KC65: Colposcopy Clinics, Referrals, Treatments and Outcomes

1. Contextual Overview

   • Contextual Overview

   • The Department of Health, NHS Cervical Screening Programme (NHSCSP) and Regional Offices require information from NHS Health Care Providers on colposcopy clinic activity.

   • The KC65 forms part of the wider NHS Cancer Information Strategy which aims to improve the effectiveness and efficiency of care delivery for those with actual or suspected cancer, throughout the PATIENT journey.

   • The information is used to monitor the process of achieving the Government's target to reduce the incidence of invasive cervical cancer and to monitor the performance of colposcopy clinics on local, regional and national levels.

   • Information on the return is also used in Public Expenditure Survey (PES) negotiations, resource allocation to the NHS and Departmental accountability.

   • Information based on the KC65 return is published annually by the Department in the Statistical Bulletin Cervical Screening Programme.

     Completing Return KC65 - Colposcopy Clinics: Referrals, Treatments and Outcomes

   • KC65 is a quarterly return with the first quarter starting on 1 April and the last quarter ending on 31 March. Returns must be submitted by the thirtieth working day after the end of the quarter.

   • The KC65 return requires the ORGANISATION CODE and ORGANISATION NAME of the NHS Health Care Provider - NHS Trust or Primary Care Trust - as well as the name of a contact and the contact telephone number on the front page. It must be signed and dated by the person completing the return.

   • The British Society for Colposcopy and Cervical Pathology has agreed a Minimum Data Set (MDS) for colposcopy services, currently being introduced into Colposcopy Clinics. The MDS meets professional requirements for audit and quality improvement as well as departmental needs, and provides the information needed to complete the KC65.

     Colposcopy

   • Colposcopy is a Patient Procedure carried out on a woman who has been referred to a Colposcopy Clinic following a Screening Test carried out either as part of a Screening Programme or opportunistically. Alternatively the woman may be referred as a result of clinical indications.

     A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.

     Patient Procedure and Screening Test are both a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure' and 28 'Screening Test' respectively.

KC65 - Colposcopy Clinics: Referrals, Treatments and Outcomes

1. Part A - Women referred to colposcopy by result of referral smear and time from referral to first appointment

   • Part A - Women referred to colposcopy by result of referral smear and time from referral to first appointment

   • Part A of the KC65 return is a count of the number of women referred for colposcopy. This information is used to monitor referral patterns to ensure that guidelines on referral are being followed.

   • A colposcopy is a Patient Procedure carried out during a Clinic Attendance Consultant or Clinic Attendance Nurse. The PATIENT will have been referred to the Colposcopy Clinic:

     -	following a Screening Test carried out either as part of a Screening Programme or opportunistically.
     or
     -	as a result of clinical indication

     A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.

     Patient Procedure and Screening Test are both a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure' and 28 'Screening Test' respectively.

     Clinic Attendance Consultant and Clinic Attendance Nurse are both a CARE CONTACT where CARE CONTACT TYPE is National Code 06 'Clinic Attendance Consultant' and 10 'Clinic Attendance Nurse' respectively.

     In cases where there is both a clinical indication and a Screening Test referral smear, the referral should be treated as clinical indication.

   • The data is based on the woman's first Out-Patient Appointment in the quarter regardless of whether she attended the clinic or not.

     An Out-Patient Appointment is an APPOINTMENT.

     Time from referral to first appointment (lines 0001 to 0005)

   • Lines 0001 to 0005 are counts of REFERRAL REQUESTS by the time from referral to first appointment. This should be measured from the PATHOLOGY RESULT REPORTED DATE for referrals following a screening test, and from the SERVICE REQUEST DATE for all other REFERRAL REQUESTS, to the APPOINTMENT DATE of the first Out-Patient Appointment.

     For PATIENTS with a first APPOINTMENT which was cancelled by the clinic (ATTENDED OR DID NOT ATTEND was National Code 4 'Appointment cancelled or postponed by the Health Care Provider'), the time is measured from referral to the subsequent first APPOINTMENT.

     Referral Indication - Result of referral smear (columns 2 to 8)

   • These columns count all the women with a REFERRAL REQUEST for colposcopy with a COLPOSCOPY REFERRAL INDICATION classification of 'Screening smear'. These are persons in a Screening Programme who have been given a Screening Test as part of a planned Screening Programme. It also includes women screened opportunistically, these women have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE recorded.

     In addition, if a person in a Screening Programme has been suspended from the Screening Programme following colposcopy and is currently having surveillance smears as indicated by the OPPORTUNISTIC SCREENING TYPE classification of 'Screened while recall suspended', it may be that an abnormal smear will cause the woman to be re-referred to colposcopy. In this case the COLPOSCOPY REFERRAL INDICATION classification should be 'Screening smear', regardless of whether or not she has been discharged from colposcopy at this time.

   • The information in columns 2-8 is based on the cervical screening test results, which led to the REFERRAL REQUEST. Classifications are those of CYTOLOGY RESULT TYPES of a Request for Pathology Investigation and are in accordance with the categories shown in box 22 of HMR 101/5 Request/Report for Cervical or Vaginal Cytology.

     Where the cervical screening test results which led to the REFERRAL REQUEST indicates more than one result type, the most severe result should recorded as the CYTOLOGY RESULT TYPE.

     A Request for Pathology Investigation is a DIAGNOSTIC TEST REQUEST where the DIAGNOSTIC TEST REQUEST TYPE is National Code 03 'Request for Pathology Investigation'.

     Inadequate (column 2)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Inadequate sample (cat.1)'.

     NHS Cervical Screening Programme guidelines state the recording of three cervical screening tests with a CYTOLOGY RESULT TYPE classification of 'Inadequate sample (cat.1)' indicates referral to colposcopy however, referral to colposcopy may occur following an inadequate smear for other reasons.

     Borderline changes (column 3)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Borderline changes (cat.8)'.

