For further information regarding the definition and use of Activity Location Type Codes see the attribute ACTIVITY LOCATION TYPE CODE.

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The type of LOCATION for an ACTIVITY:

• where PATIENTS are seen
• where SERVICES are provided or
• from which requests for SERVICES are sent.

Notes:

• The following National Code is only valid for the Community Services Data Set, Improving Access to Psychological Therapies Data Set, Maternity Services Data Set and Mental Health Services Data Set. Users of other data sets must map National Code G04 locally to other appropriate ACTIVITY LOCATION TYPE CODES for the purposes of flowing data:
  • G04 'Integrated Care Home Without Nursing and Care Home With Nursing'
• The following National Codes have been introduced for the Improving Access to Psychological Therapies Data Set and Mental Health Services Data Set only to add further granularity to National Code M04 'Young Offender Institution'. However, National Code M04 is still valid for the Improving Access to Psychological Therapies Data Set and Mental Health Services Data Set where extra detail cannot be collected:
  • M06 'Young Offender Institution (15-17)'
  • M07 'Young Offender Institution (18-21)'.

Further information on the groupings and scope of each ACTIVITY LOCATION TYPE CODE is provided at: Activity Location Type Codes.

National Codes:

The method of admission to a Hospital Provider Spell.

Note: see ELECTIVE ADMISSION TYPE for a full definition of Elective Admission.

Notes:

• The National Codes have been listed in logical sequence rather than alphanumeric order
• The following National Codes have been introduced to replace National Code 28 'Other means'. National Code 28 will be retired in the next version of the Commissioning Data Set:
  • 2A 'Accident and Emergency Department of another provider where the PATIENT had not been admitted'
  • 2B 'Transfer of an admitted PATIENT from another Hospital Provider in an emergency'
  • 2C 'Baby born at home as intended'
  • 2D 'Other emergency admission'
• The following National Codes are not valid for use in the Mental Health Services Data Set:
  • 2C 'Baby born at home as intended'
  • 28 'Other means'
  • 31 'Admitted ante partum'
  • 32 'Admitted post partum'
  • 82 'The birth of a baby in this Health Care Provider'
  • 83 'Baby born outside the Health Care Provider except when born at home as intended'.
• The following National Codes are not valid for use in the Mental Health Services Data Set:
  • 2C 'Baby born at home as intended'
  • 28 'Other means'
  • 31 'Admitted ante partum'
  • 32 'Admitted post partum'
  • 82 'The birth of a baby in this Health Care Provider'
  • 83 'Baby born outside the Health Care Provider except when born at home as intended'
• National Code descriptions have been updated to remove National Code headings and add prefixes. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct. 
  • The explanation of the National Code description prefixes are:
    • Elective Admission: when the DECISION TO ADMIT could be separated in time from the actual admission. Note that this does not include a transfer from another Hospital Provider (see National Code 81 below)
    • Emergency Admission: when admission is unpredictable and at short notice because of clinical need
    • Maternity Admission: of a pregnant or recently pregnant woman to a maternity WARD (including Delivery facilities) except when the intention is to terminate the pregnancy
    • Other Admission: not specified above.

National Codes:

The level of resources and intensity of care which it is intended to provide or is provided in a particular WARD.

Notes:

• National Code descriptions have been updated to remove National Code headings and add prefixes. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

National Codes:

Note: The National Codes have been listed in logical sequence rather than alphanumeric order.

The reason that a PATIENT requires Revision Ankle Replacement Surgery.

Notes:

• National Code descriptions have been updated to remove National Code headings and add prefixes where required. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

National Codes:

Note: The National Codes have been listed in logical sequence rather than alphanumeric order.

The reason that a PATIENT requires Revision Hip Replacement Surgery.

Notes:

• National Code descriptions have been updated to remove National Code headings and add prefixes where required. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

National Codes:

Note: The National Codes have been listed in logical sequence rather than alphanumeric order.

The reason that a PATIENT requires Revision Knee Replacement Surgery.

Notes:

• National Code descriptions have been updated to remove National Code headings and add prefixes where required. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

National Codes:

Note: The National Codes have been listed in logical sequence rather than alphanumeric order.

The reason that a PATIENT requires Revision Shoulder Replacement Surgery.

Notes:

• National Code descriptions have been updated to remove National Code headings and add prefixes where required. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

National Codes:

Note: The National Codes have been listed in logical sequence rather than alphanumeric order.

