National Neonatal Data Set Overview

The National Neonatal Data Set has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 June 2014.

The Mandatory, Required or Optional (M/R/O) column indicates the recommendation for the inclusion of data.

• M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
• R = Required: NHS business processes cannot be delivered without this data element
• O = Optional: the inclusion of this data element is optional as required for local purposes

Note: items in the M/R/O column which are shown with notation P have not been approved by the Information Standards Board for Health and Social Care, and are included to facilitate piloting and testing of future Neonatal Data Analysis Unit data requirements, prior to formal inclusion in later versions of the data set.  These items have been included in the data set layout in order to provide advance notice to data providers and system suppliers of the intention to require these items at a later date. Unless ORGANISATIONS are engaged in piloting activities relating to these items, they should NOT submit any data item marked P.

National Neonatal Data Set Overview

The National Neonatal Data Set has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 June 2014.

The Mandatory, Required or Optional (M/R/O) column indicates the recommendation for the inclusion of data.

• M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
• R = Required: NHS business processes cannot be delivered without this data element
• O = Optional: the inclusion of this data element is optional as required for local purposes.

Note: items in the M/R/O column which are shown with notation P have not been approved by the Information Standards Board for Health and Social Care, and are included to facilitate piloting and testing of future Neonatal Data Analysis Unit data requirements, prior to formal inclusion in later versions of the data set.  These items have been included in the data set layout in order to provide advance notice to data providers and system suppliers of the intention to require these items at a later date. Unless ORGANISATIONS are engaged in piloting activities relating to these items, they should NOT submit any data item marked P.

Following the issue of DSCN 07/2004 'Data Standards: Meta Model', the NHS Data Model and Dictionary was changed to reflect and be based upon a more generic logical data model which better supports the strategic way forward. This NHS Data Model and Dictionary was published as the NHS Data Model and Dictionary Version 3.

There was extensive quality assurance of Version 3 including involvement of the Data Definition Group. All Version 3 contents were cross mapped and checked to ensure consistency with the Version 2 contents. All Version 3 contents were cross mapped and checked to ensure consistency with the Version 2 contents but the underlying structure was genericised. No changes were made to NHS Business Definitions. Version 3 superseded Version 2 on 1st May 2005.

Version 3 supports all the messages, data sets and central returns supported by Version 2 but the underlying structure was genericised. No changes were made to NHS Business Definitions.

Version 3 introduced a new Generic Model which is 'PERSON based' rather than 'ORGANISATION based'. The model has been developed around generic 'CARE ACTIVITY' for a PATIENT, with each event transaction being recorded. This has involved grouping many of the old classes into generic classes like ACTIVITY GROUP. However, none of the detail or approved definitions or value sets in Version 2 have been lost although some of the old class definitions will now be found in the new 'NHS Business Definitions'.

The NHS Data Dictionary Version 2 has been frozen and made available for archive information purposes only and has been watermarked accordingly. All changes to NHS information standards and the supporting Data Set Change Notices are now consistent only with Version 3.

Summary of main changes and enhancements incorporated within Version 3

• Introduction of the capability of holding Retired Items
• Introduction of NHS Business Definitions, which allow specific business areas to be defined in a more flexible manner
• New ‘All Items Index’ which lists all the contents held within the NHS Data Model and Dictionary
• Reduction in the number of data model diagrams making them more comprehensible
• Introduction of Domains, which are conceptual logical modelling objects which identify the logical format, length and value set attributable to one or more attribute(s)
• 'Where Used' list expanded to include a description of usage column
• Creation of a separate Meta Model area within the publication

The introduction of Version 3 had no impact on current information standards or system suppliers.

About the Generic Model

Version 3 introduced a new Generic Model which is 'PERSON based' rather than 'ORGANISATION based'. The model has been developed around generic 'CARE ACTIVITIES' for a PATIENT, with each event transaction being recorded.

The Generic Model supports all the messages, data sets and central returns which the model supported but the underlying structure has been genericised. This involved grouping many of the old classes into generic classes like ACTIVITY GROUP. However, none of the detail was lost and most of the old class definitions can be found under 'NHS Business Definitions'. The number of diagrams has been greatly reduced and they now describe coherent areas of the model which is a far more useful approach for data modellers.

This has led to the creation of a new Generic Model which is 'PERSON based' rather than 'ORGANISATION based'. The model has been developed around generic 'CARE ACTIVITY' for a PATIENT, each event transaction being recorded.

The model is aimed at enabling all 'CARE ACTIVITIES' related to the same condition for the same PATIENT  to be recorded and linked across ORGANISATIONS. The different states of the same 'CARE ACTIVITY' are recorded as event transactions e.g. requested, intended, scheduled, provided, cancelled, etc. These different state events also drive the scheduling and capacity planning of resources (people, equipment, facilities, etc.) to deliver the care.

Although this may seem complicated, it is necessary both to form a coherent logical model and to relate physical information such as that which flows on the Data Sets to the logical model. Every physical item should be represented logically in the NHS Data Model and Dictionary. However, the scope of the logical model is greater than the physical information it holds and therefore not all logical information has a physical existence.

Contact us for more information: information.standards@hscic.gov.uk.

An Accident and Emergency Attendance is a CARE CONTACT..

An Accident and Emergency Attendance is an individual visit by one PATIENT to an Accident and Emergency Department to receive treatment from the accident and emergency service.

Note that the accident and emergency service may be provided by staff from other MAIN SPECIALTY.

During an Accident and Emergency Attendance the PATIENT may temporarily leave the Accident and Emergency Department, e.g. for an X-ray, whilst still under the responsibility of the Accident and Emergency Department.

An Accident and Emergency Attendance may be as a result of a request from a GENERAL PRACTITIONER for help with a diagnosis or treatment.

Attendances at Out-Patient Clinic run in the Accident and Emergency Department should not be recorded as Accident and Emergency Attendance but should be recorded as Out-Patient Attendance Consultant or Clinic Attendance Non-Consultant depending upon the type of Out-Patient Clinic attended.

Any facility set up to receive and treat emergency cases is regarded as an Accident and Emergency Department for this purpose.