     NHS Cervical Screening Programme guidelines state the recording of three cervical screening tests with a CYTOLOGY RESULT TYPE classification of 'Borderline changes (cat.8)' indicates referral to colposcopy however, referral to colposcopy may occur following a borderline smear for other reasons.

     Mild dyskaryosis (column 4)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Mild dyskaryosis (cat.3)'.

     Moderate dyskaryosis (column 5)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Moderate dyskaryosis (cat. 7), including abnormal, unclassifiable and ungraded smears'.

     Severe dyskaryosis (column 6)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis (cat.4)'.

     Severe dyskaryosis/invasive carcinoma (column 7)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis/?invasive carcinoma (cat.5)'.

     Glandular neoplasia (column 8)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of '?Glandular neoplasia (cat.6), including adenocarcinoma'.

     Referral Indication - Clinical indication (columns 9, 10)

   • These columns count women with a REFERRAL REQUEST for colposcopy with a COLPOSCOPY REFERRAL INDICATION classification of 'Clinical indication'.

     Where a woman is referred with symptoms and is given a Screening Test the COLPOSCOPY REFERRAL INDICATION should still be a classification of 'Clinical indication' and not 'Screening smear'. Where no symptoms are present the COLPOSCOPY REFERRAL INDICATION should not be a classification of 'Clinical indication'.

     A Screening Test is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.

     Clinical Indication Urgent (column 9)

   • A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'urgent'. This is restricted to cervical lesions suspicious of cancer, or post-coital bleeding of over four weeks where the patient is aged over 35.

     Clinical Indication Non-Urgent (column 10)

   • A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'non-urgent'. This includes all other symptomatic referrals for colposcopy.

     Other (column 11)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Other' or with no CYTOLOGY RESULT TYPE and no COLPOSCOPY REFERRAL INDICATION.

     Entries for a CYTOLOGY RESULT TYPE classification of 'Other' should only occur in exceptional circumstances. NHS Cervical Screening Programme (NHSCSP) guidelines state that all smears should be identified as belonging to one of the eight recognised category classifications of CYTOLOGY RESULT TYPE. 'Other' does not correspond to these recognised categories and should be used to record those rare cases in which a recognised category is not appropriate.

     Otherwise this column should only be used in the rare situations where usual categorisation is not appropriate. Examples include women with incomplete or missing records and women who have moved from abroad.

     Where an entry is present in column 11 supporting notes should be recorded in the available box on the first page of the KC65 form.

     Total number referred (column 12)

   • This is the total of women referred for colposcopy, broken down by time from referral to first appointment

     Total (line 0006)

   • This is the total for all women counted in columns 2 to 12.

KC65 - Colposcopy Clinics: Referrals, Treatments and Outcomes

1. Part B - Appointments for Colposcopy

   • Part B - Appointments for Colposcopy

   • Part B of the KC65 return is a breakdown of appointments by cancellation/non-attendance, and type of appointment. This information will allow monitoring of non-attendances, patient cancellations, and clinic cancellations.

     It includes all Out-Patient Appointments with an APPOINTMENT DATE within the REPORTING PERIOD.

     An Out-Patient Appointment is an APPOINTMENT.

     Attendance Status

   • The Attendance status is derived from the value of ATTENDED OR DID NOT ATTEND for the Out-Patient Appointment.

     Attended (line 0001)

   • The number of appointments for which ATTENDED OR DID NOT ATTEND was either National Code 5 'attended on time or, if late, before the relevant care professional was ready to see the patient', or National Code 6 'arrived late, after the relevant care professional was ready to see the patient, but was seen'.

     Cancelled by patient - in advance (line 0002)

   • The number of appointments for which ATTENDED OR DID NOT ATTEND was National Code 2 'appointment cancelled by, or on behalf of, the patient' - before the appointment date.

     Cancelled by patient - on the day (line 0003)

   • The number of appointments for which ATTENDED OR DID NOT ATTEND was National Code 2 'appointment cancelled by, or on behalf of, the patient' - on the appointment day.

     Cancelled by Clinic (line 0004)

   • The number of appointments for which ATTENDED OR DID NOT ATTEND was National Code 4 'appointment cancelled or postponed by the Health Care Provider'.

     DNA - no advance warning (line 0005)

   • The number of appointments for which ATTENDED OR DID NOT ATTEND was National Code 3 'did not attend - no advance warning given'.

     DNA - arrived late (line 0006)

   • The number of appointments for which ATTENDED OR DID NOT ATTEND was National Code 7 'patient arrived late and could not be seen'.

     DNA - left without being seen (line 0007)

   • The number of appointments for which ATTENDED OR DID NOT ATTEND was national Code 3 'did not attend - no advance warning given' (arrived, but did not wait to be seen).

     Total (line 0008)

   • This is the total of all women counted in lines 0001 to 0007.

     Appointment Type

   • Columns 2 to 4 require counts of colposcopy Out-Patient Appointments by APPOINTMENT TYPE.

     An Out-Patient Appointment is an APPOINTMENT.

     New (column 2)

   • The number of colposcopy Out-Patient Appointments which are first APPOINTMENTS.

     Return for Treatment (column 3)

   • The number of colposcopy Out-Patient Appointments where the APPOINTMENT TYPE is National Code 01 'Treatment: An appointment specifically for treatment'.

     Follow Up (column 4)

   • The number of colposcopy Out-Patient Appointments which are follow-up APPOINTMENTS where the APPOINTMENT TYPE is National Code 02 'Surveillance: All other appointments'.

     Total (column 5)

   • This is the total for all women in columns 3 to 5.

KC65 - Colposcopy Clinics: Referrals, Treatments and Outcomes

1. Part C1 - First attendances by type of procedure and result of referral

   • Part C1 - First attendances by type of procedure and result of referral

   • Parts C1 and C2 of the KC65 return are counts of procedures undertaken at colposcopy clinics, showing the nature of treatment by result of referral. The information is used to monitor treatment patterns to ensure that treatment guidelines, such as on the number of biopsies taken, are met.

