An Ambulance Service is a SERVICE provided by an ORGANISATION for the provision of PATIENT transport services.

Contextual Overview

• The Department of Health requires summary details from NHS Health Care Providers on ambulance activity. The Ambulance Services Data Set (KA34) provides performance management measures of response times; these are also required by NHS Trusts for Ambulance Service internal monitoring and for defining service agreements.
• The information originally monitored 'Your guide to the NHS' targets and the standards introduced following a review of ambulance performance standards in 1996-97. The standards required that all Ambulance Services would be expected to reach 75% of immediately life-threatening calls within 8 minutes irrespective of location and that all incidents that require a fully equipped Ambulance vehicle (car or Ambulance) must have a vehicle, able to transport the PATIENT in a clinically safe manner (Emergency Ambulance), arrive within 19 minutes of the TRANSPORT REQUEST being made in 95% of cases.
• The information is required to inform strategic policy development, to provide data to the Care Quality Commission for performance and activity assessment, to ensure that Spending Review bids reflect changes to overall demand and to inform the development of Ambulance Service reference costs.
• Information based on the data set is published annually in the Health and Social Care Information Centre's Statistical Bulletin 'Ambulance services; England'.

Collection and Submission of the Ambulance Services Data Set (KA34)

• The Ambulance Services Data Set (KA34) is completed by NHS Trusts providing Ambulance Services.
• The Ambulance Services Data Set (KA34) 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 one month of the end of the year to which it relates, online to the Health and Social Care Information Centre via the Omnibus Survey system.
• The Ambulance Services Data Set (KA34) 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 one month of the end of the year to which it relates, online to the Health and Social Care Information Centre via the Omnibus Survey system.
• The Ambulance Services Data Set (KA34) requires the ORGANISATION CODE and ORGANISATION NAME of the NHS Ambulance Trust - the NHS Health Care Provider of the Ambulance Service.

Synopsis of the Ambulance Services Data Set (KA34)

Part 1 Additional Guidance

• EMERGENCY CALLS RESOLVED BY TELEPHONE TOTAL is not required for RESPONSE CATEGORY National Code A 'Category A: immediately life threatening - presenting conditions which require a fully equipped Emergency Ambulance to attend the incident'.

• EMERGENCY RESPONSE WITHIN 8 MINUTES TOTAL and EMERGENCY CALLS RESOLVED BY TELEPHONE TOTAL are not required for RESPONSE CATEGORY National Code B 'Category B: serious but not immediately life threatening'.

• EMERGENCY RESPONSE WITHIN 8 MINUTES TOTAL, EMERGENCY RESPONSE NO AMBULANCE REQUIRED TOTAL, EMERGENCY RESPONSE AMBULANCE ARRIVED TOTAL and EMERGENCY RESPONSE WITHIN 19 MINUTES TOTAL are not required for RESPONSE CATEGORY National Code C 'Category C: other emergency calls which are not immediately life threatening or serious'.

Only the first Emergency Ambulance to arrive at the scene of the TRANSPORT REQUEST INCIDENT should be included in lines 05 and 06 where more than one Emergency Ambulance has been despatched.

Timing of Emergency Response Times

In order to calculate the response time, the 'clock starts' at the TRANSPORT REQUEST CALL CONNECT TIME and the 'clock stops' on the TRANSPORT REQUEST FIRST RESPONSE ARRIVAL TIME or the AMBULANCE ARRIVAL TIME at the scene of the TRANSPORT REQUEST INCIDENT.

An Emergency Response within 8 minutes means 8 minutes 0 seconds (i.e. 480 seconds) or less. Similarly, 19 minutes means 19 minutes 0 seconds or less.

Cross-border Transport Requests

A TRANSPORT REQUEST/TRANSPORT REQUEST INCIDENT that crosses more than one Ambulance Service's boundary should be reported by only one Ambulance Service.

Each NHS Ambulance Service is responsible for reporting on the performance of all Emergency Transport Requests for which it receives the initial TRANSPORT REQUEST. This includes TRANSPORT REQUESTS received by an Ambulance Service that relate to TRANSPORT REQUEST INCIDENTS occurring outside its recognised boundary and TRANSPORT REQUESTS relating to TRANSPORT REQUEST INCIDENTS within or outside its boundary that are subsequently transferred to another Ambulance Service for response.

An Ambulance Service should not report, or report on the performance relating to, any TRANSPORT REQUEST INCIDENT where another Ambulance Service received the initial TRANSPORT REQUEST, even if the TRANSPORT REQUEST was transferred to and dealt with by that Ambulance Service. NHS Trusts responsible for dealing with any cross-border TRANSPORT REQUESTS should advise the NHS Trusts who received the initial TRANSPORT REQUEST of all appropriate clock times for performance reporting purposes.

Where an NHS Ambulance Service asks another NHS Ambulance Service to undertake a TRANSPORT REQUEST on its behalf, the responsibility for dealing with the TRANSPORT REQUEST in the most appropriate way passes to the receiving Ambulance Service once it has accepted it.

Air Ambulances

Air Ambulances are managed locally by Ambulance Services and financed through charitable funding. Any PATIENT TRANSPORT JOURNEY provided by air Ambulance should, therefore, not be included in the Ambulance Services Data Set (KA34).

A Cancer Referral To Treatment Period is a REFERRAL TO TREATMENT PERIOD.

The service standard for referral to treatment for cancer is that thePATIENT must receive First Definitive Treatment within 62 days (or 31 days for Acute Leukaemia, testicular, and childrens cancers), rather than within 18 Weeks.The service standard for referral to treatment for cancer is that the PATIENT must receive First Definitive Treatment within 62 days (or 31 days for Acute Leukaemia, testicular, and children's cancers), rather than within 18 Weeks.

A PATIENT will have a Cancer Referral To Treatment Period in the following circumstances:

• The PATIENT was referred to secondary care with suspected cancer by a GENERAL MEDICAL PRACTITIONER or GENERAL DENTAL PRACTITIONER, where the PRIORITY TYPE of the SERVICE REQUEST was National Code 3 - Two Week Wait
• The PATIENT was referred to secondary care with suspected cancer by a GENERAL MEDICAL PRACTITIONER or GENERAL DENTAL PRACTITIONER, where the PRIORITY TYPE of the SERVICE REQUEST was National Code 'Two Week Wait'
• The PATIENT was referred to secondary care and cancer was not initially suspected, but was subsequently diagnosed, and the PATIENT was referred on to an appropriate specialist

A Cancer Referral To Treatment Period is the period of time between CANCER REFERRAL TO TREATMENT PERIOD START DATE and either:

• the TREATMENT START DATE FOR CANCER, where a PATIENT diagnosed with a cancer condition (see the Department of Health guidance at Cancer Waiting Times Documentation and Links) receives First Definitive Treatment, or
• the DATE FIRST SEEN where a PATIENT, although referred with suspected cancer by a GENERAL MEDICAL PRACTITIONER or GENERAL DENTAL PRACTITIONER, is subsequently diagnosed with a non-cancer condition (even if the non-cancer diagnosis is confirmed after the DATE FIRST SEEN), or
• the DATE  the PATIENT declines First Definitive Treatment, or
• the DATE that Active Monitoring (as a First Definitive Treatment) starts.

A Cancer Referral To Treatment Period does NOT complete automatically if the PATIENT does not attend the first APPOINTMENT during the Cancer Referral To Treatment Period.  WAITING TIME ADJUSTMENT (FIRST SEEN) is used to align waiting times monitoring with the service standard for 18 Weeks.

Information recorded for a Cancer Referral To Treatment Period includes:

CANCER REFERRAL TO TREATMENT PERIOD START DATE

An indication of whether or not a completed Care Spell only involved assessment activity and no actual care or treatment was given during the spell.This item has been retired from the NHS Data Model and Dictionary.

Classification:The last live version of this item is available in the November 2012 release of the NHS Data Model and Dictionary.

A Care Home is an ORGANISATION SITE.

An establishment registered with the Care Quality Commission as a care home which provides accommodation, together with nursing or personal care, for the following PERSONS:A Care Home is an establishment registered with the Care Quality Commission as a care home which provides accommodation, together with nursing or personal care, for the following PERSONS:

• a PERSON who is or has been ill
• a PERSON who is disabled or infirm
• a PERSON who is or has been dependent on alcohol or drugs
• a PERSON who has or has had a mental disorder (this includes mental illness as well as psychopathic disorders)
  

A Care Home includes group homes not normally staffed by nurses but providing accommodation and personal care, nursing homes which provide full time nursing care and residential care homes staffed 24 hours a day providing board and general personal care to vulnerable residents who require on-going care and supervision.

A nursing home is staffed by NURSES or MIDWIVES 24 hours a day, providing services for clients/PATIENTS requiring residential nursing care. Medical care continues to be the responsibility of the client/PATIENT's GENERAL MEDICAL PRACTITIONER. The premises may be used for nursing people suffering from sickness, injury or infirmity; pregnant women or women after childbirth or for nursing of mentally disordered PATIENTS. Exceptionally, some PATIENTS may remain under the care of a CONSULTANT, i.e. Consultant Episodes (Hospital Provider) may occur in Care Homes. This is likely to be where the complexity or intensity of their clinical care (whether medical, nursing or other), or the need for frequent not easily predictable interventions, requires the regular supervision of a CONSULTANT.

Any establishment in which treatment or nursing (or both) are provided for PERSONS liable to be detained under the Mental Health Act 1983 cannot be a Care Home and is either a NHS hospital or must be registered as an independent hospital.

Care Spell is an ACTIVITY GROUP.A Care Spell is an ACTIVITY GROUP.

A continuous period of care (including assessment for care) for a PERSON for an illness or condition involving health and possibly other agencies which has been nationally targeted and prioritised as requiring an organised and cohesive programme or regime of care. Overall management and coordination of the care will be the solely led responsibility of a specific Health Care Provider, or in the case of equally shared responsibility, the jointly led responsibility of two or more Health Care Providers.A Care Spell is a continuous period of care (including assessment for care) for a PERSON for an illness or condition involving health and possibly other agencies which has been nationally targeted and prioritised as requiring an organised and cohesive programme or regime of care.

Overall management and coordination of the care will be the solely led responsibility of a specific Health Care Provider, or in the case of equally shared responsibility, the jointly led responsibility of two or more Health Care Providers. Actual treatment associated with the programme or regime of care may be delivered by the responsible Health Care Provider or by other Health Care Providers.

