Main Specialty and Treatment Function Codes

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:

Table 1 Main Specialty codes

 CodeMain Specialty TitleComments
Surgical Specialties
 100General SurgeryFor further information, see: Royal College of Surgeons - General Surgery
 101UrologyFor further information, see: Royal College of Surgeons - Urology
 107Vascular SurgeryFor further information, see: Royal College of Surgeons - Vascular Surgery
 110Trauma and OrthopaedicsFor further information, see: Royal College of Surgeons - Orthopaedic Surgery
 120Ear Nose and ThroatFormerly known as ENT.
For further information, see: Royal College of Surgeons - Ear, Nose and Throat (ENT)
 130OphthalmologyFor further information, see: The Royal College of Ophthalmologists
 140Oral SurgeryFor further information, see: Royal College of Surgeons - Oral and Maxillofacial Surgery
 141Restorative DentistryFor further information, see: The British Society for Restorative Dentistry (BSRD)
 142Paediatric DentistryFor further information, see: The British Society of Paediatric Dentistry
 143OrthodonticsFor further information, see: British Orthodontic Society
 145Oral and Maxillofacial SurgeryFor further information, see: Royal College of Surgeons - Oral and Maxillofacial Surgery
 146EndodonticsFor further information, see: British Endodontic Society
 147PeriodonticsFor further information, see: British Society of Periodontology
 148ProsthodonticsFor further information, see: The British Society of Prosthodontics (BSSPD)
 149Surgical DentistryFor further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
 150NeurosurgeryFor further information, see: Royal College of Surgeons - Neurosurgery
 160Plastic SurgeryFor further information, see: Royal College of Surgeons - Plastic and Reconstructive
 170Cardiothoracic SurgeryFor further information, see: Royal College of Surgeons - Cardiothoracic Surgery
 171Paediatric SurgeryFor further information, see: Royal College of Surgeons - Paediatric Surgery
 191Pain Management (Retired 1 April 2004) 
Medical Specialties
 180Emergency MedicineFormerly known as Accident and Emergency.
For further information, see: The Royal College of Emergency Medicine
 190AnaestheticsFor further information, see: Royal College of Anaesthetists
 192Intensive Care MedicineFormerly known as Critical Care Medicine.
For further information, see: The Faculty of Intensive Care Medicine
 200Aviation and Space MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Aviation and Space Medicine
 300General Internal MedicineFormerly known as General Medicine.
For further information, see: Joint Royal Colleges of Physicians Training Board - General Internal Medicine (GIM)
 301GastroenterologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Gastroenterology
 302Endocrinology and DiabetesFormerly known as Endocrinology.
For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus
 303Clinical HaematologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Haematology
 304Clinical PhysiologyFor further information, see: The Registration Council for Clinical Physiologists
 305Clinical PharmacologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Pharmacology and Therapeutics (CPT)
 310Audio Vestibular MedicineFormerly known as Audiological Medicine.
For further information, see: Joint Royal Colleges of Physicians Training Board - Audio vestibular Medicine
 311Clinical GeneticsFor further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Genetics
*312Clinical Cytogenetics and Molecular Genetics (Retired 1 April 2010) 
 313Clinical ImmunologyFormerly known as Clinical Immunology and Allergy.
For further information, see: Joint Royal Colleges of Physicians Training Board - Immunology
 314Rehabilitation MedicineFormerly known as Rehabilitation.
For further information, see: Joint Royal Colleges of Physicians Training Board - Rehabilitation Medicine
 315Palliative MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Palliative Medicine
 317AllergyFor further information, see: Joint Royal Colleges of Physicians Training Board - Allergy
 320CardiologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Cardiology
 321Paediatric CardiologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Paediatric Cardiology
 325Sport and Exercise MedicineFor further information, see: Faculty of Sport and Exercise Medicine
 326Acute Internal MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Acute Internal Medicine
 330DermatologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Dermatology
 340Respiratory MedicineAlso known as Thoracic Medicine.
For further information, see: Joint Royal Colleges of Physicians Training Board - Respiratory Medicine
 350Infectious DiseasesFor further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and Tropical Medicine
 352Tropical MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and tropical Medicine
 360Genitourinary MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Genitourinary Medicine
 361Renal MedicineFormerly known as Nephrology.
For further information, see: Joint Royal Colleges of Physicians Training Board - Renal Medicine
 370Medical OncologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Medical Oncology
 371Nuclear MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Nuclear Medicine
 400NeurologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Neurology
 401Clinical NeurophysiologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Neurophysiology
 410RheumatologyFor further information, see: British Society for Rheumatology
 420PaediatricsFor further information, see: Royal College of Paediatrics and Child Health - General Paediatrics
 421Paediatric NeurologyFor further information, see: Royal College of Paediatrics and Child Health - Neurology
 430Geriatric MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Geriatric Medicine
 450Dental MedicineFormerly known as Dental Medicine Specialties.
For further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
 451Special Care DentistryFor further information, see: Special Care Dentistry Association (SCDA)
 460Medical OphthalmologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Medical Ophthalmology
500Obstetrics and GynaecologyFor further information, see: Royal College of Obstetricians and Gynaecologists
 501ObstetricsFor further information, see: Royal College of Obstetricians and Gynaecologists
 502GynaecologyFor further information, see: Royal College of Obstetricians and Gynaecologists
 504Community Sexual and Reproductive HealthFor further information, see: Faculty of Sexual & Reproductive Healthcare of the Royal College of Obstetricians & Gynaecologists
 510Antenatal Clinic (Retired 1 April 2004) 
 520Postnatal Clinic (Retired 1 April 2004) 
 600General Medical PracticeFor further information, see: Royal College of General Practitioners
 601General Dental PracticeFor further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
 610Maternity Function (Retired 1 April 2004) 
 620Other Than Maternity (Retired 1 April 2004) 
 831Medical Microbiology and VirologyFor further information, see: The Royal College of Pathologists - Medical Microbiology and The Royal College of Pathologists - Virology
 833Medical MicrobiologyAlso known as Microbiology and Bacteriology.
For further information, see: The Royal College of Pathologists - Medical Microbiology
 834Medical VirologyFor further information, See: The Royal College of Pathologists - Medical Virology
Psychiatry
 700Intellectual DisabilityFormerly known as Learning Disability.
For further information, see: Royal College of Psychiatrists - Faculty of the Psychiatry of Intellectual Disability
 710Adult Mental IllnessFor further information, see: NHS England - Adult and older adult mental health
 711Child and Adolescent PsychiatryFor further information, see: Royal College of Psychiatrists - Faculty of Child and Adolescent Psychiatry
 712Forensic PsychiatryFor further information, see: Royal College of Psychiatrists - Faculty of Forensic Psychiatry
 713Medical PsychotherapyFor further information, see: Royal College of Psychiatrists - Faculty of Medical Psychotherapy
 715Old Age PsychiatryFor further information, see: Royal College of Psychiatrists - Faculty of Old Age Psychiatry
Other
 560MidwiferyFormerly known as Midwife Episode.
For further information, see: Royal College of Midwives
 800Clinical OncologyFormerly known as Radiotherapy.
For further information, see: The Royal College of Radiologists - Clinical Oncology
 810RadiologyFor further information, see: The Royal College of Radiologists (RCR)
 820General PathologyFor further information, see: The Royal College of Pathologists
 821Blood TransfusionFor further information, see: The Royal College of Pathologists - Blood Transfusion
 822Chemical PathologyFor further information, see: The Royal College of Pathologists
 823HaematologyFor further information, see: The Royal College of Pathologists - Haematology
 824HistopathologyFor further information, see: The Royal College of Pathologists - Histopathology
 830ImmunopathologyFor further information, see: The Royal College of Pathologists - Immunology
 832Neuropathology (Retired 1 April 2004) 
 900Community MedicineFor further information, see: Faculty of Public Health
 901Occupational MedicineFor further information, see: Royal College of Physicians - Faculty of Occupational Medicine
 902Community Health Services DentalFor further information, see: Faculty of Public Health
 903Public Health MedicineFor further information, see: Faculty of Public Health
 904Public Health DentalFor further information, see: GOV.uk - Oral Health
 950NursingFormerly known as Nursing Episode.
For further information, see: Nursing & Midwifery Council
 960Allied Health ProfessionalFormerly known as Allied Health Professional Episode.
For further information, see: Health and Care Professions Council
 990Joint Consultant Clinics (Retired 1 April 2004) 

Notes:
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

CodeTreatment Function TitleComments
Surgical Specialties
100General Surgery ServiceSERVICES 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
101Urology ServiceSurgical 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
102Transplant Surgery ServiceSERVICES 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
103Breast Surgery ServiceSERVICES 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
104Colorectal Surgery ServiceSERVICES for the surgical treatment of disorders of the lower intestine (colon, anus and rectum)
105Hepatobiliary and Pancreatic Surgery ServiceSpecialist 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
106Upper Gastrointestinal Surgery ServiceSERVICES for surgical treatment of disorders of the upper parts of the gastrointestinal tract.
