Activity from 1st April 2005

To help determine who has access to Commissioning Data Set data once it has been stored in the Secondary Uses Service, NHS Trusts and Primary Care Trusts need to identify each of those ORGANISATIONS as a CDS COPY RECIPIENT IDENTITY taking all of the following factors into account. Information is required to:

• monitor and manage NHS SERVICE AGREEMENTS;
• develop commissioning plans;
• monitor HEALTH PROGRAMMES;
• underpin clinical governance;
• understand the health needs of the population.

Main commissioners need access to data to monitor Non-Contract Activity as part of the management of their NHS SERVICE AGREEMENTS.

Primary Care Trusts need to monitor in-year referrals to investigate the sources and reasons for Non-Contract Activity.Primary Care Trusts need to monitor in-year referrals to investigate the sources and reasons for Non-Contract Activity.

Independent Sector Treatment Centres are responsible for providing Admitted Patient Care and Out-Patient Attendance Commissioning Data Set and may submit it on their own behalf or via a third party.

Other Independent Sector activity for NHS PATIENTS is the responsibility of the NHS commissioning body for the provision of the appropriate central returns and data sets.

The Department of Health require a complete record of all PATIENTS admitted to or treated as out-patients by NHS hospitals and Primary Care Trusts, including PATIENTS receiving private treatment. The record also includes NHS PATIENTS treated electively in the independent sector and overseas visitors.

A PATIENT / NHS SERVICE AGREEMENT entry has been specifically introduced to identify ACTIVITY commissioned by the National Specialised Commissioning Group (NSCG). The code YDD82 should be used as the ORGANISATION CODE (CODE OF COMMISSIONER) for National Specialised Commissioning Group commissioned activity.

THE CDS ADDRESSING GRID - Activity from 1st April 2005

Key to population codes:
R - Data required for a Commissioning Data Set data flow as part of NHS business rules to meet NHS business requirements.
M - Data is mandatory in the CDS-XML schema and Commissioning Data Set messages will not flow if this data is absent.

Notes:

a) The CDS PRIME RECIPIENT IDENTITY must be allocated on the first creation and submission of a CDS TYPE and must not change even if the ADDRESS or Primary Care Trust of the PATIENT changes during the lifetime of the Commissioning Data Set record otherwise duplicate Commissioning Data Set data may be lodged in the Secondary Uses Service database.

See the supporting information in Commissioning Data Set Submission Protocol for a detailed explanation.

b) Note that if two recipients are identical for example, for example, the ORGANISATION CODE (PCT OF RESIDENCE) may be the same as the ORGANISATION CODE (CODE OF COMMISSIONER), only one entry for that ORGANISATIONshould be made for that recipient.b) Note that if two recipients are identical for example, the ORGANISATION CODE (PCT OF RESIDENCE) may be the same as the ORGANISATION CODE (CODE OF COMMISSIONER), only one entry for that ORGANISATION should be made for that recipient.

c) For further information please refer to DSCN 06/2005, DSCN 19/2005 and DSCN 19/2006.

The primary purpose of national data sets is to enable conformant health information to be generated across the country, independent of the ORGANISATION or system that maintains it. In achieving this, the Health and Social Care Information Centre will enable healthcare professionals to measure and compare the delivery and quality of care provided and to support them in sharing information with other health professionals and ORGANISATIONS.

Information Requirements

• monitor and manage Service Agreements;
• monitor and manage NHS SERVICE AGREEMENTS;
• develop commissioning plans;
• support the Payment By Results processes;
• support NHS Comparators;
• monitor Health Improvement Programmes;
• underpin clinical governance;
• understand the health needs of the population.
• support reporting against 18 week wait targets

Information on care provided for all PATIENTS by NHS Hospitals and Primary Care Trusts and Independent Sector Providers (for NHS PATIENTS only) is specified in the Commissioning Data Sets and must be submitted to the Secondary Uses Service according to issued guidelines.

Independent Sector Treatment Centres (TC) are responsible for providing Admitted Patient Care and Out-Patient Attendance Commissioning Data Sets and may submit this data on their own behalf or via a third party. Other Independent Sector activity for NHS PATIENTS is the responsibility of the NHS commissioning body for the provision of the appropriate central returns and data sets.

The Department of Health requires accurate data of all PATIENTS admitted to or treated as out-patients, or treated as an Accident And Emergency Attendance by NHS Hospital Providers and Primary Care Trusts, including PATIENTS receiving private treatment. The data also includes NHS PATIENTS treated electively in the independent sector and overseas. These Hospital Episode Statistics (HES) are derived from the Admitted Patient Care, Out-Patient Attendance and Accident and Emergency Attendance Commissioning Data Sets as stored in the Secondary Uses Service. This data provides information about hospital and PATIENT management, epidemiological data on PATIENT DIAGNOSES and OPERATIVE PROCEDURES.

Referral To Treatment Clock Stop Administrative Events may also flow using the CDS V6 TYPE 020 - OUTPATIENT CDS. This allows the Secondary Uses Service to build accurate PATIENT PATHWAYS for the reporting of 18 weeks activity.

Commissioning Data Set Data Flow Definitions

CDS TYPES

The Commissioning Data Set is the basic structure used for the submission of commissioning data to the Secondary Uses Service and is designed to be capable of individually conveying many different Commissioning Data Set structures encompassing Accident and Emergency Attendances, Out-Patient Attendances, Future Attendances, Admitted Patient Care and Elective Admission List data etc.

Commissioning Data Set Messages have been defined in specific components known as a CDS TYPE. Each Commissioning Data Set Type as configured into the Commissioning Data Set Message carries only one specific Commissioning Data Set Type, an examples being the Finished Consultant Episode Commissioning Data Set Type etc.

Non-Contract Activity was known as Out Of Area Treatment prior to 1 April 2005.Non-Contract Activity was known as Out Of Area Treatment prior to 1 April 2005.

Non-Contract Activities are covered by NHS SERVICE AGREEMENTS between a commissioner and the Trust providing treatment. The commissioner is identified by the ORGANISATION CODE (CODE OF COMMISSIONER).

Non-Contract Activities cover:

The actual date offered for an APPOINTMENT in response to a SERVICE REQUEST or an invitaion as part of a HEALTH PROGRAMME.The actual date offered for an APPOINTMENT in response to a SERVICE REQUEST or an invitation as part of a HEALTH PROGRAMME.

A classification of a change to a SERVICE PROVIDED UNDER AGREEMENT to record the reason for a change in the NHS SERVICE AGREEMENT to apply to a SERVICE.

National Codes:

An NHS SERVICE AGREEMENT does not apply to a change of provider. A provider change would always require a new DECISION TO ADMIT with the PATIENT being placed on a new ELECTIVE ADMISSION LIST.