Contextual Overview

The Maternity and Children’s Data set including Child and Adolescent Mental Health Services has been developed as a key driver to achieving better outcomes of care for mothers, babies and children. The data set will provide comparative, mother and child-centric data that will include information on incidence and care that can be used to improve clinical quality and service efficiency; and to commission services in a way that improves health and reduces inequalities. The Child and Adolescent Mental Health Services element of the data set will for the first time:

• allow maternal and child health data to be linked so that vital information can be used to improve services
• provide comparative data (demographics, equalities, interventions and outcomes from birth through childhood) so that health services can be directed to those with most need
• improve accountability, making it easier for the public to access comparative information to support them in making decisions about type and place of care
• provide activity data on which to base mandatory tariffs for Child and Adolescent Mental Health Services (CAMHS)
• underpin the improvement of local information systems to meet data set standards
• for example in the case of Attention Deficit Hyperactivity Disorder (ADHD), the data set will provide the first opportunity to link data on a PATIENT’s demographics and where they access services, and a clinical assessment of problems with attention and concentration, with information on the prescribing of a methyl phenidate (e.g. Ritalin).

The Child and Adolescent Mental Health Services Secondary Uses Data Set provides the definitions for data:

• to be lodged in the data warehouse regularly and routinely e.g. monthly. Extracts for Hospital Episode Statistics (HES) and other reports will be taken at prearranged intervals for publication as currently with the process for Commissioning Data Sets;

• to be assembled, compiled and to flow into a secondary uses data warehouse;

• to provide timely, pseudonymised patient-based data and information for purposes other than direct clinical care, e.g. planning, commissioning, public health, clinical audit, performance improvement, research, clinical governance.

This standard is intended to facilitate electronic data recording and reporting but it is not intended to create clinical records for Child and Adolescent Mental Health or to enable other systems to interoperate with other clinical systems.

Submission information 

The Child and Adolescent Mental Health Services Secondary Uses Data Set is collected from NHS funded providers of Child and Adolescent Mental Health Services. It is submitted via an intermediate database uploaded to the Bureau Services Portal provided by the Systems and Services Delivery (SSD) team at NHS Connecting For Health.

The Bureau Service processes submissions and produces local extracts for provider and commissioner ORGANISATIONS and a national pseudonymised extract for the Health and Social Care Information Centre, for analysis and reporting.

Further guidance

Further guidance has been produced by the Health and Social Care Information Centre and is available at Child and Adolescent Mental Health Services (CAMHS) Secondary Uses Data Set.Further guidance has been produced by the Health and Social Care Information Centre and is available at Child and Adolescent Mental Health Services (CAMHS) Secondary Uses Data Set.

Children's Home is an ORGANISATION SITE.A Children's Home is an ORGANISATION SITE.

An establishment registered with Ofsted as a Children's Home which provides care and accommodation wholly or mainly for children.A Children's Home is an establishment registered with Ofsted as a Children's Home which provides care and accommodation wholly or mainly for children.

An establishment is not a Children's Home merely because a child is cared for and accommodated there by a parent or relative or by a foster parent.

A School may be registered as a Children's Home if accommodation is provided for children at the School for more than 295 days during a twelve month period.

Contextual Overview

The Maternity and Children’s Data Set has been developed as a key driver to achieving better outcomes of care for mothers, babies and children. The data set will provide comparative, mother and child-centric data that will include information on incidence and care that can be used to improve clinical quality and service efficiency; and to commission services in a way that improves health and reduces inequalities. The child health element of the data set covers all stages of the care pathway across primary, secondary and tertiary sectors from birth until the day before the 19th birthday an/or transition into audit services. The initial data collection will concentrate on the data required to support the Healthy Child Programme and will for the first time:

• allow maternal and child health data to be linked so that vital information can be used to improve services
• provide comparative data (demographics, equalities, interventions and outcomes from pregnancy through childhood) so that health visiting services can be directed to areas with most need
• provide planners, commissioners and managers with reliable information on service delivery, which can be used to inform future planning and service improvements
• improve accountability, making it easier for the public to access comparative information to support them in making decisions about type and place of care
• record outcomes to contribute to clinical risk management and governance to reduce litigation costs
• underpin the improvement of local information systems to meet data set standards.

Data Collection

The Children and Young People's Health Service Secondary Uses Data Set provides the definitions for data:

• to be lodged in the data warehouse regularly and routinely
• to be assembled, compiled and to flow into a secondary uses data warehouse
• to provide timely, pseudonymised patient-based data and information for purposes other than direct clinical care, e.g. planning, commissioning, public health, clinical audit, performance improvement, research, clinical governance.

Data is expected to be collected from various clinical systems, collated and assembled through the compiler. This standard is intended to facilitate electronic data recording and reporting but it is not intended to create clinical records for Children's and Young People's Health Services or to enable other systems to interoperate with other clinical systems.

Submission Information

For submission information, see the Maternity and Childrens Data Sets Submission Requirements.

Further Guidance

Further guidance has been produced by the Health and Social Care Information Centre and is available on their website at: Children's and Young People's Health Services (CYPHS) Secondary Uses Data Set.

Clinical Intervention Date is an ACTIVITY DATE TIME.A Clinical Intervention Date is an ACTIVITY DATE TIME.

The date of the occurrence of the CLINICAL INTERVENTION.A Clinical Intervention Date is the date of the occurrence of the CLINICAL INTERVENTION.

A Clinical Investigation is a CLINICAL INTERVENTION.

A clinical test or investigation offered to or carried out on a PERSON.A Clinical Investigation is a clinical test or investigation offered to or carried out on a PERSON.

Clinical Investigations may include blood tests for specific antibodies, scans or physical examinations for specific diseases.

A Community is a GEOGRAPHIC AREA.

Community is a very general term referring to the people living in a locality or to the locality itself.

Note: Welsh Communities are subdivisions of Unitary Authorities and their councils are the most local level of government in Wales. They are the equivalent of (civil) Parishes in England, but unlike English Parishes, Communities cover the whole of Wales.

For further information on Community, see the Office for National Statistics website.For further information on Communities, see the Office for National Statistics website.

Community Episode is an ACTIVITY GROUP.A Community Episode is an ACTIVITY GROUP.

The time a PATIENT spends in the continuous care of one or more NURSES from one community nurse staff group within a Nursing In The Community Programme.A Community Episode is the time a PATIENT spends in the continuous care of one or more NURSES from one community nurse staff group within a Nursing In The Community Programme.

The episode must be under the responsibility of one named NURSE.The Community Episode must be under the responsibility of one named NURSE. An episode of care is initiated by a referral. If the source of referral is from a member of the community health staff, the recipient of the referral must belong to another community nurse staff group for the referral to initiate another Community Episode.

Where a previous episode of care for the same individual did not end with a positive discharge from care, a new episode of care should be counted if more than 6 months have elapsed since the last contact (or since the last failed appointment where no further appointment was made), in the absence of a planned review date.

A Community Episode is made up of one or more Face To Face Contacts Community Care. There may also be a Drug Misuse Episode for the PATIENT.

Information recorded for a Community Episode includes:

A Consultant Led Service is a SERVICE.

A Consultant Led Service is a SERVICE where a CONSULTANT retains overall clinical responsibility for the SERVICE, CARE PROFESSIONAL TEAM or treatment.

The CONSULTANT will not necessarily be physically present for each Consultant Led Activity but the CONSULTANT takes clinical responsibility for each PATIENT's care.

Consultant Upgrade Date is an ACTIVITY DATE TIME.A Consultant Upgrade Date is an ACTIVITY DATE TIME. 

Consultant Upgrade Date is the DATE that the CONSULTANT responsible for the care of the PATIENT (or an authorised member of the CONSULTANT team as defined by local policy) decided that the PATIENT should be upgraded onto an urgent Cancer PATIENT PATHWAY.A Consultant Upgrade Date is the DATE that the CONSULTANT responsible for the care of the PATIENT (or an authorised member of the CONSULTANT team as defined by local policy) decided that the PATIENT should be upgraded onto an urgent Cancer PATIENT PATHWAY.

The Consultant Upgrade Date should only be recorded when the PRIORITY TYPE of the original SERVICE REQUEST was not National Code 3 - 'Two Week Wait'.The Consultant Upgrade Date should only be recorded when the PRIORITY TYPE of the original SERVICE REQUEST was not National Code 'Two Week Wait'.

Consultant upgrades are not allowed for PATIENTS who were urgently referred with suspected cancer from an NHS Cancer Screening Programme (where the SOURCE OF REFERRAL FOR OUT-PATIENTS was National Code 17 - referral from a National Screening Programme, and the PRIORITY TYPE of the SERVICE REQUEST was National Code 2 -Urgent).Consultant upgrades are not allowed for PATIENTS who were urgently referred with suspected cancer from an NHS Cancer Screening Programme (where the SOURCE OF REFERRAL FOR OUT-PATIENTS was National Code 'referral from a National Screening Programme', and the PRIORITY TYPE of the SERVICE REQUEST was National Code 'Urgent'.  Therefore a Consultant Upgrade Date cannot be recorded in these circumstances.

The Consultant Upgrade Date must be on or before the DECISION TO TREAT DATE (if recorded). 

The Consultant Upgrade Date must also be on or before the MULTIDISCIPLINARY TEAM DISCUSSION DATE FOR CANCER (if recorded).

Contact Date is an ACTIVITY DATE TIME.A Contact Date is an ACTIVITY DATE TIME.

The date on which a face to face contact or telephone contact takes place.A Contact Date is the date on which a face to face contact or telephone contact takes place.

Contact Tracing Programme is a HEALTH PROGRAMME.A Contact Tracing Programme is a HEALTH PROGRAMME.

A programme to identify and trace people known to have been in contact with a specific communicable disease.A Contact Tracing Programme is a programme to identify and trace people known to have been in contact with a specific communicable disease.

Day Care Facility is a CLINIC OR FACILITY.A Day Care Facility is a CLINIC OR FACILITY.

A Day Care Facility provided for the clinical treatment, assessment and maintenance of function of PATIENTS, in particular, though not exclusively, those who are elderly, mentally ill or have learning difficulties. They may be called Day Hospitals, Centres, Facilities or Units.

Day Care Facilities may be financed, planned and run solely by NHS ORGANISATIONS or solely by non-NHS ORGANISATIONS or jointly between NHS and non-NHS organisations. Jointly run facilities should still be managed by only one ORGANISATION.

The facilities specifically do not have Hospital Beds and function separately from any WARD.

Day Care Facilities are usually open during the five week days. In some places a service may be provided only once or twice a week and the service may take the form of evening or weekend Day Care Sessions.

A Direct Access Service is a SERVICE.

