NHS Data Model and DictionaryNHS Digital
Type:Change Request
Reference:1846
Version No:1.0
Subject:Health and Care Bill: Organisational impact
Effective Date:1 July 2022
Reason for Change:Change to Information Standards
Publication Date:6 June 2022

Background:

DCB0090: Health and Social Care Organisation Reference Data describes organisations within the NHS. The Health and Care Bill (2022) makes significant changes to organisational hierarchy and naming.

The NHS Digital website at: Integrated Care Boards provides information regarding the Health and Care Bill.

To support the Information Standard, this Change Request makes the following changes to the NHS Data Model and Dictionary to reflect the changes:

A short demonstration is available which describes "How to Read an NHS Data Model and Dictionary Change Request", in an easy to understand screen capture including a voice over and readable captions. This demonstration can be viewed at: https://datadictionary.nhs.uk/elearning/change_request/index.html.

Note: if the web page does not open, please copy the link and paste into the web browser. A guide to how to use the demonstration can be found at: Demonstrations.

Summary of changes:

Supporting Information
AGGREGATE CONTRACT MONITORING DATA SET OVERVIEW   Changed Description
CLINICAL COMMISSIONING GROUP   Changed Description
CLINICAL COMMISSIONING GROUP ELIGIBILITY DECISION DATE (NHS CONTINUING HEALTHCARE STANDARD)   Changed Description
CLINICAL COMMISSIONING GROUP ELIGIBILITY DECISION OUTCOME COMMUNICATED TO PATIENT DATE (NHS CONTINUING HEALTHCARE STANDARD)   Changed Description
CLINICAL SENATE   Changed Description
COMMISSIONING DATA SET ADDRESSING GRID   Changed Description
COMMISSIONING SUPPORT UNIT   Changed Description
DATA SERVICES FOR COMMISSIONERS   Changed Description
DENTAL PRACTICE   Changed Description
DEVICES PATIENT LEVEL CONTRACT MONITORING DATA SET OVERVIEW   Changed Description
DRUGS PATIENT LEVEL CONTRACT MONITORING DATA SET OVERVIEW   Changed Description
GENERAL MEDICAL PRACTITIONER PRACTICE   Changed Description
HEALTH AND WELLBEING BOARD   Changed Description
INTEGRATED CARE BOARD   New Supporting Information
INTEGRATED CARE PARTNERSHIP   New Supporting Information
INTEGRATED CARE SYSTEM   Changed Description
LOCAL AUTHORITY   Changed Description
MENTAL HEALTH SERVICES DATA SET OVERVIEW   Changed Description
NATIONAL CANCER WAITING TIMES MONITORING DATA SET OVERVIEW   Changed Description
NATIONAL TARIFF PAYMENT SYSTEM   Changed Description
NHS CONTINUING HEALTHCARE   Changed Description
NHS CONTINUING HEALTHCARE LOCAL APPEAL   Changed Description
NHS CONTINUING HEALTHCARE LOCAL RESOLUTION   Changed Description
NHS CONTINUING HEALTHCARE PATIENT LEVEL DATA SET OVERVIEW   Changed Description
NHS CONTINUING HEALTHCARE REQUEST RECEIVED DATE   Changed Description
NHS ENGLAND renamed from NHS ENGLAND AND NHS IMPROVEMENT   Changed Description, Name
NHS ENGLAND (REGION)   Changed Description
ORGANISATION CODING FRAMES (RETIRED) renamed from ORGANISATION CODING FRAMES   Changed status to Retired, Description, Name
ORGANISATION SITE CODING FRAMES (RETIRED) renamed from ORGANISATION SITE CODING FRAMES   Changed status to Retired, Description, Name
PATIENT LEVEL CONTRACT MONITORING DATA SET OVERVIEW   Changed Description
PERSONAL HEALTH BUDGET   Changed Description
PRIMARY CARE NETWORK   Changed Description
SEXUAL AND REPRODUCTIVE HEALTH ACTIVITY DATA SET OVERVIEW   Changed Description
SPECIALISED COMMISSIONING HUB   Changed Description
SPECIALIST COMMUNITY PUBLIC HEALTH NURSE: SCHOOL NURSE   Changed Description
SUB INTEGRATED CARE BOARD LOCATION   New Supporting Information
SUPPORTING DEFINITIONS MENU   Changed Description
SUPPORTING INFORMATION INTRODUCTION   Changed Description
SUPPORTING INFORMATION MENU   Changed Description
SUSTAINABILITY AND TRANSFORMATION PARTNERSHIP   Changed Description
 