Accident and Emergency Attendances include both first and follow-up attendances. A follow-up attendance is any subsequent Accident and Emergency Attendance at the same Accident and Emergency Department for the same incident. All attendances for the same incident will constitute an Accident and Emergency Episode.

Each Accident and Emergency Attendance, which is a first attendance or an unplanned follow-up attendance, should be assigned an A AND E STREAM.

Any PATIENT diagnoses and interventions should be recorded using the A & E specific codes, see ACCIDENT AND EMERGENCY DIAGNOSIS, ACCIDENT AND EMERGENCY INVESTIGATION and ACCIDENT AND EMERGENCY TREATMENT.

• Clinical Data Sets Menu
• 
  Data Set Message Versions:
• Cancer Outcomes and Services
• Diagnostic Imaging
• HIV and AIDS
• NHS Health Checks
• Systemic Anti-Cancer Therapy
  
• Data Set Submission Requirements:
• Cancer Outcomes and Services
• HIV and AIDS
• Maternity and Childrens
• 
  Schema Constraints:
• Cancer Outcomes and Services
• Cancer Outcomes and Services
• Diagnostic Imaging
• HIV and AIDS
• NHS Health Checks
• Systemic Anti-Cancer Therapy

The purpose of the Commissioning Data Sets is to enable conformant health ACTIVITY information to be generated across the country, independent of the ORGANISATION or system that maintains it.The purpose of the Commissioning Data Sets is to enable conformant health ACTIVITY information to be generated, independent of the ORGANISATION or system that maintains it. This enables health CARE PROFESSIONALS to measure and compare the delivery and quality of care provided and to support them in sharing information with other health professionals and ORGANISATIONS.

Commissioning Data Sets currently support the following ACTIVITIES:

• monitoring and managing NHS SERVICE AGREEMENTS
• developing commissioning plans
• supporting the Payment by Results processes
• underpinning clinical governance
• understanding the health needs of the population
• reporting waiting time measurement

Information on care provided for all PATIENTS by Health Care Providers (both NHS Trusts and Independent Sector Healthcare Providers for NHS PATIENTS only) must be submitted to the Secondary Uses Service according to the Commissioning Data Set Mandated Data Flows guidelines.

The Department of Health requires accurate data for all PATIENTS admitted treated as out-patients or treated as an Accident and Emergency Attendance by Health Care Providers, including PATIENTS receiving private treatment. The Commissioning Data Sets also includes NHS PATIENTS treated electively in the independent sector and overseas.

Referral To Treatment Clock Stop Administrative Events may also flow using the CDS V6-1 Type 020 - Outpatient Commissioning Data Set/CDS V6-2 Type 020 - Outpatient Commissioning Data Set. This allows the Secondary Uses Service to build accurate PATIENT PATHWAYS for the reporting of waiting time measurement.

CDS TYPES

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

The Commissioning Data Sets submitted by providers carry information to determine the update method to be used by the Secondary Uses Service in order to update the national database.

These update rules are known as the Commissioning Data Set Submission Protocol and the set of data controls used to indicate this are carried in the Commissioning Data Set Transaction Header Group which must be present and correct in every CDS TYPE submitted to the Secondary Uses Service.

Two Update Mechanisms are available:

• Net Change - to support the management of an individual CDS TYPE in the Secondary Uses Service database and enables Commissioning data to be inserted/ updated or deleted.
  CDS Senders are expected to use the Net Change Update Mechanism wherever possible.
• 
  
• Bulk Replacement - to support the management of bulk commissioning data for an identified CDS BULK REPLACEMENT GROUP of data for a specified time period and for a specified CDS PRIME RECIPIENT IDENTITY.
  CDS Senders should only use the Bulk Replacement Update Mechanism in exceptional circumstances.

It is strongly advised that all NHS Trusts should, as a minimum process, commence migration to use the CDS-XML Version 6 Message for weekly Net Change submissions by March 2009 as this is the date mandated by the "NHS Operating Framework".It is strongly advised that all NHS Trusts should, as a minimum process, commence migration to use the CDS-XML Version 6 Message for weekly Net Change submissions by March 2009.

Net Change:
Net Change processes are managed by specific data settings as defined in the CDS V6-1 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol / CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol option of the CDS Transaction Header Group. The Secondary Uses Service uses the following data to manage the database:

• CDS SENDER IDENTITY
• CDS UNIQUE IDENTIFIER
• CDS APPLICABLE DATE
• CDS APPLICABLE TIME

Each CDS TYPE must have a CDS UNIQUE IDENTIFIER which must be uniquely maintained for the life of that Commissioning Data Set record. This is a particular consideration where mergers and/or healthcare systems are changed or upgraded, see Commissioning Data Set Submission and Organisation Mergers. Any change to the CDS UNIQUE IDENTIFIER during the "lifetime" of a Commissioning Data Set record will almost certainly result in a duplicate record being lodged in the Secondary Uses Service database.

A Commissioning Data Set record delete transaction must be sent to the Secondary Uses Service database when any previously sent Commissioning Data Set record requires deletion/removal, for example to reflect Commissioner changes etc. 

From Commissioning Data Set version 6-2 onwards, the process for submitting Net Change records carrying a CDS UPDATE TYPE 1 (to indicate a CDS deletion or cancellation) changes.  In previous CDS versions, it was necessary to send the original mandatory content of the deleted record in the CDS TYPE attached to the CDS V6-1 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol.  From Commissioning Data Set version 6-2, an empty XML element called 'Delete Transaction' can be used instead of the original CDS TYPE, after the CDS V6-2 Type 005N - CDS Transaction Header Group - Net Change Protocol.  Note that CDS UPDATE TYPE code 1 should still be used to indicate a delete/cancellation when this mechanism is used.

The CDS APPLICABLE DATE and CDS APPLICABLE TIME must be used to ensure that all Commissioning data is updated in the Secondary Uses Service database in the correct chronological order.

The CDS SENDER IDENTITY must not change during the lifetime of the CDS data.
This is particularly significant for multiple and/or merged organisations, and for those services who submit data on behalf of another Primary Care Trust or NHS Trust.