   • Parts C1 and C2 are identical, except that Part C1 relates to initial treatment at first attendance, and Part C2 relates to all attendances. For part C1 data is collected on the woman's first Clinic Attendance Consultant or Clinic Attendance Nurse in the REPORTING PERIOD.

     Where a woman has a smear taken during the attendance the COLPOSCOPY PRIME PROCEDURE TYPE should be recorded as classification 'No treatment; no treatment received and no biopsy taken'.

     Clinic Attendance Consultant and Clinic Attendance Nurse are both a CARE CONTACT where CARE CONTACT TYPE is National Code 06 'Clinic Attendance Consultant' and 10 'Clinic Attendance Nurse' respectively.

     For Clinic Attendance Consultant and Clinic Attendance Nurse, a first attendance is the first in a series of the only attendance at the clinic by a patient.

   • The procedures undertaken in the colposcopy clinics are Patient Procedure. Only one Patient Procedure should be counted for each woman's first attendance. If more than one procedure is carried out, the most severe should be recorded for KC65.

     Patient Procedure is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure'.

     Result of referral smear

   • Lines 0001 to 0008 require data on the number of women referred for colposcopy by CYTOLOGY RESULT TYPES.

     Inadequate (line 0001)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Inadequate sample (cat. 1)'.

     Borderline changes (line 0002)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Borderline changes (cat. 8)'.

     Mild dyskaryosis (line 0003)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Mild dyskaryosis (cat. 3)'.

     Moderate dyskaryosis (line 0004)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Moderate dyskaryosis (cat. 7), including abnormal, unclassifiable and ungraded smears'.

     Severe dyskaryosis (line 0005)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis (cat. 4)'.

     Severe dyskaryosis/invasive carcinoma (line 0006)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis/invasive carcinoma (cat. 5)'.

     Glandular neoplasia (line 0007)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of '?Glandular neoplasia (cat. 6), including adenocarcinoma'.

     Referral Indication - Clinical indication (lines 0008, 0009)

   • These columns count first attendances for women with a REFERRAL REQUEST for colposcopy with a COLPOSCOPY REFERRAL INDICATION classification of 'Clinical indication'.

     Note all procedures carried out on women who have been referred to the colposcopy clinic with a REFERRAL REQUEST with a COLPOSCOPY REFERRAL INDICATION of classification Clinical indication should be recorded in this line regardless of the result of any smear taken after the referral.

     Clinical Indication Urgent (line 0008)

   • A count of the number of women with a COLPOSCOPY REFERRAL INDICATION of classification of 'urgent'. This is restricted to cervical lesions suspicious of cancer, or post-coital bleeding of over four weeks where the patient is aged over 35.

     Clinical Indication Non-Urgent (line 0009)

   • A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'non-urgent'. This includes all other symptomatic referrals for colposcopy

     Other (line 0010)

   • A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'Other'.

     Entries recorded in Other (line 0010) should only occur in exceptional circumstances. NHS Cervical Screening Programme (NHSCSP) guidelines state that all smears should be identified as belonging to one of the eight recognised category classifications of CYTOLOGY RESULT TYPE. Other (line 0010) does not correspond to these recognised categories and should be used to record those rare cases in which a recognised category is not appropriate. Where an entry is present in Other (line 0010) then supporting notes should be recorded in the available box on the first page of the KC65 form.

     Total (line 0011)

   • This is the total for all women counted in columns 2 to 8.

     No treatment (column 2)

   • This counts the number of women who received no treatment and for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'No treatment; no treatment received and no biopsy taken'.

     Procedure Type

     Diagnostic biopsy (punch) (column 3)

   • This counts the number of women who received no treatment and for whom a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Diagnostic biopsy (punch); no treatment received and biopsy type recorded as directed biopsy or multiple directed biopsy, or any other biopsy taken for diagnostic purposes only' was recorded.

     Treatment biopsy or treatment/diagnostic biopsy - Excision (column 4)

   • This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Loop/laser excision or knife cone; treatment method recorded as loop/laser excision or knife cone and biopsy type recorded as other than no biopsy. This will include LLETZ and NEEP'.

     Ablation + No Biopsy taken or biopsy result not yet known (column 5)

   • This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, cryotherapy, cautery and diathermy. (ii) no biopsy taken, or biopsy result not known by clinic'.

     Ablation + Biopsy (column 6)

   • This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, cryotherapy, cautery and diathermy. (i) biopsy result available'.

     Other (column 7)

   • This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Other; treatment method recorded as other and biopsy type recorded as other than no biopsy. This will include polyp avulsion and treatment with silver nitrate'. It excludes any treatment that is not related to cervical abnormalities.

     Number of first attendances (column 8)

   • This is the total of all first attendances (see paragraph 2), subdivided by the CYTOLOGY RESULT TYPE classifications.

KC65 - Colposcopy Clinics: Referrals, Treatments and Outcomes

1. Part C2 - All attendances by type of procedure and result of referral

   • Part C2 - All attendances by type of procedure and result of referral

   • Parts C1 and C2 of the KC65 return are counts of procedures undertaken at colposcopy clinics, showing the nature of treatment by result of referral. The information is used to monitor treatment patterns to ensure that treatment guidelines, such as on the number of biopsies taken, are met.

   • Parts C1 and C2 are identical, except that Part C1 relates to initial treatment at first attendance, and Part C2 relates to all attendances. For part C2 data is collected on each Clinic Attendance Consultant or Clinic Attendance Nurse in the REPORTING PERIOD.

     Where a woman has a smear taken during the attendance the COLPOSCOPY PRIME PROCEDURE TYPE should be recorded as classification 'No treatment; no treatment received and no biopsy taken'.

     Clinic Attendance Consultant and Clinic Attendance Nurse are both a CARE CONTACT where CARE CONTACT TYPE is National Code 06 'Clinic Attendance Consultant' and 10 'Clinic Attendance Nurse' respectively.