Class Definitions
NHS SERVICE AGREEMENT   Changed Description
 
Attribute Definitions
CLINICAL COMMISSIONING GROUP ELIGIBILITY DECISION OUTCOME FOR NHS CONTINUING HEALTHCARE STANDARD   Changed Description
CLINICAL COMMISSIONING GROUP REVIEW ELIGIBILITY DECISION OUTCOME FOR NHS CONTINUING HEALTHCARE   Changed Description
DOCTOR INDEX NUMBER   Changed Description
NHS CONTINUING HEALTHCARE COMMISSIONED SERVICES INDICATOR   Changed Description
NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE DECISION OUTCOME   Changed Description
PRIVATE CONTROLLED DRUG PRESCRIBER CODE   Changed Description
REFERRAL REQUEST ACCEPTED DATE FOR NHS CONTINUING HEALTHCARE FAST TRACK   Changed Description
REFERRAL REQUEST DISCOUNTED DATE FOR NHS CONTINUING HEALTHCARE STANDARD   Changed Description
REFERRAL REQUEST DISCOUNTED REASON FOR NHS CONTINUING HEALTHCARE   Changed Description
REFERRAL REQUEST OR NOTIFICATION RECEIVED DATE FOR NHS CONTINUING HEALTHCARE   Changed Description
 
Data Elements
END DATE AGREED (NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE)   Changed Description
END DATE REQUESTED (NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE)   Changed Description
NHS CONTINUING HEALTHCARE INCOMPLETE REFERRALS (EXCEEDING 28 DAYS AT REPORTING PERIOD END STANDARD)   Changed Description
NHS CONTINUING HEALTHCARE REFERRALS   Changed Description
NHS CONTINUING HEALTHCARE REFERRALS CONCLUDED (WITHIN 28 DAYS STANDARD)   Changed Description
ORGANISATION CODE (CODE OF COMMISSIONER)   Changed Description
ORGANISATION CODE (RESIDENCE RESPONSIBILITY)   Changed Description
ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)   Changed Description
ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY)   Changed Description
ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)   Changed Description
PERSONS ASSESSED AS NOT ELIGIBLE FOR NHS CONTINUING HEALTHCARE (STANDARD)   Changed Description
START DATE AGREED (NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE)   Changed Description
START DATE REQUESTED (NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE)   Changed Description
 

Date:6 June 2022
Sponsor:Fran Woodard, Director of Data Strategy and Policy, NHS Digital

Note: New text is shown with a blue background. Deleted text is crossed out. Retired text is shown in grey. Within the Diagrams deleted classes and relationships are red, changed items are blue and new items are green.

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AGGREGATE CONTRACT MONITORING DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The Aggregate Contract Monitoring Data Set is to enable the interchange, in a uniform and consistent format, of monthly aggregate Contract Monitoring data between all purchasers and Health Care Providers. This will ensure that Contract Monitoring and reporting is consistent, comparable and fit for purpose across all commissioning ORGANISATIONS.

Submission of the Aggregate Contract Monitoring Data Set is a contractual requirement and a recognised monthly reconciliation statement. It demonstrates the aggregated cost of commissioned clinical care provided to PATIENTS as well as financial adjustments not attributed directly to clinical care. The totality of expenditure documented in the Aggregate Contract Monitoring Data Set must be equivalent to the monetary value of the invoice raised by the Health Care Provider and presented to the commissioner.

Scope

The scope of the Aggregate Contract Monitoring Data Set is all NHS-funded clinical care provided (including drugs and MEDICAL DEVICES not covered by the National Tariff Payment System) provided to PATIENTS as well as financial adjustments not attributed directly to clinical care, for all commissioners. This covers:

The Aggregate Contract Monitoring Data Set is an aggregation of the three separate patient-level Contract Monitoring data set flows:

Submission

The Aggregate Contract Monitoring Data Set is submitted on a monthly basis to the respective Data Services for Commissioners Regional Office (DSCRO) as nominated by each commissioning function in line with the dates documented in the data submission timetable within Schedule 6 of the NHS Standard Contract.

The completed monthly Aggregate Contract Monitoring Data Set should be transmitted using the NHS Digital Data Landing Portal (DLP).

For further information on the Aggregate Contract Monitoring Data Set, see the NHS England and NHS Improvement website at: Directly commissioned services reporting requirements.For further information on the Aggregate Contract Monitoring Data Set, see the NHS England website at: Directly commissioned services reporting requirements.

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
  • R = Required: NHS business processes cannot be delivered without this data element
  • O = Optional: the inclusion of this data element is optional as required for local purposes.

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CLINICAL COMMISSIONING GROUP

Change to Supporting Information: Changed Description

A Clinical Commissioning Group is an ORGANISATION.All Clinical Commissioning Groups were statutorily abolished on 1 July 2022.

All Organisation Data Service records for Clinical Commissioning Groups were renamed as Sub Integrated Care Board Location on 1 July 2022. These records will then remain open to facilitate a transition period, but will be closed in 2023.

Clinical Commissioning Groups (CCG) are responsible for implementing the commissioning roles as set out in the Health and Social Care Act 2012.The definition has been retained for historical reporting.

A Clinical Commissioning Group is an ORGANISATION.

Clinical Commissioning Groups are groups of GP Practices that are responsible for commissioning most health and care SERVICES for PATIENTS.Clinical Commissioning Groups (CCG) are responsible for implementing the commissioning roles as set out in the Health and Social Care Act 2012.

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

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.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.

NHS England and NHS Improvement: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 and NHS Improvement:

Clinical Commissioning Groups hold their constituent GP Practices to account for stewardship of resources and the outcomes they achieve.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 and NHS Improvement website at Clinical Commissioning Groups (CCGs).For further information on Clinical Commissioning Groups, see the NHS England and NHS Improvement website at Clinical Commissioning Groups (CCGs).

 

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CLINICAL COMMISSIONING GROUP ELIGIBILITY DECISION DATE (NHS CONTINUING HEALTHCARE STANDARD)

Change to Supporting Information: Changed Description

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CLINICAL COMMISSIONING GROUP ELIGIBILITY DECISION OUTCOME COMMUNICATED TO PATIENT DATE (NHS CONTINUING HEALTHCARE STANDARD)

Change to Supporting Information: Changed Description

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CLINICAL SENATE

Change to Supporting Information: Changed Description

A Clinical Senate is an ORGANISATION.A Clinical Senate is an independent non-statutory body.

Clinical Senates aid Clinical Commissioning Groups (CCG), Health and Wellbeing Boards (HWB) and NHS England and NHS Improvement to make the best decisions about healthcare for the populations they represent by providing advice and leadership at a strategic level.Clinical Senates are a source of independent, strategic advice and guidance to commissioners and other stakeholders to assist them to make the best decisions about healthcare for the populations they represent.

For further information on Clinical Senates, see the NHS England and NHS Improvement website at Clinical Senates.For further information on Clinical Senates, see the  NHS England website at Clinical Senates.

 

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COMMISSIONING DATA SET ADDRESSING GRID

Change to Supporting Information: Changed Description

This page has been updated in DDCN 1645 (Specialised Commissioning: Removal of Default Code YDD82) to remove the National Commissioning Group, as NHS England became responsible for commissioning all specialised services in April 2013.
The page will be updated as part of an Information Standard to reflect the current arrangements for the Commissioning Data Sets.

Note that the Commissioning Data Set Addressing Grid is only applicable for Commissioning Data Set version 6-2, as CDS PRIME RECIPIENT IDENTITY and CDS COPY RECIPIENT IDENTITY have been replaced with ORGANISATION IDENTIFIER (CDS RECIPIENT) in Commissioning Data Set version 6-3.

The Commissioning Data Set Addressing Grid below illustrates which ORGANISATION CODES should be used to populate the CDS PRIME RECIPIENT IDENTITY and CDS COPY RECIPIENT IDENTITY for each PATIENT / NHS SERVICE AGREEMENT.  See the specific ORGANISATION CODE Data Elements for further information on their usage and Organisation Data Service Default Codes etc.

Health Care Providers need to specify the ORGANISATIONS that have a right to the commissioning data set data as a CDS PRIME RECIPIENT IDENTITY or CDS COPY RECIPIENT IDENTITY. This is so that they can access the data once it has been stored in the Secondary Uses Service.

Please note that payment via the National Tariff Payment System is not determined by the CDS PRIME RECIPIENT IDENTITY or CDS COPY RECIPIENT IDENTITY.

Important Notes:

Commissioning Data Set Addressing Grid for users of Commissioning Data Set version 6-2

PATIENT / NHS SERVICE AGREEMENT

Data Elements in the Commissioning Data Sets Version 6-2 onwards

CDS PRIME RECIPIENT IDENTITY
M*

CDS COPY RECIPIENT IDENTITY
O*

Private PATIENTORGANISATION CODE (RESIDENCE RESPONSIBILITY)VPP00ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Clinical Commissioning Group
Private PATIENTORGANISATION CODE (RESIDENCE RESPONSIBILITY)VPP00ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Sub Integrated Care Board Location
Overseas Visitor liable for NHS charges and not registered with a General Medical Practitioner PracticeORGANISATION CODE (RESIDENCE RESPONSIBILITY)VPP00 
Overseas Visitor liable for NHS charges and registered with a General Medical Practitioner PracticeORGANISATION CODE (RESIDENCE RESPONSIBILITY)VPP00 ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Clinical Commissioning Group
Overseas Visitor liable for NHS charges and registered with a General Medical Practitioner PracticeORGANISATION CODE (RESIDENCE RESPONSIBILITY)VPP00 ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Sub Integrated Care Board Location
Overseas Visitor exempt from charges, current permanent residence overseas and not registered with a General Medical Practitioner PracticeTDH00ORGANISATION CODE (CODE OF COMMISSIONER) 
Overseas Visitor exempt from charges, current permanent overseas and registered with a General Medical Practitioner PracticeTDH00ORGANISATION CODE (CODE OF COMMISSIONER)ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Clinical Commissioning Group
Overseas Visitor exempt from charges, current permanent overseas and registered with a General Medical Practitioner PracticeTDH00ORGANISATION CODE (CODE OF COMMISSIONER)ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Sub Integrated Care Board Location
Overseas Visitor exempt from charges, current permanent residence is the UK and not registered with a General Medical Practitioner PracticeORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE (CODE OF COMMISSIONER) 
Overseas Visitor exempt from charges, current permanent residence is the UK and registered with a General Medical Practitioner PracticeORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE (CODE OF COMMISSIONER)ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Clinical Commissioning Group
PATIENT registered with a General Medical Practitioner Practice treated as a Non-Contract ActivityORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Clinical Commissioning GroupORGANISATION CODE (CODE OF COMMISSIONER)
Overseas Visitor exempt from charges, current permanent residence is the UK and registered with a General Medical Practitioner PracticeORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE (CODE OF COMMISSIONER)ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Sub Integrated Care Board Location
PATIENT registered with a General Medical Practitioner Practice treated as a Non-Contract ActivityORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Sub Integrated Care Board LocationORGANISATION CODE (CODE OF COMMISSIONER)
PATIENT not registered with a General Medical Practitioner Practice treated as a Non-Contract ActivityORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE (CODE OF COMMISSIONER) 
** PATIENT registered with General Medical Practitioner Practice with a Specialised Services and Other Commissioning Consortia Service AgreementORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Clinical Commissioning GroupORGANISATION CODE of ORGANISATION to which costs of treatment accrue
** PATIENT registered with General Medical Practitioner Practice with a Specialised Services and Other Commissioning Consortia Service AgreementORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Sub Integrated Care Board LocationORGANISATION CODE of ORGANISATION to which costs of treatment accrue
** PATIENT not registered with General Medical Practitioner Practice with a Specialised Services and Other Commissioning Consortia Service AgreementORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE of ORGANISATION to which costs of treatment accrue 
PATIENT registered with General Medical Practitioner Practice with Primary Care Trust NHS SERVICE AGREEMENT (excluding Overseas Visitors)ORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Clinical Commissioning Group 
PATIENT registered with General Medical Practitioner Practice with Primary Care Trust NHS SERVICE AGREEMENT (excluding Overseas Visitors)ORGANISATION CODE (RESIDENCE RESPONSIBILITY)ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Sub Integrated Care Board Location 
PATIENT not registered with a General Medical Practitioner Practice but resident in an area covered by a Primary Care Trust with a Primary Care Trust NHS SERVICE AGREEMENT (excluding Overseas Visitors)ORGANISATION CODE (RESIDENCE RESPONSIBILITY) 


