of disorders of the urinary system and male reproductive system. This includes surgery for gender dysphoria. For further information, see: Royal College of Surgeons - Urology

102

Transplant Surgery Service

SERVICES

for pre- and post-operative care for major organ transplants except heart and lung. Excludes Cardiothoracic Transplantation Service - see TREATMENT FUNCTION CODE 174, corneal grafts carried out by Ophthalmology Service - see TREATMENT FUNCTION CODE 130 and Blood and Bone Marrow Transplantation Service - see TREATMENT FUNCTION CODE 308. For further information, see: Royal College of Surgeons - General Surgery

103

Breast Surgery Service

SERVICES

which include surgical treatment for cancer, suspected neoplasms, indeterminate breast lesions, benign breast lumps, disorders of the nipple-areolar complex, cysts and post-cancer reconstructive, revision and symmetrising surgery. Includes breast surgery for gender dysphoria. Excludes cosmetic surgery. For further information, see: Association of Breast Surgery

104

Colorectal Surgery Service

SERVICES

 for the surgical treatment of disorders of the lower intestine (colon, anus and rectum)

105

Hepatobiliary and Pancreatic Surgery Service

Specialist surgical SERVICES for hepatobiliary and pancreatic (HPB) disorders. To be used by recognised specialist units and associated outreach SERVICES only. Excludes Transplant Surgery Service - see TREATMENT FUNCTION CODE 102. For further information, see: NHS England - A02. Hepatobiliary and Pancreas

106

Upper Gastrointestinal Surgery Service

SERVICES

for surgical treatment of disorders of the upper parts of the gastrointestinal tract. For further information, see: Royal College of Surgeons - General Surgery

107

Vascular Surgery Service

SERVICES

 for the surgical treatment of diseases of the vascular system. For further information, see: Royal College of Surgeons - Vascular Surgery

108

Spinal Surgery Service

Surgery concentrating on specialised and complex treatment of issues of the back and spine. To be used by recognised specialist units and associated outreach SERVICES only. Excludes Trauma and Orthopaedic Service - see TREATMENT FUNCTION CODE 110, Orthopaedic Service - see TREATMENT FUNCTION CODE  111, Trauma Surgery Service - see TREATMENT FUNCTION CODE 115 and Spinal Injuries Service - see TREATMENT FUNCTION CODE  323. For further information, see: British Association of Spine Surgeons

109

Bariatric Surgery Service

SERVICES

assessing, managing and treating obesity, and specifically consideration of bariatric (weight loss) surgery. It includes PATIENTS who are obese and have, or are at risk of, other medical conditions. It does not cover preventing a PERSON from becoming overweight or obese, or lifestyle weight management programmes for a PERSON who is overweight or obese. For further information, see: National Institute for Health and Care Excellence - Obesity

110

Trauma and Orthopaedic Service

SERVICES

to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Orthopaedic Surgery Service - TREATMENT FUNCTION CODE 111 and Spinal Surgery Service - see TREATMENT FUNCTION CODE  108. For major trauma centres use Trauma Surgery Service - see TREATMENT FUNCTION CODE 115. For further information, see: Royal College of Surgeons - Major Trauma Surgery and Royal College of Surgeons - Orthopaedic Surgery

111

Orthopaedic Service

SERVICES

for the elective or planned surgical assessment or treatment of the musculoskeletal system. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE 115. Where there is no dedicated Orthopaedic Service use Trauma and Orthopaedic Service - see TREATMENT FUNCTION CODE 110. For further information, see: Royal College of Surgeons - Orthopaedic Surgery

113

Endocrine Surgery Service

SERVICES

for the surgical treatment of diseases of the thyroid and/or other endocrine glands. For further information, see: Royal College of Surgeons - General Surgery

115

Trauma Surgery Service

Major trauma specialist SERVICES at a designated unit, with the specific exclusion of Spinal Surgery Service - see TREATMENT FUNCTION CODE  108. Excludes elective or planned Orthopaedic Surgery Service - see TREATMENT FUNCTION CODE 111. Where there is no major trauma centre use Trauma and Orthopaedics Service - see TREATMENT FUNCTION CODE 110. For further information, see: Royal College of Surgeons - Major Trauma Surgery

120

Ear Nose and Throat Service

Formerly known as ENT. Surgical SERVICES for the assessment, diagnosis, management and treatment of ear, nose and/or throat issues. Excludes Audiology Service - see TREATMENT FUNCTION CODE 840. For further information, see: Royal College of Surgeons - Ear, Nose & Throat (ENT)

130

Ophthalmology Service

The surgical treatment of disorders and diseases of the eye. Excludes Medical Ophthalmology Service - see TREATMENT FUNCTION CODE  460 and Ophthalmic and Vision Science Service - see TREATMENT FUNCTION CODE  461. For further information, see: Royal College of Ophthalmologists

140

Oral Surgery Service

Retained for existing SERVICES but professional recommendation is to use Oral and Maxillofacial Surgery Service - see TREATMENT FUNCTION CODE 145

141

Restorative Dentistry Service

SERVICES

providing examination and treatment of diseases of the oral cavity, the teeth and their supporting structures. Restorative Dentistry includes the dental specialties of Endodontics, Periodontics and Prosthodontics (including implantology), and its foundation is based upon how these interact in the management of cases requiring multifaceted care. For further information, see: British Society for Restorative Dentistry

143

Orthodontic Service

SERVICES

for the treatment of malocclusions (improper bites). Orthodontic treatment can focus on dental displacement only, or can deal with the control and modification of facial growth. For further information, see: British Orthodontic Society

144

Maxillofacial Surgery Service

Retained for existing SERVICES but professional recommendation is to use Oral and Maxillofacial Surgery Service - see TREATMENT FUNCTION CODE 145

145

Oral and Maxillofacial Surgery Service

SERVICES

for the diagnosis, management and treatment of diseases affecting the mouth, jaws, face and neck. Formerly categorised as TREATMENT FUNCTION CODE 140 (Oral Surgery) and TREATMENT FUNCTION CODE 144 (Maxillofacial Surgery); however, professional recommendation is to use this TREATMENT FUNCTION CODE. For further information, see: British Association of Oral & Maxillofacial Surgeons

149

not a Treatment Function

 

150

Neurosurgical Service

Surgical SERVICES for the treatment of disorders of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system. Excludes Spinal Surgery Service - see  TREATMENT FUNCTION CODE 108. For major trauma centres use Trauma Surgery Service - see TREATMENT FUNCTION CODE 115. For further information, see: Royal College of Surgeons - Neurosurgery

160

Plastic Surgery Service

SERVICES

to correct or restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns. For care given within specialist burn services, use Burns Care Service - see TREATMENT FUNCTION CODE 161. Excludes breast surgery for gender dysphoria, use Breast Surgery Service - see TREATMENT FUNCTION CODE 103. For further information, see: Royal College of Surgeons - Plastic and Reconstructive