     For Clinic Attendance Consultant and Clinic Attendance Nurse, a first attendance is the first in a series of the only attendance at the clinic by a patient.

   • The procedures undertaken in the colposcopy clinics are Patient Procedures. Only one Patient Procedure should be counted for each Clinic Attendance Consultant or Clinic Attendance Nurse. If more than one procedure is carried out, the most severe should be recorded for KC65.

     Patient Procedure is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure'.

     Result of referral smear

   • Lines 0001 to 0008 require data on the number of women referred for colposcopy by CYTOLOGY RESULT TYPES.

     Inadequate (line 0001)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Inadequate sample (cat. 1)'.

     Borderline changes (line 0002)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Borderline changes (cat. 8)'.

     Mild dyskaryosis (line 0003)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Mild dyskaryosis (cat. 3)'.

     Moderate dyskaryosis (line 0004)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Moderate dyskaryosis (cat. 7), including abnormal, unclassifiable and ungraded smears'.

     Severe dyskaryosis (line 0005)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis (cat. 4)'.

     Severe dyskaryosis/invasive carcinoma (line 0006)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis/invasive carcinoma (cat. 5)'.

     Glandular neoplasia (line 0007)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of '?Glandular neoplasia (cat. 6), including adenocarcinoma'.

     Referral Indication - Clinical indication (lines 0008, 0009)

   • These columns count attendances for women with a REFERRAL REQUEST for colposcopy with a COLPOSCOPY REFERRAL INDICATION classification of 'Clinical indication'.

     Note all procedures carried out on women who have been referred to the colposcopy clinic with a REFERRAL REQUEST with a COLPOSCOPY REFERRAL INDICATION classification of 'Clinical indication' should be recorded in this line regardless of the result of any smear taken after the referral.

     Clinical Indication Urgent (line 0008)

   • A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'urgent'. This is restricted to cervical lesions suspicious of cancer, or post-coital bleeding of over four weeks where the patient is aged over 35.

     Clinical Indication Non-Urgent (line 0009)

   • A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'non-urgent'. This includes all other symptomatic referrals for colposcopy

     Other (line 0010)

   • A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Other'.

     Entries recorded in Other (line 0010) should only occur in exceptional circumstances. NHS Cervical Screening Programme (NHSCSP) guidelines state that all smears should be identified as belonging to one of the eight recognised category classifications of CYTOLOGY RESULT TYPE. Other (line 0010) does not correspond to these recognised categories and should be used to record those rare cases in which a recognised category is not appropriate. Where an entry is present in Other (line 0010) then supporting notes should be recorded in the available box on the first page of the KC65 form.

     Total (line 0011)

   • This is the total for all women counted in columns 2 to 8.

     No treatment (column 2)

   • This counts the number of women who received no treatment and for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'No treatment; no treatment received and no biopsy taken'.

     Procedure Type

     Diagnostic biopsy (punch) (column 3)

   • This counts the number of women who received no treatment and for whom a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Diagnostic biopsy (punch); no treatment received and biopsy type recorded as directed biopsy or multiple directed biopsy, or any other biopsy taken for diagnostic purposes only' was recorded.

     Treatment biopsy or treatment/diagnostic biopsy - Excision (column 4)

   • This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Loop/laser excision or knife cone; treatment method recorded as loop/laser excision or knife cone and biopsy type recorded as other than no biopsy. This will include LLETZ and NEEP'.

     Ablation + No Biopsy taken or biopsy result not yet known (column 5)

   • This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, cryotherapy, cautery and diathermy. (ii) no biopsy taken, or biopsy result not known by clinic'.

     Ablation + Biopsy (column 6)

   • This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, cryotherapy, cautery and diathermy. (i) biopsy result available.'

     Other (column 7)

   • This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE of 'Other; treatment method recorded as other and biopsy type recorded as other than no biopsy. This will include polyp avulsion and treatment with silver nitrate'. It excludes any treatment that is not related to cervical abnormalities.

     Number of first attendances (column 8)

   • This is the total of all first attendances (see paragraph 2), subdivided by the CYTOLOGY RESULT TYPE classifications.

KC65 - Colposcopy Clinics: Referrals, Treatments and Outcomes

1. Part D - Cervical Biopsies, by time from biopsy to informing patient of result in writing

   • Part D - Cervical Biopsies, by time from biopsy to informing patient of result in writing

   • Part D of the KC65 return shows for each cervical biopsy the time elapsing before the woman is informed in writing of the result. The NHS Cervical Screening Programme (NHSCSP) has issued guidance on waiting times, and the information is used to monitor whether clinics are meeting these standards. The return is based upon those biopsies taken during the first month of the quarter.

   • The time measured in this part of the return is the interval between the PROCEDURE DATE of the colposcopy Patient Procedure at which the biopsy was taken and the Patient Informed Biopsy Result Date.

     Patient Procedure is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure'. PROCEDURE DATE and Patient Informed Biopsy Result Date are both the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 48 'Procedure Date' and 24 'Patient Informed Biopsy Result Date' respectively.

     Total biopsies in first month of quarter

   • Column 2 counts the number of biopsies taken during the first month of the quarter. These are subdivided by the waiting times in lines 0001-0005.

     Less than or equal to 2 weeks (line 0001)

   • This counts the number of women whose waiting time was less than or equal to 14 days.

     >2 weeks up to 4 weeks (line 0002)

   • This counts the number of women whose waiting time was more than 14 days but less than or equal to 28 days.

     >4 weeks up to 8 weeks (line 0003)

   • This counts the number of women whose waiting time was more than 28 days but less than or equal to 56 days.

     >8 weeks up to 12 weeks (line 0004)

   • This counts the number of women whose waiting time was more than 56 days but less than or equal to 84 days.

     >12 weeks (line 0005)

   • This counts the number of women whose waiting time was more than 84 days.