A Direct Access Service is a SERVICE where PATIENTS are directly referred from primary and community care to the Direct Access Service for both diagnostic assessment and treatment.

Enhanced Sexual Health Services (ESHS) are SERVICES providing a comprehensive sexually transmissible infections management outside of the traditional Genitourinary Medicine settings, and provide sexually transmissible infection management at Level 1 and Level 2 as recommended by the British Association for Sexual Health and Human Immunodeficiency Virus (BASHH).An Enhanced Sexual Health Service (ESHS) is a SERVICE.

Enhanced Sexual Health Services are SERVICES providing a comprehensive sexually transmissible infections management outside of the traditional Genitourinary Medicine settings, and provide sexually transmissible infection management at Level 1 and Level 2 as recommended by the British Association for Sexual Health and Human Immunodeficiency Virus (BASHH).

Enhanced Sexual Health Services can be sub-categorised into the following groups:

• Enhanced General Practices
• Sexual and Reproductive Health Services
• Integrated services (joint Genitourinary Medicine and Sexual and Reproductive Health Services)
• Young people clinics such as Brook
• Other NHS commissioned services e.g. community hospitals and outreach programmes

Note: General Practitioner with a Special Interest (GPwSI) will only be included if they operate from a GP Practice that has been commissioned to provide an Enhanced Sexual Health Service.

Sexually transmissible infection management at Level 1 includes:

• Sexual history-taking and risk assessment: Including assessment of need for emergency CONTRACEPTION and Human Immunodeficiency Virus post-exposure prophylaxis following sexual exposure (PEPSE)
• Signposting to appropriate Sexual and Reproductive Health Services 
• Chlamydia screening: Opportunistic screening for genital chlamydia in asymptomatic males and females under the age of 25
• Asymptomatic Sexually Transmissible Infections screening and treatment of asymptomatic infections (except treatment for syphilis) in men (excluding men who have sex with men) and women
• Partner notification of Sexually Transmissible Infections or onward referral for partner notification
• Human Immunodeficiency Virus testing: Including appropriate pre-test discussion and giving results
• Point of care Human Immunodeficiency Virus testing: Rapid result Human Immunodeficiency Virus testing using a validated test (with confirmation of positive results or referral for confirmation)
• Screening and vaccination for hepatitis B: Appropriate screening and vaccination for hepatitis B in at-risk groups
• Sexual health promotion: Provision of verbal and written sexual health promotion information
• Condom distribution: Provision of condoms for safer sex
• Psychosexual problems: Assessment and referral for psychosexual problems

Sexually transmissible infection management at Level 2 incorporates Level 1 plus:

Sexually Transmissible Infection testing and treatment of symptomatic but uncomplicated infections in men (except men who have sex with men) and women excluding:

• men with dysuria and/or genital discharge
• symptoms at extra-genital sites, eg rectal or pharyngeal
• symptoms at extra-genital sites, e.g. rectal or pharyngeal
• pregnant women
• genital ulceration other than uncomplicated genital herpes

More information about Hospital Episode Statistics can be found at the HESonline website.

Hospital Stay is an ACTIVITY GROUP.A Hospital Stay is an ACTIVITY GROUP.

The time a PATIENT using a Hospital Bed stays on one Hospital Site during a Hospital Provider Spell. In some circumstances a PATIENT may take Home Leave, or Mental Health Leave Of Absence for 28 days or less, or have a current period of Mental Health Absence Without Leave of 28 days or less, which does not interrupt the Hospital Stay. If there is any time spent as a LODGED PATIENT before transfer to WARD this is included in the Hospital Stay.A Hospital Stay is the time a PATIENT using a Hospital Bed stays on one Hospital Site during a Hospital Provider Spell.

If there is any time spent as a LODGED PATIENT before transfer to WARD this is included in the Hospital Stay.

Immunisation Completion Date is an ACTIVITY DATE TIME.An Immunisation Completion Date is an ACTIVITY DATE TIME.

The date that a course of immunisation was completed.An Immunisation Completion Date is the date that a course of immunisation was completed. For example, the date by which all 3 primary course doses have been given for a group C meningococcal disease vaccine.

Immunisation Dose Given Date is an ACTIVITY DATE TIME.An Immunisation Dose Given Date is an ACTIVITY DATE TIME.

Immunisation Dose Given Date is the date on which the immunisation was carried out.An Immunisation Dose Given Date is the date on which the immunisation was carried out.

The Immunisation Programmes Activity Data Set (KC50) requires summary information from Primary Care Trusts about the delivery of Immunisation Programmes for the following VACCINE PREVENTABLE DISEASES:

• Diphtheria, Tetanus and Polio (Td/IPV)
• Measles, Mumps and Rubella (MMR), and
• Tuberculosis (BCG).

The responsible population for the Primary Care Trusts with respect to the delivery of these Immunisation Programmes includes:

• PERSONS registered with a GENERAL MEDICAL PRACTITIONER whose GP Practice is under the responsibility of the Primary Care Trust, regardless of where the child is resident, and
• any PERSONS not registered with a GENERAL MEDICAL PRACTITIONER, who are resident within the Primary Care Trust GEOGRAPHIC AREA.

This does not include PERSONS who are resident within the Primary Care Trust GEOGRAPHIC AREA but registered with a GENERAL MEDICAL PRACTITIONER whose GP Practice is under the responsibility of a different Primary Care Trust.

Reporting

The Immunisation Programmes Activity Data Set (KC50) is reported for each financial year (i.e. between 1st April and 31st March), and must be received no later than the last working day of April. Reporting is via the Omnibus survey collection tool provided by the Health and Social Care Information Centre. For further information about Omnibus, see the Omnibus Survey System.

For further information, see the Health and Social Care Information Centre website.

Immunisation Age Group
The IMMUNISATION AGE GROUP reported should reflect the age in year of the PERSON IN PROGRAMME within the REPORTING PERIOD. For example, the IMMUNISATION AGE GROUP of National Code '14 Age 13 years' is used to report Immunisation Programme activity performed on a PERSON who becomes 13 years of age during the REPORTING PERIOD.

Further guidance with respect to the application of IMMUNISATION AGE GROUPS is provided by the Health and Social Care Information Centre and can be found on the Health and Social Care Information Centre website.Further guidance with respect to the application of IMMUNISATION AGE GROUPS is provided by the Health and Social Care Information Centre and can be found on the Health and Social Care Information Centre website.

Part A (i): IMMUNISATION PROGRAMME ACTIVITY FOR DIPHTHERIA, TETANUS AND POLIO (Td/IPV)

This group reports Immunisation Programme activity for the offer and delivery of vaccinations for immunisation against Diphtheria, Tetanus and Polio.

It is mandatory to report the ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO) and IMMUNISATION DOSES GIVEN TOTAL (DIPHTHERIA TETANUS AND POLIO) for each IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO).

Where the Primary Care Trust does not offer vaccination for immunisation against Diphtheria, Tetanus and Polio for a specific IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO), the ELIGIBLE POPULATION TOTAL (DIPHTHERIA TETANUS AND POLIO) for that IMMUNISATION AGE GROUP (DIPHTHERIA TETANUS AND POLIO) is reported as zero.

Part A (ii): IMMUNISATION PROGRAMME ACTIVITY FOR MEASLES, MUMPS AND RUBELLA (MMR).

This group reports Immunisation Programme activity for the offer and delivery of vaccinations for immunisation against Measles, Mumps and Rubella (MMR).

It is mandatory to report the ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA) and IMMUNISATION COURSES COMPLETED TOTAL (MEASLES MUMPS AND RUBELLA) for each IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA).

Where the Primary Care Trust does not offer vaccination for immunisation against Measles, Mumps and Rubella (MMR) for a specific IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA), the ELIGIBLE POPULATION TOTAL (MEASLES MUMPS AND RUBELLA) for that IMMUNISATION AGE GROUP (MEASLES MUMPS AND RUBELLA) is reported as zero.

Part B (i): IMMUNISATION PROGRAMME ACTIVITY - MANTOUX TESTS FOR TUBERCULOSIS (BCG).

This group reports the delivery of Mantoux Tests.

It is mandatory to report the MANTOUX TESTS PERFORMED TOTAL (TUBERCULOSIS) for each IMMUNISATION AGE GROUP (TUBERCULOSIS).

Part B (ii): IMMUNISATION PROGRAMME ACTIVITY FOR TUBERCULOSIS (BCG).

This group reports Immunisation Programme activity for the delivery of vaccinations for immunisation against Tuberculosis (BCG).

It is mandatory to report the ELIGIBLE POPULATION TOTAL (TUBERCULOSIS) and IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS) for each IMMUNISATION AGE GROUP (TUBERCULOSIS).

Part C (i): IMMUNISATION PROGRAMME ACTIVITY FOR TUBERCULOSIS (BCG) FOR PERSONS AGED UNDER 1 YEAR.

This group reports Immunisation Programme activity for the offer and delivery of vaccinations for immunisation against Tuberculosis (BCG), for PERSONS aged under 1 year.

It is mandatory to report the ELIGIBLE POPULATION TOTAL (TUBERCULOSIS) for each of the following IMMUNISATION PROGRAMME TYPES (TUBERCULOSIS):

National Codes:

2	Planned programme for infants aged under 1 year, vaccinated routinely
3	Planned programme for infants aged under 1 year, in selective high-risk group

It is mandatory to report the IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS) for each of the following IMMUNISATION PROGRAMME TYPES (TUBERCULOSIS):

National Codes:

2	Planned programme for infants aged under 1 year, vaccinated routinely
3	Planned programme for infants aged under 1 year, in selective high-risk group
4	Other programme

Part C (ii) SUMMARISED IMMUNISATION PROGRAMME ACTIVITY FOR TUBERCULOSIS (BCG) FOR PERSONS AGED UNDER 1 YEAR.
This mandatory group reports the IMMUNISATION DOSES GIVEN TOTAL (TUBERCULOSIS - PERSONS UNDER 1 YEAR) to all PERSONS aged under 1 year.

Improving Access to Psychological Therapies Service is a SERVICE.An Improving Access to Psychological Therapies Service is a SERVICE.

Improving Access to Psychological Therapies Services deliver a range of evidence based interventions in accordance with the National Institute for Health and Clinical Excellence (NICE) guidelines for people suffering from depression or anxiety disorders.

For further information on Improving Access to Psychological Therapies Services, see the Improving Access to Psychological Therapies website.

An Interface Service is a SERVICE.

An Interface Service is any SERVICE (excluding Consultant Led Services) that incorporates any intermediate levels of triage, assessment and treatment between traditional Primary Care and Secondary Care.

