This return is suspended.
For further information, see the NHS Digital website at: Immunisation Programmes Collection (KC50).For further information, see the NHS Digital website at: Immunisation Programmes Collection (KC50).

Immunisation Programmes Activity Data Set (KC50) Overview

This return is out of date therefore the information should not be used.
For the latest version of the guidance, please email RTTdata@dh.gsi.gov.uk.For the latest version of the guidance, please email england.rtt@nhs.net.

Referral To Treatment Data Set Overview

Ablative Therapy is a CLINICAL INTERVENTION. 

Ablative Therapy (also called Ablation Therapy) is the removal or destruction of a body part, TISSUE or its function and may be performed by surgery, hormones, drugs, radiofrequency, heat, or other methods.

For further information on Ablative Therapy, see the National Cancer Institute website.For further information on Ablative Therapy, see the National Cancer Institute website.

Accessible Information is information which is able to be read or received and understood by the individual or group for which it is intended.

The Equality Act 2010 places a duty on all service providers to take steps or make reasonable adjustments in order to avoid putting a disabled PERSON at a substantial disadvantage when compared to a PERSON who is not disabled.

SCCI 1605 Accessible Information requires that Health and Social Care Organisations identify and record the information and communication support needs of PATIENTS and service users (and where appropriate their carers), where these needs relate to or are caused by a DISABILITY, impairment or sensory loss.SCCI 1605 Accessible Information requires that Health and Social Care Organisations identify and record the information and communication support needs of PATIENTS and service users (and where appropriate their carers), where these needs relate to or are caused by a DISABILITY, impairment or sensory loss. These Organisations are also required to take action to ensure that these needs are met.

The information and communication support needs cover four areas:

• communication support
• requires specific contact method
• requires communication professional
• requires specific information format

For further information on Accessible Information, see the NHS England website at: Accessible Information Standard.

An Accident and Emergency Date Seen For Treatment is an ACTIVITY DATE TIME.

Accident and Emergency Date Seen For Treatment is the date, that the PATIENT is seen by a clinical decision maker (someone who can define the management plan and discharge the PATIENT) to diagnose the problem and arrange or start definite treatment as necessary.

For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

An Accident and Emergency Departure Date is an ACTIVITY DATE TIME.

An Accident and Emergency Departure Date is the date that a PATIENT leaves an Accident and Emergency Department after an Accident and Emergency Attendance has concluded.

Notes:

• This date may be different from the Accident and Emergency Attendance Conclusion Date for PATIENTS who wait for patient transport or who are LODGED PATIENTS prior to admission to a WARD.
• For PATIENTS who die in an Accident and Emergency Department the Accident and Emergency Departure Date is the date the body was removed from the Accident and Emergency Department.
• The PATIENT may leave the Accident and Emergency Department temporarily during an Accident and Emergency Attendance, for example, for an X-ray but they remain under the care of an Accident and Emergency CONSULTANT.

For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

An Accident and Emergency Departure Time is an ACTIVITY DATE TIME.

An Accident and Emergency Departure Time is the time recorded using a 24 hour clock that a PATIENT leaves an Accident and Emergency Department after an Accident and Emergency Attendance has concluded.

• This time will be different from the Accident and Emergency Attendance Conclusion Time for PATIENTS who wait for patient transport or who are LODGED PATIENTS prior to admission to a WARD.
• For PATIENTS who die in an Accident and Emergency Department the Accident and Emergency Departure Time is the time the body was removed from the Accident and Emergency Department.
• The PATIENT may leave the Accident and Emergency Department temporarily during an Accident and Emergency Attendance, for example, for an X-ray but they remain under the care of an Accident and Emergency CONSULTANT.

For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

An Accident and Emergency Initial Assessment Date is an ACTIVITY DATE TIME.An Accident and Emergency Initial Assessment Date is an ACTIVITY DATE TIME.

An Accident and Emergency Initial Assessment Date is the date that the PATIENT is first assessed in the Accident and Emergency Department.An Accident and Emergency Initial Assessment Date is the date that the PATIENT is first assessed in the Accident and Emergency Department.

An Initial Assessment would include:

• the taking of a brief PATIENT medical history
• pain assessment
• early warning scores (including vital signs)

The assessment should be conducted by medical or nursing staff who have received appropriate training.

For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

An Accident and Emergency Initial Assessment Time is an ACTIVITY DATE TIME.

An Accident and Emergency Initial Assessment Time is the time, recorded using the 24 hour clock, that the PATIENT is first assessed in the Accident and Emergency Department for first attendances and unplanned follow-up attendances.

An Initial Assessment would include:

• the taking of a brief PATIENT medical history
• pain assessment
• early warning scores (including vital signs)

The assessment should be conducted by medical or nursing staff who have received appropriate training.