     Total (line 0006)

   • This is the total for all women counted in column 2.

KC65: Colposcopy Clinics, Referrals, Treatments and Outcomes

1. Part E - Cervical Biopsies, by type and outcome

   • Part E - Cervical Biopsies, by type and outcome

   • Part E of KC65 shows the histological result BIOPSY REFERRAL OUTCOME for each cervical biopsy, which indicates whether cancer or a pre-cancerous condition has been identified from the sample taken. The information will help to monitor whether NHS Cervical Screening Programme (NHSCSP) guidance on the quality of biopsies and accuracy of diagnosis is being met.

   • This part of the KC65 return is based upon those biopsies taken during the first month of the quarter. Please note that the total number of biopsies recorded in Part E should equal the total number recorded in Part D as both parts relate to the same biopsies.

   • Column 5 counts the total number of BIOPSY REFERRAL OUTCOMES. These are analysed by biopsy type.

     Biopsy Type - Diagnostic (punch) (column 2)

   • This counts the number of women for whom a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Diagnostic biopsy (punch); no treatment received and biopsy type recorded as directed biopsy or multiple directed biopsy or any other biopsy taken for diagnostic purposes only' was recorded.

     Biopsy Type - Excision (column 3)

   • This counts the number of women for whom a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Loop/laser excision or knife cone; treatment method recorded as loop/laser excision or knife cone and biopsy type recorded as other than no biopsy. This will include LLETZ and NEEP.' was recorded.

     Biopsy Type - Other (column 3)

   • This counts the number of women for whom a COLPOSCOPY PRIME PROCEDURE TYPE classification of other than 'Diagnostic biopsy (punch)', or 'Loop/laser excision or knife' was recorded.

     Outcome (Histology result)

   • These results are further sub-divided by BIOPSY REFERRAL OUTCOME.

     Cancer (including micro-invasive) (line 0001)

   • This counts women with a BIOPSY REFERRAL OUTCOME classification of 'Cancer (including micro-invasive)'.

     Adenocarcinoma in situ / CGIN (line 0002)

   • This counts women with a BIOPSY REFERRAL OUTCOME classification of 'Adenocarcinoma in situ'.

     CIN3 (line 0003)

   • This counts women with a BIOPSY REFERRAL OUTCOME classification of 'CIN3'.

     CIN2 (line 0004)

   • This counts women with a BIOPSY REFERRAL OUTCOME classification of 'CIN2'.

     CIN1 (line 0005)

   • This counts women with a BIOPSY REFERRAL OUTCOME classification of 'CIN1'.

     HPV/cervicitus only (line 0006)

   • This counts women with a BIOPSY REFERRAL OUTCOME classification of 'HPV/cervicitus only'.

     No CIN/No HPV (line 0007)

   • This counts women with a BIOPSY REFERRAL OUTCOME classification of 'No CIN/No HPV (normal)'.

     Inadequate / unsatisfactory biopsy (line 0008)

   • This counts women with a BIOPSY REFERRAL OUTCOME classification of 'Inadequate/unsatisfactory biopsy'.

     Result not known by clinic (line 0009)

   • This counts women with a BIOPSY REFERRAL OUTCOME classification of 'Result not known by clinic'.

     Total (line 0010)

   • This is the total for all women counted in columns 2 to 5.

     Data Quality Checks

   • The following data quality checks should be made:

     Part D	Part E
     Column 2 Line 006	= Column 4 Line 010

KH03 - Bed Availability and Occupancy

1. Contextual Overview

   • Contextual Overview

   • The Department of Health requires summary details of bed availability to calculate throughput, measures of efficiency, and service provision. The information is also used to monitor performance on the second Order Priority on NHS Beds, and provides an important indicator of the scale of shift from secondary to primary care.

   • The information on the return is published in the "Hospital Activity Statistics" bulletin, the detailed booklet "Bed availability and Occupancy for England" and "Health and Personal Social Services Statistics".

     Completing Return KH03 - Bed Availability and Occupancy

   • This return identifies the number of bed days for each NHS Health Care Provider which are available for PATIENTS to have treatment or care. It must only include beds in units managed by the provider, not beds commissioned from other providers. Note that cots for well babies and the occupancy of such cots are excluded from all parts of KH03.

   • The return KH03 relates to the 12 month period, between 1 April of one year and 31 March of the following year. The return should be made within two months of the end of the year to which it relates - by 31 May at the latest.

   • A return is required from each NHS Health Care Provider.

   • The return KH03 records supporting facilities (Part 1) and bed availability (Part 2) within an NHS Health Care Provider.

KH03 - Bed Availability and Occupancy

1. Part 1a Supporting facilities

   • Part 1a Supporting facilities

   • Details of supporting facilities of the following types that are available at the ORGANISATION SITES of the NHS Health Care Provider on the CENSUS DATE.

     1. 
        

     2. Details of supporting facilities of the following types that are available at the ORGANISATION SITES of the NHS Health Care Provider on the CENSUS DATE.

        • 
          
        • the total number of OPERATING THEATRES.
        • the number of OPERATING THEATRES where the OPERATING THEATRE DEDICATED TO DAY CASES is classification 'Dedicated to day cases' on their OPERATING THEATRE OPERATIONAL PLANS.
        • whether there is a Pathology Department (Yes/No)
        • whether there is a Radiology Department (Yes/No)
        • the ACCIDENT AND EMERGENCY DEPARTMENT TYPE.

   Where there is more than one ACCIDENT AND EMERGENCY DEPARTMENT TYPE, indicate the ACCIDENT AND EMERGENCY DEPARTMENT TYPE that provides the most comprehensive service.

   Part 1b Number of available neonatal intensive care cots at 31 March

2. Record the total number of cots resourced for the provision of intensive care to a neonate. This is the total of WARD BED AVAILABILITY for AUGMENTED CARE LOCATION CODE National Code 08 'Neonatal Intensive Care Unit' at CENSUS DATE.