Bulk Replacement
Bulk Replacement processes are managed by specific data settings as defined in the CDS V6-1 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol / CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol option of the CDS Transaction Header Group. The Secondary Uses Service uses the following data to manage the database:

• CDS SENDER IDENTITY
• CDS BULK REPLACEMENT GROUP (CDS-XML schema version 6-1-1) / CDS BULK REPLACEMENT GROUP CODE (CDS-XML schema version 6-2)
• CDS EXTRACT DATE
• CDS EXTRACT TIME
• CDS REPORT PERIOD START DATE
• CDS REPORT PERIOD END DATE
• CDS PRIME RECIPIENT IDENTITY

The CDS SENDER IDENTITY must not change during the lifetime of the Commissioning Data Set record. This is particularly significant for multiple and/or merged organisations, and for those services who submit data on behalf of another ORGANISATION.

The CDS PRIME RECIPIENT IDENTITY must be identified in each Commissioning Data Set and must not be changed during the lifetime of the Commissioning Data Set record otherwise the data stored in the Secondary Uses Service database may lose its integrity (e.g. duplicate Commissioning data may be stored).

It is strongly advised that users of the Bulk Replacement Mechanism maintain a correctly generated CDS UNIQUE IDENTIFIER within the Commissioning data. This will establish a migration path towards the use of the Net Change Mechanism and will also then minimise the risk of creating duplicate Commissioning Data Set data.

Sub contracting
If a Health Care Provider sub-contracts healthcare provision and its associated Commissioning Data Set submission to a second ORGANISATION (eg a different Health Care Provider or a Shared Services Organisation), arrangements to submit the Commissioning Data Set data must be made locally to ensure that only one ORGANISATION sends the Commissioning Data Set data to the Secondary Uses Service.

If the second ORGANISATION wishes to add other Commissioning data to the Secondary Uses Service database to that already submitted by the first ORGANISATION, both parties need to ensure that a different CDS SENDER IDENTITY is used. Often this is done by changing the last 2 digits of the 5 digit code (the Site element of the ORGANISATION CODE).

Note: Data sent using the same CDS SENDER IDENTITY by two different parties will most likely overwrite each other's data in the Secondary Uses Service database. Further advice can be obtained from the Secondary Uses Service helpdesk.

Users should be aware of how the 15 character code of their CDS INTERCHANGE SENDER IDENTITY (also known as the EDI Address) is created. This may depend on how their XML interface solution has been set up. It may not be possible to rely on a change to the ORGANISATION CODE (CODE OF PROVIDER) in order to change the CDS INTERCHANGE SENDER IDENTITY should this become necessary.

The Information Standards Board for Health and Social Care (ISB) closed on 31 March 2014.

Responsibility for the approval of information standards has transferred to the Standardisation Committee for Care Information (SCCI).

This definition and other associated definitions will be updated / added when the process has been agreed.

A Data Dictionary Change Notice (DDCN) is a notice of a change to the NHS Data Model and Dictionary which is not suitable for Information Standards Board for Health and Social Care board publication as an Information Standards Notice, as the change does not relate to an individual standard.

Further information on Data Dictionary Change Notices can be found on the NHS Data Model and Dictionary Service website at:

• Policy and Publications page
• Data Dictionary Change Notices page.

The Data Services for Commissioners (DSfC) is provided by the Health and Social Care Information Centre.

The Data Services for Commissioners is delivered by staff seconded into the Health and Social Care Information Centre from Commissioning Support Units. The seconded staff are based in Data Services for Commissioners Regional Offices.

The Data Services for Commissioners:

• processes data to support local commissioning whilst protecting PATIENT confidentiality
• receive and process personal confidential data (PCD) on behalf of Commissioning Support Units,  Clinical Commissioning Groups, NHS England Area Teams and Public Health ORGANISATIONS.

For further information on the Data Services for Commissioners, see the Health and Social Care Information Centre website.

The Department for Work and Pensions Overseas Healthcare Team (DWP OHT) is a team within the Department for Work and Pensions, which acts on behalf of the Department of Health.

One of the Department for Work and Pensions Overseas Healthcare Team's duties is to secure reimbursement for the cost of healthcare of Overseas Visitors from the European Economic Area and Switzerland under European Union regulations for the Department of Health.

From 12 October 2009, the Department for Work and Pensions Overseas Healthcare Team are responsible for collecting information on European Economic Area residents and those from Switzerland who require NHS hospital treatment. This is done via the Overseas Visitor Treatment Portal (OVT Portal) which every NHS Trust can access.

For contact details for the Department for Work and Pensions Overseas Healthcare Team, see the:

• Department for Work and Pensions website
• Department of Health part of the gov.uk website.
• Department for Work and Pensions website at: Addresses for enquiries about contributions and benefits
• Department of Health part of the gov.uk website at: Useful Contacts.

A General Medical Practitioner Practice is a type of GP Practice, which is an ORGANISATION..

A General Medical Practitioner Practice is an ORGANISATION acting as Health Care Provider and constituted for the delivery of General Medical Services.

A General Medical Practitioner Practice comprises a set of posts approved for the delivery of SERVICES in a specified GEOGRAPHIC AREA.

All General Medical Practitioner Practices belong to a Clinical Commissioning Group which commission SERVICES on behalf of PATIENTS.

Group Session is a SESSION.A Group Session is a SESSION.

A SESSION held by at least one member of a health promotion staff group as part of a programme to improve the general awareness of a group of people about particular functions, conditions or aspects of behaviour affecting the health of the community.A Group Session is a SESSION held by at least one member of a health promotion staff group as part of a programme to improve the general awareness of a group of people about particular functions, conditions or aspects of behaviour affecting the health of the community.

For the Community Information Data Set, Group Sessions are recorded when the attendees at the SESSION are not known in advance, and clinical notes are not made in individual PATIENT records.  Where the attendees are known in advance, and clinical notes are made in the PATIENT record for each PATIENT, this is recorded as Group Therapy. 

Group Therapy is a SESSION.

Group Therapy is a SESSION where more than one PATIENT attends at the same time, to see one or more CARE PROFESSIONALS.  Clinical notes are recorded in each individual PATIENT's casenotes.

For the Community Information Data Set, Group Therapy is recorded as a CARE CONTACT.  Group Sessions are recorded when the attendees at the SESSION are not known in advance, and clinical notes are not made in individual PATIENT records.