161

Burns Care Service

SERVICES

for the surgical and non-surgical treatment of burns within recognised specialist burns units and associated outreach SERVICES only. Whilst this does not signify the CRITICAL CARE LEVEL, many PATIENTS will also come within the scope of the Critical Care Minimum Data Set. For further information, see: British Burn Association

170

Cardiothoracic Surgery Service

SERVICES

delivering surgical treatment of diseases affecting the heart and organs inside the thorax (the chest). Should only be used where there are no separate SERVICES for Cardiac Surgery and Thoracic Surgery. For further information, see: Royal College of Surgeons - Cardiothoracic Surgery

172

Cardiac Surgery Service

SERVICES

delivering surgical treatment of diseases affecting the heart. Procedures are often lengthy and complex, requiring support from advanced forms of technology during surgery and CRITICAL CARE LEVEL 2 and 3 for the PATIENT after surgery. For further information, see: Royal College of Surgeons - Cardiothoracic Surgery

173

Thoracic Surgery Service

SERVICES

providing surgical treatment of diseases affecting organs inside the thorax (the chest). Generally, treatment of conditions of the lungs, chest wall, and diaphragm. Predominantly this is surgical treatment of malignant disease or its effects. For further information, see: Royal College of Surgeons - Cardiothoracic Surgery

174

Cardiothoracic Transplantation Service

SERVICES

for pre- and post-operative care for heart and lung transplants. To be used by recognised specialist units and associated outreach services only. For further information, see: Royal College of Surgeons - Cardiothoracic Surgery

Other Children's Specialist Services -

The Paediatric TREATMENT FUNCTION CODES represent CLINICS OR FACILITIES intended to provide dedicated SERVICES to children with appropriate facilities and support staff, i.e. they are designed for children only. If a  CLINIC OR FACILITY provides this but also treats adult PATIENTS as part of the SERVICE then a Paediatric TREATMENT FUNCTION CODE may not be appropriate. The age of the PATIENT attending does not initiate a change to the TREATMENT FUNCTION CODE for the ACTIVITY.

142

Paediatric Dentistry Service

Dedicated children's SERVICES for dentistry with appropriate facilities and support staff. For further information, see: The British Society of Paediatric Dentistry

171

Paediatric Surgery Service

Dedicated children's SERVICES  for general surgery. For further information, see: Royal College of Surgeons - Paediatric Surgery

211

Paediatric Urology Service

Dedicated children's SERVICES for surgical treatment of disorders of the urinary system and male reproductive system. For further information, see: British Association of Paediatric Surgeons - Urology

212

Paediatric Transplantation Surgery Service

Dedicated children's SERVICES for pre- and post-operative care for major organ transplants except heart and lung. Excludes Paediatric Cardiac Surgery Service - see TREATMENT FUNCTION CODE 221, Paediatric Thoracic Surgery Service - see TREATMENT FUNCTION CODE 222, corneal grafts carried out by Paediatric Ophthalmology Service - see TREATMENT FUNCTION CODE 216 and Blood and Bone Marrow Transplantation Service - see TREATMENT FUNCTION CODE 308. For further information, see: Royal College of Surgeons - General Surgery

213

Paediatric Gastrointestinal Surgery Service

Dedicated children's SERVICES  for surgical treatment of disorders of the gastrointestinal tract. For further information, see: British Association of Paediatric Surgeons - Gastrointestinal

214

Paediatric Trauma and Orthopaedic Service

Dedicated children's SERVICES to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE  115 and Spinal Surgery Service - see TREATMENT FUNCTION CODE  108 For further information, see: British Society for Children's Orthopaedic Surgery (BSCOS)

215

Paediatric Ear Nose and Throat Service

Dedicated children's surgical SERVICES for the assessment, diagnosis, management and treatment of ear, nose and/or throat issues. Excludes Audiology Service - see TREATMENT FUNCTION CODE 840. For further information, see: British Association for Paediatric Otolaryngology

216

Paediatric Ophthalmology Service

Dedicated children's SERVICES for the surgical treatment of disorders and diseases of the eye. For further information, see: British & Irish Paediatric Ophthalmology and Strabismus Association

217

Paediatric Oral and Maxillofacial Surgery Service

Dedicated children's SERVICES for the diagnosis, management and treatment of diseases affecting the mouth, jaws, face and neck. For further information, see: British Association of Oral & Maxillofacial Surgeons

218

Paediatric Neurosurgery Service

Dedicated children's SERVICES for the surgical treatment of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system. For further information, see: Royal College of Surgeons - Neurosurgery

219

Paediatric Plastic Surgery Service

Dedicated children's SERVICES for correction or to restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns. For care given within specialist paediatric burn services, use Paediatric Burns Care Service - see TREATMENT FUNCTION CODE 220. For further information, see: NHS England: E02. Specialised Surgery in Children

220

Paediatric Burns Care Service

Dedicated children's SERVICES for the surgical and non-surgical treatment of burns within recognised specialist burns units and associated outreach SERVICES only. Whilst this does not signify the CRITICAL CARE LEVEL, many PATIENTS will also come within the scope of the Critical Care Minimum Data Set. For further information, see: British Burn Association

221

Paediatric Cardiac Surgery Service

Dedicated children's SERVICES for the surgical treatment of the heart or great vessels. For further information, see: NHS England: E05. Congenital Heart Services

222

Paediatric Thoracic Surgery Service

Dedicated children's SERVICES  for the surgical treatment of diseases affecting organs inside the thorax (the chest). Generally, treatment of conditions of the lungs, chest wall, and diaphragm. For further information, see: British Association of Paediatric Surgeons - Thoracic

223

Paediatric Epilepsy Service

Dedicated children's SERVICES by CONSULTANT  paediatrician with expertise in epilepsy supported by specialist staff. For further information, see: Royal College of Paediatrics and Child Health - Epilepsy

230

Paediatric Clinical Pharmacology Service

Dedicated children's SERVICES providing advice and support locally and nationally regarding the introduction of new medicines, adverse drug reactions, poisoning and toxicity, and prescribing policies. For further information, see: Royal College of Paediatrics and Child Health - Drugs and medicines

240

Paediatric Palliative Medicine Service

Dedicated children's SERVICES improving the quality of life of PATIENTS and their families facing the problems associated with life-limiting illness. Prevention and relief of suffering by means of early identification, assessment and treatment of pain and other problems, physical, psychosocial and spiritual. For further information, see: Royal College of Paediatrics and Child Health - Palliative care