Notes:

Key to population codes:

M*: This Data Element is mandatory in the CDS-XML schema. Submissions will not flow if this Data Element is absent
O*: This Data Element is optional

** Specialised Services and Other Commissioning Consortia Service Agreements include SERVICES that are commissioned by regional Specialised Commissioning Groups and local arrangements for commissioning ACTIVITY through shared service ORGANISATIONS.

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COMMISSIONING SUPPORT UNIT

Change to Supporting Information: Changed Description

A Commissioning Support Unit is an ORGANISATION.

Commissioning Support Units (CSU) provide Clinical Commissioning Groups with external support, specialist skills and knowledge to support them in their role as commissioners.Commissioning Support Units (CSU) provide Integrated Care Boards with external support, specialist skills and knowledge to support them in their role as commissioners.

For example by providing:

  • Business intelligence services
  • Clinical procurement services
  • Business support services such as Human Resources (HR), payroll, procurement of goods and services and some aspects of informatics.
 

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DATA SERVICES FOR COMMISSIONERS

Change to Supporting Information: Changed Description

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

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

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DENTAL PRACTICE

Change to Supporting Information: Changed Description

A Dental Practice is a type of GP Practice.

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

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

All Dental Practices belong to a Sustainability and Transformation Partnership whose partners commission SERVICES on behalf of PATIENTS.SERVICES provided by Dental Practices may be commissioned on behalf of PATIENTS by Integrated Care Boards or NHS England.

 

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DEVICES PATIENT LEVEL CONTRACT MONITORING DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The purpose of the Devices Patient Level Contract Monitoring Data Set (DePLCM) is to enable the interchange, in a uniform format, of monthly PATIENT level device Contract Monitoring data between all purchasers and Health Care Providers. This will ensure that device Contract Monitoring and reporting is consistent, comparable and fit for purpose across all commissioning ORGANISATIONS.

The Devices Patient Level Contract Monitoring Data Set is a PATIENT level report containing PATIENT identifiers relating to High Cost Tariff Excluded Devices. Its purpose is to substantiate and provide detail to the information contained within the Aggregate Contract Monitoring Data Set (ACM).