Interface Services include assessment services and referral management centres.

It does not include

• arrangements established to deliver primary, community or Direct Access Services, outside of their traditional setting
• Non-Consultant Led Services for mental health run by Mental Health Trusts.
• referrals to Practitioners with Special Interests for triage, assessment and possible treatment, except where they are working as part of a wider Interface Service arrangement.

A Long Term Physical Health Condition (also known as a Chronic Condition) is a health problem that requires ongoing management over a period of years or decades.

A Long Term Physical Health Condition is one that cannot currently be cured but can be controlled with the use of medication and/or other therapies.

This includes a wide range of health conditions including:

• Non-communicable diseases (e.g. cancer and cardiovascular disease);
• Communicable diseases (e.g. Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS));
• Certain mental disorders (e.g. schizophrenia, depression) and
• Ongoing impairments in structure (e.g. blindness, joint disorders).

Examples of Long Term Physical Health Conditions include:

• Diabetes
• Cardiovascular (e.g. Hypertension, Angina)
• Chronic Respiratory (e.g. Asthma, Chronic Obstructive Pulmonary Disease (COPD))
• Chronic Neurological (e.g. Multiple Sclerosis)
• Chronic Pain (e.g. Arthritis)
• Other Long Term Conditions (e.g. Chronic Fatigue Syndrome, Irritable Bowel Syndrome (IBS)
• Cancer) etc.
• Other Long Term Conditions (e.g. Chronic Fatigue Syndrome, Irritable Bowel Syndrome (IBS), Cancer) etc.

Contextual Overview

The Maternity and Children's Secondary Uses Data Sets have been developed as a key driver to achieving better outcomes of care for mothers, babies and children. The data set will provide comparative, mother and child-centric data that will include information on incidence and care that can be used to improve clinical quality and service efficiency; and to commission services in a way that improves health and reduces inequalities. The Maternity Services Secondary Uses Data Set will for the first time:

• allow maternal and child health data to be linked so that vital information can be used to improve services
• addressing health inequalities
• provide comparative data (demographics, equalities, interventions and outcomes from pregnancy through childhood) so that health visiting services can be directed to areas with most need
• improve accountability, making it easier for the public to access comparative information to support them in making decisions about type and place of care
• record outcomes to contribute to clinical risk management and governance to reduce litigation costs
• support the development of maternity networks and changes to the maternity tariff to drive the extension of women’s choices of maternity care, and
• underpin the improvement of local information systems to meet data set standards.

The Maternity Services Secondary Uses Data Set provides the definitions for data:

• to be lodged in the data warehouse regularly and routinely e.g. monthly. Extracts for Hospital Episode Statistics (HES) and other reports will be taken at prearranged intervals for publication as currently with the process for Commissioning Data Sets;

• to be assembled, compiled and to flow into a secondary uses data warehouse;

• to provide timely, pseudonymised PATIENT-based data and information for purposes other than direct clinical care, e.g. planning, commissioning, public health, clinical audit, performance improvement, research, clinical governance.

Data is expected to be collected from various clinical systems, collated and assembled through the compiler. This standard is intended to facilitate electronic data recording and reporting but it is not intended to create clinical records for maternity or to enable other systems to interoperate with other clinical systems.

The PATIENT held record continues to be central to the existing system for managing an individual’s care. Introducing a Maternity Services Secondary Uses Data Set enables standardised collection of data from various services to be assembled for reporting purposes.

Submission information 

For submission information, see the Maternity and Childrens Data Sets Submission Requirements.

Further guidance

Further guidance has been produced by the Health and Social Care Information Centre and is available at Maternity Services Secondary Uses Data Set.Further guidance has been produced by the Health and Social Care Information Centre and is available at Maternity Services Secondary Uses Data Set.

The Department of Health introduced the policy document 'The National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care' in 2007 to establish a consistent and standardised guide to implementing the delivery of continuing care.

Continuing care is care provided over an extended period of time, to a PERSON aged 18 or over, to meet physical or mental health needs that have arisen as a result of disability, accident or illness.

Further clarification can be found at the Department of Health website: The National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care.

In order to monitor the implementation and effectiveness of the Framework, the Department of Health has introduced a mandatory collection which requires quarterly figures to report the eligibility for and provision of NHS CONTINUING HEALTHCARE during the REPORTING PERIOD.

The NHS Continuing Healthcare Quarterly Central Return Data Set should be submitted centrally via the Omnibus Survey system maintained by the Health and Social Care Information Centre. More information can be found on the Omnibus Survey website.

Further information can be found on the Health and Social Care Information Centre website.

The collection includes:

• PERSONS aged 18 or over, receiving 100% NHS CONTINUING HEALTHCARE and recognised as eligible to receive NHS CONTINUING HEALTHCARE due to a primary health need under the guidelines of The National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care. 
• PERSONS still recognised as eligible under the former Strategic Health Authorities eligibility criteria. This also includes PERSONS retrospectively identified as having a primary health need under the guidelines of the National Framework, that is for periods of care from October 1st 2007 onwards.
• A PERSON covered by Section 117 of the Mental Health Act 1983, as amended by the Mental Health Act 2007, who is receiving or is recognised as eligible to receive NHS CONTINUING HEALTHCARE for a primary health need that is not related to their mental health condition. Note: PERSONS covered by Sections 2, 3, 17 or 117 of the Mental Health Act 1983, as amended by the Mental Health Act 2007 are excluded.

The collection excludes:

• PERSONS identified retrospectively as having a primary health need for any period of care prior to October 1st 2007.
• PERSONS receiving either 100% or part NHS funding for NHS CONTINUING HEALTHCARE through other NHS funding streams.
• PERSONS receiving temporary 100% NHS funding for NHS CONTINUING HEALTHCARE , pending completion of a decision of eligibility to receive NHS CONTINUING HEALTHCARE.

The Department of Health introduced the policy document 'The National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care' in 2007 to establish a consistent and standardised guide to implementing the delivery of continuing care.

Continuing care is care provided over an extended period of time, to a PERSON aged 18 or over, to meet physical or mental health needs that have arisen as a result of disability, accident or illness.

Further clarification can be found at the Department of Health websites: "The National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care" and "NHS-funded nursing care practice guide".Further clarification can be found at the Department of Health websites:

• The National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care and
• NHS-funded nursing care practice guide.

In order to monitor the implementation and effectiveness of the Framework, the Department of Health has introduced a mandatory collection which requires an annual figure to report the provision of NHS FUNDED NURSING CARE, at the end of the REPORTING PERIOD.

The NHS Funded Nursing Care Annual Central Return Data Set should be submitted centrally via the Omnibus system maintained by the Health and Social Care Information Centre. More information can be found on the Omnibus Survey website.

Further information can be found on the Health and Social Care Information Centre website.

A Non-Consultant Led Service is a SERVICE.

A Non-Consultant Led Service is a SERVICE where a CONSULTANT does not retain overall clinical responsibility for the SERVICE , CARE PROFESSIONAL TEAM or treatment.

ORGANISATIONS such as the Health and Social Care Information Centre, General Medical Council etc which are included in the NHS Data Model and Dictionary.

• Referenced Organisations:
  • American Joint Committee on Cancer
  • British Psychological Society
  • Care Quality Commission
  • Community Health Partnership (Scotland)
  • Department for Education
  • Department for Work and Pensions
  • Department for Work and Pensions Overseas Healthcare Team
  • Department of Health 
  • European Renal Association (European Dialysis and Transplant Association)
  • Faculty of General Dental Practice (UK)
  • GS1
  • Health and Social Care Information Centre
  • Health Protection Agency
  • Information Standards Board for Health and Social Care
  • International Federation of Gynecology and Obstetrics
  • International Health Terminology Standards Development Organisation
  • International Society of Paediatric Oncology
  • Local Health Board (Wales)
  • Local Commissioning Group (Northern Ireland)
  • National Cancer Intelligence Network
  • National Commissioning Group
  • National Institute for Health and Clinical Excellence
  • National Joint Registry
  • National Specialised Commissioning Group
  • NHS Commissioning Board
  • NHS Dental Services
  • NHS Prescription Services
  • NHS Wales Informatics Service
  • Office for National Statistics
  • Ofsted
  • Organisation Data Service
  • Royal College of General Practitioners
  • Royal Pharmaceutical Society
  • The Casemix Service
  • UK National Screening Committee
  • The Royal Marsden
  • UK Terminology Centre
  • World Health Organisation
  • Union for International Cancer Control
  • United Kingdom Association of Cancer Registries
  • World Health Organisation
• Referenced Organisations:
  • American Joint Committee on Cancer
  • British Association for Paediatric Nephrology
  • British Psychological Society
  • British Renal Society
  • British Transplantation Society
  • Care Quality Commission
  • Community Health Partnership (Scotland)
  • Department for Education
  • Department for Work and Pensions
  • Department for Work and Pensions Overseas Healthcare Team
  • Department of Health 
  • European Renal Association (European Dialysis and Transplant Association)
  • Faculty of General Dental Practice (UK)
  • GS1
  • Health and Social Care Information Centre
  • Health Protection Agency
  • Information Standards Board for Health and Social Care
  • International Federation of Gynecology and Obstetrics
  • International Health Terminology Standards Development Organisation
  • International Society of Paediatric Oncology
  • Local Health Board (Wales)
  • Local Commissioning Group (Northern Ireland)
  • National Cancer Intelligence Network
  • National Commissioning Group
  • National Institute for Health and Clinical Excellence
  • National Joint Registry
  • National Kidney Federation
  • National Specialised Commissioning Group
  • NHS Commissioning Board
  • NHS Dental Services
  • NHS Prescription Services
  • NHS Wales Informatics Service
  • Office for National Statistics
  • Ofsted
  • Organisation Data Service
  • Royal College of General Practitioners
  • Royal Pharmaceutical Society
  • The Casemix Service
  • The Renal Association
  • UK National Screening Committee
  • The Royal Marsden
  • UK Renal Registry
  • UK Terminology Centre
  • World Health Organisation
  • Union for International Cancer Control
  • United Kingdom Association of Cancer Registries
  • World Health Organisation

• Regulatory Bodies:
  • General Chiropractic Council
  • General Dental Council
  • General Medical Council
  • General Optical Council
  • General Osteopathic Council
  • General Pharmaceutical Council
  • Health and Care Professions Council
  • Nursing and Midwifery Council
  • Ophthalmic Qualifications Committee

• The Patients Detained In Hospital Or On Supervised Community Treatment Data Set (KP90) is used to provide the Department of Health with information about the number of uses made of the Mental Health Act 1983 (except for guardianship cases) as amended by the Mental Health Act 2007. This data set return provides a source of briefing on the Act and informs policy development in relation to the Act. It also provides input to the process of needs assessment on hospital accommodation requirements.