The Health Anxiety Inventory Short Week Scale  is a type of ASSESSMENT TOOL.

The Health Anxiety Inventory Short Week Scale is made up of two parts. It measures anxiety and assesses to what extent PATIENTS:

• experienced particular feelings during the past week
• think they may feel if they had a serious illness.

The result of the Health Anxiety Inventory Short Week Scale identifies both hypochondriacal PATIENTS and people who are very health anxious. A cut off of 18 identifies those fulfilling DSM-IV diagnostic criteria for hypochondriasis. A cut-off score of 15 indicates a mixture of both hypochondriacal PATIENTS and people who are very health anxious but just miss the criteria for the clinical diagnosis.

Home Dialysis Episode is an ACTIVITY GROUP.A Home Dialysis Episode is an ACTIVITY GROUP.

An episode of care to provide dialysis to a PATIENT in their home.A Home Dialysis Episode is an episode of care to provide Renal Dialysis to a PATIENT in their home.

A Hospital At Home Service is a SERVICE.

A Hospital At Home Service is a subtype of Intermediate Care, encompassing both the active treatment at home by health CARE PROFESSIONALS of PATIENTS (always for a limited period) who may otherwise be admitted to Hospital, and early supported discharge schemes following a Hospital Provider Spell.

Further information on Hospital At Home Services can be found at the British Thoracic Society website.Further information on Hospital at Home Services for Chronic Obstructive Pulmonary Disease (COPD) can be found on the British Thoracic Society website.

A Health Care Provider providing services from:-A Health Care Provider providing services from a:

Imaging Department provides further guidance for classifying a DEPARTMENT.An Imaging Department is a DEPARTMENT.

This is a Radiology, Medical Physics, and Nuclear Medicine DEPARTMENT or any other DEPARTMENT which undertakes imaging or radiodiagnostic investigations.An Imaging Department is a Radiology, Medical Physics, and Nuclear Medicine DEPARTMENT or any other DEPARTMENT which undertakes imaging or radiodiagnostic investigations.

Improving Access to Psychological Therapies Care Spell is an ACTIVITY GROUP.An Improving Access to Psychological Therapies Care Spell is an ACTIVITY GROUP.

A continuous period of care (including assessment) for a PERSON in contact with an Improving Access to Psychological Therapies Service.An Improving Access to Psychological Therapies Care Spell is a continuous period of care (including assessment) for a PERSON in contact with an Improving Access to Psychological Therapies Service. Overall management delivery and coordination of the care will be the sole responsibility of a specific Improving Access to Psychological Therapies provider.

The Information Standards Board for Health and Social Care (ISB) closed on 31 March 2014.

Responsibility for the approval of information standards has transferred to the Standardisation Committee for Care Information (SCCI).

This definition and other associated definitions will be updated / added when the process has been agreed.

The Information Standards Board for Health and Social Care (ISB) in England is tasked with the independent assurance and approval of information standards for adoption by the NHS and social care.

The scope of the Information Standards Board for Health and Social Care includes all information standards within the Department of Health, NHS, adult social care and those required to support approved sharing and communication with other agencies where NHS information infrastructure and systems are to be used.

The Information Standards Board for Health and Social Care will:

• Ensure that the information standards are fit for purpose, can be implemented, support interoperability between systems and are clinically safe.
• Review Department of Health, NHS and Social Care information standards to ensure that they are still appropriate and consistent (including those of its predecessor – the Committee for Regulation of Information Requirements – CRIR).
• Identify the need for future standards and, where necessary, for development of specific Department of Health, NHS and Social Care standards or sub-sets of other standards. This may include sponsoring information standards where there is no responsible party.
• Provide input into policy, to advise on impact on behalf of the informatics community.
• Undertake, from time to time, a review of the scope of the Information Standards Board for Health and Social Care remit in the light of changes in patterns of, or approaches to, service delivery, e.g. the establishment of Care Trusts.

The Information Standards Board for Health and Social Care has delegated the creation and implementation of processes for the assurance of information standards to the Information Standards Management Service (ISMS).

Further information on the Information Standards Board for Health and Social Care is available from:

• the Information Standards Board for Health and Social Care website or
• by emailing information.standards@nhs.net.

The Information Standards Board for Health and Social Care (ISB) closed on 31 March 2014.

Responsibility for the approval of information standards has transferred to the Standardisation Committee for Care Information (SCCI).

This definition and other associated definitions will be updated / added when the process has been agreed.

An Information Standards Notice (ISN) is notice of an Information Standard approved by the Information Standards Board for Health and Social Care (ISB).

An Information Standards Notice was previously known as a Data Set Change Notice (DSCN).

When a health and social care ORGANISATION in England receives an Information Standards Notice, they ensure that they and their contractors comply with the standard in a reasonable time (such time defined within the Information Standards Notice).

From 01 April 2010 the Information Standards Board for Health and Social Care will issue Information Standards Notices. Each one will note that “Information Standards Notice (ISNs) were previously known as Data Set Change Notices (DSCNs)”.

From 01 April 2011 the Information Standards Board for Health and Social Care will no longer make reference to the term Data Set Change Notice for new notifications.

Intended Patient Procedure is PLANNED ACTIVITY.An Intended Patient Procedure is PLANNED ACTIVITY.

A procedure intended to be performed on a PATIENT, recorded for an ELECTIVE ADMISSION LIST ENTRY, and classified by an OPERATIVE PROCEDURE or a Read Code.An Intended Patient Procedure is a procedure intended to be performed on a PATIENT, recorded for an ELECTIVE ADMISSION LIST ENTRY, and classified by an OPERATIVE PROCEDURE or a Read Code.

Mental Health Clustering Tool is a type of ASSESSMENT TOOL.The Mental Health Clustering Tool is a type of ASSESSMENT TOOL.

The Mental Health Clustering Tool is a needs assessment tool designed to rate the care needs of a PATIENT, based upon a series of 18 rating scales.

The first 12 of these rating scales are the same as the Health of the Nation Outcome Scale (Working Age Adults) rating scales, originally developed by the Royal College of Psychiatrists. These 12 rating scales are numbered 1 - 12 under 'Current Ratings' in the Mental Health Clustering Tool.