For further information, see: Royal College of Surgeons - General Surgery
107Vascular Surgery ServiceSERVICES for the surgical treatment of diseases of the vascular system.
For further information, see: Royal College of Surgeons - Vascular Surgery
108Spinal Surgery ServiceSurgery 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
109Bariatric Surgery ServiceSERVICES 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
110Trauma and Orthopaedic ServiceSERVICES 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
111Orthopaedic ServiceSERVICES 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
113Endocrine Surgery ServiceSERVICES for the surgical treatment of diseases of the thyroid and/or other endocrine glands.
For further information, see: Royal College of Surgeons - General Surgery
115Trauma Surgery ServiceMajor 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
120Ear Nose and Throat ServiceFormerly 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)
130Ophthalmology ServiceThe 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
140Oral Surgery ServiceRetained for existing SERVICES but professional recommendation is to use Oral and Maxillofacial Surgery Service - see TREATMENT FUNCTION CODE 145
141Restorative Dentistry ServiceSERVICES 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
143Orthodontic ServiceSERVICES 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
144Maxillofacial Surgery ServiceRetained for existing SERVICES but professional recommendation is to use Oral and Maxillofacial Surgery Service - see TREATMENT FUNCTION CODE 145
145Oral and Maxillofacial Surgery ServiceSERVICES 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
149not a Treatment Function 
150Neurosurgical ServiceSurgical 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
160Plastic Surgery ServiceSERVICES 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
161Burns Care ServiceSERVICES 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
170Cardiothoracic Surgery ServiceSERVICES 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
172Cardiac Surgery ServiceSERVICES 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
173Thoracic Surgery ServiceSERVICES 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
174Cardiothoracic Transplantation ServiceSERVICES 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.
142Paediatric Dentistry ServiceDedicated children's SERVICES for dentistry with appropriate facilities and support staff.
For further information, see: The British Society of Paediatric Dentistry
171Paediatric Surgery ServiceDedicated children's SERVICES for general surgery.
For further information, see: Royal College of Surgeons - Paediatric Surgery
211Paediatric Urology ServiceDedicated 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
212Paediatric Transplantation Surgery ServiceDedicated 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
213Paediatric Gastrointestinal Surgery ServiceDedicated children's SERVICES for surgical treatment of disorders of the gastrointestinal tract.
For further information, see: British Association of Paediatric Surgeons - Gastrointestinal
214Paediatric Trauma and Orthopaedic ServiceDedicated 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)
215Paediatric Ear Nose and Throat ServiceDedicated 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
216Paediatric Ophthalmology ServiceDedicated 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
217Paediatric Oral and Maxillofacial Surgery ServiceDedicated 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
218Paediatric Neurosurgery ServiceDedicated 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
219Paediatric Plastic Surgery ServiceDedicated 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
220Paediatric Burns Care ServiceDedicated 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
221Paediatric Cardiac Surgery ServiceDedicated children's SERVICES for the surgical treatment of the heart or great vessels.
For further information, see: NHS England: E05. Congenital Heart Services
222Paediatric Thoracic Surgery ServiceDedicated 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
223Paediatric Epilepsy ServiceDedicated 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
230Paediatric Clinical Pharmacology ServiceDedicated 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
240Paediatric Palliative Medicine ServiceDedicated 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
241Paediatric Pain Management ServiceDedicated 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
242Paediatric Intensive Care ServiceDedicated 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
250Paediatric Hepatology ServiceDedicated children's SERVICES for the treatment of disease of the liver.
For further information, see: Royal College of Paediatrics and Child Health - Hepatology
251Paediatric Gastroenterology ServiceDedicated children's SERVICES for the treatment of disorders of the digestive system.
For further information, see: Royal College of Paediatrics and Child Health - Gastroenterology
252Paediatric Endocrinology ServiceDedicated 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
253Paediatric Clinical Haematology ServiceDedicated 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
254Paediatric Audio Vestibular Medicine ServiceDedicated 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
255Paediatric Clinical Immunology and Allergy ServiceDedicated 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
256Paediatric Infectious Diseases ServiceDedicated 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
257Paediatric Dermatology ServiceDedicated children's SERVICES for the treatment of diseases of the skin.