National Codes:The status of an ACTIVITY (or anticipated ACTIVITY) for the REFERRAL TO TREATMENT PERIOD decided by the lead CARE PROFESSIONAL.

Where the REFERRAL TO TREATMENT PERIOD STATUS is National Code 99 - "not yet known" the status is treated as if the ACTIVITY is a subsequent ACTIVITY during a REFERRAL TO TREATMENT PERIOD. In this case the REFERRAL TO TREATMENT PERIOD STATUS should be corrected once it is possible to determine the correct value.Notes:

¹ PATIENTS who do not attend an appointment
National code 33 - "Did not attend - the PATIENT did not attend the first CARE ACTIVITY after the referral" may only be used where

• the PATIENT did not attend their first APPOINTMENT following the REFERRAL REQUEST that started the REFERRAL TO TREATMENT PERIOD, provided that the Health Care Provider can demonstrate that the APPOINTMENT was clearly communicated to the PATIENT.
  
  REFERRAL TO TREATMENT PERIODS with REFERRAL TO TREATMENT PERIOD STATUS of National code 33 are excluded from the measurement of the 18 weeks Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement and the count of Allied Health Professional Referral To Treatment Measurement REFERRAL TO TREATMENT PERIODS
• National Code 33 'End of the REFERRAL TO TREATMENT PERIOD: Did not attend - the PATIENT did not attend the first CARE ACTIVITY after the referral' may only be used where:
  • The PATIENT did not attend their first APPOINTMENT following the REFERRAL REQUEST that started the REFERRAL TO TREATMENT PERIOD, provided that the Health Care Provider can demonstrate that the APPOINTMENT was clearly communicated to the PATIENT.
    • REFERRAL TO TREATMENT PERIODS with REFERRAL TO TREATMENT PERIOD STATUS of National Code 33 are excluded from the measurement of the 18 weeks Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement and the count of Allied Health Professional Referral To Treatment Measurement REFERRAL TO TREATMENT PERIODS.
• National Code 34 'End of the REFERRAL TO TREATMENT PERIOD: Decision not to treat - decision not to treat made or no further contact required' includes a:
  • Discharge After Patient Did Not Attend the second or a subsequent CARE ACTIVITY after the referral
  • Change resulting in care no longer being commissioned by the English NHS
  • Referral to a Consultant Led Service during a Referral To Treatment Period Excluded From Target for the same condition, disease or injury. A new REFERRAL TO TREATMENT PERIOD will start.
• Where the REFERRAL TO TREATMENT PERIOD STATUS is National Code 99 'REFERRAL TO TREATMENT PERIOD STATUS not yet known', the status is treated as if the ACTIVITY is a subsequent ACTIVITY during a REFERRAL TO TREATMENT PERIOD. In this case the REFERRAL TO TREATMENT PERIOD STATUS should be corrected once it is possible to determine the correct value. 
• National Code descriptions have been updated to remove National Code headings and add prefixes where required. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.
  • The explanation of the National Code description prefixes are:
    • First ACTIVITY: The first ACTIVITY in a REFERRAL TO TREATMENT PERIOD where the First Definitive Treatment will be a subsequent ACTIVITY 
    • Subsequent ACTIVITY: Subsequent ACTIVITY during a REFERRAL TO TREATMENT PERIOD 
    • End of the REFERRAL TO TREATMENT PERIOD: ACTIVITY that ends the REFERRAL TO TREATMENT PERIOD 
    • Not part of a REFERRAL TO TREATMENT PERIOD: ACTIVITY that is not part of a REFERRAL TO TREATMENT PERIOD.

² Decision not to treat
National Code 34 - "decision not to treat - decision not to treat made or no further contact required" includes

• a Discharge After Patient Did Not Attend the second or a subsequent CARE ACTIVITY after the referral.
• a change resulting in care no longer being commissioned by the English NHS.
• a referral to a Consultant Led Service during a Referral To Treatment Period Excluded From Target for the same condition, disease or injury. A new REFERRAL TO TREATMENT PERIOD will start.

The source of referral to a Mental Health Service.

Notes:

• The following National Codes are for use in the Improving Access to Psychological Therapies Data Set only:
  • M8 'Debt Agency'
  • N1 'Stepped up from low intensity Improving Access to Psychological Therapies Service'
  • N2 'Stepped down from high intensity 'Improving Access to Psychological Therapies Service'.
• National Code N3 'Improving Access to Psychological Therapies Service is only valid for use in the Mental Health Services Data Set.
• National Code N3 'Improving Access to Psychological Therapies Service is only valid for use in the Mental Health Services Data Set
• National Code descriptions have been updated to remove National Code headings and add prefixes where required. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

National Codes:

The source of referral of each Consultant Out-Patient Episode.