One additional 'current' rating and a new section relating to historical ratings have also been added, to form the Mental Health Clustering Tool.  These items are referred to as the Summary Assessment of Characteristics (SAC) items.

Part 1:  Current Ratings

These ratings relate to the most severe occurrence in the two weeks prior to the Mental Health Clustering Tool ASSESSMENT TOOL COMPLETION DATE.

1. Overactive, aggressive, disruptive or agitated behaviour (current)
2. Non-accidental self injury (current)
3. Problem drinking or drug taking (current)
4. Cognitive problems (current)
5. Physical illness or disability problems (current)
6. Problems associated with hallucinations and delusions (current)
7. Problems with depressed mood (current)
8. Other mental and behavioural problems (current), qualified by specific disorders: and the alphabetical list of headings from the glossary:

•             A  Phobic
•             B  Anxiety
•             C  Obsessive-compulsive
•             D  Stress
•             E  Dissociative
•             F  Somatoform
•             G  Eating
•             H  Sleep
•             I  Sexual
•             J  Other

Part 2:  Historical Ratings

These ratings relate to problems that occur in an episodic or unpredictable way, from a more 'historical' perspective.  Whilst there may not be any direct observation or report of a manifestation during the two weeks prior to the Mental Health Clustering Tool ASSESSMENT TOOL COMPLETION DATE, the evidence and clinical judgement would suggest that there is still a cause for concern that cannot be disregarded.  In these circumstances, any event that remains relevant to the current CARE PLAN should be included.

     A.  Agitated behaviour / expansive mood (historical)
     B.  Repeat self-harm (historical)
     C.  Safeguarding children and vulnerable dependant adults (historical)
     D.  Engagement (historical)
     E.  Vulnerability (historical)

The allowed responses to each of the 18 items in the Mental Health Clustering Tool are:

• 0 - No problem
• 1 - Minor problem requiring no action
• 2 - Mild problem but definitely present
• 3 - Moderately severe problem
• 4 - Severe to very severe problem
• 9 - Not known

The PERSON SCORE from the Mental Health Clustering Tool is used to allocate the PATIENT to the most appropriate Mental Health Care Cluster.

Further information relating to the Mental Health Clustering Tool and Mental Health Care Clusters is available from the Department of Health Developing Payment By Results for Mental Health website.

Access to NHS hospital healthcare is based on Ordinary Residence in the United Kingdom.

A PERSON who is not Ordinarily Resident in the UK falls within the definition of an Overseas Visitor and may incur a charge for treatment.

Guidance relating to the National Health Service (Overseas Visitors Hospital Charging Regulations), can be found on the Department of Health part of the gov.uk website.Guidance relating to the National Health Service (Overseas Visitors Hospital Charging Regulations), can be found on the Department of Health part of the gov.uk website at: Guidance on overseas visitors hospital charging regulations.

The National Health Service Act 2006 received Royal Assent on 8 November 2006 and came into effect on 1 March 2007.

The National Health Service Act 2006 was significantly altered by the Health and Social Care Act 2012.

For further information on the:

• National Health Service Act 2006, see the legislation.gov.uk website
• Health and Social Care Act 2012, see the Department of Health part of the gov.uk website.
• Health and Social Care Act 2012, see the Department of Health part of the gov.uk website at: Health and Social Care Act 2012: fact sheets.

• Chemotherapy Intelligence Unit

ORGANISATIONS which are included in the NHS Data Model and Dictionary.

An Overseas Visitor is a PERSON who is not Ordinarily Resident in the United Kingdom.

For further information on Overseas Visitors, see the:

• Department of Health part of the gov.uk website
• Department of Health part of the gov.uk website at: Guidance on overseas visitors hospital charging regulations
• NHS Choices website.

Overseas Visitor Chargeable Category is an OVERSEAS VISITOR STATUS.

An Overseas Visitor Chargeable Category includes Overseas Visitors who are not exempt from charges by virtue of the National Health Service (Overseas Visitors Hospital Charging Regulations). The PERSON has to pay for NHS hospital healthcare unless the SERVICE they are receiving is an Exempt From Charge Service.

For further information on Overseas Visitor Chargeable Categories, see the Department of Health part of the gov.uk website.For further information on Overseas Visitor Chargeable Categories, see the Department of Health part of the gov.uk website at: Guidance on overseas visitors hospital charging regulations.

Pathology Department is a DEPARTMENT.A Pathology Department is a DEPARTMENT.

A unit which is managed as a separate entity by a CONSULTANT or non-medical scientist of equivalent standing which deals with DIAGNOSTIC TEST REQUESTS for pathology.A Pathology Department is a unit which is managed as a separate entity by a CONSULTANT or non-medical scientist of equivalent standing which deals with DIAGNOSTIC TEST REQUESTS for pathology. The DEPARTMENT may consist of one or more Pathology Laboratories that may be located on one or more sites and process investigations within more than one PATHOLOGY SPECIALTY.

A Pathology Department may carry out Post Mortems.

Pathology Laboratory is a LABORATORY.A Pathology Laboratory is a LABORATORY.

A Pathology Laboratory is under the control of a Pathology Department, which may have one or more such LABORATORIES. The Pathology Laboratory may be located on a different site to that of the Pathology Department.

Physiological Measurement Department is a DEPARTMENT.A Physiological Measurement Department is a DEPARTMENT.

A unit based in one LOCATION which is managed as a separate entity by a CONSULTANT or non-medical scientist of equivalent standing which deals with electrocardiography, electroencephalography and respiratory function investigations.A Physiological Measurement Department is a unit based in one LOCATION which is managed as a separate entity by a CONSULTANT or non-medical scientist of equivalent standing which deals with electrocardiography, electroencephalography and respiratory function investigations.

Planned Transport Request is a TRANSPORT REQUEST.A Planned Transport Request is a TRANSPORT REQUEST.

A request such that the journey may be planned in advance without critical time constraints; the service therefore knows how many vehicles will be needed and the journey route.A Planned Transport Request is a request where the journey may be planned in advance without critical time constraints; the SERVICE therefore knows how many vehicles will be needed and the journey route.

These are for any PATIENTS not given emergency, or special priority (for example, most journeys for Out-Patient Appointments, hospital admissions and discharges of a routine nature, including transport to and from other healthcare facilities).

A Pregnancy Episode is an ACTIVITY GROUP.

A period of Antenatal, labour, delivery and Postnatal care.A Pregnancy Episode is a period of Antenatal, Labour and Delivery and Postnatal care.

Professional Staff Group Contact is a CARE CONTACT.A Professional Staff Group Contact is a CARE CONTACT.

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

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

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

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

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

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

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

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

Professional Staff Group Department is a DEPARTMENT.A Professional Staff Group Department is a DEPARTMENT.

A Professional Staff Group Service may be provided by one or more Professional Staff Group Departments. Professional Staff Group Contacts within an episode may take place at any department within the service.One or more Professional Staff Group Departments may provide a Professional Staff Group Service.

A Professional Staff Group Episode is an ACTIVITY GROUP.

A Professional Staff Group Episode is the period in which a PATIENT has received treatment from a Professional Staff Group Service of a Health Care Provider.

The episode will be made up of one or more Professional Staff Group Contacts, and will start on the date of the initial contact.The Professional Staff Group Episode:

The episode of care is terminated by a formal discharge or by no Professional Staff Group Contact occurring for at least six months, in the absence of a planned review date.

• will be made up of one or more Professional Staff Group Contacts, and will start on the date of the Initial Contact
• is terminated by a formal discharge or by no Professional Staff Group Contact occurring for at least six months, in the absence of a planned review date.

Radiology Service Report is a SERVICE REPORT.A Radiology Service Report is a SERVICE REPORT.

Report of the results of or plans for radiology investigations pertaining to a single PATIENT, submitted by a radiology service provider to a radiology service requester.A Radiology Service Report is the report of the results of, or plans, for radiology Clinical Investigations pertaining to a single PATIENT, submitted by a radiology service provider to a radiology service requester.

A Radiotherapy Machine is a MACHINE.

A machine in a Radiotherapy Department used for planning courses of treatment, treatment simulation or carrying out Radiotherapy treatment procedures.A Radiotherapy Machine is a machine in a Radiotherapy Department used for planning courses of treatment, treatment simulation or carrying out Radiotherapy treatment procedures.

Sexual and Reproductive Health Domiciliary Visit is a CARE CONTACT.A Sexual and Reproductive Health Domiciliary Visit is a CARE CONTACT.

A visit to the PATIENT's home by a member of a domiciliary service.A Sexual and Reproductive Health Domiciliary Visit is a visit to the PATIENT's home by a member of a domiciliary service.

Release: April 2014

• CR1449 (Immediate) - ISB 1610 Amd 01/2014 Female Genital Mutilation Prevalence Data Set

Release: March 2014

• CR1388 (1 April 2014) - ISB 0090 Amd 17/2013 Updates to the Cancer Outcomes and Services Data Set and XML Schema
• CR1370 (1 April 2014) - ISB 0090 Amd 17/2013 Updates to the Systemic Anti-Cancer Therapy Data Set and XML Schema
• CR1322 (1 April 2014) - ISB 0090 Amd 17/2013 Changes to the Radiotherapy Data Set
• CR1388 (1 April 2014) - ISB 1521 Amd 23/2013 Updates to the Cancer Outcomes and Services Data Set and XML Schema
• CR1370 (1 April 2014) - ISB 1533 Amd 24/2013 Updates to the Systemic Anti-Cancer Therapy Data Set and XML Schema
• CR1322 (1 April 2014) - ISB 0111 Amd 26/2012 Changes to the Radiotherapy Data Set
• CR1387 (1 April 2014) - ISB 0084 Amd 10/2013 Introduction of OPCS-4.7
• CR1376 (1 April 2014) - ISB 1607 Amd 26/2013 Emergency Care Weekly Situation Report Data Set
• CR1433 (Immediate) - DDCN 1433/2014 Data Services for Commissioners
• CR1467 (1 April 2014) - DDCN 1467/2014 Retirement of Standards
• CR1464 (1 April 2014) - DDCN 1464/2014 Retirement of Standards - Domains and Diagrams
• CR1458 (1 April 2014) - DDCN 1458/2014 Retirement of Standards - DSCNs - 11/97/P05, 12/97/P06, 15/97/P09, 18/97/P12, 22/96/P19, 32/96/P27, 49/97/P35, 62/95/P51, 07/2007, 08/2009, 17/92, 20/2001, 22/2006 and 38/2002
• CR1444 (1 April 2014) - DDCN 1444/2014 Retirement of Standards
• CR1436 (1 April 2014) - DDCN 1436/2014 Retirement of Standards
• CR1435 (1 April 2014) - DDCN 1435/2014 Retirement of Standards - DSCNs 22/95/P21, 20/91, 21/93, 40/95/P34, 09/94/P04, 93/95/P76, 23/94/A04, 8/92 and 17/93
• CR1432 (1 April 2014) - DDCN 1432/2014 Retirement of Standards - DSCN 3/92, DSCN 12/96/P11, DSCN 50/94/P36, DSCN 66/96/W09 and DSCN 16/93
• CR1429 (1 April 2014) - DDCN 1429/2014 Retirement of Standards - DSCN 07/96/P06
• CR1425 (1 April 2014) - DDCN 1425/2014 Retirement of Standards
• CR1423 (1 April 2014) - DDCN 1423/2014 Retirement of Standards - DSCNs 37/98/A09, 14/97/P08, 12/2002, 37/2003, 14/2004 and 27/2001
• CR1419 (1 April 2014) - DDCN 1419/2014 Retirement of Standards - DSCNs 39/98/A11, 09/99/P06, 11/99/P07, 13/2003, 38/2001, 22/2001, 19/98/A02, 40/96/P34, 29/94/P19, 49/94/P35, 34/95/P29, 53/96/P44 and 96/95/P79
• CR1418 (1 April 2014) - DDCN 1418/2014 Retirement of Standards
• CR1417 (1 April 2014) - DDCN 1417/2014 Retirement of Standards - DSCNs 13/95/P12, 44/2001, 29/2004, 18/98/W02 and 24/98/F01
• CR1416 (1 April 2014) - DDCN 1416/2014 Retirement of Standards - KC64 - DSCNs 05/98/P05 and 26/95/W02
• CR1414 (1 April 2014) - DDCN 1414/2014 Retirement of Standards - DSCNs 03/99/P03, 10/2002, 12/99/A04, 20/98/A03, 30/98/P21, 35/99/P25, 37/97/P24 and 43/97/P29
• CR1413 (1 April 2014) - DDCN 1413/2014 Retirement of Standards - DSCNs 13/97/P07, 15/96/P14, 17/2001, 20/2004, 21/2001, 21/2003, 28/98/P20, 33/2003 and 43/2002
• CR1409 (1 April 2014) - DDCN 1409/2014 Retirement of Standards - DSCN's 46/97/P32, 01/2004, 04/2004, 11/2005, 27/2002, 31/2002, 53/2002 and 54/2002