   Part 1c Number of available paediatric intensive care beds at 31 March

3. This is the total of WARD BED AVAILABILITY for AUGMENTED CARE LOCATION CODE National Code 06 'Paediatric Intensive Care Unit' at CENSUS DATE.

   Part 2 Bed Availability and occupancy: beds in Wards open overnight

   Bed Days

4. This requires a count of the total number of available bed days and occupied bed days in WARDS with a WARD DAY NIGHT INDICATOR classification of 'Only open overnight' or 'Open 24 hours' taken from the DAILY WARD LISTINGS over the course of the year ending 31 March. Available bed days are the sum of the WARD LISTING TOTAL BED OCCUPIED and WARD LISTING TOTAL BED UNOCCUPIED. Unoccupied beds must be available for use. It does not include residential care (covered in Part 3) or WARDS open only during the day (covered in Part 4). Exclude from the bed days available totals any beds designated solely for the use of well babies. Exclude from the bed days occupied totals any bed days of occupation by well babies.

   Ward Classification

5. The totals are further subdivided by ward classification. These classifications are derived as follows from the DAILY WARD LISTING of a WARD with a WARD OPERATIONAL PLAN with:

   Intensive Care - Neonates
   a BROAD PATIENT GROUP CODE of National Code 3 'Neonates' and a CLINICAL CARE INTENSITY of National Code 31 'not associated with the maternity ward and in which there are some designated cots for intensive care'.

   Intensive Care - Paediatric
   an AGE GROUP INTENDED of National Code 2 'Children and/or adolescents' and a CLINICAL CARE INTENSITY of National Code 11 'for intensive therapy, including high dependency care'.

   Intensive Care - Wholly or mainly adult
   an AGE GROUP INTENDED of National Code 8 'Any age' and a CLINICAL CARE INTENSITY of National Code 11 ' for intensive therapy, including high dependency care'.

   Terminally ill/palliative care - Children
   an AGE GROUP INTENDED of National Code 2 'children and/or adolescents' and a BROAD PATIENT GROUP CODE of National Code 8 'Terminally ill/palliative care'.

   Terminally ill/palliative care - Wholly or mainly adult
   an AGE GROUP INTENDED of National Code 8 'Any age' and a BROAD PATIENT GROUP CODE of National Code 8 'Terminally ill/palliative care'.

   Younger physically disabled
   a BROAD PATIENT GROUP CODE of National Code 2 'Younger physically disabled'.

   Other general and acute - Neonates and children
   This should be the sum of all available and occupied bed days where the AGE GROUP INTENDED is Children and/or adolescents or Neonates and the CLINICAL CARE INTENSITY National Code is one of the following:

   • 
     
   • for neonates: 33 'maternity: associated with the maternity ward in that cots are in the maternity ward nursery or in the ward itself',
     
   • for neonates: 32 'non-maternity: not associated with the maternity ward and without designated cots for intensive care',
     
   • for general patients: 12 'for normal therapy: where resources permit the admission of patients who might need all but intensive therapy',
     
   • for general patients: 13 'for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease'.

   Other general and acute - Elderly: Normal Care
   an AGE GROUP INTENDED of National Code 3 'Elderly' and a CLINICAL CARE INTENSITY of National Code 12 'for normal therapy: where resources permit the admission of patients who might need all but intensive therapy'

   Other general and acute - Elderly: Limited Care
   an AGE GROUP INTENDED of National Code 3 'Elderly' and a CLINICAL CARE INTENSITY of National Code 13 'for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease'

   Other general and acute - Other
   an AGE GROUP INTENDED of National Code 8 'Any age' and a CLINICAL CARE INTENSITY National Code of:

   • 
     
   • for general patients: 12 'for normal therapy: where resources permit the admission of patients who might need all but intensive therapy',
     or
   • for general patients: 13 'for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease'

   Maternity
   a BROAD PATIENT GROUP CODE of National Code 4 'Maternity patients'

KH03 - Bed Availability and Occupancy

1. Part 3 Residential Care

   • Part 3 Residential Care

   • Part 3 of the return asks for information on available and occupied bed days in NHS-managed residential care, that is, care homes that are directly managed by the NHS, subdivided by BROAD PATIENT GROUP CODE of National Code 5 'Patients with mental illness', 6 'Patients with learning disabilities' and then any other.

     Part 4 Wards open day only, and day cases treated in Wards open overnight

   • Part 4 of the return asks for information on the number of available and occupied bed days in WARDS open during the day only. The first category is WARDS with a WARD DAY NIGHT INDICATOR classification of 'Open only during the day' and AGE GROUP INTENDED of National Code 1 'Neonates' or 2 'Children and/or adolescents' and the second is with an AGE GROUPS INTENDED of National Code 8 'Any age'.

     There is also a heading for the WARD LISTING TOTAL DAY CASE treated in WARDS open overnight.

     The final line in Part 4 requires a total of WARD LISTING TOTAL DAY CASE treated in WARDS where the WARD OPERATIONAL PLAN has a WARD DAY NIGHT INDICATOR classification of 'Only open overnight' or 'Open 24 hours'.

     For the purposes of recording occupied bed days in WARDS where the WARD OPERATIONAL PLAN has a WARD DAY NIGHT INDICATOR classification of 'Open only during the day', an occupied bed day is defined as a bed which has been used for at least one day case admission during the day.

KH03a - Adult Intensive Care and High Dependency Provision

1. Contextual Overview

   • Contextual Overview

   • The Department of Health requires accurate information on adult intensive care beds and high dependency beds to support policy developments and to monitor provision.

   • The KH03 return collects data by broad ward classification, and a ward classed as intensive care may have a mixture of intensive care, high dependency and other beds. The KH03a will provide more accurate information on the distribution, type and availability of adult intensive care and high dependency beds.

     Completing Return KH03a - Adult Intensive Care and High Dependency Provision

   • The return KH03a is a census of available adult intensive care and high dependency beds carried out on 15 January and 15 July. Returns are submitted within two weeks of the census dates - by 28 January and 28 July at the latest.