• Information on the return is published in the statistical bulletin and the detailed booklet called 'In-patients formally detained in hospital and PATIENTS on Supervised Community Treatment' under the Mental Health Act 1983, as amended by the Mental Health Act 2007.

The Patients Detained In Hospital Or On Supervised Community Treatment return should be completed to provide information about the uses of the Act, for the REPORTING PERIOD year commencing on 1st April and ending 31 March.

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY were in use to categorise mental disorder. But for the purposes of the KP90 collection only it was agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 would be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

• Part 1

This part of the data set records the number of admissions to hospital during the REPORTING PERIOD classified by specified MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE, PERSON GENDER CODE and category of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

In addition, the total number of formal admissions and informal admissions by PERSON GENDER CODE are also recorded

• Part 2

  This part of the data set records the number of changes during the REPORTING PERIOD of specified from/to MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE whilst PATIENTS are in hospital or at point of discharge from hospital

• Part 3

  This part of the data set records the number of detained PATIENTS resident in hospital as at 31st March classified by PERSON GENDER CODE and category of MENTAL HEALTH ACT 2007 MENTAL CATEGORY and the total number of informal PATIENTS resident in hospital as at 31st March classified by PERSON GENDER CODE

  In addition, the total number of PATIENTS on Supervised Community Treatment as at 31st March classified by PERSON GENDER CODE and category of MENTAL HEALTH ACT 2007 MENTAL CATEGORY is also recorded

• Part 4

  This part of the data set records the total number of separate periods of Supervised Community Treatment for PATIENTS during the REPORTING PERIOD classified by the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE which was suspended when the Supervised Community Treatment started and PERSON GENDER CODE.

  In addition the following totals classified by PERSON GENDER CODE are recorded; the total number of Supervised Community Treatment Recalls; the total number of revocations of Supervised Community Treatment and the total number of discharges from Supervised Community Treatment.

• Part 5

  This part of the data set records the total number of transfers in i.e. transfer of an admitted patient from another Health Care Provider, and the total number of transfers out i.e. transfer of an admitted patient to another Health Care Provider; during the REPORTING PERIOD and where the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE is unchanged.

  In addition, free format text can be recorded for any additional information supporting the return made.

For further information, see the Health and Social Care Information Centre website.

A period of time during which a PERSON attempts to stop smoking as a result of structured stop smoking interventions, delivered by NHS staff or their trained agents.A Person Stop Smoking Episode is a period of time during which a PERSON attempts to stop smoking as a result of structured stop smoking interventions, delivered by NHS staff or their trained agents. During this time, it is expected that the PERSON will set a SMOKING QUIT DATE.

The PERSON STOP SMOKING EPISODE starts when the PERSON has consented to a programme of treatment and presents themselves to the Stop Smoking Service for a treatment session and has set a SMOKING QUIT DATE.The Person Stop Smoking Episode:

• starts when the PERSON has consented to a programme of treatment and presents themselves to the Stop Smoking Service for a treatment session and has set a SMOKING QUIT DATE
• ends 28 days after their specified SMOKING QUIT DATE (or within 25 to 42 days of the SMOKING QUIT DATE) when it is confirmed that the PERSON:
  • has stopped smoking
  • has not been successful or
  • are lost to follow up (where the PERSON could not be contacted at four weeks (-3 days or +14 days)).

The PERSON STOP SMOKING EPISODE ends 28 days after their specified SMOKING QUIT DATE (or within 25 to 42 days of the SMOKING QUIT DATE) when either it is confirmed that the PERSON has stopped smoking, or they have not been successful or they are lost to follow up (where the PERSON could not be contacted at four weeks (-3 days or +14 days)).A PERSON who has participated in an assessment session but failed to attend for treatment should not be counted as having started a Person Stop Smoking Episode.

A PERSON who has participated in an assessment session but failed to attend for treatment should not be counted as having started a PERSON STOP SMOKING EPISODE.

References: Department of Health NHS Stop Smoking Services: service and monitoring guidance, October 2007/08.For further information, see the Department of Health NHS Stop Smoking Services: service and monitoring guidance, October 2007/08.

Professional Staff Group Service is a SERVICE.A Professional Staff Group Service is a SERVICE.

A Professional Staff Group Service is provided by CARE PROFESSIONALS who work for a Health Care Provider and have training and expertise in a professional staff group discipline (professional staff group type).

In addition to Professional Staff Group Episodes, a Professional Staff Group Service may also provide Home Assessment Visits.

A Stop Smoking Service is a SERVICE.

A Stop Smoking Service is a SERVICE set up by a Primary Care Trust to help people give up smoking.

For a SERVICE to be designated as an NHS Stop Smoking Service requires that minimum quality standards should be met. To meet these minimum quality standards all advisers should:

• have received appropriate training for their role,
• carry out the 4 week follow-up promptly, in accordance with the current guidance,
• complete the minimum dataset (the individual PERSON data monitoring forms) for each PERSON, fully and accurately, and return the information required to the coordinator in good time,
• offer weekly support for at least the first four weeks of a quit attempt,
• attempt to confirm smoking status of all PERSONS self-reporting as having quit at 4 week follow-up by use of a carbon monoxide monitor, except where follow-up is carried out by telephone.

The majority of Stop Smoking Services will operate broadly on the 'Maudsley' model of a clinic providing intensive support, usually on a group therapy basis, to the most dependent smokers. The Stop Smoking Service should also continue to be supplemented by a range of SERVICES in various settings in primary care, secondary care and the community.

Central monitoring of data regarding 52 week follow-up is no longer required however, follow-up at 52 week stage is still recommended as good practice to establish long-term success rates and this information should still be collected locally.

References:
NHS Stop Smoking Guidance.

• Smoking is one of the most significant contributing factors to life expectancy, health inequalities and ill health, particularly cancer and coronary heart disease.
  

• The Department of Health requires information on services provided by NHS Health Care Providers.

• The Stop Smoking Services Quarterly Data Set provides essential information used to monitor the process of achieving the NHS targets to increase life expectancy at birth in England and to monitor the performance of Stop Smoking Services.

Collection and Submission

• This return relates to ACTIVITY taking place over a 3 month period. The return is made quarterly and should be submitted by the thirty second working day after the end of the quarter to which it relates.

• This data should be submitted for each Primary Care Trust.

• The data should be collected on responsible Primary Care Trust basis. The Primary Care Trust's responsible population comprises:

  • all PERSONS registered with a GP Practice that forms part of the Primary Care Trust, regardless of where the PERSON is resident, plus any PERSONS not registered with a GP Practice who are resident within the Primary Care Trust's statutory geographical boundary.
    
  • Note that PERSONS resident within the Primary Care Trust's statutory geographical boundary, but registered with a GP Practice that forms part of another Primary Care Trust, are the responsibility of that other Primary Care Trust.
    
  • The only exception to the above rules is where PERSONS receive a Stop Smoking Service at or near their workplace, which may be some distance from their home. For example, a Stop Smoking Service might be provided for commuters at their workplace in a large city. In such circumstances it is likely that people will be drawn from a range of places in the surrounding area e.g. commuters to London who live all around the south-east of England. Where a PERSON is judged to meet these criteria, the Primary Care Trust providing the Stop Smoking Service should include these people in their returns.
  • 
    

• The information in this Central Return Data Set is transmitted at aggregate level to the Health and Social Care Information Centre's web based data collection systems at http://www.icweb.nhs.uk/stopsmokingservices. NHS providers enter their data directly.

• The information in this Central Return Data Set is transmitted at aggregate level to the Health and Social Care Information Centre's web based data collection systems at https://stopsmokingservices.ic.nhs.uk/welcome.aspx. NHS providers enter their data directly.

• Further information on the NHS Stop Smoking Services and the monitoring scheme can be found at Stop Smoking Services Guidance.

Synopsis of Data Set Content

• The Stop Smoking Services Quarterly Data Set  requires the REPORTING PERIOD START DATE and REPORTING PERIOD END DATE for the quarter to which it relates.

• The collection is for:

  • Part 1A - The number of PERSONS with a PERSON STOP SMOKING EPISODE setting a SMOKING QUIT DATE and successfully quitting by ETHNIC CATEGORY and PERSON GENDER. Pregnant women should be included but not separately identified.
    

  • The collection is for:

    • Part 1A - The number of PERSONS with a Person Stop Smoking Episode setting a SMOKING QUIT DATE and successfully quitting by ETHNIC CATEGORY and PERSON GENDER. Pregnant women should be included but not separately identified.
      
    • Part 1B - The number of PERSONS setting a SMOKING QUIT DATE by AGE BAND AT SMOKING QUIT DATE and PERSON GENDER together with the outcome at 4 week follow-up. Pregnant women should be included but not separately identified.
      
    • Part 1C - The number of PERSONS with a PREGNANCY STATUS of 'Yes' at the time of the SMOKING QUIT DATE and the outcome at 4 week follow-up.
      
    • Part 1D - The number of PERSONS setting a SMOKING QUIT DATE and successful quitters with a FREE PRESCRIPTIONS INDICATOR of 'Entitled to free prescriptions'.
    • 
      
    • Part 1E - The number of PERSONS setting a SMOKING QUIT DATE and successful quitters by SOCIO-ECONOMIC CLASSIFICATION
      
    • Part 1F - The number of PERSONS setting a SMOKING QUIT DATE and successful quitters by PHARMACOTHERAPY STOP SMOKING AID RECEIVED
      
    • Part 1G - The number of PERSONS setting a SMOKING QUIT DATE and successful quitters by INTERVENTION SESSION TYPE
      
    • Part 1H - The number of PERSONS setting a SMOKING QUIT DATE and successful quitters by INTERVENTION SETTING
      
    • Part 2A - Financial Allocations for the year by type of allocation. (See STOP SMOKING SERVICE PCT FINANCIAL ALLOCATION and
      STOP SMOKING SERVICE OTHER FINANCIAL ALLOCATION.)
      Figures should be to the nearest pound.
      
    • Part 2B - Cumulative total spend on Stop Smoking Services in the year up to the REPORTING PERIOD END DATE.
      (See STOP SMOKING SERVICE CUMULATIVE TOTAL SPEND.)
      Parts 2A and 2B should include all monies from whatever source which have been specifically allocated to, or spent on, Stop Smoking Services e.g. additional funding such as Neighbourhood Renewal Funding.
      Figures should be to the nearest pound.