For further information, see: The British Society for Paediatric Dermatology (BSPD)
258Paediatric Respiratory Medicine ServiceDedicated 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
259Paediatric Nephrology ServiceDedicated 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
260Paediatric Medical Oncology ServiceDedicated 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
261Paediatric Inherited Metabolic Medicine ServiceFormerly 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
262Paediatric Rheumatology ServiceDedicated 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
263Paediatric Diabetes ServiceFormerly 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
264Paediatric Cystic Fibrosis ServiceDedicated 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
270Paediatric Emergency Medicine ServiceDedicated 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
280Paediatric Interventional Radiology ServiceDedicated 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
290Community Paediatric ServiceSERVICES 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
291Paediatric Neurodisability ServiceDedicated 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
321Paediatric Cardiology ServiceDedicated 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
421Paediatric Neurology ServiceDedicated 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
180Emergency Medicine ServiceFormerly 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
190Anaesthetic ServiceSERVICES 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
191Pain Management ServiceSERVICES for complex pain disorders requiring diagnosis and treatment by a specialist Multidisciplinary Team
192Intensive Care Medicine ServiceFormerly 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
200Aviation and Space Medicine ServiceAlso 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
300General Internal Medicine ServiceFormerly 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)
301Gastroenterology ServiceScreening, diagnostic and therapeutic endoscopy SERVICES including upper and lower gastrointestinal (GI) endoscopy and hepatobiliary endoscopy. Excludes Hepatology Service - see TREATMENT FUNCTION CODE 306.
302Endocrinology ServiceThe 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
303Clinical Haematology ServiceSERVICES 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
304Clinical Physiology ServicePhysiological 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
305Clinical Pharmacology ServiceSERVICES 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)
306Hepatology ServiceMedical 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
307Diabetes ServiceFormerly 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
308Blood and Marrow Transplantation ServiceSERVICES 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
309Haemophilia ServiceSpecialist SERVICES for the diagnosis, treatment and management of haemophilia.
For further information, see: NHS England - F02. Specialised Blood Disorders
310Audio Vestibular Medicine ServiceFormerly 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
311Clinical Genetics ServiceSERVICES for the diagnosis and management of genetic disorders affecting individuals and their families.
For further information, see: Clinical Genetics
312not a Treatment Function 
313Clinical Immunology and Allergy ServiceSERVICES 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)
314Rehabilitation Medicine ServiceFormerley 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
315Palliative Medicine ServiceSERVICES 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
316Clinical Immunology ServiceSERVICES 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
317Allergy ServiceSERVICES 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
318Intermediate Care ServiceSERVICES 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
319Respite Care ServiceSERVICES providing temporary care of a dependant PERSON, providing relief for their usual caregivers
320Cardiology ServiceSERVICES 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
322Clinical Microbiology ServiceSERVICES for the diagnosis, management and treatment of PATIENTS with diseases caused by bacteria, viruses, fungi and parasites.
323Spinal Injuries ServiceSERVICES 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
324Anticoagulant ServiceSERVICES 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
325Sport and Exercise Medicine ServiceSpecific 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
326Acute Internal Medicine ServiceSERVICES concerned with the assessment, diagnosis and management of adults presenting to secondary care with acute medical illness.
For further information, see: Acute Internal Medicine
327Cardiac Rehabilitation ServiceSERVICES 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
328Stroke Medicine ServiceSERVICES 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)
329Transient Ischaemic Attack ServiceA 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
330Dermatology ServiceSERVICES for the treatment of diseases of the skin.
For further information, see: Joint Royal Colleges of Physicians Training Board - Dermatology
331Congenital Heart Disease ServiceThe 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
333Rare Disease ServiceSERVICES 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
335Inherited Metabolic Medicine ServiceSERVICES 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
340Respiratory Medicine ServiceRespiratory 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
341Respiratory Physiology ServiceSERVICES 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
342Pulmonary Rehabilitation ServiceFormerly known as Programmed Pulmonary Rehabilitation.
A multidisciplinary SERVICE for PATIENTS with chronic respiratory impairment.
For further information, see: NHS England: Pulmonary rehabilitation
343Adult Cystic Fibrosis ServiceMultidisciplinary 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
344Complex Specialised Rehabilitation ServiceThis 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
345Specialist Rehabilitation ServiceThis 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.
346Local Specialist Rehabilitation ServiceThis 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.
347Sleep Medicine ServiceSERVICES 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
350Infectious Diseases ServiceSERVICES 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
352Tropical Medicine ServiceSERVICES 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
360Genitourinary Medicine ServiceSERVICES 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)
361Renal Medicine ServiceFormerly 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
370Medical Oncology ServiceSERVICES 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
371Nuclear Medicine ServiceSERVICES 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
400Neurology ServiceSERVICES 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
401Clinical Neurophysiology ServicePrimarily 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
410Rheumatology ServiceSERVICES 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
420Paediatric ServiceDedicated 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
422Neonatal Critical Care ServiceFormerly 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
424Well Baby ServiceSERVICES 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
430Elderly Medicine ServiceFormerly 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
431Orthogeriatric Medicine ServiceMultidisciplinary 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
450Dental Medicine ServiceSERVICES for dental treatment carried out in a hospital setting. Includes Oral Medicine.