241

Paediatric Pain Management Service

Dedicated children's SERVICES for complex pain disorders requiring diagnosis and treatment by a specialist Multidisciplinary Team. For further information, see: Royal College of Paediatrics and Child Health - Pain management

242

Paediatric Intensive Care Service

Dedicated children's SERVICES only to be used by designated Paediatric Intensive Care Units. For further information, see: Royal College of Paediatrics and Child Health - Intensive care medicine

250

Paediatric Hepatology Service

Dedicated children's SERVICES for the treatment of disease of the liver. For further information, see: Royal College of Paediatrics and Child Health - Hepatology

251

Paediatric Gastroenterology Service

Dedicated children's SERVICES for the treatment of disorders of the digestive system. For further information, see: Royal College of Paediatrics and Child Health - Gastroenterology

252

Paediatric Endocrinology Service

Dedicated children's SERVICES  for the treatment of disorders of the endocrine system. Excludes Paediatric Diabetes Service - see TREATMENT FUNCTION CODES  263. For further information, see: British Society for Paediatric Endocrinology and Diabetes

253

Paediatric Clinical Haematology Service

Dedicated children's SERVICES  contributing to the diagnosis and management of diseases of the blood and bone marrow. May be consultative in other specialties including intensive care. Excludes Anticoagulant Service - see TREATMENT FUNCTION CODE  324. For further information, see: NHS England: E03. Paediatric Medicine

254

Paediatric Audio Vestibular Medicine Service

Dedicated children's SERVICES for the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes Audiology Service - see TREATMENT FUNCTION CODE  840. For further information, see: British Association of Paediatricians in Audiology

255

Paediatric Clinical Immunology and Allergy Service

Dedicated children's SERVICES for the treatment of disorders of the immune system and allergic disease. For further information, see: Royal College of Paediatrics and Child Health - Paediatric allergy, immunology and infectious diseases - sub-specialty

256

Paediatric Infectious Diseases Service

Dedicated children's SERVICES for the diagnosis and treatment of contagious or communicable diseases. For further information, see: Royal College of Paediatrics and Child Health - Paediatric allergy, immunology and infectious diseases - sub-specialty

257

Paediatric Dermatology Service

Dedicated children's SERVICES for the treatment of diseases of the skin. For further information, see: The British Society for Paediatric Dermatology (BSPD)

258

Paediatric Respiratory Medicine Service

Dedicated children's SERVICES for the diagnosis and treatment of respiratory conditions. Also known as Thoracic Medicine and Pulmonary Medicine. For further information, see: Royal College of Paediatrics and Child Health - Paediatric respiratory medicine - sub-specialty

259

Paediatric Nephrology Service

Dedicated children's SERVICES for the diagnosis and treatment of kidney conditions and abnormalities. Also known as Renal Medicine. For further information, see: Royal College of Paediatrics and Child Health - Nephrology

260

Paediatric Medical Oncology Service

Dedicated children's SERVICES for the diagnosis and treatment, typically with Chemotherapy, of PATIENTS with cancer. For further information, see: Royal College of Paediatrics and Child Health - Oncology

261

Paediatric Inherited Metabolic Medicine Service

Formerly known as Paediatric Metabolic Disease. Dedicated children's SERVICES for the diagnosis and management of inherited metabolic conditions utilising biochemistry and metabolic characteristics requiring the expertise of both the physician and chemical pathologist. For further information, see: Royal College of Paediatrics and Child Health - Inherited metabolic medicine

262

Paediatric Rheumatology Service

Dedicated children's SERVICES incorporating the investigation, multidisciplinary holistic management and rehabilitation of PATIENTS with a wide spectrum of disorders of the musculoskeletal system encompassing the locomotor apparatus, bone and connective tissues and blood vessels. For further information, see: Royal College of Paediatrics and Child Health - Rheumatology

263

Paediatric Diabetes Service

Formerly known as Paediatric Diabetes Medicine. Dedicated children's SERVICES  for the diagnosis, treatment and support of  PATIENTS with diabetes. For further information, see: Royal College of Paediatrics and Child Health - Diabetes

264

Paediatric Cystic Fibrosis Service

Dedicated multidisciplinary children's SERVICES  concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only. For further information, see: NHS England: A01. Specialised Respiratory

270

Paediatric Emergency Medicine Service

Dedicated children's SERVICES to care for PATIENTS with urgent problems delivered as part of an Emergency Care Attendance. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE  115. For further information, see: Royal College of Paediatrics and Child Health - Emergency Medicine

280

Paediatric Interventional Radiology Service

Dedicated children's SERVICES for the diagnosis and treatment of diseases utilising minimally invasive image-guided procedures. Not to be used for Diagnostic Imaging Service - see TREATMENT FUNCTION CODE  812. For further information, see: British Society of Interventional Radiology - What is Interventional Radiology

290

Community Paediatric Service

SERVICES

providing assessment and care to vulnerable children, including those with developmental disorders and disabilities, complex behavioural presentations, and those at risk of abuse or are being abused. Excludes Paediatric Neurodisability Service - see TREATMENT FUNCTION CODE 291. For further information, see: Royal College of Paediatrics and Child Health - Community child health - sub-specialty

291

Paediatric Neurodisability Service

Dedicated children's SERVICES for the diagnosis and treatment of Cerebral Palsy and non-progressive handicapping neurological conditions, with or without Intellectual Disability. For further information, see: Royal College of Paediatrics and Child Health - Neurodisability

321

Paediatric Cardiology Service

Dedicated children's SERVICES for diseases and abnormalities of the heart. Excludes Congenital Heart Disease Service - see TREATMENT FUNCTION CODE  331. For further information, see: Joint Royal Colleges of Physicians Training Board - Paediatric Cardiology

421

Paediatric Neurology Service

Dedicated children's SERVICES for diagnosis, management and medical treatment of conditions and diseases of the central nervous system, with appropriate facilities and support staff. Excludes Paediatric Epilepsy Service - see TREATMENT FUNCTION CODE 223. For further information, see: Royal College of Paediatrics and Child Health - Neurology

Medical Specialties

180

Emergency Medicine Service

Formerly known as Accident & Emergency. SERVICES to care for PATIENTS with urgent problems delivered as part of an Emergency Care Attendance. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE  115. For further information, see: The Royal College of Emergency Medicine

190

Anaesthetic Service

SERVICES

 for PATIENTS  being assessed for anaesthesia, as well as the provision of sedation and anaesthesia for patients undergoing interventional radiology and radiotherapy. This can be used in out-patients only. Pain Management Service should be recorded in TREATMENT FUNCTION CODE 191. Intensive Care Medicine Service should be recorded in TREATMENT FUNCTION CODE 192. For further information, see: Royal college of Anaesthetists - Anaesthetists

191

Pain Management Service

SERVICES

for complex pain disorders requiring diagnosis and treatment by a specialist Multidisciplinary Team