Scope

The scope of the Devices Patient Level Contract Monitoring Data Set is all NHS-funded MEDICAL DEVICES not reimbursed through the National Tariff Payment System, as defined in the NHS England and NHS Improvement National Tariff Payment System High Cost Devices list and any High Cost Devices not associated with a National Tariff, provided to PATIENTS for all NHS commissioners.The scope of the Devices Patient Level Contract Monitoring Data Set is all NHS-funded MEDICAL DEVICES not reimbursed through the National Tariff Payment System, as defined in the NHS England National Tariff Payment System High Cost Devices list and any High Cost Devices not associated with a National Tariff, provided to PATIENTS for all NHS commissioners.

This covers:

Note that the totality of expenditure in the Devices Patient Level Contract Monitoring Data Set must be equivalent to the aggregate monetary value shown relating to High Cost Tariff Excluded Devices in the Aggregate Contract Monitoring Data Set.

Submission

The Devices Patient Level Contract Monitoring Data Set is submitted on a monthly basis to the respective Data Services for Commissioners Regional Office (DSCRO) as nominated by each commissioning function in line with the dates documented in the data submission timetable within Schedule 6 of the NHS Standard Contract.

The completed monthly Devices Patient Level Contract Monitoring Data Set should be transmitted using the NHS Digital Data Landing Portal (DLP).

For further information on the Devices Patient Level Contract Monitoring Data Set, see the NHS England and NHS Improvement website at: Directly commissioned services reporting requirements.For further information on the Devices Patient Level Contract Monitoring Data Set, see the NHS England website at: Directly commissioned services reporting requirements.

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
  • R = Required: NHS business processes cannot be delivered without this data element
  • O = Optional: the inclusion of this data element is optional as required for local purposes.

Data Set Constraints

For guidance on the Data Set constraints, see the Devices Patient Level Contract Monitoring Data Set Constraints.

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DRUGS PATIENT LEVEL CONTRACT MONITORING DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The purpose of the Drugs Patient Level Contract Monitoring Data Set (DrPLCM) is to enable the interchange, in a uniform format, of monthly PATIENT level drug Contract Monitoring data between all purchasers and Health Care Providers. This will ensure that drug Contract Monitoring and reporting is consistent, comparable and fit for purpose across all commissioning ORGANISATIONS.

The Drugs Patient Level Contract Monitoring Data Set is a PATIENT level report containing PATIENT identifiers relating to high cost (National Tariff-excluded) drugs. Its purpose is to substantiate and provide detail to the aggregate information contained within the Aggregate Contract Monitoring Data Set (ACM).

Scope

The scope of the Drugs Patient Level Contract Monitoring Data Set is all NHS-funded PRESCRIBED ITEMS not reimbursed through National Tariff Payment System, as defined by the NHS England and NHS Improvement National Tariff Payment System High Cost Tariff Excluded Drugs list, provided to PATIENTS for all NHS commissioners.The scope of the Drugs Patient Level Contract Monitoring Data Set is all NHS-funded PRESCRIBED ITEMS not reimbursed through National Tariff Payment System, as defined by the NHS England National Tariff Payment System High Cost Tariff Excluded Drugs list, provided to PATIENTS for all NHS commissioners.

This covers:

Note that the totality of expenditure in the Drugs Patient Level Contract Monitoring Data Set must be equivalent to the aggregate monetary value shown relating to High Cost Tariff Excluded Drugs in the Aggregate Contract Monitoring Data Set.

Submission

The Drugs Patient Level Contract Monitoring Data Set is required to be submitted on a monthly basis to the respective Data Services for Commissioners Regional Office (DSCRO) as nominated by each commissioning function in line with the dates documented in the data submission timetable within Schedule 6 of the NHS Standard Contract.

The completed monthly Drugs Patient Level Contract Monitoring Data Set should be transmitted using the NHS Digital Data Landing Portal (DLP).

For further information on the Drugs Patient Level Contract Monitoring Data Set, see the NHS England and NHS Improvement website at: Directly Commissioned Services Reporting Requirements.For further information on the Drugs Patient Level Contract Monitoring Data Set, see the NHS England website at: Directly Commissioned Services Reporting Requirements.