For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

An Accident and Emergency Time Seen For Treatment is an ACTIVITY DATE TIME.

An Accident and Emergency Time Seen For Treatment is the time, recorded using the 24 hour clock, that the PATIENT is seen by a clinical decision maker (someone who can define the management plan and discharge the PATIENT) to diagnose the problem and arrange or start definite treatment as necessary.

For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

The Adult Comorbidity Evaluation - 27 (ACE-27) is an ASSESSMENT TOOL.

The Adult Comorbidity Evaluation - 27 is a 27-item comorbidity index for PATIENTS with cancer.  It Identifies the important medical comorbidities and grade severity using the index.

For further information on the Adult Comorbidity Evaluation - 27, see Adult Comorbidity Evaluation-27.For further information on the Adult Comorbidity Evaluation - 27, see Adult Comorbidity Evaluation-27.

An Antenatal Booking Appointment is a CARE CONTACT.

An Antenatal Booking Appointment is the APPOINTMENT where the woman enters the maternity care pathway, characterised by information giving and detailed history-taking to help the woman choose the most appropriate Antenatal care pathway.

An Antenatal Booking Appointment also includes measurement of Height, Weight, Blood Pressure and blood tests for determining blood group and haemoglobin level.

Blood and urine samples for screening may also be taken at Antenatal Booking Appointment after the woman has been well informed and has given her consent.

The Antenatal Booking Appointment follows the first contact with a health professional.

This is in accordance with the National Institute for Health and Care Excellence guidance 'CG62 Antenatal Care'.

For further information, see the National Institute for Health and Care Excellence website at: Antenatal care for uncomplicated pregnancies.For further information, see the National Institute for Health and Care Excellence website at: Antenatal care for uncomplicated pregnancies.

An Arrival Date At Accident and Emergency Department is an ACTIVITY DATE TIME.

An Arrival Date At Accident and Emergency Department is the date the PATIENT:

• self presented at the Accident and Emergency Department or
• arrived in an Ambulance at the Accident and Emergency Department.

For the Accident and Emergency Clinical Quality Indicators, for PATIENTS arriving by Emergency Ambulance, the Arrival Time At Accident and Emergency Department is when handover occurs, or 15 minutes after the Emergency Ambulance arrives at the Accident and Emergency Department, whichever is the sooner.

Further guidance is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.Further guidance is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

An Arrival Time At Accident and Emergency Department is an ACTIVITY DATE TIME.

An Arrival Time At Accident and Emergency Department is the time the PATIENT:

• self presented at the Accident and Emergency Department or
• arrived in an Ambulance at the Accident and Emergency Department.

The time should be recorded using the 24 hour clock.

For the Accident and Emergency Clinical Quality Indicators, for PATIENTS arriving by Emergency Ambulance, the Arrival Time At Accident and Emergency Department is when handover occurs, or 15 minutes after the Emergency Ambulance arrives at the Accident and Emergency Department, whichever is the sooner.

Further guidance is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.Further guidance is available on the Department of Health and Social Care National Archives at: A&E clinical quality indicators: Implementation guidance and data definitions.

The Barcelona Clinic Liver Cancer Staging System (BCLC Staging System) is a system for CANCER STAGING.

The Barcelona Clinic Liver Cancer Staging System creates categories by combining performance status, Tumour characteristics, liver function and cancer-related symptoms.

For further information on the Barcelona Clinic Liver Cancer Staging System, see the National Cancer Institute website.For further information on the Barcelona Clinic Liver Cancer Staging System, see the National Cancer Institute website.

The Binet Classification is a system for CANCER STAGING.

The Binet Classification is a staging system for PATIENTS with Chronic Lymphocytic Leukaemia (CLL).

For further information on the Binet Classification, see the National Cancer Institute website.For further information on the Binet Classification, see the National Cancer Institute website.

Biological Therapy is a CLINICAL INTERVENTION.

Biological Therapy is treatment to boost or restore the ability of the immune system to fight cancer, infections, and other diseases.

For further information on Biological Therapy, see the National Cancer Institute website.For further information on Biological Therapy, see the National Cancer Institute website.

Brachytherapy is a CLINICAL INTERVENTION.

Brachytherapy is a type of radiation therapy in which radioactive material sealed in needles, seeds, wires, or catheters is placed directly into or near a Tumour.

For further information on Brachytherapy, see the National Cancer Institute website.For further information on Brachytherapy, see the National Cancer Institute website.

Breslow Thickness is a CLINICAL INVESTIGATION RESULT ITEM.

Breslow Thickness (also known as Breslow Depth) is a measure of how deeply a melanoma Tumour has grown into the skin.

The Tumour thickness (depth) is usually measured from the top of the Tumour to the deepest Tumour CELLS. If the Tumour is ulcerated (the skin is broken), it is measured from the base of the ulcer to the deepest Tumour CELLS.

Breslow Thickness is used to help determine the stage of cancer. Thicker Tumours are linked with lower survival rates.

For further information on Breslow Thickness, see the National Cancer Institute website.For further information on Breslow Thickness, see the National Cancer Institute website.

A Care Home is an Organisation Site.

A Care Home is a place where personal care and accommodation are provided together.

People may live in a Care Home for short or long periods. For many people, it is their sole place of residence and so it becomes their home, although they do not legally own or rent it. Both the care that people receive and the premises are regulated by the Care Quality Commission.

There are two types of Care Homes:

• Care Home With Nursing
• Care Home Without Nursing.

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.

A Care Home With Nursing is an Organisation Site.

A Care Home With Nursing is a Care Home where, in addition to personal care and accommodation, is a place where qualified nursing care is provided, to ensure that the full needs of the PERSON are met.

Examples of Care Homes With Nursing include:

• Nursing home
• Convalescent home with nursing
• Respite care with nursing
• Mental health crisis house with nursing.

Note: the Care Quality Commission definition of nursing care is:

"Nursing care means any SERVICE provided by a NURSE and involves:

• The provision of care, or
• The planning, supervision or delegation of the provision of care, other than any SERVICES which, by their nature and the circumstances in which they are provided, do not need to be provided by a NURSE."

For further information on Care Homes, see the Care Quality Commission website at: Care homes.For further information on Care Homes, see the Care Quality Commission website at: Care homes.

A Care Home Without Nursing is an Organisation Site.

A Care Home Without Nursing is a Care Home.

Examples of Care Homes Without Nursing include:

• Residential home
• Rest home
• Convalescent home
• Respite care
• Mental health crisis house
• Therapeutic communities.

For further information on Care Homes, see the Care Quality Commission website at: Care homes.For further information on Care Homes, see the Care Quality Commission website at: Care homes.

The Care Quality Commission is an Organisation.

The Care Quality Commission is the independent regulator of all health and adult social care services in England, whether provided by the NHS, Local Authorities, private companies or voluntary Organisations. It also protects the rights of people detained under the Mental Health Act.

The Care Quality Commission makes sure that essential common quality standards are being met where care is provided and works towards the improvement of care services. It promotes the rights and interests of people who use services and has a wide range of enforcement powers to take action on their behalf if services are unacceptably poor.

The Care Quality Commission's work brings together independent regulation of health, mental health and adult social care. Before 1 April 2009, this work was carried out by the Healthcare Commission, the Mental Health Act Commission and the Commission for Social Care Inspection. These Organisations no longer exist.

The Care Quality Commission’s main activities are:

• Registration of health and social care providers to ensure they are meeting essential common quality standards;
• Monitoring and inspection of all health and adult social care;
• Using its enforcement powers, such as fines and public warnings or closures, if standards are not being met;
• Improving health and social care services by undertaking regular reviews of how well those who arrange and provide services locally are performing and special reviews on particular care services, pathways of care or themes where there are particular concerns about quality;
• Reporting the outcomes of its work so that people who use services have information about the quality of their local health and adult social care services. It helps those who arrange and provide services to see where improvement is needed and learn from each other about what works best.

For further information on the Care Quality Commission, see the:

• Care Quality Commission website at: About Us
• Contact us page of the Care Quality Commission website for contact details.
• Care Quality Commission website at: About Us
• Contact us page of the Care Quality Commission website for contact details.

Cervical Intra-epithelial Neoplasia is a CANCER STAGING.

A Cervical Intra-epithelial Neoplasia is divided into grades and is used for PATIENTS with cervical cancer and may be used to describe how abnormal the CELLS are and how much of the cervical TISSUE is involved.

For further information on Cervical Intra-epithelial Neoplasia, see the National Cancer Institute website.For further information on Cervical Intra-epithelial Neoplasia, see the National Cancer Institute website.

Chemoradiotherapy is a CLINICAL INTERVENTION.

Chemoradiotherapy (also known as Chemoradiation) is a treatment that combines Chemotherapy with radiation therapy.

For further information on Chemoradiotherapy, see the National Cancer Institute website.For further information on Chemoradiotherapy, see the National Cancer Institute website.

A Clinical Commissioning Group (CCG) is an Organisation.

Clinical Commissioning Groups are responsible for implementing the commissioning roles as set out in the Health and Social Care Act 2012.

Clinical Commissioning Groups are groups of GP Practices that are responsible for commissioning most health and care SERVICES for PATIENTS.

These groups of GP Practices, working with other healthcare professionals and in partnership with local communities and Local Authorities are responsible for commissioning the majority of NHS SERVICES for PATIENTS within their local communities. They have a duty to work with Local Authorities in relation to health and adult social care, early years services, public health etc.