Release: November 2012

Release: December 2012

• CR1155 (Immediate) - ISB 1567 Amd 12/2011 National Joint Registry Data Set Version 5
• CR1324 (1 December 2012) - ISB 1067 Amd 23/2012 Workforce Data Set Version 2.5
• CR1196, CR1287 and CR1195 (1 January 2013) - ISB 1521 Amd 64/2010 Cancer Outcomes and Services Data Set, Cancer Outcomes and Services Data Set Message and Retirement of Cancer Registration Data Set and National Cancer Data Set

The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

• CR1337 (1 April 2013) - ISB 1072 Amd 30/2012 Update to Child and Adolescent Mental Health Services Secondary Uses Data Set

Release: November 2012

• CR1166, CR1167 and CR1306 (1 November 2012) - ISB 0092 Amd-16-2010 Commissioning Data Set Version 6-2, Commissioning Data Set XML Message Version 6-2 and Retirement of CDS 6-0
• CR1305 (1 April 2013) - ISB 0092 Amd 06/2011 Allied Health Professions Referral to Treatment (AHP RTT) Update - CDS 6-2
• CR1286 (1 November 2012) - ISB 0028 Amd 17/2012 Treatment Function Codes Update
• CR1343 (Immediate) - DDCN 1343/2012 Change of name for NHS Commissioning Board Authority
• CR1342 (Immediate) - DDCN 1342/2012 Overseas Visitors Update
• CR1341 (Immediate) - DDCN 1341/2012 Discharge Default Code Descriptions
• CR1323 (Immediate) - National Cancer Waiting Times Monitoring Data Set Update for "Delay Reason To Treatment For Cancer"

CR1323 is a corrigendum to CR1258 (1 July 2012) - ISB 0147 Amd 23/2011 Changes to the National Cancer Waiting Times Monitoring Data Set published in the June 2012 release

The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

• CR1231 and CR1288 (1 April 2013) - ISB 1570 Amd 164/2010 HIV and AIDS Reporting Data Set and HIV and AIDS Related Data Set Message

Release: September 2012

• CR1103 (Immediate) - ISB 0066 Amd 43/2010 Renal Data Set - Data Item Addition, Changes and Deletions
• CR1334 (Immediate) - DDCN 1334/2012 Psychology Definitions
• CR1331 (Immediate) - DDCN 1331/2012 Activity Date Time Type
• CR1329 (Immediate) - DDCN 1329/2012 Change of name for "Health and Social Care Information Centre"

Release: August 2012

• CR1326 (Immediate) - DDCN 1326/2012 Health and Care Professions Council
• CR1241 (Immediate) - DDCN 1241/2012 NHS dictionary of medicines and devices
• CR1292 (Immediate) - ISB 1549 Amd 4/2011 and DDCN 1292/2012 Deprecation and withdrawal of version 3.2 of the Acute Myocardial Infarction Data Set and subsequent retiring of the Data Set from the NHS Data Model and Dictionary

Release: June 2012

• CR1314 (Immediate) - DDCN 1314/2012 Reasonable Offer Update
• CR1282 (29 June 2012) - ISB 0090 Amd 36/2011 Independent Sector Healthcare Provider (ISHP) Codes extended for ISHPs and Sites
• CR1258 (1 July 2012) - ISB 0147 Amd 23/2011 Changes to the National Cancer Waiting Times Monitoring Data Set

Release: May 2012

• CR1215 (1 June 2012) - ISB 1067 Amd 30/2011 National Workforce Data Set

  The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

• CR1028 (1 April 2013) - ISB 1069 Amd 14/2012 Children and Young People's Health Services Data Set
• CR1029 (1 April 2013) - ISB 1072 Amd 12/2012 Child and Adolescent Mental Health Services (CAMHS) Data Set
• CR1104 (1 April 2013) - ISB 1513 Amd 13/2012 Maternity Secondary Uses Data Set

Release: March 2012

• CR1242 (Immediate) - DDCN 1242/2012 Retirement of Mental Health Minimum Data Set Version 3
• CR1238 and CR1276 (1 April 2012) - ISB 1577 Amd 10/2011 Diagnostic Imaging Data Set and Diagnostic Imaging Data Set Message v 1-0
• CR1290 (Immediate) - DDCN 1290/2012 Data Set Notation
• CR1263 (Immediate) - ISB 0090 Amd 5/2012 Health and Social Care Bill Changes
• CR1255 (31 March 2012) - ISB 1576 Amd 08/2011 Quarterly Bed Availability and Occupancy Data Set
• CR1295 (Immediate) - Retirement of old Commissioning Data Set messages
  The Information Standards Board for Health and Social Care have been involved in the redesign and retirement of the old Commissioning Data Set Pages, however a formal Information Standards Notice (ISN) will not be published as there are no changes to data standards.

Release: January 2012

• CR1285 (Immediate) - DDCN 1285/2012 Elective Admission Type
• CR1252 (Immediate) - DDCN 1252/2011 Geographic Area Changes

Release: November 2011

• CR1264 (Immediate) - ISB 1077 Amd 3/2012 Automatic Identification and Data Capture (AIDC) for Patient Identification Data Set
• CR1274 (Immediate) - DDCN 1274/2011 CDS Prime Recipient Identity Update

  The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

• CR1265 (1 April 2012) - ISB 1520 Amd 29/2011 Changes to the Improving Access to Psychological Therapies Data Set

Release: October 2011

• CR1271 (Immediate) - DDCN 1271/2011 Commissioning Data Set Addressing Grid Update
• CR1268 (Immediate) - DDCN 1268/2011 Sexual Orientation Code

• The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

• CR1158 and CR1260 (1 April 2012) - ISB 1533 Amd 63/2010 Systemic Anti-Cancer Therapy Data Set and Systemic Anti-Cancer Therapy Data Set Message Schema

  The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012:

• CR1270 (1 July 2012) - ISB 1080 Amd 25/2011 Amendments to NHS Health Check Data Set
• CR1250 (1 July 2012) - ISB 1080 Amd 25/2011 NHS Health Checks Data Set Message Schema Version 2.0.0

Release: August 2011

• CR1232 (Immediate) - ISB 0034 Amd 26/2006 Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) - NHS Data Model and Dictionary Overview
• CR1222 (1 April 2012) - ISB 0021 Amd 86/2010 Introduction of the International Classification of Diseases Tenth Revision 4th Edition
• CR1190 (1 September 2011) - ISB 1538 Amd 131/2010 Chlamydia Testing Activity Data Set
• CR1188 (Immediate) - Amd 85/2010 Genitourinary Medicine Clinic Activity Data Set (GUMCAD) Extension to include Enhanced Sexual Health Services (ESHS)

The following data set is initially being introduced for local use only. A future Information Standards Notice will be published to notify providers and system suppliers of the requirement to flow the data set nationally:

• CR1105 (1 April 2012) - ISB 1510 Amd 25/2010 Community Information Data Set

Release: July 2011

• CR1249 (Immediate) - DDCN 1249/2011 General Pharmaceutical Council Registration Changes

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012:

• CR1148 (1 July 2012) - ISB 1080 Amd 129/2010 NHS Health Checks Data Set

Release: June 2011

• CR1256 (Immediate) - DDCN 1256/2011 School Definitions
• CR1117 (26 August 2011) - ISB 0090 Amd 94/2010 Organisation Data Service Identification Codes for Local Authorities in England and Wales
• CR1251 (Immediate) - DDCN 1251/2011 Change to the Format/Length of Weekly Hours Worked
• CR1243 (Immediate) - DDCN 1243/2011 National Interim Clinical Imaging Procedure (NICIP) Code Set

Release: April 2011

• CR1154 (1 April 2011) - ISB 0011 Amd 87/2010 Mental Health Minimum Data Set Version 4.0
• CR1234 (Immediate) - DDCN 1234/2011 Technology Reference Data Update Distribution Service (TRUD)
• CR1168 (Immediate) - ISB 0097 Amd 140/2010 Genitourinary Medicine Access Monthly Monitoring Data Set Amendments - Removal of Human Immunodeficiency Virus data

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

• CR1050 (1 April 2012) - ISB 1520 Amd 51/2010 Improving Access to Psychological Therapies Data Set

Release: March 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1224 (1 April 2011) - ISB 0092 Amd 02/20110 Commissioning Data Set Schema Version 6-1-1
• CR1223 (Immediate) - DDCN 1223/2011 Updates to Family Planning References
• CR1225 (Immediate) - DDCN 1225/2011 Practitioners with Special Interests
• CR1216 (1 April 2011) - ISB 0028 Amd 170/2010 Changes to Treatment Function Codes
• CR1203 (1 April 2011) - ISB 0084 Amd 150/2010 Introduction of OPCS Classification of Interventions and Procedures Version 4.6

Release: January 2011

• CR1116 (1 April 2010) - ISB 0003 Amd 79/2010 Immunisation Programmes Activity Data Set (KC50)
• CR1112 (1 April 2010) - ISB 1511 Amd 26/2010 NHS Continuing Healthcare and NHS Funded Nursing Care
• CR1068 (Immediate) - ISB 0133 Amd 161/2010 Change To Central Return: Human Papillomavirus (HPV) Immunisation Programme - Vaccine Monitoring Minimum Data Set
• CR1211 (Immediate) - DDCN 1211/2010 Commissioning Data Set Addressing Grid / Organisation Code (Code of Commissioner) Update

Release: December 2010

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1175 (1 April 2011) - ISB 1518 Amd 166/2010 Changes to Sexual and Reproductive Health Activity Data Set
• CR1198 (Immediate) - ISB 1067 Amd 165/2010 National Workforce Data Set
• CR1207 (01 December 2010) - ISB 1573 Amd 168/2010 Mixed-Sex Accommodation
• CR1149 (01 January 2011) - ISB 0139 Amd 99/2010 GUMCAD: Change to Genitourinary (GU) Episode Types

Release: November 2010

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1119 (Immediate) - DDCN 1119/2010 Organisation Codes Update 
• CR1192 (Immediate) - DDCN 1192/2010 Change of name for "Health Solution Wales"
• CR1199 (Immediate) - DDCN 1199/2010 General Pharmaceutical Council and Royal Pharmaceutical Society of Great Britain Update
• CR1189 (Immediate) - DDCN 1189/2010 National Institute for Health and Clinical Excellence
• CR1187 (Immediate) - DDCN 1187/2010 Introduction of the Department for Education

Release: September 2010

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1128 (Immediate) - DDCN 1128/2010 Changes to reporting procedures for Overseas Visitors from the European Economic Area and Switzerland
• CR1173 (Immediate) - DDCN 1173/2010 Care Quality Commission Update
• CR1143 (Immediate) - DDCN 1143/2010 General Pharmaceutical Council
• CR1061 (1 October 2010) - ISB 0092/2010 CDS Type 20: Out-patient: Retirement of Default Codes for Out-patient Procedures
• CR1133 (Immediate) - ISB 00289/2010 National Specialty List

Release: August 2010

• The August 2010 Release introduces the NHS Data Model and Dictionary Help Pages.