192

Intensive Care Medicine Service

Formerly known as Critical Care Medicine. SERVICES using a body of specialist knowledge and practice concerned with the treatment of PATIENTS, with, at risk of, or recovering from potentially life-threatening failure of one or more of the body's organ systems. It includes the provision of organ system support, the investigation, diagnosis, and treatment of acute illness, systems management and PATIENT safety, ethics, end-of-life care, and the support of families. Typically, this will refer to CRITICAL CARE LEVEL 2 and 3 beds within the scope of the Critical Care Minimum Data Set. For further information, see: Faculty of Intensive Care Medicine

200

Aviation and Space Medicine Service

Also known as Aerospace Medicine Services.   Aviation and Space Medicine SERVICES study all factors affecting the PERSON in flight. This may include pre-flight preparation and checks as well as inflight care to minimise the potentially harmful effects of their abnormal environment. For further information, see: Royal College of Physicians - Aviation and Space Medicine

300

General Internal Medicine Service

Formerly known as General Medicine. SERVICES include adults admitted as emergencies with acute medical problems, including multiple disorders. PATIENTS with problems that are not clearly within the remit of a particular medical specialty are referred for the opinion of a general physician. For further information, see: Joint Royal Colleges of Physicians Training Board - General Internal Medicine (GIM)

301

Gastroenterology Service

Screening, diagnostic and therapeutic endoscopy SERVICES including upper and lower gastrointestinal (GI) endoscopy and hepatobiliary endoscopy. Excludes Hepatology Service - see TREATMENT FUNCTION CODE 306.

302

Endocrinology Service

The treatment of disorders of the endocrine system, excluding specific Diabetes Services - see TREATMENT FUNCTION CODE  307. For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus

303

Clinical Haematology Service

SERVICES

contributing to the diagnosis and management of diseases of the blood and bone marrow. May be consultative in other specialties including intensive care. Excludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324. For further information, see: Joint Royal Colleges of Physicians Training Board - Haematology

304

Clinical Physiology Service

Physiological measurement. Excludes Clinical Neurophysiology Service - see TREATMENT FUNCTION CODE  401, Audiology Service - see TREATMENT FUNCTION CODE  840, Respiratory Physiology Service - see TREATMENT FUNCTION CODE  341, Cardiac Physiology Service - see TREATMENT FUNCTION CODE  675, Gastrointestinal Physiology Service - see TREATMENT FUNCTION CODE 677, Urological Physiology Service - see TREATMENT FUNCTION CODE 670, Vascular Physiology Service - see TREATMENT FUNCTION CODE  673 and Ophthalmic and Vision Science - see TREATMENT FUNCTION CODE  461. For further information, see: The Registration Council for Clinical Physiologists

305

Clinical Pharmacology Service

SERVICES

undertaking and interpreting clinical investigations including clinical trials; optimising the therapeutic use of drugs; detection and analysis of adverse drug effects; contribution to medicines evaluation and management of poisoning. For further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Pharmacology and Therapeutics (CPT)

306

Hepatology Service

Medical SERVICES for the diagnosis and treatment of liver disease. Also known as liver medicine. For hepatobiliary endoscopy, use Gastroenterology Service - see TREATMENT FUNCTION CODE 301

307

Diabetes Service

Formerly known as Diabetes Medicine. SERVICES to diagnose, treat and support PATIENTS with diabetes. For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus

308

Blood and Marrow Transplantation Service

SERVICES

recognised as specialist units and associated outreach services only. Includes pre- and post-operative specialised services for autologous, allogeneic or syngeneic Blood and Marrow Transplantation. For further information, see: British Society of Blood and Marrow Transplantation

309

Haemophilia Service

Specialist SERVICES for the diagnosis, treatment and management of haemophilia. For further information, see: NHS England - F02. Specialised Blood Disorders

310

Audio Vestibular Medicine Service

Formerly known as Audiological Medicine. SERVICES  concerned with the diagnosis and management of hearing and balance disorders, for example tinnitus, dysacusis and communication disorders. Rehabilitative/habilitative care is delivered by Multidisciplinary Teams and is aimed at improving the well-being and quality of life of the PATIENT concerned. Excludes Audiology Service - see TREATMENT FUNCTION CODE  840. For further information, see: Joint Royal College of Physicians Training Board - Audio vestibular Medicine

311

Clinical Genetics Service

SERVICES

 for the diagnosis and management of genetic disorders affecting individuals and their families. For further information, see: Clinical Genetics

312

not a Treatment Function

 

313

Clinical Immunology and Allergy Service

SERVICES

for the diagnosis and management of PATIENTS with diseases resulting from disordered immunological mechanisms, and allergic disease (abnormal immune responses to external substances). Should only be used where there are no separate SERVICES for Clinical Immunology and Allergy. For separate services - See Clinical Immunology Service - TREATMENT FUNCTION CODE 316 and Allergy Service - TREATMENT FUNCTION CODE 317. For further information, see: Welcome to the British Society for Allergy & Clinical Immunology (BSACI)

314

Rehabilitation Medicine Service

Formerly known as Rehabilitation Service. SERVICES for the prevention, diagnosis, treatment and rehabilitation management of disabling conditions. Rehabilitation medicine is broadly divided into neurological rehabilitation, spinal cord injury, limb loss and prosthetics and/or musculoskeletal rehabilitation. Excludes Mental Health Recovery and Rehabilitation Service - see TREATMENT FUNCTION CODE  725, Cardiac Rehabilitation Service - see TREATMENT FUNCTION CODE  327, Pulmonary Rehabilitation Service - see TREATMENT FUNCTION CODE 342, Orthotics Service - See TREATMENT FUNCTION CODE  658 or Prosthetics Service - see TREATMENT FUNCTION CODE 657. For further information, see: Joint Royal Colleges of Physicians Training Board - Rehabilitation medicine

315

Palliative Medicine Service

SERVICES

improving the quality of life of PATIENTS and their families facing the problems associated with life-limiting illness and end of life care. Prevention and relief of suffering by means of early identification, assessment and treatment of pain and other physical, psychosocial and spiritual problems. For further information, see: Joint Royal College of Physicians - Specialty spotlight - palliative medicine

316

Clinical Immunology Service

SERVICES

for the diagnosis and management of PATIENTS with diseases resulting from disordered immunological mechanisms, and conditions in which immunological manipulations form an important part of therapy. Allergy SERVICES should be recorded against Allergy Service - see  TREATMENT FUNCTION CODE 317. For further information, see: Joint Royal College of Physicians Training Board - Immunology

317

Allergy Service

SERVICES

for the diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions. For further information, see: Joint Royal College of Physicians Training Board - Allergy

318

Intermediate Care Service

SERVICES

encompassing a range of multidisciplinary approaches, designed to safeguard independence by maximising rehabilitation and recovery after illness or injury. For further information, see: National Institute for Health and Care Excellence - Understanding intermediate care, including reablement

319

Respite Care Service

SERVICES

providing temporary care of a dependant PERSON, providing relief for their usual caregivers

320

Cardiology Service

SERVICES

for PATIENTS with heart disease covering a wide range of clinical activities. Management can involve interventional treatment, cardiac imaging, preventative and therapeutic options. This includes both diagnostic and interventional procedures in the cardiac catheterisation laboratory. For further information, see: Royal College of Physicians - Cardiology

322

Clinical Microbiology Service

SERVICES

 for the diagnosis, management and treatment of PATIENTS  with diseases caused by bacteria, viruses, fungi and parasites.

