Mental Health Care Team is a CARE PROFESSIONAL TEAM.This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.

A Mental Health Care Team is a team of professionals delivering specialist mental health services, including secondary and self-referral services, for adult and elderly PATIENTS. This includes the care or assessment of adult and elderly PATIENTS with drug or alcohol dependence but excludes child and adolescent psychiatry PATIENTS and PATIENTS with learning disabilities.Adult Mental Health Care Team is a CARE PROFESSIONAL TEAM.

The team can be multidisciplinary and may contain members who are employees of the Health Care Provider or be employees of another NHS or non-NHS organisation.An Adult Mental Health Care Team is a team of professionals delivering specialist mental health services, including secondary and self-referral services, for adult and elderly PATIENTS. This includes the care or assessment of adult and elderly PATIENTS with drug or alcohol dependence but excludes child and adolescent psychiatry PATIENTS and PATIENTS with Learning Disabilities.

The team may be a Responsible Mental Health Care Team.The Adult Mental Health Care Team can be multidisciplinary and may contain members who are employees of the Health Care Provider or be employees of another NHS or non-NHS ORGANISATION.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

The data carried in the three National Service Framework for Children Young People and Maternity Services Data Sets (Maternity Data Set, National Children's and Young People's Health Services Data Set and Child and Adolescent Mental Health Services Data Set) must be structured in a particular way for submission nationally. Data items in the files, including the items in the header records, are pipe-delimited (| character).

Each data set submission file of data is structured in the following way:

• Data Set File Header Row
• Data Set Segment Row(s)
• Data Set File Trailer Row

See below for the file structure for each data set row:

• Data Set File Header Row

This contains information about the submission file, and is structured as follows, for all three data sets:

DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value HDR in a file header row)
YEAR AND MONTH OF REPORTING PERIOD
DATE AND TIME DATA SET CREATED
DATA SET IDENTIFIER (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)
DATA SET VERSION NUMBER
ORGANISATION CODE (CODE OF PROVIDER)

The Data Set File Header row is present only once, as the first record in the submission file.

• Data Set Segment Row

This contains Segment type and PATIENT identification information followed by segment content data items, and is structured as follows:

• For the Maternity Data Set:

For the Booking and Dating Scan, Infectious Diseases and Inherited Blood Disorders, Antenatal, Labour and Delivery, and Postnatal Data Segment Groups:

DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value SEG in a segment row)
DATA SET SEGMENT IDENTIFIER (MATERNITY DATA SET)
NHS NUMBER (MOTHER)
ESTIMATED DATE OF DELIVERY (AGREED)

For the Baby Data Segment Groups
DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value SEG in a segment row)
DATA SET SEGMENT IDENTIFIER (MATERNITY DATA SET)
NHS NUMBER (MOTHER)
ESTIMATED DATE OF DELIVERY (AGREED)
NHS NUMBER (BABY)

• For the Child and Adolescent Mental Health Services Data Set and the National Children's and Young People's Health Services Data Set:

DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value SEG in a segment row)
DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES DATA SET) or DATA SET SEGMENT IDENTIFIER (NATIONAL CHILDREN'S AND YOUNG PEOPLE'S HEALTH SERVICES DATA SET) 
NHS NUMBER

This is followed in the same row by the segment content data items, which vary depending on which segment is being submitted. This structure is repeated for each data record within the file.

• Data Set File Trailer Row

This contains some of the same information as the Data Set File Header row, plus a count of all segment records within the file, as a data quality check, and is structured as follows:

DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value TRL in a file trailer row)
YEAR AND MONTH OF REPORTING PERIOD
DATE AND TIME DATA SET CREATED
DATA SET IDENTIFIER (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)
DATA SET SEGMENT RECORDS TOTAL
ORGANISATION CODE (CODE OF PROVIDER)

The Data Set File Trailer Row is present only once, as the last record in the submission file.

HDR|2010-04|2010-05-31T23:34:00|MAT|1.01|RX7   (Data Set File Header Row)
SEG|MAT00x|1234567890|2010-09-03|2010-04-26|2010-04-28 (Data Set Segment Row for Antenatal Admission Segment)
SEG|MAT00x|0456789123|2010-04-13|5678901234|06|2010-04-14T16:06:00 (Data Set Segment Row for Critical Incident/Complications Segment)
TRL|2010-04|2010-05-31T23:34:00|MAT|00002|RX7  (Data Set File Trailer Row)

• Acute Myocardial Infarction
• Cancer Registration
• Diabetes (Summary Core)
• Genitourinary Medicine Clinic Activity
• Mental Health
• National Cancer
• National Cancer Waiting Times Monitoring
• National Joint Registry
• Radiotherapy
• Sexual and Reproductive Health Activity

Message Documentation

• 
  Children Young People and Maternity Services
• Child and Adolescent Mental Health Services
• Maternity
• National Children's and Young People's Health Services
• 
  Message Documentation
• Children Young People and Maternity Services Data Sets Submission Requirements
• Mental Health Minimum Data Set Message Schema Versions

Clinic Attendance Non-Consultant is a CARE CONTACT.

An attendance at or contact with a Nurse Clinic, Midwife Clinic or Sexual and Reproductive Health Clinic. This may have been as a result of an Out-Patient Appointment Non-Consultant.

If the PATIENT is currently subject to a Mental Health Care Spell and the nurse they are in contact with during the attendance or contact is their allocated Care Programme Approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.If the PATIENT is currently subject to a Mental Health Care Spell and the NURSE they are in contact with during the attendance or contact is their allocated Care Programme Approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

Note: Attendances or contacts at clinics run by Paramedics are Professional Staff Group Contacts.

If an APPOINTMENT TIME was given, the time seen should be recorded.

Information recorded for a Clinic Attendance Non-Consultant includes:

Day Care Attendance is a CARE CONTACT.

One attendance, or expected attendance, by a PATIENT at a particular Day Care Session. This will either be by a regular attender or by a PATIENT currently using a Hospital Bed (including Home Leave and Mental Health Leave Of Absence for a period of 28 days or less).

If the PATIENT is currently subject to a Mental Health Care Spell and during attendance at the facility is in contact with the CARE PROFESSIONAL who is their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

For Day Care Attendance, first attendance is the first of a series, or only attendance, at Day Care Facilities of an ORGANISATION by either a PATIENT using a  Hospital Bed or a regular day attender. A re-attendance is any subsequent attendance at a Day Care Session of the same Health Care Provider by a PATIENT whose attender status has not changed since the previous attendance.

Information recorded for a Day Care Attendance includes:

Face To Face Contact Community Care is a CARE CONTACT.

A contact which is made by one or more nurses or community support workers (nursing) with a PATIENT or his/her proxy during a Community Episode. The contact occurs when a PATIENT or their proxy attends a clinic or when the nurse or community support worker (nursing) makes a domiciliary visit to see the PATIENT.