Release: July 2010

Information Standards Notices and Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1134 (Immediate - ISB 1067/2010 Amd 109/2010 National Workforce Data Set
• CR1082 (Immediate) - ISB 0153/2010 Critical Care Minimum Data Set
• CR1121 (Immediate) - DSCN 17/2010 Retirement of Data Standard KC60 Central Return

Release: May 2010

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR957 (Immediate) - DSCN 19/2010 Central Returns: KA34 Ambulance Services
• CR1069 (Immediate) - Redesign of the Commissioning Data Set Pages
  The Information Standards Board for Health and Social Care have been involved in the redesign of the Commissioning Data Set Pages and are satisfied that it meets the requirements of the service, however a formal Information Standards Notice (ISN) will not be published as there are no changes to data standards.

Release: March 2010

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1123 (1 April 2010) - DSCN 18/2010 Information Standards Notice (ISN)
• CR1139 (Immediate) - DSCN 16/2010 Person Weight
• CR1130 (Immediate) - DSCN 15/2010 Change of name for "The NHS Information Centre for health and social care"
• CR1013 (April 2010) - DSCN 14/2010 Sexual and Reproductive Health Activity Dataset (SRHAD)
• CR1125 (Immediate) - DSCN 13/2010 NHS Data Model and Dictionary Maintenance Update - Policy Definitions
• CR1122 (Immediate) - DSCN 11/2010 Changes to Family Planning References

Release: January 2010

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1115 (Immediate) - DSCN 10/2010 Data Standards: Updating of e-Government Interoperability Framework and Government Data Standards Catalogue References

Release: December 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1100 (Immediate) - DSCN 25/2009 NHS Prescription Services Update
• CR1045 (1 December 2009) - DSCN 17/2009 Referral to Treatment Clock Stop Administrative Event
• CR1003 (1 December 2009) - DSCN 16/2009 Commissioning Data Sets: Mandation of 18 Week Referral To Treatment Data Items

Release: November 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1113 (Immediate) - DSCN 24/2009 Information Standards Board for Health and Social Care Update
• CR1087 (Immediate) - DSCN 23/2009 Health Professions Council Update
• CR1081 (Immediate) - DSCN 22/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
• CR1019 (27 November 2009) - DSCN 21/2009 Data Standards: Organisation Data Service (ODS) - Optical Sites and Optical Headquarters
• CR1034 (27 November 2009) - DSCN 20/2009 Data Standards: Organisation Data Service (ODS) - Care Homes in England and Wales and their Headquarters

Release: September 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1065 (1 October 2009) - DSCN 15/2009 Data Standards: Organisation Data Service, Local Health Boards

Release: June 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1014 (1 June 2009) - DSCN 13/2009 Religious and Other Belief System Affiliation
• CR1074 (Immediate) - DSCN 12/2009 Data Standards: Care Quality Commission
• CR1056 (Immediate) - DSCN 11/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
• CR1072 (1 December 2009) - DSCN 10/2009 Data Standards: National Radiotherapy Data Set
• CR1073 (Immediate) - DSCN 09/2009 Central Returns: Diagnostic Waiting Times and Activity Data Set
• CR1066 (Immediate) - DSCN 08/2009 Data Standards: NHS Prescription Services and NHS Dental Services
• CR1047 (1 April 2011) - DSCN 07/2009 Data Standards: Diabetic Retinopathy Screening Dataset v3.6 
• CR1059 (Immediate) - DSCN 06/2009 Data Standard: National Workforce Data Set v2.1
• CR914 (April 2008 (Retrospective)) - DSCN 05/2009 NHS Stop Smoking Services Quarterly Monitoring Return
• CR899 (Immediate) - DSCN 02/2009 NHS Data Model and Dictionary Maintenance Update

Release: March 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1001 (1 April 2009) - DSCN 03/2009 Introduction of Commissioning Data Set Schema Version 6-1 (2008-04-01) and update to Commissioning Data Set Schema Version 6-0 (2008-01-14)
• CR976 (31 March 2009) - DSCN 26/2008 Subject: KP90 - Admissions, Changes in Status and Detentions under the Mental Health Act
• CR1017 (1 April 2009) - DSCN 25/2008 Critical Care Minimum Data Set
• CR1002 (1 April 2009) - DSCN 24/2008 Data Standards: Introduction of Commissioning Dataset Version 6.1
• CR1016 (Immediate) - DSCN 23/2008 4 Byte Version of the Read Codes - Withdrawal

Release: December 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
• CR901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS) 
• CR843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
• CR1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set 

Release: November 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
• CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme, Vaccine Monitoring Minimum Dataset
• CR861 (Immediate) - DSCN 16/2008 Central Return:  Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
• CR964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
• CR965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
• CR879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

Release: May 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
• CR910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
• CR900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
• CR934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
• CR935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
• CR925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
• CR942 (1 June 2008) - DSCN 03/2008 General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract

Release: February 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
• CR881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
• CR904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
• CR824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

Release: November 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
• CR814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
• CR930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
• CR834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
• CR875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
• CR880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

Release: August 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
• CR831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
• CR825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

Release: June 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
• CR833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
• CR801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

Release: May 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
• CR856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
• CR869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
• CR827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
• CR817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
• CR849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
• CR822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
• CR850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
• CR786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

Release: February 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
• CR826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
• CR813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
• CR768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
• CR798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema
• CR776 (1 October 2006) - DSCN 05/2006 Data Standards: Accident and Emergency Enhancements to Investigation and Treatment Codes

Release: September 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
• CR792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
• CR719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
• CR791 (1 April 2007) - DSCN 13/2006 Priority Type
• CR774 (1 September 2006) - DSCN 12/2006 Person Marital Status

Release: May 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR764 (1 April 2006) - DSCN 08/2006 Diagnostics waiting times and activity
• Correction to menu structure to include Critical Care Minimum Data Set

Release: April 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
• CR756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
• CR724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
• CR754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
• CR763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
• CR767 (Immediate) - DSCN 02/2006 Referral Request Received Date
• CR690 (1 September 2005) - DSCN 16/2005 Marital Status

Release: August 2005

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
• CR715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
• CR706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
• CR691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

For all Information Standards Notices and Data Set Change Notices, see the Information Standards Board for Health and Social Care Website

An ACTIVITY is a provision of SERVICES to a PATIENT by one or more CARE PROFESSIONALS.

An ACTIVITY may be either an ACTIVITY GROUP or a CARE ACTIVITY. An ACTIVITY GROUP may include a series of one or more CARE ACTIVITIES.

Subtypes of ACTIVITY are:

ACTIVITY GROUP
CARE ACTIVITY

An ACTIVITY is a provision of SERVICES to a PATIENT by one or more CARE PROFESSIONALS.

An ACTIVITY may be either an ACTIVITY GROUP or a CARE ACTIVITY. An ACTIVITY GROUP may include a series of one or more CARE ACTIVITIES.

A subtype of ACTIVITY.

An ACTIVITY GROUP is a continuous period of care or assessment for a PATIENT by one or more CARE PROFESSIONALS. ACTIVITY GROUPS mainly consist of episodes, spells, stays or care periods.

An ACTIVITY GROUP may include one or more CARE ACTIVITIES.

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 GROUP TYPE provides a list of ACTIVITY GROUPS.

A break from an ACTIVITY with the intention that the ACTIVITY will be resumed at one point.An ACTIVITY SUSPENSION is a break from an ACTIVITY with the intention that the ACTIVITY will be resumed at some point.

ACTIVITY SUSPENSIONS include:ACTIVITY SUSPENSION TYPE provides a list of ACTIVITY SUSPENSIONS.

• Mental Health Care Spell Suspension

Subtypes of ADDRESS are:

ADDRESS STRUCTURED
ADDRESS UNSTRUCTURED

The identification of a place of relevance to a:

• PERSON
• ORGANISATION
• ORGANISATION SITE or
• LOCATION.

The ADDRESS may have COMMUNICATION CONTACT INFORMATION associated with it and may be the location for an ACTIVITY.

ADDRESS STRUCTURED
ADDRESS UNSTRUCTURED

A subtype of ADDRESS.

An ADDRESS comprised of address elements. Address elements correspond to the Royal Mail Postal Address File unless indicated otherwise.

A subtype of ADDRESS.

A recognizable postal address comprised of up to five lines of 35 alphanumeric characters.

Note:
The format relates to the physical layout, and not necessarily to the logical layout of the address.Note: the format relates to the physical layout, and not necessarily to the logical layout of the address.

A type of assessment tool used to measure and evaluate specific aspects of a PERSON's needs or experiences.

An ASSESSMENT TOOL may result in a PERSON SCORE or outcome rating.

A subtype of ACTIVITY

A CARE ACTIVITY is the provision of an individual instance of care to a PATIENT given by one or more CARE PROFESSIONALS.

Subtypes of CARE ACTIVITY are:

A CARE ACTIVITY is the provision of an individual instance of care to a PATIENT given by one or more CARE PROFESSIONALS.

CARE ACTIVITIES include:

• Multidisciplinary Team Meeting

A type of CARE ACTIVITY.A subtype of CARE ACTIVITY.

A contact made with a PATIENT for the delivery of care.

CARE CONTACT TYPE provides a list of CARE CONTACTS.

A plan of the treatment or health care to be provided to a PATIENT for a CARE ACTIVITY or within an ACTIVITY GROUP.

An ACTIVITY GROUP may include more than one CARE PLAN. Often the effectiveness of a CARE PLAN is reviewed periodically and as a result of the review, a new CARE PLAN may be developed.

CARE PLANS include:CARE PLAN TYPE provides a list of CARE PLANS.

• Antenatal Care Plan
• Birth Care Plan
• Cancer Care Plan
• Child Protection Plan
• Mental Health Crisis Plan
• Postpartum Care Plan
• Social Services Care Plan

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

CARE PROFESSIONALS include: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.