The Clinical Commissioning Groups are not responsible for commissioning all SERVICES. They have the flexibility to decide which commissioning activities they undertake themselves or choose to buy in commissioning support from external Organisations.

NHS England:

• has established a system of Clinical Commissioning Groups with the power to assign GP Practices to Clinical Commissioning Groups if necessary
• has allocated budgets directly to Clinical Commissioning Groups
• holds Clinical Commissioning Groups to account.

Clinical Commissioning Groups hold their constituent GP Practices to account for stewardship of resources and the outcomes they achieve. 

For further information on Clinical Commissioning Groups, see the NHS England website at Resources for CCGs.For further information on Clinical Commissioning Groups, see the NHS England website at Clinical Commissioning Groups (CCGs).

The Commissioning Data Sets have notation to identify the business and/or processing rules which apply to individual Data Elements.  This notation appears in the Rules column of the Commissioning Data Sets details page. 

Population Validation

All Data Elements are subject to length validation.  Some Data Elements are also subject to format and content validation against a list of permitted values defined in the NHS Data Model and Dictionary. The value lists are held on the Attribute which the Data Element is based on, plus default codes which are held on the Data Element itself.

Business Rules

Some Data Elements are subject to additional Business Rules as indicated below:

• Prefix H = Healthcare Resource Group Business Rules.
• Prefix I = CDS-XML Schema anomalies and issues.
• Prefix N = NHS Data Standards and Policy Rules
• Prefix S = Secondary Uses Service Business Rules

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

The Commissioning Data Sets have been defined in specific components known as a CDS Type.

Specific notation is used to indicate the requirements of the Commissioning Data Set XML Schema Design conditions for submission of data in the Commissioning Data Sets.

The structure of the Commissioning Data Set XML Schema is shown by the use of Data Groups and Sub Groups within those Data Groups.  For each Data Group, Sub Group and individual Data Element, the allowed cardinality at each level is also shown in the "Status" and "Repeats" columns.

The CDS Type specifications must therefore be read in this hierarchy, using the Status and Repeat conditions within the Data Groups and Sub Groups, to determine the requirements for the individual Data Elements.

Status Column Notation

The Notation used for the "STATUS" column is as follows:

Repeats Column Notation

The Notation used for the "REPEATS" column is as follows:

Rules Column Notation

An entry in the "Rules" column shows that a specific Rule applies to submission of an individual Data Element.

The meaning of these Rules can be found in Commissioning Data Set Business Rules.

Notation Examples

The following are examples of some common scenarios.

The Cover of Vaccination Evaluated Rapidly (COVER) Data Set is used to evaluate the routine childhood Immunisation Programme in England for children up to 5 years of age. The aim is to collect and report vaccine uptake data for all children at one, two and five years of age on a quarterly and annual basis.

The information is used:

• to reliably measure vaccine coverage
• to evaluate the success of a vaccination programme
• to identify susceptible populations for further interventions
• and to inform future vaccine policy decisions.
• to reliably measure vaccine coverage
• to evaluate the success of a vaccination programme

  • to identify susceptible populations for further interventions
  • and to inform future vaccine policy decisions.

  Public Health England is mandated to report on vaccine uptake figures for children aged one, two and five years for the Local Authority (upper tier) resident population for the Public Health Outcomes Framework (PHOF) indicator 3.

The NHS Digital is mandated to produce the annual Cover of Vaccination Evaluated Rapidly (COVER) statistics.The NHS Digital is mandated to produce the annual Cover of Vaccination Evaluated Rapidly (COVER) statistics. Cover of Vaccination Evaluated Rapidly (COVER) statistics enable the monitoring of the contribution of the routine childhood Immunisation Programme towards protecting and improving the nation’s health and are used to address inequalities.

Public Health England and the Department of Health and Social Care also have commitments to report vaccine coverage figures to international organisations such as the World Health Organisation, and the European Centre for Disease Prevention and Control.Public Health England and the Department of Health and Social Care also have commitments to report vaccine coverage figures to international organisations such as the World Health Organisation, and the European Centre for Disease Prevention and Control.

Submission

Submission

Immunisation records are held in Child Health Information Systems (CHIS).

Immunisation records are held in Child Health Information Systems (CHIS).  Quarterly and annual returns are submitted by Child Health Record Departments (who operate local Child Health Information Systems (CHIS)) or other local providers to Public Health England - Centre for Infectious Disease Surveillance and Control.

Further Guidance

Further Guidance

For further guidance see the Public Health England part of the gov.uk website at Vaccine Coverage and COVER.

For further guidance see the Public Health England part of the gov.uk website at: Vaccine uptake guidance and the latest coverage data.

Cryotherapy is a CLINICAL INTERVENTION.

Cryotherapy uses cold temperature to treat disease (e.g. help to shrink a cancer tumour).