323

Spinal Injuries Service

SERVICES

for non-surgical management of issues of the back and spine. To be used by recognised specialist units and associated outreach SERVICES only. Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE  108

324

Anticoagulant Service

SERVICES

 providing the monitoring and control of anticoagulant therapy, including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage. This can be used in out-patients only

325

Sport and Exercise Medicine Service

Specific SERVICES providing diagnosis and management of medical problems caused by physical activity, the prevention of related injury and disease and the role of exercise in disease treatment. Excludes Trauma and Orthopaedic Service - see TREATMENT FUNCTION CODE 110, Orthopaedic Surgery Service - see TREATMENT FUNCTION CODE 111, and Trauma Surgery Service - see TREATMENT FUNCTION CODE 115. For further information, see: Joint Royal Colleges of Physicians Training Board - Sport and Exercise Medicine

326

Acute Internal Medicine Service

SERVICES

concerned with the assessment, diagnosis and management of adults presenting to secondary care with acute medical illness. For further information, see: Acute Internal Medicine

327

Cardiac Rehabilitation Service

SERVICES

for PATIENTS recovering from heart-related conditions such as heart attacks or procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health

328

Stroke Medicine Service

SERVICES

for diagnosis, investigation, treatment and care of stroke PATIENTS. Excludes out-patients for Transient Ischaemic Attack Service - see TREATMENT FUNCTION CODE 329. For further information, see: Joint Royal Colleges of Physicians Training Board - Stroke Medicine (sub-specialty)

329

Transient Ischaemic Attack Service

A multidisciplinary out-patient   SERVICE for rapid diagnosis and treatment of PATIENTS presenting with suspected Transient Ischaemic Attack and mini-strokes to minimise the chance of a full stroke occurring and maximise the chances of independent living after a stroke. For further information, see: National Institute for Health and Care Excellence - Stroke and transient ischaemic attack

330

Dermatology Service

SERVICES

for the treatment of diseases of the skin. For further information, see: Joint Royal Colleges of Physicians Training Board - Dermatology

331

Congenital Heart Disease Service

The management and treatment of congenital heart disease, including the ongoing care of children into adulthood. For further information, see: Joint Royal Colleges of Physicians Training Board - Paediatric cardiology

333

Rare Disease Service

SERVICES

for rare diseases, many of which are present at birth and are either caused by a genetic problem or deficiencies or exposures to substances around the time of conception or during pregnancy. This TREATMENT FUNCTION CODE should be used by designated specialist centres only. For further information, see: National Congenital Anomaly and Rare Disease Registration Service

335

Inherited Metabolic Medicine Service

SERVICES

for the diagnosis and management of inherited metabolic conditions utilising biochemistry and metabolic characteristics requiring the expertise of both the physician and chemical pathologist. For further information, see: Joint Royal Colleges of Physicians Training Board - Metabolic Medicine

340

Respiratory Medicine Service

Respiratory Medicine is also known as Thoracic Medicine and Pulmonary Medicine. SERVICES for the investigation, diagnosis, management and treatment of PATIENTS  with respiratory complaints. Excludes acute respiratory failure and adult respiratory distress syndrome (ARDS) - see Intensive Care Medicine Service TREATMENT FUNCTION CODE 192 and Respiratory Physiology Service - see TREATMENT FUNCTION CODE 341. For further information, see: Joint Royal Colleges of Physicians Training Board - Respiratory Medicine

341

Respiratory Physiology Service

SERVICES

for the physiological measurement of the function of the respiratory system. Excludes Sleep Medicine Service - see TREATMENT FUNCTION CODE  347. For further information, see: Association for Respiratory Technology & Physiology

342

Pulmonary Rehabilitation Service

Formerly known as Programmed Pulmonary Rehabilitation. A multidisciplinary SERVICE for PATIENTS with chronic respiratory impairment. For further information, see: NHS England: Pulmonary rehabilitation

343

Adult Cystic Fibrosis Service

Multidisciplinary SERVICE concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE  should be used by designated specialist centres only. For further information, see: NHS England: A01. Specialised Respiratory

344

Complex Specialised Rehabilitation Service

This TREATMENT FUNCTION CODE  will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference: Complex specialised rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 1 service

345

Specialist Rehabilitation Service

This TREATMENT FUNCTION CODE will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference: Specialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2a service.

346

Local Specialist Rehabilitation Service

This TREATMENT FUNCTION CODE will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference: Local specialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2b service.

347

Sleep Medicine Service

SERVICES

providing diagnosis and management of sleep disorders including parasomnias, excessive daytime sleepiness and sleep apnoea. For further information, see: Royal Society of Medicine - Sleep Medicine Section

350

Infectious Diseases Service

SERVICES

for the diagnosis, management and treatment of infectious diseases. Excludes Tropical Medicine Service - see TREATMENT FUNCTION CODE 352. For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases

352

Tropical Medicine Service

SERVICES

for the diagnosis, management and treatment of diseases that are found most often in tropical or sub-tropical regions. This TREATMENT FUNCTION CODE should be used by designated specialist centres only. Excludes Infectious Diseases Service - see TREATMENT FUNCTION CODE 350. For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and Tropical Medicine

360

Genitourinary Medicine Service

SERVICES

for the investigation and management of sexually transmitted infections and HIV. For further information, see: Joint Royal Colleges of Physicians Training Board - Genitourinary Medicine (GUM)

361

Renal Medicine Service

Formerly known as Nephrology. SERVICES for PATIENTS with acute renal failure and chronic kidney disease requiring long term care with the help of a Multidisciplinary Team. Most general medical problems in PATIENTS with kidney disease are managed by the Renal Medicine Service. Excludes acute renal replacement therapy in the critical care setting, see Intensive Care Medicine Service - TREATMENT FUNCTION CODE 192. For further information, see: Joint Royal Colleges of Physicians Training Board - Renal Medicine