For further information, see: British Dental Association
451Special Care Dentistry ServiceSERVICES 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)
460Medical Ophthalmology ServiceMedically-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
461Ophthalmic and Vision Science ServiceSERVICES 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
500not a Treatment Function 
501Obstetrics ServiceSERVICES 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
502Gynaecology ServiceSERVICES 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
503Gynaecological Oncology ServiceSERVICES to treat cancers of the female reproductive system, principally involving surgical members of the Multidisciplinary Team.
For further information, see: British Gynaecological Cancer Society
504Community Sexual and Reproductive Health ServiceSERVICES 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)
505Fetal Medicine ServiceSERVICES 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.
510RetiredRecord as Obstetrics, antenatal clinic can be used as a local sub-specialty if required
520RetiredRecord as Obstetrics, postnatal clinic can be used as a local sub-specialty if required
600not a Treatment Function 
610RetiredRecord as Obstetrics
620RetiredUse the appropriate function under which the patient is treated
834Medical Virology ServiceClinical 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
656Clinical Psychology ServiceMental 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
700Intellectual Disability ServiceFormerly 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
710Adult Mental Health ServiceMental 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
711Child and Adolescent Psychiatry ServiceMental 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
712Forensic Psychiatry ServiceMental 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
713Medical Psychotherapy ServiceFormerly 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
715Old Age Psychiatry ServiceMental 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
720Eating Disorders ServiceA 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
721Addiction ServiceMental 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
722Liaison Psychiatry ServiceMental 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
723Psychiatric Intensive Care ServiceMental 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
724Perinatal Mental Health ServiceFormerly 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
725Mental Health Recovery and Rehabilitation ServiceMental 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
726Mental Health Dual Diagnosis ServiceMental 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
727Dementia Assessment ServiceDesignated 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
730Neuropsychiatry ServiceMental 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
560Midwifery ServiceSERVICES 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
650Physiotherapy ServiceSERVICES 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
651Occupational Therapy ServiceSERVICES using specific activities to limit the effects of DISABILITY and promote independence in all aspects of daily life
652Speech and Language Therapy ServiceSERVICES 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
653Podiatry ServiceAlso 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
654Dietetics ServiceSERVICES 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
655Orthoptics ServiceSERVICES providing the diagnosis and treatment of visual problems involving eye movement and alignment.
For further information, see: British and Irish Orthoptic Society
657Prosthetics ServiceSERVICES 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
658Orthotics ServiceSERVICES 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
659Dramatherapy ServiceSERVICES 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
660Art Therapy ServiceSERVICES 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
661Music Therapy ServiceSERVICES 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
662Optometry ServiceSERVICES providing the diagnosis and non-surgical treatment of disorders of the eye and vision care
663Podiatric Surgery ServiceSERVICES 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
670Urological Physiology ServiceDiagnostic SERVICES for the study of erectile, upper and lower urinary tract function, including urodynamics.
For further information, see: The British Association of Urological Surgeons
673Vascular Physiology ServiceDiagnostic 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
675Cardiac Physiology ServiceSERVICES 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)
677Gastrointestinal Physiology ServiceSERVICES 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)
800Clinical Oncology ServiceFormerly known as Radiotherapy.
The diagnosis and treatment, typically with Radiotherapy, of PATIENTS with cancer.
For further information, see: Royal College of Radiologists - Clinical oncology
810not a Treatment Function 
811Interventional Radiology ServiceSERVICES 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
812Diagnostic Imaging ServiceSERVICES 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
820not a Treatment Function 
821not a Treatment Function 
822Chemical Pathology ServiceSERVICES 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
823not a Treatment FunctionSee Clinical Haematology
824not a Treatment Function 
830not a Treatment FunctionSee Clinical Immunology
831not a Treatment FunctionSee Clinical Microbiology
832Retired 
840Audiology ServiceSERVICES 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
900not a Treatment Function 
901not a Treatment Function 
902not a Treatment Function 
903not a Treatment Function 
904not a Treatment Function 
920Diabetic Education ServiceSERVICES providing dedicated small group education courses regarding self-management for diabetic PATIENTS
950not a Treatment FunctionUse the appropriate function under which the patient is treated
960not a Treatment FunctionUse the appropriate function under which the patient is treated
990Retired 

Notes:

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 eg 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
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