The Data Services for Commissioners (DSfC) is provided by NHS Digital under direction from NHS England.

The Data Services for Commissioners is delivered by staff seconded into NHS Digital from Commissioning Support Units. The seconded staff are based in Data Services for Commissioners Regional Offices. 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 confidentiality
• receive and process personal confidential data (PCD) on behalf of Commissioning Support Units, Clinical Commissioning Groups, NHS England (Region Local Offices) and Public Health Organisations.

For further information on the Data Services for Commissioners, see the NHS Digital website at: Data Services for Commissioners.For further information on the Data Services for Commissioners, see the NHS Digital website at: Data Services for Commissioners.

A Data Services for Commissioners Regional Office (DSCRO) is an Organisation within NHS Digital.A Data Services for Commissioners Regional Office (DSCRO) is an Organisation within NHS Digital.

A Data Services for Commissioners Regional Office is a local office of the Data Services for Commissioners.A Data Services for Commissioners Regional Office is a local office of the Data Services for Commissioners.

For further information on the Data Services for Commissioners Regional Offices, see the NHS Digital website at: Data Services for Commissioners.For further information on the Data Services for Commissioners Regional Offices, see the NHS Digital website at: Data Services for Commissioners.

A Dating Ultrasound Scan is a Clinical Investigation, performed during a Maternity Episode.

The Dating Ultrasound Scan is an Ultrasound Scan In Pregnancy that is used to determine viability, calculate gestational age and detect multiple pregnancies.

The Dating Ultrasound Scan should be performed between 10 weeks and 0 days, and 13 weeks and 6 days, in accordance with the National Institute for Health and Care Excellence guideline 'CG62 Antenatal Care'.

Further information about the 'CG62 Antenatal Care' guideline can be found online at the National Institute for Health and Care Excellence website at: Antenatal care.Further information about the 'CG62 Antenatal Care' guideline can be found online at the National Institute for Health and Care Excellence website at: Antenatal care.

This data set is out of date therefore the information should not be used.
For further information, see the NHS England website at: Monthly Diagnostic Waiting Times and Activity.

The Diagnostic waiting times reporting of the monthly waiting times and activity reporting (DM01).

The Diagnostics Waiting Times and Activity Data Set provides definitions to support the national data collections on diagnostic tests, a key element towards monitoring waits from referral to treatment. Organisations responsible for the diagnostic test activity report the diagnostic test waiting times and the number of tests completed.

The distinctions between the data set groups are not absolute and some procedures could be collected under more than one of the clinical groupings. A PATIENT waiting for a diagnostic investigation should be counted only once for each test they are waiting for, wherever the test is to be performed and even if there is any additional therapeutic intervention. Each test should be identified by their OPCS Classification of Interventions and Procedures coding where applicable.

The diagnostic investigations are grouped into categories of Imaging, Physiological Measurement and Endoscopy. The data set is for the monthly return covering 15 key diagnostic tests as below:

IMAGING

• Magnetic Resonance Imaging
• Computer Tomography
• Non-obstetric ultrasound
• Barium Enema
• DEXA Scan (Dual-energy X-ray absorptiometry)

PHYSIOLOGICAL MEASUREMENT

• Audiology - audiological assessments
• Cardiology - echocardiography
• Cardiology - electrophysiology
• Neurophysiology - peripheral neurophysiology
• Respiratory physiology - sleep studies
• Urodynamics - pressures & flows

ENDOSCOPY

• Colonoscopy
• Flexible sigmoidoscopy
• Cystoscopy
• Gastroscopy

How the data set is transmitted

Further guidance

This data set is out of date therefore the information should not be used.
For further information, see the NHS England website at: Quarterly Diagnostic Waiting Times.

The Diagnostic Census of the waiting times for DIAGNOSTIC TEST REQUESTS.

The Diagnostics Waiting Times Census Data Set provides definitions to support the national data collections on diagnostic tests, a key element towards monitoring waits from referral to treatment. This is a census of diagnostic test waiting times.

The diagnostic investigations are grouped into categories of Endoscopy, Imaging, Pathology and Physiological Measurement.

The distinctions between these groups are not absolute and some procedures could be collected under more than one of the clinical groupings. A PATIENT waiting for a diagnostic investigation should be counted only once for each test they are waiting for, wherever the test is to be performed and even if there is any additional therapeutic intervention. Each test should be identified by their OPCS Classification of Interventions and Procedures coding where applicable.

This data set is for the census covering 4 main areas of diagnostic tests as below:

• Part 1 - Endoscopy
• Part 2 - Imaging
• Part 3 - Pathology
• Parts 4 to 11 - Physiological Measurement

Patient level information

How the data set is transmitted

Information is submitted onto the Unify2 database.