   • A return is required from each NHS Health Care Provider.

   • The return requires the ORGANISATION CODE and ORGANISATION NAME of the NHS Health Care Provider as well as the name of the contact and the contact telephone and fax number.

   • Beds should be counted as either intensive care or high dependency to avoid double counting of provision. The number of each type of bed in AUGMENTED CARE LOCATION CODE National Code 12 'Combined High Dependency and Intensive Care Unit; the beds and staff for the two units are geographically in the same area', should be entered in the appropriate section of the return. If beds are available but unoccupied in a combined unit that offers this flexible provision, trusts should record the highest level of care they could provide based on the staff available.

   • The return requires information on the number of available adult intensive care and high dependency beds in each trust at the date of the census. Beds are classified as available if they are either occupied or ready to take a patient. Beds not currently funded or which are closed due to staff sickness or vacancies should be excluded. However, beds not officially funded but used for IC/HD care on the census day should be counted and an explanation given on the front of the form.

   • A note should be attached to the return if the number of beds has changed since the last return or if beds are funded but closed temporarily.

   • Beds in the following AUGMENTED CARE LOCATION CODES are excluded from this return:

     09	Cardiac Care Unit: otherwise referred to as a Coronary Care Unit
     13	Post operative Recovery Unit: this includes a theatre recovery area - (but note that longer term IC or HD recovery beds, separate to theatres, should be included in the relevant specialist or general lines)
     16	Renal Unit: this includes an in-patient kidney dialysis unit, but excludes general nephrology or urology wards
     17	Not otherwise specified.

   • Adult beds are WARD AVAILABLE BED in a WARD with a CLINICAL CARE INTENSITY of National Code 11 'for intensive therapy, including high dependency care', which is not a WARD assigned to an AGE GROUP INTENDED of National Code 1 'Neonates' or 2 'Children and/or adolescents'.

KH03a - Adult Intensive Care and High Dependency Provision

1. General Beds

   • General Beds

   • Enter the WARD BED AVAILABILITY for the following AUGMENTED CARE LOCATION CODES. The classifications of the attribute INTENSIVE CARE OR HIGH DEPENDENCY BEDS INDICATOR of WARD BED AVAILABILITY identifies whether the total number of beds resourced and available for use is for intensive care beds or high dependency beds. This enables it to be separately reported.

     General IC unit or general HD unit: Intensive Care

     01	General Intensive Care Unit; adult intensive care, including wards labelled as surgical or medical ICU, but excluding the specialised units identified below. General Intensive Care Units may provide a mixture of HDU and ICU level care.

     
     

     General IC unit or general HD unit: High Dependency

     05	High Dependency Unit

     
     

     Combined IC and HD unit: Intensive Care

     12	Combined High Dependency and Intensive Care Unit; the beds and staff for the two units are geographically in the same area.
     	Enter the number of adult intensive care beds available.

     
     

     Combined IC and HD unit: High Dependency

     12	Combined High Dependency and Intensive Care Unit; the beds and staff for the two units are geographically in the same area.
     	Enter the number of adult high dependency beds available.

     
     

     Combined IC or HD and coronary care unit: Intensive Care

     11	Combined Coronary and Intensive Care Unit; the beds and staff for the two units are geographically in the same area.
     	Do not include beds being used for coronary care on the census day in this count.

     
     

     Combined IC or HD and coronary care unit: High Dependency

     10	Combined High Dependency and Coronary Care Unit; the beds and staff for the two units are geographically in the same area.
     	Do not include beds being used for coronary care on the census day in this count.

     
     

     Other general HD beds not in a unit

     17	Not otherwise specified.
     	Record here the number of adult general beds outside of a designated unit providing high dependency care on the census date. These beds may be in a separate bay in a ward, such as surgical recovery beds.

     
     

     Specialist Beds

   • Enter the WARD BED AVAILABILITY for the following AUGMENTED CARE LOCATION CODES. The attribute INTENSIVE CARE OR HIGH DEPENDENCY BEDS INDICATOR of WARD BED AVAILABILITY identifies whether the total number of beds resourced and available for use is for intensive care beds or high dependency beds. This enables it to be separately reported.

   • In the appropriate box(es), indicate whether the unit is a combined IC/HD unit, as identified by the IC OR HD UNIT INDICATOR classification of A combined intensive care and high dependency unit.

     Cardiothoracic unit: Intensive Care

     02	Cardiothoracic Intensive Care Unit; this includes those units labelled as separate cardiac or thoracic units.
     	Enter the number of adult intensive care beds available.

     
     

     Cardiothoracic unit: High Dependency

     02	Cardiothoracic Intensive Care Unit; this includes those units labelled as separate cardiac or thoracic units.
     	Enter the number of adult high dependency beds available.

     
     

     Liver unit: Intensive Care

     03	Liver Intensive Care Unit.
     	Enter the number of adult intensive care beds available.

     
     

     Liver unit: High Dependency

     03	Liver Intensive Care Unit.
     	Enter the number of adult high dependency beds available.

     
     

     Neurological (neurosciences) unit: Intensive Care

     04	Neurological Intensive Care Unit.
     	Enter the number of adult intensive care beds available.

     
     

     Neurological (neurosciences) unit: High Dependency

     04	Neurological Intensive Care Unit.
     	Enter the number of adult high dependency beds available.

     
     

     Spinal injury unit: Intensive Care

     14	Spinal Injury Intensive Care Unit; this is a unit designated for critical care rather than a spinal injury ward.
     	Enter the number of adult intensive care beds available.

     
     

     Spinal injury unit: High Dependency

     14	Spinal Injury Intensive Care Unit; this is a unit designated for critical care rather than a spinal injury ward.
     	Enter the number of adult high dependency beds available.