A proxy contact is a single occasion involving contact between a proxy and one or more members of a community nurse staff group within a Nursing In The Community Programme. Contacts with proxies only count if the contact is in lieu of the contact with the PATIENT, and the proxy is able more effectively than the PATIENT to ensure that the specified advice/treatment devised for the PATIENT is followed. This is most likely to be the case where the PATIENT is unable to communicate effectively say for an infant, or for a person who is mentally ill or has learning disabilities. This is most likely to be the case where the PATIENT is unable to communicate effectively say for an infant, or for a PERSON who is mentally ill or has learning disabilities.

One or more nurses or community support workers (nursing) in the same or different Nursing In The Community Programmes may be in contact with a PATIENT at the same time.

Contacts should be recorded as follows:

Group activity, where, for example, general advice is given to several patients at the same time should not be recorded as Nurse or Midwife Contacts.Group activity, where, for example, general advice is given to several PATIENTS at the same time should not be recorded as Nurse or Midwife Contacts.

A Face To Face Contact Community Care may involve activities attributable to a structured programme, such as the following:

For such activities they must be recorded as part of the respective structured programmes as well as attributed to the Nursing In The Community Programmes.

If the PATIENT is currently subject to a Mental Health Care Spell and the contact nurse is also their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.If the PATIENT is currently subject to a Mental Health Care Spell and the contact NURSE is also their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

For domiciliary visits, an indication of whether the Face To Face Contact Community Care is the first occasion on which a PATIENT is seen should be recorded as an initial contact. A LOCATION TYPE should also be recorded.

Information recorded for a Face To Face Contact Community Care includes:

Face To Face Contact Social Worker is a CARE CONTACT.

A face to face contact between a PATIENT subject to a Mental Health Care Spell and a Local Authority Social Services Social Worker. The Social Worker may be a Mental Health Care Team Member. When the contact involves the presence of more than one Social Worker at the same time, then it is still considered as a single occurrence of a face to face contact.

In the case of contact arising due to a Social Services Statutory Assessment then both the Face To Face Contact Social Worker and the Social Services Statutory Assessment will be recorded.

When the Social Worker is also the allocated care programme approach care coordinator for the PATIENT then a Face To Face Contact CPA Care Coordinator should also be recorded.

Information recorded for a Face To Face Contact Social Worker includes:

Home Help Visit is a CARE CONTACT.

A visit to the usual place of residence of a PATIENT subject to a Mental Health Care Spell, by domiciliary care staff. The domiciliary care staff are employed or funded by Local Authority Social Services.

The following table is effective from 3rd November 2008 onwards after the relevant section of the Mental Health Act 2007 comes into force, and sets out the relationship between Parts and Sections of the Mental Health Act 1983 (amended by the Crime (Sentences) Act 1997 and the Mental Health Act 2007), and specifies how the codes in Category of Patient, LEGAL STATUS CLASSIFICATION CODE, Status Of Patient Included in the Psychiatric Census and MENTAL HEALTH ACT 2007 MENTAL CATEGORY interrelate.The following table is effective from 3rd November 2008 onwards after the relevant section of the Mental Health Act 2007 comes into force, and sets out the relationship between Parts and Sections of the Mental Health Act 1983 (amended by the Crime (Sentences) Act 1997 and the Mental Health Act 2007), and specifies how the codes in Category of Patient, MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE, Status Of Patient Included in the Psychiatric Census and MENTAL HEALTH ACT 2007 MENTAL CATEGORY interrelate.

The underlying LEGAL STATUS CLASSIFICATION CODE of a Mental Health Care Spell will be carried through a period of Supervised Community Treatment although the LEGAL STATUS CLASSIFICATION will be suspended during that period.The underlying MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE of an Adult Mental Health Care Spell will be carried through a period of Supervised Community Treatment although the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION will be suspended during that period.

The following table is effective prior to 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force, and sets out the relationship between Parts and Sections of the Mental Health Act 1983 (amended by the Crime (Sentences) Act 1997), and specifies how the codes in Category of Patient, LEGAL STATUS CLASSIFICATION CODE, Status Of Patient Included in the Psychiatric Census and MENTAL CATEGORY interrelate.The following table is effective prior to 3rd November 2008 when the relevant section of the Mental Health Act 2007 comes into force, and sets out the relationship between Parts and Sections of the Mental Health Act 1983 (amended by the Crime (Sentences) Act 1997), and specifies how the codes in Category of Patient, MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE, Status Of Patient Included in the Psychiatric Census and MENTAL CATEGORY interrelate.

Mental Health Care Spell is a Care Spell, which is an ACTIVITY GROUP.

This can be either a:

• Adult Mental Health Care Spell or
• Child And Adolescent Mental Health Care Spell.

This supporting information is also known by these names:

Context	Alias
plural	Mental Health Care Spells

Mental Health Leave Of Absence is a type of LEAVE.

Mental Health Leave Of Absence only applies to PATIENTS liable to be detained in hospital under the Mental Health Act 1983 as amended by the Mental Health (Patients in the Community) Act 1995.

The granting of Mental Health Leave Of Absence within a Mental Health Care Spell can only be authorised by the Mental Health Responsible Clinician for the PATIENT. The granted period of absence from hospital may be indefinite, a specified occasion or for any specified period and be escorted or unescorted. Where leave is granted for a specified period, that period may be extended by further leave granted in absence of the PATIENT. If the period of leave is extended, the current Mental Health Leave Of Absence will be ended, and a new one started.

A Mental Health Leave Of Absence for a period up to a maximum of 28 days from the Start Date, will not interrupt the Consultant Episode (Hospital Provider), Care Home Stay (Consultant Care), Care Home Stay (Nursing Care) or Care Home Stay (Residential).A Mental Health Leave Of Absence for a period up to a maximum of 28 days from the Start Date, will not interrupt the Consultant Episode (Hospital Provider), Care Home Stay (Consultant Care), Care Home Stay (Nursing Care) or Care Home Stay (Residential). A Mental Health Leave Of Absence for a period greater than 28 days from the start date, will entail the PATIENT being discharged from the current Hospital Provider Spell or Care Home Stay (Nursing Care), or their Care Home Stay (Residential) being ended.

During the Mental Health Leave Of Absence, the Mental Health Responsible Clinician continues to be responsible for the organisation and management of the PATIENT's continuing health and social care needs.

If a PATIENT does not return by midnight on the day specified, then the Mental Health Leave Of Absence will be ended and a period of Mental Health Absence Without Leave started.

The Mental Health Responsible Clinician should consider Supervised Community Treatment for a PATIENT before granting Mental Health Leave Of Absence for any period exceeding seven consecutive days.

Information recorded for a Mental Health Leave Of Absence includes:

There will be only one CARE PROFESSIONAL assigned to a PATIENT as the Mental Health Responsible Clinician at any one time. These assignments may change during the course of a Mental Health Care Spell, though not necessarily at the time of a Care Programme Approach Review.