Further guidance

For further guidance on extracting the data sets, see the NHS England website at: Diagnostics Waiting Times and Activity.For further guidance on extracting the data sets, see the NHS England website at: Diagnostics Waiting Times and Activity.

The EU Directive grants a fundamental right to healthcare SERVICES in the United Kingdom across the European Economic Area for all European Economic Area citizens, as long as the treatment is medically necessary and would be made available under the NHS.

For further information on the EU Directive, see the NHS website at:

• What to do before going abroad for medical treatment
• EU Directive on cross-border healthcare.
• The EU directive route.

Contextual Overview

The Female Genital Mutilation Data Set provides essential information in relation to the female genital mutilation population across England.

The Female Genital Mutilation Data Set is used:

• To publish Official Statistics which will inform the Department of Health and Social Care, NHS England, other Government Agencies and the public, about female genital mutilation when it has been identified
• To identify the potential risk of female genital mutilation to young girls and vulnerable women
• For better planning and management of female genital mutilation SERVICES at a local level and across England

Data may be input immediately using an input screen via the NHS Digital Clinical Audit Platform when female genital mutilation is identified, or data extracts for Patients, can be submitted as a bulk upload on a monthly basis for each Organisation.

CARE CONTACT activities undertaken for female genital mutilation PATIENTS during the REPORTING PERIOD are reported in the data upload.  This includes any attendances at an Out-Patient Clinic led by any type of CARE PROFESSIONAL, Hospital Provider Spells, Accident and Emergency Attendances, Group Therapy, Ward Attendances; or any other type of direct PATIENT-facing CARE CONTACT, with an exception to Sexual and Reproductive Health Clinics and Genitourinary Medicine (GUM) clinics, who are not required to submit the Female Genital Mutilation Data Set to the NHS Digital.

SNOMED CT Subset Metadata:

• Female genital mutilation related findings:
  • Subset Name: Female genital mutilation related findings
  • Subset Original Id: 58681000000133
  • Refset FSN: Female genital mutilation related findings simple reference set (foundation metadata concept)
  • Refset Id: 999002041000000103

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Female genital mutilation related findings.

• Female genital mutilation related procedures:
  • Subset Name: Female genital mutilation related procedures
  • Subset Original Id: 58671000000131
  • Refset FSN: Female genital mutilation related procedures simple reference set (foundation metadata concept)
  • Refset Id: 999002031000000107

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Female genital mutilation related procedures.

DATA EXTRACT SPECIFICATION

Description:

The Department of Health and Social Care requires all NHS Trusts, NHS Foundation Trusts and GENERAL MEDICAL PRACTITIONERS to generate and provide a data extract in accordance with the Female Genital Mutilation Data Set. This requirement is applicable to all CARE PROFESSIONALS in these Organisations whenever it has been identified that a woman or young girl has undergone female genital mutilation.

Time period:

Data extracted from systems can be submitted as a bulk upload on a quarterly basis for each Organisation.

Format:

Data submitted by the bulk upload facility must be formatted in 3 separate comma separated variable (csv) files (i.e. Patient, Attendance or Female Genital Mutilation), which are used to populate the NHS Digital Clinical Audit Platform. The data elements should be transmitted in the order specified in the Female Genital Mutilation Data Set.

Transmission

Electronic files must be transmitted to NHS Digital via the Clinical Audit Platform which is a secure web portal.

Connection to the web portal requires registration to the Clinical Audit Platform, which will include the provision of a login account name and password.

Further information about the Clinical Audit Platform and the data upload facility can be found on the Clinical Audit Platform web pages on the NHS Digital website.Further information about the Clinical Audit Platform and the data upload facility can be found on the NHS Digital website: at Clinical Audit Platform.

Further guidance on the Female Genital Mutilation Data Set can be found on the on the NHS Digital website at: SCCI2026: Female Genital Mutilation Enhanced Dataset.Further guidance on the Female Genital Mutilation Data Set can be found on the on the NHS Digital website at: SCCI2026: Female Genital Mutilation Enhanced Dataset.

A Fetal Anomaly Ultrasound Scan is a Clinical Investigation performed during a Maternity Episode.

The Fetal Anomaly Ultrasound Scan is an Ultrasound Scan In Pregnancy that assesses for structural abnormalities in the Fetus. The Fetal Anomaly Ultrasound Scan should be performed between 18 weeks and 0 days, and 20 weeks and 6 days, in accordance with the National Institute for Health and Care Excellence guideline 'CG62 Antenatal Care'.

Further information about the 'CG62 Antenatal Care' guideline can be found online at the National Institute for Health and Care Excellence website.Further information about the 'CG62 Antenatal Care' guideline can be found online at the National Institute for Health and Care Excellence website.

The General Medical Council is a Regulatory Body.

The General Medical Council registers doctors to practise medicine in the United Kingdom.