     
     

     Burns unit: Intensive Care

     15	Burns Critical Care Unit; this includes all special care burns facilities other than short term post-operative care areas.
     	Enter the number of adult intensive care beds available.

     
     

     Burns unit: High Dependency

     15	Burns Critical Care Unit; this includes all special care burns facilities other than short term post-operative care areas.
     	Enter the number of adult high dependency beds available.

     
     

     Other specialist HD beds not in a unit

     17	Not otherwise specified.
     	Record here the number of adult specialist beds outside of a designated unit providing high dependency care on the census date. These beds may be in a separate bay in a ward, such as surgical recovery beds.

     
     

     Total general and specialist beds

   • Enter the total of WARD AVAILABLE BEDS for each of the AUGMENTED CARE LOCATION CODES in paragraphs 1 and 2, making sure that the column totals equal the sum of the column lines.

KH12 - Diagnostic Departments: Radiology, Nuclear Medicine and Medical Physics Imaging and Radiodiagnostic Examinations or Tests in any Part of a Hospital

1. Contextual Overview

   • Contextual Overview

   • The Department of Health requires a count of all imaging and radiodiagnostic events carried out in hospital departments. The data are collected to implement a requirement of the Council of the European Union. Council Directives 80/836/Euratom and 96/29/Euratom require the health surveillance of the population, through assessment of radiation dose. Council Directive 97/43/Euratom takes this further by placing a specific requirement in relation to doses from medical exposures.

   • Information on the return is published annually in the 'Diagnostic Departments' bulletin.

     Completing Return KH12 - Imaging and Radiological Examinations or Tests in any Part of a Hospital

   • The return KH12 requires the following information:

     • numbers of imaging and radiodiagnostic examinations or tests by modality;
     • numbers of imaging events with intervention (success or failed);
     • whether the events take place under the auspices of an imaging department or some other department.

   • The following are excluded:

     • Requests which do not result in the use of an IMAGING MODALITY;
     • Imaging performed as part of radiotherapy planning;
     • Doppler ultrasound examinations without imaging such as is used for peripheral arterial or venous disease or fetal studies;
     • Procedures undertaken as part of the NHS Breast Screening Programme (initial screening and subsequent assessment) but not mammography undertaken for symptomatic women whose referrals are made directly to the imaging department.

   • Providers should collate data from every department of the hospital which undertakes imaging or radiodiagnostic examinations or tests under its auspices. Imaging department includes radiology, nuclear medicine and medical physics departments. Any other department includes departments other than radiology, nuclear medicine and medical physics undertaking imaging or radiodiagnostic investigations. This would include for instance an obstetric department with its own ultrasound apparatus or a cardiology department undertaking imaging/interventional procedures.

   • Care needs to be taken to avoid double-counting. For example X-rays undertaken in an OPERATING THEATRE should be counted by either the radiology department or the surgery department, but not by both.

   • A KH12 return is required from each NHS Health Care Provider.

   • The return KH12 relates to activity taking place over a 12 month period, between 1 April of one year and 31 March of the following year. The return is made annually and submitted within two months of the end of the year to which it relates, by the end of May at the latest.

KH12 - Imaging and Radiological Examinations or Tests in any Part of a Hospital

1. Part 1: Total number of departments on 31 March

   • Part 1: Total number of departments on 31 March

     Radiology

   • Enter the total number of Radiology Department for the ORGANISATION as of 31 March.

     A Radiology Department is a DEPARTMENT where DEPARTMENT TYPE is National Code 04 'Radiology Department'.

     Nuclear Medicine

   • Enter the total number of nuclear medicine Isotope Procedure Departments for the ORGANISATION as at 31 March.

     A nuclear medicine Isotope Procedure Department is a DEPARTMENT where DEPARTMENT TYPE is National Code 21 'Isotope Procedure Department nuclear medicine'.

     Medical Physics

   • Enter the total number of medical physics Isotope Procedure Departments for the ORGANISATION as at 31 March.

     A medical physics Isotope Procedure Department is a DEPARTMENT where DEPARTMENT TYPE is National Code 22 'Isotope Procedure Department medical physics'.

   • Enter the total number of Isotope Procedure Department OF DEPARTMENT TYPE classification of other for the ORGANISATION as of 31 March.

     Part 2: Number of imaging and radiodiagnostic examinations or tests

   • Part 2 of the form splits total Imaging Or Radiodiagnostic Event by IMAGING MODALITY and introduces the concept of events carried out 'Under auspices of' either an imaging department or other department.

     An Imaging Or Radiodiagnostic Event is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 16 'Imaging or Radiodiagnostic Event'.

     Imaging department

   • Enter the total number of other Isotope Procedure Departments for the ORGANISATION as at 31 March.

     An other Isotope Procedure Department is a DEPARTMENT where DEPARTMENT TYPE is National Code 23 'Isotope Procedure Department other'.

   • Any other department which is undertaking imaging or radiodiagnostic investigations.

     Modality

   • The IMAGING MODALITY used during the Imaging Or Radiodiagnostic Event.

     Part 2(a): Imaging and Radiodiagnostics without intervention

   • For each IMAGING MODALITY and Imaging Department enter the total number of Imaging Or Radiodiagnostic Event having an IMAGING INTERVENTION INDICATOR classification of 'No', that have taken place with ACTIVITY DATES within the period up to March 31.

     Part 2(b): Imaging and Radiodiagnostics with intervention (successful or failed)

   • For each IMAGING MODALITY and Imaging Department, enter the total number of Imaging Or Radiodiagnostic Event having an IMAGING INTERVENTION INDICATOR classification of 'Yes', that have taken place with a Clinical Intervention Date within the period up to March 31.

     Clinical Intervention Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 34 'Clinical Intervention Date'.

     Consistency checks

   • Before returning the form to the Department of Health, please ensure that:

• Parts 2a and 2b - for all lines: columns (17) = total of columns (10) to (16);
• Parts 2a and 2b - for all columns: line 9 is the sum of lines 1 and 2.