Release: February 2014

• CR1460 (Immediate) - DDCN 1460/2014 NHS Dental Services Update
• CR1459 (Immediate) - DDCN 1459/2014 General Medical Practitioner (Specified), Doctor Index Number and General Medical Practitioner PPD Code Update
• CR1446 (Immediate) - DDCN 1446/2014 Health and Social Care Information Centre Update
• CR1404 (Immediate) - DDCN 1404/2014 Retirement of e-Gif definitions
• CR1395 (28 February 2014) - ISB 0090 Amd 17/2013 Organisation Data Service – NHS Postcode Directory

Release: January 2014

• CR1386 (31 January 2014) - ISB 0090 Amd 9/2013 Special Health Authority (SpHA) Code Structure Change
• CR1443 (Immediate) - DDCN 1443/2014 Change of name of the National Institute for Health and Clinical Excellence
• CR1441 (Immediate) - DDCN 1441/2014 Retirement of Review of Central Returns (ROCR) - Central Return Form KH03A
• CR1440 (Immediate) - DDCN 1440/2014 Retirement of Review of Central Returns (ROCR) - Genitourinary Medicine Access Monthly Monitoring Data Set
• CR1439 (Immediate) - DDCN 1439/2013 Retirement of Review of Central Returns (ROCR) Returns
• CR1405 (Immediate) - DDCN 1405/2013 Overseas Visitors
• CR1393 (Immediate) - DDCN 1393/2013 Amendment to Inter-Provider Transfer Administrative Minimum Data Set Overview
• CR1392 (Immediate) - DDCN 1392/2013 Review of Central Returns (ROCR) Discontinuations - Referral to Treatment Performance Sharing Data Set
• CR1391 (Immediate) - DDCN 1391/2013 Review of Central Returns (ROCR) Discontinuations - Referral to Treatment (RTT) Summary Patient Tracking List Data Set

The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 June 2014:

• CR1346 (1 June 2014) - ISB 1595 Amd 32/2012 National Neonatal Data Set

Release: November 2013

• CR1424 (Immediate) - DDCN 1424/2013 Application Identifier (GS1)
• CR1367 (29 November 2013) - ISB 0090 Amd 5/2013 Organisation Data Service - Introduction of New Sub Type Identifier for Private Dental Practices
• CR1359 (29 November 2013) - ISB 0090 Amd 47/2012 Organisation Data Service - Identification Codes for Local Authorities
• CR1407 (Immediate) - DDCN 1407/2013 Clinical Investigations
• CR1415 (Immediate) - DDCN 1415/2013 Area Teams
• CR1411 (Immediate) - DDCN 1411/2013 Update to Supporting Information: SNOMED CT®

Release: September 2013

• CR1348 (1 October 2013) - ISB 1597 Amd 35/2012 Breast Screening Programmes Data Set (KC63 and KC62)
• CR1403 (Immediate) - DDCN 1403/2013 Religious or Other Belief System Affiliation
• CR1384 (Immediate) - DDCN 1384/2013 Health and Social Care Information Centre Rebranding of XML Schemas
• CR1397 (Immediate) - DDCN 1397/2013 Retired Main Specialty Codes

Release: July 2013

• CR1377 (Immediate) - ISB 0105 Retirement of Accident and Emergency Quarterly Monitoring Data Set (QMAE)

Release: May 2013

• CR1363 (Immediate) - ISB 1067 Amd 43/2012 National Workforce Data Set Version 2.6
• CR1382 (Immediate) - DDCN 1382/2013 National Renal Data Set amendment
• CR1381 (Immediate) - DDCN 1381/2013 Healthcare Resource Groups
• CR1235 (1 June 2013) - ISB 1588 Amd 11/2012 Accident and Emergency Clinical Quality Indicators

Release: April 2013

• CR1372 (Immediate) - DDCN 1372/2013 Organisation Update: April 2013
• CR1369 (Immediate) - DDCN 1369/2013 Organisation Codes and Organisation Types
• CR1347 (1 April 2013) - ISB 1521 Amd 40/2012 Updates to the Cancer Outcomes and Services Data Set and XML Schema

Release: March 2013

• CR1364 (Immediate) - DDCN 1364/2013 Operating Theatre
• CR1335 (1 April 2013) - ISB 1593 Amd 27/2012 Venous Thromboembolism Risk Assessment Data Set
• CR1340 (1 April 2013) - ISB 0090 Amd 37/2012 Organisation Data Service - Non-Legislative Organisations
• CR1321 (1 April 2013) - ISB 0011 Amd 25/2012 Mental Health Minimum Data Set version 4.1

Release: February 2013

• CR1336 (Immediate) - DDCN 1336/2013 XML Schema Constraint Pages
• CR1362 (Immediate) - DDCN 1362/2013 Update to Organisations in the NHS Data Model and Dictionary
• CR1246 (Immediate) - DDCN 1246/2013 Guidance for Merging Organisations
• CR1345 (Immediate) - DDCN 1345/2013 e-Government Interoperability Framework (e-GIF) and Government Data Standards Catalogue
• CR1354 (Immediate) - DDCN 1354/2013 Treatment Function Code - Well Babies

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 may have many dates associated with it but may only have one date of a particular type.

National Codes:

Note: This list is not in alphabetical order.

Indicates if a PATIENT was found to have a disease.This item has been retired from the NHS Data Model and Dictionary.