370

Medical Oncology Service

SERVICES

for the specialised assessment and management of PATIENTS with cancer using chemotherapy. Includes treatment option discussions with PATIENTS, supervision of therapy and management of any complications of disease and/or treatment that may arise. For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Oncology

371

Nuclear Medicine Service

SERVICES

responsible for administration of unsealed radioactive substances to PATIENTS for the purposes of diagnosis, therapy or research. For further information, see: Joint Royal Colleges of Physicians Training Board - Nuclear Medicine

400

Neurology Service

SERVICES

for the diagnosis, management and medical treatment of neurological conditions. Excludes Stroke Medicine Service - TREATMENT FUNCTION CODE  328, out-patients for Transient Ischaemic Attack Service - see TREATMENT FUNCTION CODE 329. For further information, see: Joint Royal Colleges of Physicians Training Board - Neurology

401

Clinical Neurophysiology Service

Primarily diagnostic SERVICE concerned with recording electrical activity from the nervous system to aid diagnosis, classification and management of neurological disease. Includes Electroencephalogram (EEG) and Electromyography (EMG). For further information, see: Joint Royal College of Physicians - Clinical Neurophysiology

410

Rheumatology Service

SERVICES

incorporating the investigation, holistic management and rehabilitation of PATIENTS with a wide spectrum of disorders of the musculoskeletal system encompassing the locomotor apparatus, bone and connective tissues and blood vessels. For further information, see: Joint Royal College of Physicians - Rheumatology

420

Paediatric Service

Dedicated children's SERVICES for the treatment of patients typically aged 0 to 18 for medical conditions, however the environments and other members of the multidisciplinary service are likely to care for surgical PATIENTS too. For further information, see: Royal College of Paediatrics and Child Health - General paediatrics - level 3 training

422

Neonatal Critical Care Service

Formerly known as Neonatology. SERVICES providing care for all babies that require on-going, enhanced medical care following birth. Neonatal critical care SERVICES are provided in a variety of settings dependent upon the interventions required for the baby and with dedicated transport services to support babies being transferred to and from neonatal care units. Use when NEONATAL LEVEL OF CARE  = 1, 2 or 3. Includes Special Care Baby Units (SCBU), Local Neonatal Units (LNU) and Neonatal Intensive Care Units (NICU). Any readmission would be to Paediatric Service - see TREATMENT FUNCTION CODE 420, or Paediatric Intensive Care Service - see TREATMENT FUNCTION CODE 242. For further information, see: Royal College of Paediatrics and Child Health - Neonatal medicine - sub-specialty  and NHS England - E08. Neonatal Critical Care

424

Well Baby Service

SERVICES

for healthy infants born and referenced by the Maternity record who do not require any intervention other than health screening and prophylactic healthcare. General care given by the mother/substitute with healthcare education if needed. Use when NEONATAL LEVEL OF CARE = 0 - Normal Care. Excludes Neonatal Critical Care Service - see TREATMENT FUNCTION CODE 422

430

Elderly Medicine Service

Formerly known as Geriatric Medicine. SERVICES to treat diseases and disabilities in older adults, particularly those with multiple morbidities. There is no set age at which PATIENTS may be under the care of the Elderly Medicine Service, this decision should be determined by the individual PATIENT's needs. For further information, see: Joint Royal Colleges of Physicians Training Board - Geriatric Medicine

431

Orthogeriatric Medicine Service

Multidisciplinary SERVICES addressing clinical and social needs in the management of PATIENTS with fragility fractures, including hip fractures. The care provided aims to be holistic and to include secondary prevention of fractures as well as acute care. For further information, see: GM - Orthogeriatrics

450

Dental Medicine Service

SERVICES

for dental treatment carried out in a hospital setting. Includes Oral Medicine. For further information, see: British Dental Association

451

Special Care Dentistry Service

SERVICES

concerned with the improvement of the oral health of PATIENTS and groups in society who have a physical, sensory, intellectual, mental, medical, emotional or social impairment or DISABILITY or, more often, a combination of these factors. The specialty focuses on adolescents and adults only and includes the important period of transition as the adolescent moves into adulthood. For further information, see: Special Care Dentistry Association (SCDA)

460

Medical Ophthalmology Service

Medically-led SERVICES including assessment, investigation, diagnosis and management of inflammatory, vascular and neurological disorders affecting vision. May include public health screening, for example diabetic retinopathy screening. For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Ophthalmology

461

Ophthalmic and Vision Science Service

SERVICES

providing physiological measurement of the function of the eye and vision. Includes diagnostic electrophysiology of vision, imaging and biometry. For further information, see: NHS Health Education England: Ophthalmic and vision science

500

not a Treatment Function

 

501

Obstetrics Service

SERVICES

managing high risk pregnancy and childbirth including miscarriages and stillbirths but specifically excluding planned terminations. Excludes Midwifery Service - see TREATMENT FUNCTION CODE 560. For further information, see: Royal College of Obstetricians & Gynaecologists - Obstetrics and Gynaecology

502

Gynaecology Service

SERVICES

for the diagnosis, management and treatment of disorders of the female reproductive system. Includes planned terminations of pregnancy. For further information, see: Royal College of Obstetricians & Gynaecologists - Obstetrics and Gynaecology

503

Gynaecological Oncology Service

SERVICES

to treat cancers of the female reproductive system, principally involving surgical members of the Multidisciplinary Team. For further information, see: British Gynaecological Cancer Society

504

Community Sexual and Reproductive Health Service

SERVICES

supporting people to have a positive and respectful approach to sexuality and sexual relationships and to have pleasurable and safe sexual experiences, free of infection, coercion, discrimination and violence. The SERVICE also provides access to contraception and signposts Maternity Services to support pregnancy and childbirth. Excludes Genitourinary Medicine Service - see TREATMENT FUNCTION CODE 360 and Midwifery Service - see TREATMENT FUNCTION CODE 560. For further information, see: Faculty of Sexual and Reproductive Healthcare (FSRH)

505

Fetal Medicine Service

SERVICES

providing specialist care at a designated centre for the fetus or fetuses and mother. This includes assessment of fetal growth and wellbeing; the diagnosis and management of identified fetal disorders (including fetal abnormalities); prenatal fetal intervention and surgery; and counselling and support for parents. Excludes routine maternity screening activities - see Midwifery Service  TREATMENT FUNCTION CODE  560.