• 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
• Hearing Aid Dispenser
• MIDWIFE
• NURSE
• Occupational Therapist
• Operating Department Practitioner
• OPHTHALMIC MEDICAL PRACTITIONER
• OPTOMETRIST
• Orthoptist
• Orthotist
• Osteopath
• Paramedic
• Pharmacist
• Pharmacy Technician
• Physiotherapist
• Practitioner Psychologist
• Prosthetist
• Radiographer
• Social Worker in England
• 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.CARE PROFESSIONAL TYPE CODE provides a list of CARE PROFESSIONALS.

An association between a CARE PROFESSIONAL and an ORGANISATION.

Subtypes of CARE PROFESSIONAL ORGANISATION include:

• CONSULTANT ORGANISATION
• GMP ORGANISATION
• NURSE OR MIDWIFE ORGANISATION
• NURSE OR MIDWIFE ORGANISATION.

An association between a CARE PROFESSIONAL and an ORGANISATION.

A type of PERSON PROPERTY.A subtype of PERSON PROPERTY.

Observations made regarding a PERSON. These observations do not include information about a treatment or intervention.

CATEGORY VALUED PERSON OBSERVATION TYPE provides coded classifications of observations about a PERSON.

Note: MEASURED PERSON OBSERVATION allows for recording of measurements about a PERSON and OTHER PERSON OBSERVATION is where the PERSON states, for example, when they first experienced symptoms, the number of days on which alcohol has been consumed etc.

A classification for CLINICAL INTERVENTIONS and PERSON PROPERTIES.

Subtypes of CLINICAL CLASSIFICATION include:

READ CLASSIFICATION
OPERATIVE PROCEDUREOPERATIVE PROCEDURE.

A classification for CLINICAL INTERVENTIONS and PERSON PROPERTIES.

A type of CARE PROFESSIONAL ORGANISATION.A subtype of CARE PROFESSIONAL ORGANISATION.

A record that a CONSULTANT is contracted to a Health Care Provider.

A CONSULTANT is contracted to a Health Care Provider under the MAIN SPECIALTY.

An ACTIVITY provided to a PATIENT within a CRITICAL CARE PERIOD.

A period of time within a Hospital Provider Spell during which a PATIENT receives critical care.

For PATIENTS treated in 'neonatal facilities', that is, in WARDS with a CRITICAL CARE UNIT FUNCTION of 13, 14 or 15, critical care PATIENTS include:

For PATIENTS treated in 'adult facilities' or 'other facilities', that is, WARDS with a CRITICAL CARE UNIT FUNCTION of 01-03, 05-12, 90 or 91, the following conditions apply:

• A new CRITICAL CARE PERIOD starts when the PATIENT is admitted to a critical care location regardless of CRITICAL CARE LEVEL. 
• 
  
• Outreach activity, although part of critical care, should not be recorded as a CRITICAL CARE PERIOD. 
• 
  
• Resuscitation conducted outside designated critical care locations, e.g. as part of conventional care in operating theatres and Accident and Emergency Departments, should not be recorded as a CRITICAL CARE PERIOD even though many aspects of the care given may satisfy the definitions for Level 2 or Level 3  CRITICAL CARE LEVELS.
• 
  
• Repeated admissions to the same unit should be recorded as separate CRITICAL CARE PERIODS identified by different CRITICAL CARE START DATES. A transfer to a different critical care location within the same Hospital Provider Spell will initiate a new CRITICAL CARE PERIOD identified by the differing CRITICAL CARE UNIT FUNCTION.
• 
  
• A change of Consultant Episode (Hospital Provider) or brief transfers for investigation and/or treatment do not end the CRITICAL CARE PERIOD.
• 
  
• A CRITICAL CARE PERIOD ends when the PATIENT is discharged from the critical care location, or dies, or the care that is being delivered in a non-standard location (see below) is CRITICAL CARE LEVEL National Code 00 Level 0 or 01 'Level 1'.
• 
  
• Critical care locations are described by CRITICAL CARE UNIT FUNCTION and UNIT BED CONFIGURATION. Critical Care beds may include occasional non-standard locations using a ward area or operating department when conventional critical care beds are not available. Non standard locations may only be recorded if the CRITICAL CARE LEVEL is National Code 02 'Level 2' or 03 'Level 3' and the delivery of care is greater than four hours. For CRITICAL CARE PERIODS with CRITICAL CARE UNIT FUNCTIONS of either National Code 90 'non standard location using a ward area' or National Code 91 'non standard location using the operating department', care provided in these locations must exceed four hours, and must include CLINICAL INTERVENTIONS, monitoring and supervision normally associated with a critical care area i.e. intensive therapy unit or high dependency unit. Further the care provided must be continuously supervised by currently practising critical care doctors and NURSES who would normally work in critical care.
• 
  
• The type of ORGAN SYSTEM SUPPORTED is recorded and the duration of each organ system support is calculated from the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE.
• 
  
• A CRITICAL CARE PERIOD does not include the following:
  a. Surgical and anaesthetic intra-operative care
  b. Post-operative care within an operating department except where level 2 or level 3 care are provided for more than 4 hours
  c. Care delivered in a cardiac or coronary care unit
  d. Imaging procedures
  e. Endoscopy procedures
  f.  Care delivered in an Accident and Emergency Department

Commissioning Data Set Transmission

• The CRITICAL CARE PERIOD may overlap Episodes, i.e. the CRITICAL CARE START DATE may precede the start of the CONSULTANT/ MIDWIFE / NURSE Episode; similarly the CRITICAL CARE PERIOD may not have ended by the end of the Episode.
• 
  
• The Data Elements CRITICAL CARE START DATE, CRITICAL CARE LOCAL IDENTIFIER and CRITICAL CARE UNIT FUNCTION must always be present.
• 
  
• Where applicable, Support Days and Critical Care Level Days should only be entered when the CRITICAL CARE PERIOD is finished and the CRITICAL CARE DISCHARGE DATE is entered.
• 
  
• The CRITICAL CARE DISCHARGE DATE must be on or before the DISCHARGE DATE (HOSPITAL PROVIDER SPELL).

A sub division of an ORGANISATION managed as a separate entity which deals with requests for SERVICES.

DEPARTMENTS include:DEPARTMENT TYPE provides a list of DEPARTMENTS.

• Accident and Emergency Department
• Isotope Procedure Department
• Pathology Department
• Physiological Measurement Department
• Professional Staff Group Department
• Radiology Department
• Radiotherapy Department

A request for a single diagnostic investigation or procedure for an individual PATIENT or any human or, for pathology, non-human source.

DIAGNOSTIC TEST REQUESTS include:When a DIAGNOSTIC TEST REQUEST is used to apportion costs to MAIN SPECIALTY, distinction should be made between those for PATIENTS using a Hospital Bed, out-patients and attendees at CLINICS OR FACILITIES .

• Request for Isotope Procedure
• Request for Physiological Measurement
• Request for Pathology Investigation
• Request for Radiological Procedure
• Request for Diagnostic Endoscopy

When a DIAGNOSTIC TEST REQUEST is used to apportion costs to MAIN SPECIALTY, distinction should be made between those for PATIENTS using a Hospital Bed, out-patients and attendees at CLINICS OR FACILITIES .DIAGNOSTIC TEST REQUEST TYPE provides a list of DIAGNOSTIC TEST REQUESTS.

A type of PERSON PROPERTY.A subtype of PERSON PROPERTY.

Observations regarding the educational history, background or status of a PERSON.

This is a programme run by a Primary Care Trust (PCT) collaborative with a lead Primary Care Trust to provide general preventive or advisory services to groups of the population, or specific services to PATIENTS with identified needs or conditions.A programme run by a Primary Care Trust (PCT) collaborative with a lead Primary Care Trust to provide general preventive or advisory services to groups of the population, or specific services to PATIENTS with identified needs or conditions.

HEALTH PROGRAMMES include:HEALTH PROGRAMME TYPE provides a list of HEALTH PROGRAMMES.

• Contact Tracing Programme
• Health Promotion Programme
• Immunisation Programme
• Nursing In The Community Programme
• Oral Health Programme
• Professional Advice And Support Programme
• Screening Programme
• Surveillance Programme

A type of immunisation course, which may be a primary course giving a planned sequence of doses or just one of a sequence of reinforcing courses giving a single booster dose.A type of immunisation course.

Examples:This may be a primary course giving a planned sequence of doses or just one of a sequence of reinforcing courses giving a single booster dose.

1. Primary
2. First booster
3. Second booster, etc.

IMMUNISATION COURSE TYPE CODE provides a list of IMMUNISATION COURSE TYPES.

References:
Statement of Fees and Allowances Payable to General Medical Practitioners in England and Wales.

A building or room for processing investigations received by a diagnostic department.

LABORATORIES include:LABORATORY TYPE provides a list of LABORATORIES.

• Pathology Laboratory

LEAVE occurs when a PATIENT who is using a bed in a hospital WARD or care home, spends a period of time outside the hospital WARD or care home.

For some types of LEAVE, the PATIENT is intended to return after a specified period.

LEAVE includes:LEAVE TYPE provides a list of the types of LEAVE.

• Mental Health Absence Without Leave
• Home Leave
• Mental Health Leave Of Absence

A type of PERSON PROPERTY.A subtype of PERSON PROPERTY.

MEASURED PERSON OBSERVATION allows for recording of measurements about a PERSON.

MEASURED PERSON OBSERVATION TYPE CODE provides a list of MEASURED PERSON OBSERVATIONS.

Note: CATEGORY VALUED PERSON OBSERVATION allows coded classifications of observations about a PERSON and OTHER PERSON OBSERVATION is where the PERSON states, for example, when they first experienced symptoms, the number of days on which alcohol has been consumed etc.

A subtype of CARE PROFESSIONAL.

A CARE PROFESSIONAL qualified for nursing or midwifery providing healthcare for a particular ORGANISATION.

Subtypes of NURSE OR MIDWIFE are:

• NURSE
• MIDWIFE
• MIDWIFE.

A type of PERSON PROPERTYA subtype of PERSON PROPERTY

ORGAN OR TISSUE DONOR OBSERVATION allows for the recording of observations about a ORGAN OR TISSUE DONOR.

A type of PERSON PROPERTYA subtype of PERSON PROPERTY

ORGAN OR TISSUE RECIPIENT OBSERVATION allows for the recording of observations about an organ or TISSUE recipient.

A type of PERSON PROPERTY.A subtype of PERSON PROPERTY.

Observations made by a PERSON which are not coded or measured.

These observations do not include information about a treatment or intervention. These observations may be where the PERSON states, for example, when they first experienced symptoms, the number of days on which alcohol has been consumed etc.

Note: CATEGORY VALUED PERSON OBSERVATION allows coded classifications of observations about a PERSON and MEASURED PERSON OBSERVATION allows for the recording of measurements about a PERSON.