Classification:The last live version of this item is available in the March 2014 release of the NHS Data Model and Dictionary.

The start date of a REFERRAL TO TREATMENT PERIOD.

This is a specific type of the attribute ACTIVITY DATE.

A REFERRAL TO TREATMENT PERIOD START DATE will be one of the following:

• Initial Referral:
  • the REFERRAL REQUEST RECEIVED DATE of a SERVICE REQUEST for a particular condition.
  • This will include a PATIENT being re-referred in to a Consultant Led Service or an Interface Service or an NHS Allied Health Professional Service (Referral To Treatment Measurement) as a new referral including after a Discharge After Patient Did Not Attend. The REFERRAL TO TREATMENT PERIOD STATUS is 'National Code 10 - first activity'
• Following an APPOINTMENT that the PATIENT did not attend:
  • the APPOINTMENT ACCEPTED DATE (or the INVITATION OFFER DATE SENT of the first APPOINTMENT OFFER where the APPOINTMENT OFFER is sent) for the first APPOINTMENT following the PATIENT not attending an APPOINTMENT or elective admission. See REFERRAL TO TREATMENT PERIOD and Discharge After Patient Did Not Attend for guidance on PATIENTS who do not attend
  • The APPOINTMENT DATE of the APPOINTMENT that the PATIENT did not attend should be used where it is not possible to identify the APPOINTMENT ACCEPTED DATE or the INVITATION OFFER DATE SENT. The REFERRAL TO TREATMENT PERIOD STATUS is 'National Code 10 - first activity'
• Following active monitoring:
  • the ACTIVITY DATE of a CARE ACTIVITY when a decision to treat was made following Active Monitoring and the REFERRAL TO TREATMENT PERIOD STATUS is 'National Code 11 - active monitoring end'
  • This will include a decision to start a substantively new or different treatment that does not already form part of that PATIENT's agreed CARE PLAN.  
• Following active monitoring:
  • the ACTIVITY DATE of a CARE ACTIVITY when a decision to treat was made following Active Monitoring and the REFERRAL TO TREATMENT PERIOD STATUS is 'National Code 11 - active monitoring end'
  • This will include a decision to start a substantively new or different treatment that does not already form part of that PATIENT's agreed CARE PLAN.
• On identifying a separate condition:
  • the REFERRAL REQUEST RECEIVED DATE of a SERVICE REQUEST when a decision has been made to refer the PATIENT directly to a Consultant Led Service or an NHS Allied Health Professional Service (Referral To Treatment Measurement) for a separate condition (the REFERRAL TO TREATMENT PERIOD STATUS for the first CARE ACTIVITY with the new CONSULTANT or NHS Allied Health Professional Service (Referral To Treatment Measurement) is 'National Code 12 - consultant or NHS Allied Health Professional Service (Referral To Treatment) referral'). 

Referral To Treatment Consultant Led Waiting Times:

For most PATIENTS, the start of the REFERRAL TO TREATMENT PERIOD begins with a SERVICE REQUEST from a GENERAL MEDICAL PRACTITIONER to a CONSULTANT.

SERVICE REQUESTS to CONSULTANTS who provide care services in community settings (for example in outreach clinics, directly employed by a Primary Care Trust or working in a community hospital) also start REFERRAL TO TREATMENT PERIODS and the REFERRAL REQUEST RECEIVED DATE will be the start of the  REFERRAL TO TREATMENT PERIOD.

A REFERRAL TO TREATMENT PERIOD may also start from SERVICE REQUESTS to CONSULTANTS from GENERAL DENTAL PRACTITIONERS, Practitioners with Special Interests, OPTOMETRISTS and Orthoptists, National Screening Programmes, Specialist NURSES, other CARE PROFESSIONALS where Primary Care Trusts have approved these mechanisms locally.

An 18-week clock also starts upon a self referral by a PATIENT to the above services, where these pathways have been agreed locally by commissioners and providers and once the referral is ratified by a CARE PROFESSIONAL.

A REFERRAL TO TREATMENT PERIOD will also start where PATIENTS are transferred to an elective Consultant Led Service through SERVICE REQUESTS from Accident and Emergency Departments including Minor injuries units and Walk In Centres.

Allied Health Professional Referral To Treatment Measurement:

Further guidance relating to the Allied Health Professional Referral To Treatment initiative can be found at the Department of Health Publications website.Further guidance relating to the Allied Health Professional Referral To Treatment can be found on the Department of Health part of the gov.uk website at: Allied health professional referral to treatment revised guide.

CARE PROFESSIONAL TYPE CODE (PREGNANCY FIRST CONTACT) is the CARE PROFESSIONAL TYPE CODE of the first CARE PROFESSIONAL seen by the mother within a Maternity Episode for Antenatal care.

Permitted National Codes:

Attribute:

The value is in the range of 0-6.

For Out-Patient Attendance Commissioning Data Set, the four dates, REFERRAL REQUEST RECEIVED DATE, APPOINTMENT DATE, Attendance Date and LAST DNA OR PATIENT CANCELLED DATE, together provide all the information needed to derive the out-patient waiting time for the Out-Patient Flows Data Set and Out-Patient Stocks Data Set. Both APPOINTMENT DATE and Attendance Date may be required to calculate waiting times if the PATIENT cancels an APPOINTMENT or did not attend and then subsequently attended at a future date.

If the Mental Health Responsible Clinician is the PATIENT's GENERAL MEDICAL PRACTITIONER, the code will be 600. If the Mental Health Responsible Clinician is a CONSULTANT, it will typically be one of the adult or elderly mental health MAIN SPECIALTIES, although it may be either a learning disability or child and adolescent psychiatry in certain circumstances. When the Mental Health Responsible Clinician is not a CONSULTANT, this should be the appropriate pseudo-specialty code or left blank.

Permitted National Codes:

ORGANISATION CODE (RECEIVING) is the ORGANISATION CODE of the ORGANISATION that is receiving the PATIENT from another Health Care Provider.

For the National Neonatal Data Set - Episodic and Daily Care, this is the ORGANISATION CODE of the NHS Trust where a baby is transferred to on discharge from the neonatal critical care. 

Note: default code ZZ201 is ONLY valid for the National Neonatal Data Set - Episodic and Daily Care.

top