The role of Mental Health Responsible Clinician was introduced in the Mental Health Act 2007 and replaces the role of the Responsible Medical Officer.

Information recorded for a Mental Health Responsible Clinician includes:

Newborn Hearing Screening is a Clinical Investigation.

The NHS Newborn Hearing Screening Programme (NHSP) ensures all parents are offered hearing screening for their new child within the first few weeks of life. It is a core service within the NHS in England and part of the family of Antenatal and Newborn Screening Programmes.

For further information on Newborn Hearing Screening, see the NHS Newborn Hearing Screening Programme website.

Note: if the child fails the Newborn Hearing Screening, a REFERRAL REQUEST for audiology testing is made.

This supporting information is also known by these names:

Context	Alias
plural	Newborn Hearing Screenings

Out-Patient Attendance Consultant is a CARE CONTACT.

An attendance at which a PATIENT is seen by or has contact with (face to face or via telephone/telemedicine) a CONSULTANT, in respect of one referral, that is not a visit to the home of a PATIENT for which a fee is payable under paragraph 140 of the Terms and Conditions of Service. For the purposes of this definition 'CONSULTANT' includes a member of the CONSULTANT's firm or locum for such a member. The attendance will be part of a Consultant Out-Patient Episode.

If a PATIENT is seen by a CONSULTANT at a Consultant Clinic then this will be a Clinic Attendance Consultant. An attendance may involve more than one PERSON (e.g. a family). The number of attendances to be recorded should be the number of PATIENTS for whom the particular CONSULTANT has identifiable individual records and which will be maintained as a result of the attendance.

A visit to the home of a PATIENT made at the instance of a hospital or specialist to review the urgency of a proposed admission to hospital, or to continue to supervise treatment initiated or prescribed at a hospital or clinic is covered by this definition.

Out-Patient Attendance Consultant also includes a PATIENT being seen by a CONSULTANT from a different MAIN SPECIALTY CODE during a Consultant Episode (Hospital Provider) in circumstances where there is no transfer of responsibility for the care of the PATIENT.

If the PATIENT is currently subject to a Mental Health Care Spell and the CONSULTANT they are in contact with during attendance is their allocated Care Programme Approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

During the Out-Patient Attendance Consultant, a number of PATIENT DIAGNOSES and Patient Procedures may be recorded.

A series of Out-Patient Attendance Consultant will form a Consultant Out-Patient Episode, generated from a single referral. Note that it is possible to have two Consultant Out-Patient Episodes with the same CONSULTANT for different clinical conditions, if two referrals are made. An attendance may involve more than one PERSON - for example, a family. The number of attendances to be recorded should be the number of PATIENTS for whom the CONSULTANT Out-Patient Attendance Consultant can take place outside a clinic session, and can take place at the PATIENT's normal place of residence.

A PATIENT attending a WARD for examination or care will be counted as an Out-Patient Attendance Consultant if he/she is seen by a doctor. If they are only seen by a NURSE, they are a Ward Attendance.

An Out-Patient Attendance Consultant should also be recorded where a PATIENT is seen by a CONSULTANT from a different MAIN SPECIALTY CODE during a Consultant Episode (Hospital Provider) where there is no transfer of responsibility for the care of the PATIENT. For example, a PATIENT who is admitted to hospital under a Gastroenterology specialty following an overdose may be seen while still in hospital by a psychiatrist who has been asked to assess their mental condition. The assessment by the psychiatrist should be recorded as an Out-Patient Attendance Consultant.

Information recorded for an Out-Patient Attendance Consultant includes:

Patient Informed Of Outcome Date is an ACTIVITY DATE TIME TYPE.

The date a PATIENT was informed of the outcome of a Mental Health Care Spell assessment or Care Programme Approach Review. The requirement for the PATIENT to be informed of outcomes is laid down in The Patient's Charter - Mental Health Services.

Professional Staff Group Contact is a CARE CONTACT.

A single occasion involving contact between a PATIENT or his/her proxy and one or more members of a professional staff group discipline from a Professional Staff Group Department, including paid support staff working for a professional staff group discipline.

A Professional Staff Group Contact may follow from an Out-Patient Appointment Non-Consultant, in this event the time seen should be recorded.

For Professional Staff Group Services, face to face contacts comprise both:

One or more members of the professional staff group discipline may be in contact with one or more PATIENTS at the same time and PATIENTS may be seen in association with staff from other disciplines. Contacts should be recorded as follows:

For physiotherapy, it may not be practical to collect data about all face-to-face contacts; however as a minimum, initial contacts and first contacts in financial year should be recorded.

For occupational therapy, the contact duration should be recorded in half-hour units.

If the PATIENT is currently subject to a Mental Health Care Spell and the member of the professional staff group discipline in contact is also their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

Note: When face-to-face contacts are used for attributing professional staff group costs to MAIN SPECIALTIES, it will be necessary to distinguish between those contacts by PATIENTS using a Hospital Bed, attenders at Consultant Clinics and attenders at Day Care Facilities.

Information recorded for a Professional Staff Group Contact includes:

Responsible Mental Health Care Team is a CARE PROFESSIONAL TEAM RESPONSIBLE.Responsible Adult Mental Health Care Team is a CARE PROFESSIONAL TEAM RESPONSIBLE.

An assignment of responsibility of a Mental Health Care Team to a Mental Health Care Spell for a period of time.An assignment of responsibility of an Adult Mental Health Care Team to an Adult Mental Health Care Spell for a period of time.

There may be one or more Mental Health Care Teams involved with a PATIENT at any one time but only one Mental Health Care Team has responsibility at any one time. The assignments of responsibility may change during the course of a Mental Health Care Spell, though not necessarily at the time of a Care Programme Approach Review.There may be one or more Adult Mental Health Care Teams involved with a PATIENT at any one time but only one Adult Mental Health Care Team has responsibility at any one time. The assignments of responsibility may change during the course of an Adult Mental Health Care Spell, though not necessarily at the time of a Care Programme Approach Review.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

The RH System is a classification for a CLINICAL INVESTIGATION RESULT ITEM.

In addition to the antigens present in the ABO System, red blood cells sometimes have another antigen, a protein called the Rh factor.

• If the Rh factor is present, the PERSON's blood group is RhD positive;
• If the Rh factor is absent, the PERSON is RhD negative.

This means that a PERSON can be one of eight blood groups:

• A RhD positive (A+)
• A RhD negative (A-)
• B RhD positive (B+)
• B RhD negative (B-)
• O RhD positive (O+)
• O RhD negative (O-)
• AB RhD positive (AB+)
• AB RhD negative (AB-).

For further information on the RH System, see the NHS Choices website.

Sheltered Work Attendance is a CARE CONTACT.

One attendance of a PATIENT at a particular Sheltered Work Session.