Note: National Code 12 'referral from a General Practitioner with an Extended Role (GPwER) or Dentist with Enhanced Skills (DES)' has been updated in Data Dictionary Change Notice 1752 "Practitioners with a Special Interest Name Change". The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.Notes:

• National Code 12 'referral from a General Practitioner with an Extended Role (GPwER) or Dentist with Enhanced Skills (DES)' has been updated in Data Dictionary Change Notice 1752 "Practitioners with a Special Interest Name Change". The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.
• National Code descriptions have been updated to remove National Code headings and add prefixes where required. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.
  • The explanation of the National Code description prefixes are:
    • CONSULTANT initiated: Initiated by the CONSULTANT responsible for the Consultant Out-Patient Episode
    • CONSULTANT not initiated: Not initiated by the CONSULTANT responsible for the Consultant Out-Patient Episode.
• Where a PATIENT is referred by a GENERAL PRACTITIONER acting in the capacity of a General Practitioner with an Extended Role (GPwER), National Code 12 'CONSULTANT not initiated following a referral from a General Practitioner with an Extended Role (GPwER) or Dentist with Enhanced Skills (DES' should be used.
• Where a PATIENT is referred by that GENERAL PRACTITIONER acting in their capacity as an ordinary GENERAL MEDICAL PRACTITIONER, or as an ordinary GENERAL DENTAL PRACTITIONER, National Code 03 'CONSULTANT initiated following a referral from a GENERAL MEDICAL PRACTITIONER' or National Code 92 'CONSULTANT not initiated following a referral from a GENERAL DENTAL PRACTITIONER' should be used as appropriate.
• Two Week Wait Referrals made by Specialist NURSES in Primary Care, under the authority of the GENERAL MEDICAL PRACTITIONER leading their team, should continue to be classified as referrals from the GENERAL PRACTITIONER (National Code 03 'CONSULTANT initiated following a referral from a GENERAL MEDICAL PRACTITIONER'. Referrals from Specialist NURSES in Secondary Care should be classified as National Code 13 'CONSULTANT not initiated following a referral from a Specialist NURSE (Secondary Care)'.

National Codes:

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

Where a PATIENT is referred by a GENERAL PRACTITIONER acting in the capacity of a General Practitioner with an Extended Role (GPwER), National Code 12 'referral from a General Practitioner with an Extended Role (GPwER) or Dentist with Enhanced Skills (DES)' should be used.

Where a PATIENT is referred by that GENERAL PRACTITIONER acting in their capacity as an ordinary GENERAL MEDICAL PRACTITIONER, or as an ordinary GENERAL DENTAL PRACTITIONER, National Code 03 - referral from a GENERAL MEDICAL PRACTITIONER or National Code 92 - referral from a GENERAL DENTAL PRACTITIONER should be used as appropriate.

Two Week Wait Referrals made by Specialist NURSES in Primary Care, under the authority of the GENERAL MEDICAL PRACTITIONER leading their team, should continue to be classified as referrals from the GENERAL PRACTITIONER (National Code 03 - referral from a GENERAL MEDICAL PRACTITIONER). Referrals from Specialist NURSES in Secondary Care should be classified as National Code 13 - referral from a Specialist Nurse (Secondary Care).

INTENDED CLINICAL CARE INTENSITY CODE is the same as attribute CLINICAL CARE INTENSITY and the values recorded are the National Codes contained within the definition of CLINICAL CARE INTENSITY, including additions:Notes:

• National Code descriptions have been updated to remove National Code headings and add prefixes. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

• The National Codes have been listed in logical sequence rather than alphanumeric order.

Permitted National Codes:

Notes:

• National Code descriptions have been updated to remove National Code headings and add prefixes. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

Permitted National Codes:

• National Code descriptions have been updated to remove National Code headings and add prefixes where required. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.
  • The explanation of the National Code description prefixes are:
    • First ACTIVITY: The first ACTIVITY in a REFERRAL TO TREATMENT PERIOD where the First Definitive Treatment will be a subsequent ACTIVITY
    • Not part of a REFERRAL TO TREATMENT PERIOD: ACTIVITY that is not part of a REFERRAL TO TREATMENT PERIOD.

For inter-provider transfers, a restricted list of REFERRAL TO TREATMENT PERIOD STATUSES are used.Permitted National Codes:

Permitted National Codes: