The Data Coordination Board (DCB) closed on 19 November 2020.

Responsibility for the approval of Information Standard and Collection (including Extractions) has transferred to the Data Alliance Partnership Board (DAPB). The following definition will remain in the NHS Data Model and Dictionary as it is relevant for Information Standard and Collection (including Extractions) that were assured and approved by the Data Coordination Board

The following definition will remain in the NHS Data Model and Dictionary as it is relevant for Information Standard and Collection (including Extractions) that were assured and approved by the Data Coordination Board.

The Data Coordination Board replaced the Standardisation Committee for Care Information (SCCI) on 1 April 2017.

The Data Coordination Board is one of three sub-groups of the Digital Delivery Board, the other two being the Enterprise Architecture Board and the Technology and Data Investment Board.

The Data Coordination Board:

• • • • • • Data Coordination Board

            
            
            
            
            
          • has delegated authority from the Secretary of State to approve Information Standard and Collection (including Extractions) (ISCEs) for health and social care
          • provides the authority to publish Information Standards Notices (ISN) under section 250 of the Health and Social Care Act 2012
          • has responsibility for the approval of requests to change, deprecate and retire existing Information Standard and Collection (including Extractions)
          • prioritises the progression of Information Standard and Collection (including Extractions)
          • works to minimise the burden from Data Sets, and maximise the benefit received from available data
          • takes its membership from a wide range of national bodies and ORGANISATIONS involved in the provision and management of health and social care services in England. This ensures a system-wide, joined-up approach to decision-making.

A Learning Disability (formerly known as a Mental Handicap and referred to as an Intellectual Disability) is a type of DISABILITY.

A Learning Disability usually has a significant impact on a PERSON's life. A PERSON with a Learning Disability finds it harder than others to learn, understand and communicate.

People with Profound and Multiple Learning Disabilities need full-time help with every aspect of their lives, including eating, drinking, washing, dressing and toileting etc.

Learning Disability includes the presence of a significantly reduced ability to understand new or complex information, to learn new skills (impaired intelligence), with

• a reduced ability to cope independently (impaired social functioning)
• which started before adulthood, with a lasting effect on development.

Further information regarding people covered by definition can be found in the document 'Valuing People: A New Strategy for Learning Disability for the 21st Century'.

Although, from a social care perspective, an Intelligence Quotient (IQ) of seventy or less is not sufficient reason for deciding if an individual should be provided with additional health and social care support, the following definition is applied within the Mental Health Services Data Set in the specific circumstance where data providers do not have an explicit data item to capture whether a PATIENT has a Learning Disability. 

Someone is considered to have a Learning Disability when they function at a level of intellectual ability which is significantly lower than their chronological age. This is usually considered to be equivalent to having an IQ of seventy or less:

• Mild Learning Disability (roughly equivalent to an IQ of fifty to seventy) is comparable to the educational term 'Moderate Learning Difficulty'. It is usually caused by a combination of restricted learning and social opportunities plus a high rate of low to average intellectual ability and Learning Disability in close relatives.
  
  
• Moderate-to-profound Learning Disability (roughly equivalent to an IQ below fifty) is comparable to the educational term 'Severe Learning Difficulty'. It usually has a specific biological cause.

Note: A Learning Difficulty is a type of Special Education Need which affects areas of learning, such as reading, writing, spelling, mathematics etc.

Further information on Learning Disabilities, can be found on the internet, for example:

• Mencap website
• Contact For families with disabled children.
• Contact For families with disabled children.

• XML Schema Download:
• XML Schema TRUD Download
• 
  Data Set Constraints:
• Critical Care Minimum Data Set Constraints
• Devices Patient Level Contract Monitoring Data Set Constraints
• Drugs Patient Level Contract Monitoring Data Set Constraints
• Patient Level Contract Monitoring Data Set Constraints
• PLICS Acute Admitted Patient Care Data Set Constraints
• PLICS Acute Emergency Care Data Set Constraints
• PLICS Acute Out-Patient Care Data Set Constraints
• PLICS Reconciliation Data Set Constraints
• PLICS Acute Specialist Ward Care Data Set Constraints
• PLICS Acute Supplementary Information Data Set Constraints
• PLICS Ambulance Data Set Constraints
• PLICS Mental Health Admitted Patient Care Data Set Constraints
• PLICS Mental Health Care Contacts Data Set Constraints

• Supporting Data Sets
• 
  XML Schema Download:
XML Schema Download:
• XML Schema TRUD Download
• 
  Data Set Constraints:
Data Set Constraints:
• Critical Care
• Devices Patient Level Contract Monitoring
• Drugs Patient Level Contract Monitoring
• Patient Level Contract Monitoring
• PLICS Acute Admitted Patient Care
• PLICS Acute Emergency Care
• PLICS Acute Out-Patient Care
• PLICS Reconciliation
• PLICS Acute Specialist Ward Care
• PLICS Acute Supplementary Information
• PLICS Improving Access to Psychological Therapies
• PLICS Mental Health Admitted Patient Care
• PLICS Mental Health Care Contacts

Introduction

The purpose of the Venous Thromboembolism Risk Assessment Data Set is to quantify the number of PATIENTS (aged 16 and over) admitted to hospital, who are risk assessed for Venous Thromboembolism using the Venous Thromboembolism Risk Assessment Tool to allow appropriate preventative treatment based on guidance from the National Institute for Health and Care Excellence (NICE).

Collection and submission

All providers of NHS funded acute hospital care (including NHS Foundation Trusts and Independent Providers of acute NHS services) must complete this data collection.

Data on Venous Thromboembolism risk assessments is uploaded onto the Strategic Data Collection Service (SDCS) each month no later than 20 working days after the month end. Revisions to the data set before the cut off date are allowed, however revisions made after the cut off date must be made in liaison with NHS Improvement.

Further guidance

For further guidance on the Venous Thromboembolism Risk Assessment Data Set, see the:

• NHS England website at Venous thromboembolism (VTE) risk assessment
• NHS England website at Venous thromboembolism (VTE) risk assessment
• National Institute for Health and Care Excellence website at Venous thromboembolism - reducing the risk.

Mandation

The Mandation 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.

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)'
• The following National Code has been updated in DCB0092-2062: Commissioning Data Sets: Emergency Care Data Set. 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:
  • E04 'Emergency Care Department or Minor Injuries Department'.

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

National Codes:

The principal type of Critical Care clinical service provided within the WARD to which a PATIENT was admitted to during a CRITICAL CARE PERIOD.

Further detail on CRITICAL CARE UNIT FUNCTIONS is described on CRITICAL CARE PERIOD.

Note:

• 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.
• Facilities are described by the category of PATIENT predominantly treated, as follows:
  • Adult Facilities (PATIENTS more than 19 years old on admission predominate)
  • Children and Young People Facilities (PATIENTS aged greater than or equal to 29 days to less than 19 years predominate)
  • Neonatal Facilities (PATIENTS aged less than 29 days on admission predominate)
  • Other settings

National Codes:
Adult Facilities (PATIENTS more than 19 years old on admission predominate)

A unique code identifying each MAIN SPECIALTY designated by Royal Colleges. This is the same as the NHS OCCUPATION CODES describing specialties.

Specialties are divisions of clinical work which may be defined by body systems (dermatology), age (paediatrics), clinical technology (nuclear medicine), clinical function (rheumatology), group of diseases (oncology) or combinations of these factors. Only Specialty titles recognised by the Royal Colleges and Faculties should be used. This list is maintained by the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998.

Each CONSULTANT should be assigned a MAIN SPECIALTY by the ORGANISATION to which the CONSULTANT is contracted. For physicians and surgeons with a generalist component to their work, the MAIN SPECIALTY should be general medicine or general surgery. The hallmark of a general physician or general surgeon is the continued care of unselected emergency referrals. The MAIN SPECIALTY is specific to a Health Care Provider. If, for example, a CONSULTANT physician working in two Health Care Providers has a generalist component to the work in one and not the other, general medicine is only assigned as the MAIN SPECIALTY in the former case. CONSULTANTS in general medicine or general surgery may also have specialist interests and these should be recorded as well as the MAIN SPECIALTY.

The initial source of the information should be the designation on the CONSULTANT's contract. This should be checked periodically against the work a CONSULTANT is actually doing so that the statistics can relate to a CONSULTANT's current type of work.

The MAIN SPECIALTY only should be used for the purpose of producing Specialty costing statistics and for Workforce statistics where links with ACTIVITY and finance are required. Other specialist interests of CONSULTANTS may be recorded for workforce planning purposes.

This will be used to indicate the skill level of medical and dental employees.

Pseudo MAIN SPECIALTY CODES should be used in Commissioning Data Set messages for lead CARE PROFESSIONALS other than CONSULTANT medical and dental staff e.g. 560, 950 and 960.

The MAIN SPECIALTY CODE for GENERAL PRACTITIONERS is General Medical Practice or General Dental Practice.

Joint Consultant Clinic ACTIVITY should be recorded against the MAIN SPECIALTY CODE of the CONSULTANT managing the clinic.

For further information, contact NHS Digital by email at: enquiries@nhsdigital.nhs.uk with the subject "Main Specialty and Treatment Function Codes".

Further information on the groupings and each MAIN SPECIALTY CODE is provided at: Main Specialty and Treatment Function Codes Table.

Note:

• New National Codes for MAIN SPECIALTY CODE were introduced from 2 April 2020 as part of the update to the DCB0028: Treatment Function and Main Specialty Standard. Submission of these codes for the Commissioning Data Sets is only possible where the healthcare provider has updated their CDS-XML schema version to CDS-XML version 6-2-0. Users of the original CDS-XML schema version 6-2 will be unable to submit the new codes introduced in the release of DCB0028: Treatment Function and Main Specialty Standard in April 2020.

National Codes:

CARE CONTACT IDENTIFIER (AMBULANCE SERVICE) is an identifier allocated to each Ambulance Incident for each PATIENT.

The PATIENT can have more than one CARE CONTACT IDENTIFIER (AMBULANCE SERVICE) if the PATIENT is treated more than once in separate Ambulance Incidents.

CLINICAL CONTACT DURATION OF CARE ACTIVITY is the total duration of a CARE ACTIVITY in minutes, excluding any administration time prior to or after the CARE ACTIVITY and the CARE PROFESSIONAL's travelling time to the LOCATION where the CARE ACTIVITY was provided.

CLINICAL CONTACT DURATION OF CARE ACTIVITY is calculated from the Start Time and End Time of the CARE ACTIVITY.

CLINICAL CONTACT DURATION OF CARE CONTACT is the total duration of the direct clinical contact at CARE CONTACT in minutes, excluding any administration time prior to or after the CARE CONTACT and the CARE PROFESSIONAL's travelling time to the CARE CONTACT.

CLINICAL CONTACT DURATION OF CARE CONTACT includes the time spent on the different CARE ACTIVITIES that may be performed in a single CARE CONTACT.  The duration of each CARE ACTIVITY is recorded in CLINICAL CONTACT DURATION OF CARE ACTIVITY.

CLINICAL CONTACT DURATION OF CARE CONTACT is calculated from the Start Time and End Time of the CARE CONTACT.

DATE OF NON PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED) is the date where the Non Primary Cancer PATIENT DIAGNOSIS was confirmed or agreed.

• DATE OF NON PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED) will normally be the date of the authorised Pathology Laboratory Service Report which confirms the cancer diagnosis.
• If this date is not available, DATE OF NON PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED) will be the date of the Multidisciplinary Team Meeting when the PATIENT DIAGNOSIS was agreed.

DATE OF PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED) is either the date:

• the Primary Cancer was confirmed or
• the Primary Cancer diagnosis was agreed
  • this will normally be the date of the authorised Pathology Laboratory Service Report which confirms the Primary Cancer or
  • if this date is not available, DATE OF PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED) will be the date of the Multidisciplinary Team Meeting.

DIAGNOSIS DATE IN UNITED KINGDOM (HIV) is the date the PATIENT was first diagnosed as Human Immunodeficiency Virus (HIV) positive in the United Kingdom.

DIAGNOSIS DATE IN UNITED KINGDOM (HIV) is recorded where the NEW HIV DIAGNOSIS IN UNITED KINGDOM INDICATOR National Code is 'Yes - the PATIENT was newly diagnosed with Human Immunodeficiency Virus (HIV) in the United Kingdom at the current HIV Clinic Attendance'.

If the DIAGNOSIS DATE IN UNITED KINGDOM (HIV) is not known, the DATE FIRST SEEN should be recorded.

DURATION OF INTERNET ENABLED THERAPY IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES CARE PROFESSIONAL CLINICAL TIME is the duration of clinical time in minutes spent by the Improving Access to Psychological Therapies Care Professional supporting Internet Enabled Therapy for the PATIENT within the specified time period.  

EARLIEST CLINICALLY APPROPRIATE DATE is the earliest date that it was clinically appropriate for an ACTIVITY to take place.

For the Radiotherapy Data Set, EARLIEST CLINICALLY APPROPRIATE DATE is the:

• first date that the PATIENT would have been clinically fit to start Radiotherapy and
• same as the DECISION TO TREAT DATE unless there was an elective delay, i.e. a clinical reason, such as the PATIENT was not fit.

For the Community Services Data Set, Mental Health Services Data Set and Commissioning Data Sets (version 6-2 onwards), the EARLIEST CLINICALLY APPROPRIATE DATE may be used locally to inform waiting time calculations. It can be used to account for periods of time where it is not appropriate to treat the PATIENT for clinical reasons, for example:

• where the PATIENT has been admitted to hospital for an unrelated condition and the SERVICE cannot commence planned treatment until the PATIENT has been discharged
• where the PATIENT is frail and cannot be treated until their condition improves, but it is not appropriate to discharge the PATIENT from the SERVICE.

The format of the data element is the full 4-digit starting year, followed by the last two digits of the end year (with no separator).  For example, FINANCIAL YEAR 2017 to 2018 would be reported as "201718".

For the Aggregate Contract Monitoring Data Set and the Patient Level Contract Monitoring Data Set, where an ACTIVITY spans more than one FINANCIAL YEAR (for example, a Hospital Provider Spell), this is the FINANCIAL YEAR in which the ACTIVITY ended.

For the Devices Patient Level Contract Monitoring Data Set, this is the FINANCIAL YEAR in which the High Cost Tariff Excluded Device was inserted in or provided to the PATIENT.

For the Drugs Patient Level Contract Monitoring Data Set, this is the FINANCIAL YEAR in which the PRESCRIBED ITEM was administered.

Note: For Patient Level Information Costing System Acute Data Set, the format is the text "FY" followed by the start and end of FINANCIAL YEARS, e.g. FY2019-20.Note: For the Patient Level Information Costing System Acute Data Set, the format is the text "FY" followed by the start and end of FINANCIAL YEARS, e.g. FY2019-20.

NUMBER OF GROUP THERAPY FACILITATORS is the number of CARE PROFESSIONALS who facilitated the Group Therapy.  

NUMBER OF GROUP THERAPY PARTICIPANTS is the number of PERSONS who participated in the Group Therapy, excluding the CARE PROFESSIONALS.  

For further information on POSTCODES, see:

• NHS Postcode Directory
• Contact Details
• Office for National Statistics website: Postal geography
• NHS Digital website at: ODS postcode files.

If a POSTCODE is not known, (for example, the PATIENT has no fixed abode, the PATIENT is an Overseas Visitor etc.) the appropriate Organisation Data Service pseudo POSTCODE should be used.

The pseudo POSTCODES can be found on the Organisation Data Service pages of the NHS Digital website at: Office for National Statistics data. The look_ups file contains the Pseudo Country Postcode files.

PROVISIONAL DIAGNOSIS DATE is the date on which a PROVISIONAL DIAGNOSIS was made.  

Data Set constraints applied to the Critical Care Minimum Data Set.