If the PATIENT is currently subject to a Mental Health Care Spell and during attendance at the facility are in contact with their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.If the PATIENT is currently subject to an Adult Mental Health Care Spell and during attendance at the facility are in contact with their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

Telephone Contact NHS Direct (Mental Health) is a CARE CONTACT.

A telephone contact between a PATIENT subject to a Mental Health Care Spell and NHS Direct which is related to the PATIENT's mental illness. This refers to any contacts that are required to be shared between NHS Direct and a Mental Health NHS Trust according to local and nationally agreed protocols on information sharing.

Each contact should be recorded by NHS Direct and the details of the contact made known to the specialist mental health service responsible for the PATIENT.

Ward Attendance is a CARE CONTACT.

An attendance at a WARD by a PATIENT for nursing care, where the PATIENT is not currently admitted to that Health Care Provider. A Ward Attendance should be recorded for only one Nurse or Midwife Contact. If the attendance is primarily for the purpose of examination or treatment by a doctor it is an Out-Patient Attendance Consultant and not a Ward Attendance. The care is for the prevention, cure, relief or investigation because of a disease, injury, health problem or other factor affecting their health status and may include one or more Patient Procedures. This includes:-

The ADMINISTRATIVE CATEGORY of the PATIENT can be recorded for the Ward Attendance.

The PATIENT's FIRST ATTENDANCE whether the first in a series or the only attendance should be recorded.

If the PATIENT is currently subject to a Mental Health Care Spell and during attendance is in contact with the NURSE who is their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

Ward Stay is an ACTIVITY GROUP.

The time a PATIENT, using a Hospital Bed and/or using a delivery facility, stays in one WARD.

Each Ward Stay is within only one Hospital Provider Spell.

When a PATIENT takes Home Leave, Mental Health Leave Of Absence or has a current period of Mental Health Absence Without Leave, this should be recorded as a WARD transfer to 'Home Leave', 'leave of absence' or 'absence without leave' and a new Ward Stay should begin on return. In the case of Home Leave, the Nursing Episode, Midwife Episode or Consultant Episode (Hospital Provider), Hospital Stay or Hospital Provider Spell however remain uninterrupted. In the case of Mental Health Leave Of Absence and Mental Health Absence Without Leave, the Nursing Episode, Midwife Episode, Consultant Episode (Hospital Provider) or Hospital Provider Spell however will only remain uninterrupted if the absence is for a period of 28 days or less.

In the case of PATIENTS using maternity WARDS of the same type on the same site, these should be recorded as one WARD. There will therefore only be one Ward Stay rather than transfers between WARDS. For local purposes, however, such transfers may be identified.

For PATIENTS subject to a Mental Health Care Spell the end time of the Ward Stay should be recorded, as well as the start time if systems permit.For PATIENTS subject to a Mental Health Care Spell the End Time of the Ward Stay should be recorded, as well as the Start Time if systems permit.

For each Ward Stay there should be a named NURSE or MIDWIFE who is responsible for the nursing or midwifery care of the PATIENT. If the named NURSE or MIDWIFE changes, the change is recorded.

A subtype of ACTIVITY.

Subtypes of ACTIVITY GROUP are:

A continuous period of care or assessment for a PATIENT by one or more CARE PROFESSIONAL. ACTIVITY GROUPS mainly consist of episodes, spells, stays or care periods.

An ACTIVITY GROUP may include one or more CARE ACTIVITIES.

ACTIVITY GROUPS include:

• Accident And Emergency Episode
• Acute Myocardial Infarction Care Spell
• Adult Mental Health Care Spell
• Breast Cancer Care Spell
• Cancer Care Spell
• Cancer Treatment Period
• Care Home Stay (Consultant Care)
• Care Home Stay (Midwife Care)
• Care Home Stay (Nursing Care)
• Care Home Stay (Residential)
• Care Programme Approach Episode
• Care Spell
• Colorectal Cancer Care Spell
• Community Episode
• Consultant Episode (Acute Home-Based)
• Consultant Episode (Hospital Provider)
• Consultant Out-Patient Episode
• Dental Episode
• Drug Misuse Episode
• Genitourinary Episode
• Head And Neck Cancer Care Spell
• Home Dialysis Episode
• Hospital Provider Spell
• Hospital Stay
• Lung Cancer Care Spell
• Mental Health Care Spell
• Mental Health Care Without Patient Consent
• Midwife Episode
• Neonatal Level Of Care Period
• Nursing Episode
• Palliative Care Episode
• PERSON STOP SMOKING EPISODE
• Pregnancy Episode
• Professional Staff Group Episode
• Regular Attender Episode
• Sarcoma Care Spell
• Skin Cancer Care Spell
• Supervised Discharge Episode
• Supervised Community Treatment
• Supervised Community Treatment Recall
• Supervision Register Episode
• Upper GI Cancer Care Spell
• Urological Cancer Care Spell
• Ward Stay

A PERSON who has a PROFESSIONAL REGISTRATION with a PROFESSIONAL REGISTRATION BODY.

CARE PROFESSIONALS include:

• Arts Therapist
• Biomedical Scientist
• Chiropodist
• Chiropractor
• Clinical Scientist
• CONSULTANT
• Dental Care Professional
  • Clinical Dental Technician
  • Dental Hygienist
  • Dental Nurse
  • Dental Technician
  • Dental Therapist
  • Orthodontic Therapist
• Dietitian
• Dispensing Optician
• GENERAL PRACTITIONER
• • GENERAL DENTAL PRACTITIONER
  • GENERAL MEDICAL PRACTITIONER
• MIDWIFE
• NURSE
• Occupational Therapist
• Operating Department Practitioner
• OPHTHALMIC MEDICAL PRACTITIONER
• OPTOMETRIST
• Orthoptist
• Orthotist
• Osteopath
• Paramedic
• Pharmacist
• Physiotherapist
• Practitioner Psychologist
• Prosthetist
• Radiographer
• Specialist Community Public Health Nurse
  • Specialist Community Public Health Nurse - Family Health Nurse
  • Specialist Community Public Health Nurse - Health Visitor
  • Specialist Community Public Health Nurse - Occupational Health Nurse
  • Specialist Community Public Health Nurse - School Nurse
• Speech and Language Therapist

Some CARE PROFESSIONALS, acting in a MENTAL HEALTH RESPONSIBLE CLINICIAN PROFESSION, may be the CARE PROFESSIONAL responsible for clinical decisions during a Mental Health Care Spell.

An assignment of responsibility of a CARE PROFESSIONAL TEAM to an ACTIVITY for a period of time e.g. a Mental Health Care Team to a Mental Health Care Spell.An assignment of responsibility of a CARE PROFESSIONAL TEAM to an ACTIVITY for a period of time e.g. an Adult Mental Health Care Team to an Adult Mental Health Care Spell.

This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.

The method of admission to a Hospital Provider Spell. A detailed definition of Elective Admission is given in ELECTIVE ADMISSION TYPE.

National Codes:

Note: The classification has been listed in logical sequence rather than alphanumeric order.

A classification which identifies the reason for suspending a Mental Health Care Spell.A classification which identifies the reason for suspending an Adult Mental Health Care Spell.

National Codes:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

This is the method of feeding a baby is receiving.

National Codes:

This attribute is also known by these names:

Context	Alias
plural	BABY FEEDING METHOD TYPES

Identifies the role undertaken by a CARE PROFESSIONAL during an ACTIVITY.

There may be several different value sets for a role which are identified by the CARE PROFESSIONAL ROLE TYPE. Examples of sets of values which might be used are given below.

A role undertaken by a CARE PROFESSIONAL within a ACTIVITY such as a Mental Health Care Spell or a Hospital Provider Spell is classified as follows.

Classifications:

A Role undertaken by a CARE PROFESSIONAL within a CLINICAL INTERVENTION is classified as follows.

Classifications:

References:
National Joint Registry Data Set: v.1: 24th March 2003

A PROFESSIONAL ADVICE AND SUPPORT STAFF GROUP are a grouping of staff carrying out ACTIVITIES in a Professional Advice And Support Programme.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

The reason that a PATIENT was discharged from a Mental Health Care Spell.

National Codes:

* National Code 07 is only valid where a child or adolescent PATIENT has been discharged from a Child And Adolescent Mental Health Care Spell because of transfer to adult mental health services - it is not valid for use when discharging a PATIENT from an Adult Mental Health Care Spell.

This attribute is also known by these names:

Context	Alias
plural	DISCHARGE FROM MENTAL HEALTH SERVICE REASONS

Data Elements:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

EMPLOYMENT STATUS is the current EMPLOYMENT status of a PERSON.

National Codes:

This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.

Identifies whether an interpreter is required for the purposes of communication, including Sign Language, between a CARE PROFESSIONAL and a PERSON.Identifies whether an interpreter is required for the purposes of communication, including Sign Language, between a CARE PROFESSIONAL and a PERSON during an ACTIVITY.

National Codes:

An outcome of a physical examination as part of a Clinical Investigation.

National Codes:

This attribute is also known by these names:

Context	Alias
plural	INVESTIGATION EXAMINATION RESULT CODES

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

An indication of whether a PERSON has a Learning Disability. This may be derived from PATIENT DIAGNOSIS.

A Learning Disability may be a:

• Registered DISABILITY, which is recorded using REGISTERED DISABILITY CODE if the PERSON is registered disabled; or
• Perceived DISABILITY, which is recorded using PERCEIVED DISABILITY CODE if the clinician considers the PATIENT to have a Learning Disability but it is not formally registered.

National Codes:

This attribute is also known by these names:

Context	Alias
plural	LEARNING DISABILITY INDICATORS

Data Elements:

A classification of Legal Status. The classification 'informal' is used for those PATIENTS who are not formally detained or not receiving supervised aftercare.

National Codes:

A classification which identifies the reason for the ending of a Mental Health Care Spell.A classification which identifies the reason for the ending of an Adult Mental Health Care Spell.

National Codes:

The profession in which the professional has been trained and been approved to be able to act as a clinical supervisor for a Mental Health Care Spell provided they meet appropriate standards and competencies following training. The Mental Health Responsible Clinician for a PATIENT with a Mental Health Care Spell will be one of these professionals approved from a particular profession.

National Codes:

A coded CLINICAL INVESTIGATION RESULT ITEM for a Clinical Investigation of a newborn hearing screening.A coded CLINICAL INVESTIGATION RESULT ITEM for a Clinical Investigation of a Newborn Hearing Screening.

National Codes:

The date a PATIENT was informed of the outcome of a Mental Health Care Spell assessment or Care Programme Approach Review. The requirement for the PATIENT to be informed of outcomes is laid down in The Patient's Charter - Mental Health Services.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

The blood group of a PERSON established as a result of a Clinical Investigation using the ABO System.

National Codes:

This attribute is also known by these names:

Context	Alias
plural	PERSON BLOOD GROUPS

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

An indication of whether a PERSON has or does not have the rhesus factor (or Rh D antigen) on the surface of their red blood cells, using the RH System.

This is indicated in association with their PERSON BLOOD GROUP, established as a result of a Clinical Investigation, by:

• RhD-Positive (does have the Rh D antigen) or
• RhD-Negative (does not have the antigen).

National Codes:

This attribute is also known by these names:

Context	Alias
plural	PERSON RHESUS FACTORS

A classification which identifies the source of referral of a Mental Health Care Spell.

National Codes:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

The level of security for a WARD.

National Codes:

This attribute is also known by these names:

Context	Alias
plural	WARD SECURITY LEVELS

Data Elements:

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
The PERSON PROPERTY OBSERVED DATE when the ACCOMMODATION STATUS CODE was recorded.

This data element is also known by these names:

Context	Alias
plural	ACCOMMODATION STATUS DATES

Attribute:

Notes:
BED DAYS (MENTAL HEALTH INTENSIVE) is optional in the Mental Health Minimum Data Set collection record. It should only be present if:

It is the total number of bed days within the REPORTING PERIOD. Each period of bed days is recorded by a Consultant Episode (Hospital Provider) within a Hospital Provider Spell and there may be more than one such episode or stay during the course of a Mental Health Care Spell. Each period of bed days is recorded by a Consultant Episode (Hospital Provider) within a Hospital Provider Spell and there may be more than one such episode or stay during the course of an Adult Mental Health Care Spell. This excludes any admissions to Hospital Provider Spells where the PATIENT CLASSIFICATION is National Code 2 'Day case admission'. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spell.

There is a Start Date and End Date for each Consultant Episode (Hospital Provider) and the calculation is based upon those bed days which have occurred during the REPORTING PERIOD adjusted for where periods of bed days overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of bed days has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Consultant Episode (Hospital Provider).

BED DAYS (MENTAL HEALTH INTENSIVE) is the sum of the calculated periods of bed days and should be recorded left justified with leading zeros. The calculation should be adjusted for any periods of Mental Health Leave Of Absence or Mental Health Absence Without Leave of 28 days or less.

A PATIENT going on Home Leave, or Mental Health Leave Of Absence for 28 days or less, or who has a current period of Mental Health Absence Without Leave of 28 days or less, does not interrupt the Consultant Episode (Hospital Provider) but are not using a bed during their period of absence.

Consultant Episode (Hospital Provider), Mental Health Care Spell, Hospital Provider Spell, Hospital Stay and Care Home Stay (Consultant Care) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.Consultant Episode (Hospital Provider), Adult Mental Health Care Spell, Hospital Provider Spell, Hospital Stay and Care Home Stay (Consultant Care) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.

Mental Health Leave Of Absence, Mental Health Absence Without Leave and Home Leave are instances of LEAVE where the LEAVE TYPE identifies the leave type.

Start Date and End Date are the same as ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE identifies the date type.

Notes:
BED DAYS (MENTAL HEALTH MEDIUM SECURE) is optional in the Mental Health Minimum Data Set collection record. It should only be present if:

It is the total number of bed days within the REPORTING PERIOD. Each period of bed days is recorded by a Consultant Episode (Hospital Provider) within a Hospital Provider Spell and there may be more than one such episode or stay during the course of a Mental Health Care Spell. Each period of bed days is recorded by a Consultant Episode (Hospital Provider) within a Hospital Provider Spell and there may be more than one such episode or stay during the course of an Adult Mental Health Care Spell. This excludes any admissions to Hospital Provider Spells where the PATIENT CLASSIFICATION is National Code 2 'Day case admission'. This includes both Hospital Stays and Care Home Stays (Consultant Care) within the Hospital Provider Spell.

There is a Start Date and End Date for each Consultant Episode (Hospital Provider) and the calculation is based upon those bed days which have occurred during the REPORTING PERIOD adjusted for where periods of bed days overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of bed days has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Consultant Episode (Hospital Provider).

BED DAYS (MENTAL HEALTH MEDIUM SECURE) is the sum of the calculated periods of bed days and should be recorded left justified with leading zeros. The calculation should be adjusted for any periods of Mental Health Leave Of Absence or Mental Health Absence Without Leave of 28 days or less.

A PATIENT going on Home Leave, or Mental Health Leave Of Absence for 28 days or less, or who has a current period of Mental Health Absence Without Leave of 28 days or less, does not interrupt the Consultant Episode (Hospital Provider) but are not using a bed during their period of absence.

Consultant Episode (Hospital Provider), Mental Health Care Spell, Hospital Provider Spell, Hospital Stay and Care Home Stay (Consultant Care) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.Consultant Episode (Hospital Provider), Adult Mental Health Care Spell, Hospital Provider Spell, Hospital Stay and Care Home Stay (Consultant Care) are the same as ACTIVITY GROUP where the ACTIVITY GROUP TYPE identifies the specific spell, episode or stay type.

Mental Health Leave Of Absence, Mental Health Absence Without Leave and Home Leave are instances of LEAVE where the LEAVE TYPE identifies the leave type.

Start Date and End Date are the same as ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE identifies the date type.

Notes:
BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE) is optional in the Mental Health Minimum Data Set collection record. It should only be present if:

It is the total number of bed days within the REPORTING PERIOD. Each period of bed days is recorded by a Care Home Stay (Nursing Care) or Care Home Stay (Residential) and there may be more than one such stay during the course of a Mental Health Care Spell. Each period of bed days is recorded by a Care Home Stay (Nursing Care) or Care Home Stay (Residential) and there may be more than one such stay during the course of an Adult Mental Health Care Spell.

There is a Start Date and End Date for each Care Home Stay (Nursing Care) or Care Home Stay (Residential) and the calculation is based upon those bed days which have occurred during the REPORTING PERIOD adjusted for where periods of bed days overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of bed days has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Care Home Stay (Nursing Care) or Care Home Stay (Residential).

BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE) is the sum of the calculated periods of bed days and should be recorded left justified with leading zeros. The calculation should be adjusted for any periods of Mental Health Leave Of Absence or Mental Health Absence Without Leave of 28 days or less.

A PATIENT going on Home Leave, or Mental Health Leave Of Absence for 28 days or less, or who has a current period of Mental Health Absence Without Leave of 28 days or less, does not interrupt the Care Home Stay (Nursing Care) or Care Home Stay (Residential) but are not using a bed during their period of absence.

Mental Health Leave Of Absence, Mental Health Absence Without Leave and Home Leave are instances of LEAVE where the LEAVE TYPE identifies the leave type.

Start Date and End Date are the same as ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE identifies the date type.

Care Home is an ORGANISATION SITE where the Care Home is an ORGANISATION SITE.

Notes:
CARE DAYS (ACUTE HOME-BASED) is an optional data element in the Mental Health Minimum Data Set collection record. It should only be present if one or more Consultant Episode (Acute Home-Based) within the Mental Health Care Spell has occurred during the REPORTING PERIOD. It should only be present if one or more Consultant Episode (Acute Home-Based) within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD.

It is the total number of care days within the REPORTING PERIOD. Each period of care days is recorded by a Consultant Episode (Acute Home-Based) and there may be more than one such episode during the course of a Mental Health Care Spell. Each period of care days is recorded by a Consultant Episode (Acute Home-Based) and there may be more than one such episode during the course of an Adult Mental Health Care Spell.

There is a START DATE and END DATE for each for each Consultant Episode (Acute Home-Based) and the calculation is based upon those care days which have occurred during the REPORTING PERIOD adjusted for where periods of care days overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of care days has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Consultant Episode (Acute Home-Based).

CARE DAYS (ACUTE HOME-BASED) is the sum of the calculated periods of care days and should be recorded left justified with leading zeros.

Consultant Episode (Acute Home-Based) is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 13 'Consultant Episode (Acute Home-Based)'.

Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.Adult Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Adult Mental Health Care Spell'.

Notes:
CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD) is the same as Care Programme Approach Review.

CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Care Programme Approach Review within the Mental Health Care Spell has occurred during the REPORTING PERIOD.CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Care Programme Approach Review within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD.

It is the total number of such reviews within the Mental Health Care Spell which have occurred within the REPORTING PERIOD.It is the total number of such reviews within the Adult Mental Health Care Spell which have occurred within the REPORTING PERIOD. Each such review is recorded by a Care Programme Approach Review and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a Care Programme Approach Review Date for each Care Programme Approach Review and the calculation is based upon those reviews which have occurred during the REPORTING PERIOD.

Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.Adult Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Adult Mental Health Care Spell'.

Care Programme Approach Review is a CARE CONTACT where the CARE CONTACT TYPE is National Code 05 'Care Programme Approach Review'.

Notes:
The unique identifier of a Mental Health Care Spell recorded when a Mental Health Care Spell is initiated by a referral, or the temporary or permanent transfer of main responsibility for provision of mental health care for the PATIENT from another Health Care Provider.The unique identifier of an Adult Mental Health Care Spell recorded when an Adult Mental Health Care Spell is initiated by a referral, or the temporary or permanent transfer of main responsibility for provision of mental health care for the PATIENT from another Health Care Provider.

This is the CARE SPELL IDENTIFIER of a Mental Health Care Spell.This is the CARE SPELL IDENTIFIER of an Adult Mental Health Care Spell.

For purposes of the Mental Health Minimum Data Set collection, a Mental Health Minimum Data Set record will be assembled for each Mental Health Care Spell of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a Health Care Provider's specialist mental health services within the REPORTING PERIOD.For purposes of the Mental Health Minimum Data Set collection, a Mental Health Minimum Data Set record will be assembled for each Adult Mental Health Care Spell of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a Health Care Provider's specialist mental health services within the REPORTING PERIOD. Each MHMDS record will be separately identified, see CARE SPELL NUMBER IN REPORTING PERIOD for further details.