The purpose of the General Medical Council is to protect, promote and maintain the health and safety of the public by ensuring proper standards in the practice of medicine.

The General Medical Council has four main functions, under the Medical Act 1983:

• keeping up-to-date registers of qualified doctors
• fostering good medical practice
• promoting high standards of medical education
• dealing firmly and fairly with doctors whose fitness to practise is in doubt.

The General Medical Council GP Register was introduced on 31 March 2006 by the General Medical Council. It is a register of doctors who are eligible to work in general practice in the health service in the UK.

From 1 April 2006, all doctors working in general practice in the health service in the UK, other than doctors in training, such as GP Registrars, are required to be on the General Medical Council GP Register.

For further information on the General Medical Council GP Register, see the General Medical Council website at:

• Registration and licensing and
• List of Registered Medical Practitioners.
• Registration and licensing and
• The medical register.

The General Medical Council List of Registered Medical Practitioners (LRMP) is a list of all doctors who are registered to practise in the UK (including GENERAL MEDICAL PRACTITIONERS).

When a doctor is registered to practise medicine in the United Kingdom, their details will appear on the General Medical Council List of Registered Medical Practitioners.
For further information on doctor registration, see the General Medical Council website.For further information on doctor registration, see the General Medical Council website..

The General Medical Council List of Registered Medical Practitioners provides details of:

• the doctor's reference number, name, any former name, gender
• year and place of primary medical degree
• registration status
• date of registration
• entry in the GP/Specialist Register
• any publicly available fitness to practise history since 20 October 2005

For further information on the General Medical Council List of Registered Medical Practitioners, see the General Medical Council website at: List of Registered Medical Practitioners.General Medical Council website.For further information on the General Medical Council List of Registered Medical Practitioners, see the General Medical Council website at: The medical register.

The General Pharmaceutical Council (GPhC) is a Regulatory Body.

The General Pharmaceutical Council is responsible for the regulation of Pharmacists, Pharmacy Technicians and Pharmacy Premises in Great Britain.

The remit of the General Pharmaceutical Council is to protect, promote and maintain the health, safety and wellbeing of PATIENTS, the public and of all those who use pharmaceutical services.

An independent Regulatory Body, the vision of the General Pharmaceutical Council is the provision of proportionate, risk based, efficient and fair regulation of the pharmacy professions and of registered Pharmacy Premises.

For further information on the General Pharmaceutical Council, see the General Pharmaceutical Council website.For further information on the General Pharmaceutical Council, see the General Pharmaceutical Council website.

The General Pharmaceutical Council Register (GPhC Register) is a REGISTER maintained by the General Pharmaceutical Council.

The General Pharmaceutical Council Register is divided into three parts:

1. Pharmacists
2. Pharmacy Technicians
3. Pharmacy Premises.

For further information on the General Pharmaceutical Council Register, see the General Pharmaceutical Council website.For further information on the General Pharmaceutical Council Register, see the General Pharmaceutical Council website.

The Gleason Grading System is a system for CANCER STAGING.

The Gleason Grading System is used to help evaluate the prognosis of men with prostate cancer.

A pathologist assigns a GLEASON GRADE to the most common Tumour pattern in a Biopsy specimen (Primary Grade) then the second most common (Secondary Grade). The grades are added together to give the Gleason Score.

Sometimes pathologists will also give a grade to a third component of the specimen (Tertiary Grade) although this is recorded separately and is not added to the score.

For further information on the Gleason Grading System, see the National Cancer Institute website.For further information on the Gleason Grading System, see the National Cancer Institute website.

Developed by the National Casemix Office, Healthcare Resource Groups (HRGs) are standard groupings of clinically similar treatments which use common levels of healthcare resource.

Healthcare Resource Groups offer Organisations the ability to understand their ACTIVITY in terms of the types of PATIENTS they care for and the treatments they undertake. They enable the comparison of ACTIVITY within and between different Organisations and provide an opportunity to benchmark treatments and services to support trend analysis over time.

Healthcare Resource Groups are currently used as a means of determining fair and equitable reimbursement for care services delivered by Health Care Providers. Their use as consistent 'units of currency' supports standardised healthcare commissioning across the NHS. They improve the flow of finances within - and sometimes beyond - the NHS.

For further information on Healthcare Resource Groups, see the NHS Digital website at: Introduction to Healthcare Resource Groups.For further information on Healthcare Resource Groups, see the NHS Digital website at: Introduction to Healthcare Resource Groups.

The Health of the Nation Outcome Scale (Working Age Adults) (HoNOS (Working Age Adults)) is a type of ASSESSMENT TOOL.

The Health of the Nation Outcome Scale (Working Age Adults) is a means of measuring the health and social functioning of people of working age with severe mental illness.  It is assessed by a CARE PROFESSIONAL.