510

Retired

Record as Obstetrics, antenatal clinic can be used as a local sub-specialty if required

520

Retired

Record as Obstetrics, postnatal clinic can be used as a local sub-specialty if required

600

not a Treatment Function

 

610

Retired

Record as Obstetrics

620

Retired

Use the appropriate function under which the patient is treated

834

Medical Virology Service

Clinical SERVICES for the diagnosis, management and prevention of blood-borne and/or airborne viral infections. For further information, see: Royal College of Pathologists - MEDICAL VIROLOGY

Mental Health Services

656

Clinical Psychology Service

Mental Health Services

for the assessment, management and treatment of problems including addiction, anxiety, depression, behavioural difficulties and relationship issues. Methods of assessment include psychometric tests, interviews and direct observation of behaviour. Assessment may lead to advice, counselling or therapy. For further information, see: The British Psychological Society

700

Intellectual Disability Service

Formerly known as Learning Disability. Mental Health Services provided to PATIENTS with an Intellectual Disability. For further information, see: Royal College of Psychiatrists - Faculty of the Psychiatry of Intellectual Disability

710

Adult Mental Health Service

Mental Health Services

provided to adult PATIENTS for the assessment, diagnosis and treatment of mental illness and maintenance of mental health. For further information, see: Royal College of Psychiatrists - Faculty of General Adult Psychiatry

711

Child and Adolescent Psychiatry Service

Mental Health Services

for children and young people with somatisation and complex presentations, behavioural challenges, eating disorders, mood disorders, anxiety, and other mental health presentations. Excludes Paediatric Neurodisability Service - see TREATMENT FUNCTION CODE 291 and specialist Eating Disorders Service - see TREATMENT FUNCTION CODE 720. For further information, see: Royal College of Psychiatrists - Faculty of Child and Adolescent Psychiatry

712

Forensic Psychiatry Service

Mental Health Services

for the assessment, management and treatment of PATIENTS who are being held in high, medium and low secure units or prisons. This includes prevention of further harm in the community or to the individual themselves. For further information, see: Royal College of Psychiatrists - Faculty of Forensic Psychiatry

713

Medical Psychotherapy Service

Formerly known as Psychotherapy. Multidisciplinary Mental Health Services to assess, manage and treat children and adults with mental health problems using talking therapies and other psychotherapeutic techniques. For further information, see: Faculty of Medical Psychotherapy

715

Old Age Psychiatry Service

Mental Health Services

providing the specialised assessment, treatment and continuing care for older adults suffering a range of mental illnesses, including dementia, depression or schizophrenia. Excludes specific Dementia Assessment Service - see TREATMENT FUNCTION CODE 727. For further information, see: Royal College of Psychiatrists - Faculty of Old Age Psychiatry

720

Eating Disorders Service

A specialist SERVICE for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating. This is usually a multidisciplinary service which needs to consider both physical and mental health aspects of the PATIENT's care. For further information, see: Royal College of Psychiatrists - Faculty of Eating Disorders Psychiatry

721

Addiction Service

Mental Health Services

for the treatment of addictive behaviour, including substance misuse, drugs, alcohol, tobacco and gambling. Excludes  PATIENTS  with both severe mental illness and problematic substance misuse, see Mental Health Dual Diagnosis Service - TREATMENT FUNCTION CODE  726. For further information, see: Royal College of Psychiatrists - Faculty of Addictions Psychiatry

722

Liaison Psychiatry Service

Mental Health Services

for the provision of psychiatric treatment to PATIENTS attending acute hospitals including Out-Patient ClinicsEmergency Care Departments  and admission to WARDS. Deals with the interface between physical and psychological health. For further information, see: Royal College of Psychiatrists - Faculty of Liaison Psychiatry

723

Psychiatric Intensive Care Service

Mental Health Services

provided to vulnerable individuals with severe disturbances who are admitted to Psychiatric Intensive Care Units from mental health acute wards and forensic settings. For further information, see: Royal College of Psychiatrists - Quality Network for Psychiatric Intensive Care Units

724

Perinatal Mental Health Service

Formerly known as Perinatal Psychiatry. Specialist Mental Health Services for the assessment, management and treatment of pre-existing or new mental health issues during pregnancy or after delivery. For further information, see: Royal College of Psychiatrists - Faculty of Perinatal Psychiatry

725

Mental Health Recovery and Rehabilitation Service

Mental Health Services

provided to support recovery from mental illness that maximises the PATIENTS' quality of life and social inclusion by encouraging their skills, promoting independence and autonomy. For further information, see: Faculty of Rehabilitation and Social Psychiatry

726

Mental Health Dual Diagnosis Service

Mental Health Services

to provide support to  PATIENTS  with both severe mental illness and substance misuse problems. For further information, see: Mind: Recreational drugs and alcohol

727

Dementia Assessment Service

Designated Mental Health Services for the assessment of PATIENTS who have or are suspected to have dementia. Dementia complicates care giving and can occur at any stage of the illness and at any age. In addition to memory impairment, dementia may include behavioural and psychological problems. For non-specific Old Age Psychiatry Service - see TREATMENT FUNCTION CODE 715. For further information, see: Royal College of Psychiatrists - Dementia pathway

730

Neuropsychiatry Service

Mental Health Services

for brain disorders and integration of psychiatry within clinical neurosciences. For further information, see: Royal College of Psychiatrists - Faculty of Neuropsychiatry

Other Services

560

Midwifery Service

SERVICES

for managing antenatal and perinatal care during pregnancy, and postnatal care following delivery, provided under the direct care of a MIDWIFE. Excludes Obstetrics Service - see TREATMENT FUNCTION CODE  501. For further information, see: Royal College of Midwives

650

Physiotherapy Service

SERVICES

helping PATIENTS affected by injury, illness or DISABILITY through movement and exercise, manual therapy, education and advice to manage pain and prevent disease. To encourage development and facilitate recovery, enabling maintenance of work and independence for as long as possible. For further information, see: Chartered Society of Physiotherapy (CSP) - Physiotherapy

651

Occupational Therapy Service

SERVICES

using specific activities to limit the effects of DISABILITY and promote independence in all aspects of daily life

652

Speech and Language Therapy Service

SERVICES

providing assessment, management and treatment of speech, language, communication and swallowing issues in PATIENTS of all ages. For further information, see: Royal College of Speech & Language Therapists - Speech and language therapy

653

Podiatry Service

Also known as Chiropody. SERVICES for the diagnosis and treatment of disorders, diseases and deformities of the feet. Excludes Podiatric Surgery Service - see TREATMENT FUNCTION CODE  663. For further information, see: The College of Podiatry

654

Dietetics Service

SERVICES

applying the science of nutrition to improve health and treat diseases/conditions by educating and giving practical, personalised advice to PATIENTS, Patient Proxies and other members of the Multidisciplinary Team. They advise on and help to maintain nutritional status during dietary interventions such as exclusion diets and to recommend nutritional supplements. For further information, see: British Dietetic Association

655

Orthoptics Service

SERVICES

providing the diagnosis and treatment of visual problems involving eye movement and alignment. For further information, see: British and Irish Orthoptic Society