CARE SPELL IDENTIFIER (MENTAL HEALTH) is an optional data item note in the Mental Health Minimum Data Set record and should only be recorded where the Health Care Provider can initiate and maintain Mental Health Care Spell.CARE SPELL IDENTIFIER (MENTAL HEALTH) is an optional data item note in the Mental Health Minimum Data Set record and should only be recorded where the Health Care Provider can initiate and maintain Adult Mental Health Care Spell.

CARE SPELL IDENTIFIER (MENTAL HEALTH) is the same as attribute ACTIVITY IDENTIFIER.

Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.Adult Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Adult Mental Health Care Spell'.

Notes:
For purposes of the Mental Health Minimum Data Set collection, a Mental Health Minimum Data Set record will be assembled for each Mental Health Care Spell of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a Health Care Provider's specialist mental health services within the REPORTING PERIOD.For purposes of the Mental Health Minimum Data Set collection, a Mental Health Minimum Data Set record will be assembled for each Adult Mental Health Care Spell of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a Health Care Provider's specialist mental health services within the REPORTING PERIOD.

CARE SPELL NUMBER IN REPORTING PERIOD is the sequence number for the assembled Mental Health Care Spell MHMDS record among the set of assembled Mental Health Care Spell MHMDS records for the same PATIENT within the REPORTING PERIOD. The CARE SPELL NUMBER IN REPORTING PERIOD for the first assembled record based on earliest Mental Health Care Spell in the REPORTING PERIOD will be recorded as 01 with it being incremented by 1 for each subsequent assembled record. For example if there are 3 assembled Mental Health Care Spell for the PATIENT within the REPORTING PERIOD then the first would be recorded as 01, the second as 02 and the third as 03.CARE SPELL NUMBER IN REPORTING PERIOD is the sequence number for the assembled Adult Mental Health Care Spell MHMDS record among the set of assembled Adult Mental Health Care Spell MHMDS records for the same PATIENT within the REPORTING PERIOD. The CARE SPELL NUMBER IN REPORTING PERIOD for the first assembled record based on earliest Adult Mental Health Care Spell in the REPORTING PERIOD will be recorded as 01 with it being incremented by 1 for each subsequent assembled record. For example if there are 3 assembled Adult Mental Health Care Spell for the PATIENT within the REPORTING PERIOD then the first would be recorded as 01, the second as 02 and the third as 03.

Use of CARE SPELL NUMBER IN REPORTING PERIOD is an interim measure as not all Health Care Providers can initiate and maintain Mental Health Care Spells and thus create and record unique CARE SPELL IDENTIFIERS.Use of CARE SPELL NUMBER IN REPORTING PERIOD is an interim measure as not all Health Care Providers can initiate and maintain Adult Mental Health Care Spells and thus create and record unique CARE SPELL IDENTIFIERS.

Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.Adult Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Adult Mental Health Care Spell'.

Notes:
CONTACTS (OCCUPATIONAL THERAPIST) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if:

It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a Professional Staff Group Contact and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a Contact Date for each Professional Staff Group Contact and the calculation is based upon those contacts which have occurred during the REPORTING PERIOD. Where the member of the professional staff group discipline is also the allocated Care Programme Approach care coordinator for the PATIENT then a Face To Face Contact CPA Care Coordinator should also be recorded.

Professional Staff Group Contact is a CARE CONTACT where the CARE CONTACT TYPE is National Code 36 'Professional Staff Group Contact'.

Face To Face Contact CPA Care Coordinator is a CARE CONTACT where the CARE CONTACT TYPE is National Code 17 'Face To Face Contact CPA Care Coordinator'.

Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.Adult Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Adult Mental Health Care Spell'.

Contact Date is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 39 'Contact Date'.

Notes:
CONTACTS (PHYSIOTHERAPIST) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if:

It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a Professional Staff Group Contact and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a Contact Date for each Professional Staff Group Contact and the calculation is based upon those contacts which have occurred during the REPORTING PERIOD. Where the member of the professional staff group discipline is also the allocated Care Programme Approach care coordinator for the PATIENT then a Face To Face Contact CPA Care Coordinator should also be recorded.

Professional Staff Group Contact is a CARE CONTACT where the CARE CONTACT TYPE is National Code 33 'Professional Staff Group Contact'.

Face To Face Contact CPA Care Coordinator is a CARE CONTACT where the CARE CONTACT TYPE is National Code 16 'Face To Face Contact CPA Care Coordinator'.

Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.Adult Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Adult Mental Health Care Spell'.

Contact Date is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 39 'Contact Date'.

Notes:
This is an optional data element in the Mental Health Minimum Data Set and should only be present if:

It is the total number of such contacts within the REPORTING PERIOD.

There is a Contact Date for each CARE CONTACT and the calculation is based upon those contacts which have occurred during the REPORTING PERIOD. Where the CARE PROFESSIONAL is also the allocated Care Programme Approach care coordinator for the PATIENT then a Face To Face Contact CPA Care Coordinator should also be recorded.

Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.Adult Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Adult Mental Health Care Spell'.

Contact Date is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 39 'Contact Date'.

Notes:
CONTACTS (SOCIAL WORKER) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Face To Face Contact Social Worker within the Mental Health Care Spell has occurred during the REPORTING PERIOD.CONTACTS (SOCIAL WORKER) is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Face To Face Contact Social Worker within the Adult Mental Health Care Spell has occurred during the REPORTING PERIOD.

It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a Face To Face Contact Social Worker and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a Contact Date for each Face To Face Contact Social Worker and the calculation is based upon those contacts which have occurred during the REPORTING PERIOD. Where the contact Social Worker is also the allocated Care Programme Approach care coordinator for the PATIENT then a Face To Face Contact CPA Care Coordinator should also be recorded.

Face To Face Contact Social Worker is a CARE CONTACT where the CARE CONTACT TYPE is National Code 19 'Face To Face Contact Social Worker'.

Face To Face Contact CPA Care Coordinator is a CARE CONTACT where the CARE CONTACT TYPE is National Code 16 'Face To Face Contact CPA Care Coordinator'.

Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.Adult Mental Health Care Spell is an ACTIVITY GROUP where the ACTIVITY GROUP TYPE is National Code 23 'Adult Mental Health Care Spell'.

Contact Date is the same as attribute ACTIVITY DATE of ACTIVITY DATE TIME where the ACTIVITY DATE TIME TYPE is National Code 39 'Contact Date'.

Notes:
CPA ENHANCED DAYS is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Start Dates with CPA LEVEL National Code 2 'Enhanced, multiple needs, including housing, employment etc, which requires inter-agency coordination' has occurred during the REPORTING PERIOD.