The allowed responses for each of the 12 ratings in the Health of the Nation Outcome Scale (Working Age Adults) are as follows:

• 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

For further information on Health of the Nation Outcome Scale (Working Age Adults), see the Royal College of Psychiatrists website at: Health of the Nation Outcome Scales.For further information on Health of the Nation Outcome Scale (Working Age Adults), see the Royal College of Psychiatrists website at: Health of the Nation Outcome Scales (HoNOS): HoNOS (Working age adults).

Hormone Therapy is a CLINICAL INTERVENTION. 

Hormone Therapy is a treatment that adds, blocks, or removes hormones.

For further information on Hormone Therapy, see the National Cancer Institute website.For further information on Hormone Therapy, see the National Cancer Institute website.

Hospital Episode Statistics is a data warehouse containing details of all Admitted Patient Care, Outpatient Attendances and Accident and Emergency Attendances in England. It includes private PATIENTS treated by the NHS, PATIENTS who were resident outside of England and care delivered by treatment centres (including those in the independent sector) funded by the NHS.

For further information on Hospital Episode Statistics, see the NHS Digital website at: Hospital Episode Statistics.For further information on Hospital Episode Statistics, see the NHS Digital website at: Hospital Episode Statistics.

Hyperbaric Oxygen Therapy (HBOT) is a CLINICAL INTERVENTION.

Hyperbaric Oxygen Therapy (also known as Hyperbaric Medicine) involves breathing pure oxygen at higher than atmospheric pressures in an enclosed chamber.

For further information on Hyperbaric Oxygen Therapy, see the National Cancer Institute website.For further information on Hyperbaric Oxygen Therapy, see the National Cancer Institute website.

The Immunisation Programmes Activity Data Set (KC50) requires summary information from Primary Care Trusts about the delivery of Immunisation Programmes for the following 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 NHS Digital.

For further information on the Immunisation Programmes Activity Data Set (KC50), see the NHS Digital website at: Immunisation Programmes Collection (KC50).For further information on the Immunisation Programmes Activity Data Set (KC50), see the NHS Digital website at: Immunisation Programmes Collection (KC50).

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 NHS Digital and can be found on the NHS Digital website at: Immunisation Programmes Collection (KC50).Further guidance with respect to the application of IMMUNISATION AGE GROUPS is provided by NHS Digital and can be found on the NHS Digital website at: Immunisation Programmes Collection (KC50).

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.

Immunotherapy is a CLINICAL INTERVENTION. 

Immunotherapy is a type of treatment that involves taking medicines that encourage the immune system to fight cancer, infections, and other diseases.

For further information on Immunotherapy, see the National Cancer Institute website.For further information on Immunotherapy, see the National Cancer Institute website.

NHS DATA MODEL AND DICTIONARY Version 3

What's New: December 2018

What's New: March 2019

	Welcome to the NHS Data Model and Dictionary for England If you would like to: know more about us or need help using the NHS Data Model and Dictionary, see the Help pages view our Frequently Asked Questions, see Frequently Asked Questions. The NHS Data Model and Dictionary provides a reference point for approved Information Standards Notices to support health care activities within the NHS in England. It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS. The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are governed by the Data Coordination Board (DCB) process. Changes are published as Information Standards Notices (ISN) and Data Dictionary Change Notices (DDCN).
	Related Links: Frequently Asked Questions Department of Health and Social Care website NHS Digital website Published Information Standards Documentation
	Welcome to the NHS Data Model and Dictionary for England If you would like to: know more about us or need help using the NHS Data Model and Dictionary, see the Help pages view our Frequently Asked Questions, see Frequently Asked Questions. The NHS Data Model and Dictionary provides a reference point for approved Information Standards Notices to support health care activities within the NHS in England. It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS. The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are governed by the Data Coordination Board (DCB) process. Changes are published as Information Standards Notices (ISN) and Data Dictionary Change Notices (DDCN).
	Related Links: Frequently Asked Questions Department of Health and Social Care website NHS Digital website Published Information Standards Documentation

An Infant Physical Examination is a Clinical Investigation.

An Infant Physical Examination is a physical examination of an infant. This includes checking the baby's:

• heart for congenital heart defects (CHD)
• hips for developmental dysplasia of the hip (DDH)
• testes for undescended testes and
• eyes.

For further information on Infant Physical Examinations, see the NHS Newborn and Infant Physical Examination Programme website.For further information on Infant Physical Examinations, see the NHS website at: Newborn physical examination.

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

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

The following definition will remain in the NHS Data Model and Dictionary as it is relevant for Information Standards that were approved by the Information Standards Board for Health and Social Care up to 31 March 2014.

The Information Standards Board for Health and Social Care (ISB) in England was tasked with the independent assurance and approval of information standards for adoption by the NHS and social care up to 31 March 2014.

The scope of the Information Standards Board for Health and Social Care included 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.