657

Prosthetics Service

SERVICES

providing gait analysis and engineering solutions to patients with limb loss. They design and provide prostheses that replicate the structural or functional characteristics of the PATIENTS absent limb. They often work autonomously or part of Multidisciplinary Teams working closely with Physiotherapists and Occupational Therapists as part of multidisciplinary amputee rehabilitation teams. For further information, see: British Association of Prosthetists and Orthotists (BAPO) - Prosthetists

658

Orthotics Service

SERVICES

providing gait analysis and engineering solutions to PATIENTS with needs of the neuro, muscular and skeletal systems. They design and provide orthoses that modify the structural or functional characteristics of the PATIENTS neuro-muscular and skeletal systems enabling patients to mobilise, eliminate gait deviations, reduce falls, reduce pain, prevent and facilitate healing of ulcers. They often work autonomously or part of Multidisciplinary Teams such as within the diabetic foot team or neuro-rehabilitation team. For further information, see: The British Association of Prosthetists and Orthotists (BAPO) - Orthotists

659

Dramatherapy Service

SERVICES

providing dramatherapy which is a form of psychological therapy focussing on the use of performance arts within the therapeutic relationship. For further information, see: British Association of Dramatherapists

660

Art Therapy Service

SERVICES

delivering a form of psychotherapy that uses art media as its primary mode of expression and communication. Within this context, art is not used as diagnostic tool but as a medium to address emotional issues which may be confusing and distressing. For further information, see: British Association of Art Therapists

661

Music Therapy Service

SERVICES

delivering a form of psychotherapy that uses music to support psychological, emotional, cognitive, physical, communicative and/or social needs. For further information, see: British Association for Music Therapy

662

Optometry Service

SERVICES

providing the diagnosis and non-surgical treatment of disorders of the eye and vision care

663

Podiatric Surgery Service

SERVICES

involved in the complex management of the foot and ankle involving surgery under both local and general anaesthetic. Excludes Podiatry Service - see TREATMENT FUNCTION CODE  - 653. For further information, see: The College of Podiatry

670

Urological Physiology Service

Diagnostic SERVICES for the study of erectile, upper and lower urinary tract function, including urodynamics. For further information, see: The British Association of Urological Surgeons

673

Vascular Physiology Service

Diagnostic SERVICES for the study of arterial and venous circulation primarily using Doppler ultrasound but including tests such as pressure measurement and plethysmography. Excludes Cardiac Physiology Service - see TREATMENT FUNCTION CODE 675. For further information, see: The Society for Vascular Technology

675

Cardiac Physiology Service

SERVICES

providing physiological measurements of the heart structure/function and response to therapeutic/surgical intervention through the means of a wide spectrum of non-invasive and invasive cardiac diagnostic testing. Examples include echocardiography, cardiac device management. For further information, see: Society for Cardiological Science and Technology (SCST)

677

Gastrointestinal Physiology Service

SERVICES

 providing physiological measurement of the gastrointestinal tract. This includes standard catheter based oesophageal pH studies, oesophageal pH impedance, oesophageal manometry, ano-rectal manometry, wireless capsule studies. Excludes Gastroenterology Service - see TREATMENT FUNCTION CODE  301. For further information, see: Association of Gastro-Intestinal Physiologists (AGIP)

800

Clinical Oncology Service

Formerly known as Radiotherapy. The diagnosis and treatment, typically with Radiotherapy, of PATIENTS with cancer. For further information, see: Royal College of Radiologists - Clinical oncology

810

not a Treatment Function

 

811

Interventional Radiology Service

SERVICES

delivering a range of techniques using radiological image guidance including X-ray fluoroscopy, ultrasound,  Computerised Tomography Scan, or Magnetic Resonance Imaging Scan  (MRI) to precisely target therapy. Excludes Interventional Cardiology - see Cardiology Service TREATMENT FUNCTION CODE 320, and Diagnostic Imaging Service - see TREATMENT FUNCTION CODE 812. For further information, see: British Society of Interventional Radiology - What is Interventional Radiology

812

Diagnostic Imaging Service

SERVICES

providing medical imaging, especially X-ray based examinations, Ultrasound scan, MRI Scan, PET Scan or CT Scan. Diagnostic imaging is used to confirm, assess and document diseases, as well as to assess responses to treatment. For further information, see: WHO: Diagnostic imaging

820

not a Treatment Function

 

821

not a Treatment Function

 

822

Chemical Pathology Service

SERVICES

interpreting biochemical investigation results to assess, diagnose and treat diseases. To be used for the clinical management of PATIENTS by chemical pathology only. For further information, see: Royal College of Pathologists - CHEMICAL PATHOLOGY

823

not a Treatment Function

See Clinical Haematology

824

not a Treatment Function

 

830

not a Treatment Function

See Clinical Immunology

831

not a Treatment Function

See Clinical Microbiology

832

Retired

 

840

Audiology Service

SERVICES

 providing physiological measurement and diagnosis of hearing disorders, and the rehabilitation of PATIENTS with hearing loss. Include hearing services activity, such as hearing tests and the fitting of hearing aids. For further information, see: British Society of Audiology

900

not a Treatment Function

 

901

not a Treatment Function

 

902

not a Treatment Function

 

903

not a Treatment Function

 

904

not a Treatment Function

 

920

Diabetic Education Service

SERVICES

providing dedicated small group education courses regarding self-management for diabetic PATIENTS

950

not a Treatment Function

Use the appropriate function under which the patient is treated

960

not a Treatment Function

Use the appropriate function under which the patient is treated

990

Retired

 

Code 500 is not acceptable for data sets/collections including Hospital Episode Statistics

 

TREATMENT FUNCTION CODES

should be used for all data sets/collections unless otherwise stated e.g. National Workforce Data Set  uses MAIN SPECIALTY CODES

 

GENERAL MEDICAL PRACTITIONER

, NURSE and Allied Health Professional/ Biomedical Scientist/ Clinical Scientist ACTIVITY should be recorded against the TREATMENT FUNCTION under which the PATIENT is treated

 

Joint Consultant Clinic ACTIVITY should be recorded against the TREATMENT FUNCTION which best describes the specialised service

Also Known As

This Supporting information is also known by these names:

Context Alias
Short name Main Specialty and Treatment Function Codes

Where Used

Type Link How used
Data Element CONSULTANT CODE references in description Main Specialty and Treatment Function Codes Table
Attribute CONSULTANT CODE references in description Main Specialty and Treatment Function Codes Table
Attribute MAIN SPECIALTY CODE references in description Main Specialty and Treatment Function Codes Table
Supporting Information Supporting Information Introduction references in description Main Specialty and Treatment Function Codes Table
Supporting Information Supporting Information Menu references in description Main Specialty and Treatment Function Codes Table
Attribute TREATMENT FUNCTION CODE references in description Main Specialty and Treatment Function Codes Table