It is the total number of CPA ENHANCED DAYS within the Mental Health Care Spell within the REPORTING PERIOD. Each period of CPA ENHANCED DAYS is recorded by a Care Programme Approach Episode and there may be more than one such episode during the course of a Mental Health Care Spell.It is the total number of CPA ENHANCED DAYS within the Adult Mental Health Care Spell within the REPORTING PERIOD. Each period of CPA ENHANCED DAYS is recorded by a Care Programme Approach Episode and there may be more than one such episode during the course of an Adult Mental Health Care Spell.

There is a Start Date and End Date for each Care Programme Approach Episode and the calculation is based upon those CPA ENHANCED DAYS which have occurred during the REPORTING PERIOD adjusted for where periods of CPA ENHANCED DAYS overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of CPA ENHANCED DAYS has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Care Programme Approach Episode.

CPA ENHANCED DAYS is the sum of the calculated periods of CPA ENHANCED DAYS and should be recorded left justified with leading zeros.

Please note that although both CPA ENHANCED DAYS and CPA STANDARD DAYS are classed as optional data elements at least one of them should be present within the Mental Health Minimum Data Set collection record as Care Programme Approach is mandatory. A PATIENT subject to a Mental Health Care Spell therefore should always have recorded CPA days with only the CPA LEVEL varying during the period of the Mental Health Care Spell. A PATIENT subject to an Adult Mental Health Care Spell therefore should always have recorded CPA days with only the CPA LEVEL varying during the period of the Adult Mental Health Care Spell.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

End Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 11 'End Date'.

Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.Adult Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Adult Mental Health Care Spell'.

Care Programme Approach Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 10 'Care Programme Approach Episode'.

Notes:
CPA STANDARD DAYS is an optional data element in the Mental Health Minimum Data Set collection record and should only be present if one or more Care Programme Approach Episode with CPA LEVEL National Code 1 'Standard, requires the support or intervention of one agency or discipline; or requires only low key support from more one agency' have occurred during the REPORTING PERIOD.

It is the total number of CPA STANDARD DAYS within the Mental Health Care Spell within the REPORTING PERIOD. Each period of CPA STANDARD DAYS is recorded by a Care Programme Approach Episode and there may be more than one such episode during the course of a Mental Health Care Spell.It is the total number of CPA STANDARD DAYS within the Adult Mental Health Care Spell within the REPORTING PERIOD. Each period of CPA STANDARD DAYS is recorded by a Care Programme Approach Episode and there may be more than one such episode during the course of an Adult Mental Health Care Spell.

There is a Start Date and End Date for each Care Programme Approach Episode and the calculation is based upon those CPA STANDARD DAYS which have occurred during the REPORTING PERIOD adjusted for where periods of CPA STANDARD DAYS overlap the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE (this includes where the period of CPA STANDARD DAYS has not yet ended). Where such overlaps occur the REPORTING PERIOD START DATE and/or REPORTING PERIOD END DATE should be used instead of that of the Care Programme Approach Episode.

CPA ENHANCED DAYS is the sum of the calculated periods of CPA STANDARD DAYS and should be recorded left justified with leading zeros.

Please note that although both CPA ENHANCED DAYS and CPA STANDARD DAYS are classed as optional data elements at least one of them should be present within the Mental Health Minimum Data Set collection record as Care Programme Approach is mandatory. A PATIENT subject to a Mental Health Care Spell therefore should always have recorded CPA days with only the CPA LEVEL varying during the period of the Mental Health Care Spell. A PATIENT subject to an Adult Mental Health Care Spell therefore should always have recorded CPA days with only the CPA LEVEL varying during the period of the Adult Mental Health Care Spell.

Care Programme Approach Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 10 'Care Programme Approach Episode'.

Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Mental Health Care Spell'.Adult Mental Health Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 23 'Adult Mental Health Care Spell'.

Start Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

End Date is an ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 11 'End Date'.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
The identifier for the National Service Framework for Children Young People and Maternity Services Data Sets.

National Codes:

This data element is also known by these names:

Context	Alias
plural	DATA SET IDENTIFIERS (CHILDREN, YOUNG PEOPLE AND MATERNITY SERVICES)

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the identifier of the type of row of data carried in a data submission file for the National Service Framework for Children Young People and Maternity Services Data Sets (Maternity Data Set, National Children's and Young People's Health Services Data Set or Child and Adolescent Mental Health Services Data Set). 

This may be a Data Set File Header row, a Segment row, or a File Trailer row.

See Children Young People and Maternity Services Data Sets Submission Requirements for usage requirements.

National Codes:

This data element is also known by these names:

Context	Alias
plural	DATA SET ROW TYPES (CHILDREN, YOUNG PEOPLE AND MATERNITY SERVICES)

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
The segment identifier for the Child and Adolescent Mental Health Services Data Set, which is one of the National Service Framework for Children Young People and Maternity Services Data Sets.

National Codes:

This data element is also known by these names:

Context	Alias
plural	DATA SET SEGMENT IDENTIFIERS (NATIONAL CHILDREN'S AND YOUNG PEOPLE'S HEALTH SERVICES)

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
The segment identifier for the Maternity Data Set, which is one of the National Service Framework for Children Young People and Maternity Services Data Sets.

National Codes:

This data element is also known by these names:

Context	Alias
plural	DATA SET SEGMENT IDENTIFIERS (MATERNITY DATA SET)

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
The segment identifier for the National Children's and Young People's Health Services Data Set, which is one of the National Service Framework for Children Young People and Maternity Services Data Sets.

National Codes:

This data element is also known by these names:

Context	Alias
plural	DATA SET SEGMENT IDENTIFIERS (NATIONAL CHILDREN'S AND YOUNG PEOPLE'S HEALTH SERVICES)

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
This is the total number of segment records within a file submission for a National Service Framework for Children Young People and Maternity Services Data Set (Maternity Data Set, National Children's and Young People's Health Services Data Set or Child and Adolescent Mental Health Services Data Set).

Segment records within one of these data set submissions are identified with National Code 'SEG' (see DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)).

The DATA SET SEGMENT RECORDS TOTAL Data Element flows in the Data Set File Trailer. See Children Young People and Maternity Services Data Sets Submission Requirements for further details.

This data element is also known by these names:

Context	Alias
plural	DATA SET SEGMENT RECORDS TOTALS

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
The version number of a Data Set.

This data element is also known by these names:

Context	Alias
plural	DATA SET VERSION NUMBERS

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
DATE AND TIME DATA SET CREATED is the same as DATE AND TIME.

The DATE AND TIME a Data Set was created.

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 1.0, Agreed 23 November 2004.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

This data element is also known by these names:

Context	Alias
plural	DATES AND TIMES DATA SET CREATED

Notes:
The Contact Date of the last recorded Face To Face Contact CPA Care Coordinator within the Mental Health Care Spell.The Contact Date of the last recorded Face To Face Contact CPA Care Coordinator within the Adult Mental Health Care Spell.