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
  • R = Required: NHS business processes cannot be delivered without this data element
  • O = Optional: the inclusion of this data element is optional as required for local purposes.

Data Set Constraints

For guidance on the Data Set constraints, see the Drugs Patient Level Contract Monitoring Data Set Constraints.

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GENERAL MEDICAL PRACTITIONER PRACTICE

Change to Supporting Information: Changed Description

A General Medical Practitioner Practice is a type of GP Practice.

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

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

All General Medical Practitioner Practices belong to a Clinical Commissioning Group which commission SERVICES on behalf of PATIENTS.All General Medical Practitioner Practices sit within an Integrated Care System and are commissioned to provide SERVICES on behalf of PATIENTS by Integrated Care Boards.

 Within Organisation Data Service (ODS) codes, all General Medical Practitioner Practices are allocated a relationship to a Sub Integrated Care Board Location, which represents a geographical sub-division of the commissioning Integrated Care Board required to support wider reporting and operational requirements.

 

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HEALTH AND WELLBEING BOARD

Change to Supporting Information: Changed Description

A Health and Wellbeing Board is an ORGANISATION.A Health and Wellbeing Board (HWB) is a forum where key leaders from the health and care system work together to improve the health and wellbeing of their local population and reduce health inequalities.

A Health and Wellbeing Board (HWB) is a forum where key leaders from the health and care system work together to improve the health and wellbeing of their local population and reduce health inequalities.

Each Local Authority in England has a fully operational Health and Wellbeing Board.Each Local Authority in England has a fully operational Health and Wellbeing Board. 

For further information on Health and Wellbeing Boards, see the Health and Social Care Act 2012: fact sheets.For further information on Health and Wellbeing Boards, see the Health and Social Care Act 2012: fact sheets.

 

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INTEGRATED CARE BOARD

Change to Supporting Information: New Supporting Information

An Integrated Care Board is an ORGANISATION.

Integrated Care Boards (ICBs) are statutory ORGANISATIONS that bring NHS and care ORGANISATIONS together locally to improve population health and establish shared strategic priorities within the NHS.

Every Integrated Care Board works alongside an Integrated Care Partnership to form an Integrated Care System.

Integrated Care Boards are responsible for planning how NHS SERVICES within the boundary of their host Integrated Care System will be delivered to best meet local needs; and contracting with Health Care Providers to deliver NHS SERVICES.

Integrated Care Boards have the flexibility to determine governance arrangements in their area, including the ability to create committees and delegate functions to them.

Each Integrated Care Board must set out its governance and leadership arrangements in a constitution, formally approved by NHS England.

Statutory Clinical Commissioning Group functions were conferred on Integrated Care Boards in July 2022.

Note: the Organisation Data Service (ODS) codes identifying Sustainability and Transformation Partnerships at the point of their retirement were retained and their names changed to reflect their new legal status as Integrated Care Boards.

 

This supporting information is also known by these names:
ContextAlias
shortnameICB
pluralIntegrated Care Boards

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INTEGRATED CARE PARTNERSHIP

Change to Supporting Information: New Supporting Information

An Integrated Care Partnership (ICP) is a statutory committee jointly convened by Local Authorities and the NHS, comprised of a broad alliance of ORGANISATIONS and other representatives as equal partners concerned with improving the health, public health and social care services provided to their population.

Every Integrated Care Partnership works alongside an Integrated Care Board to form an Integrated Care System.

Integrated Care Partnerships are responsible for developing an integrated care strategy setting out how the wide-raging health needs of the local population will be met, accounting for any relevant joint strategic needs assessments produced by Health and Wellbeing Boards, and involving Local Healthwatch, Voluntary, Community and Social Enterprise sector, and PEOPLE and communities living in the area.

Integrated Care Partnerships do not directly commission SERVICES.

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INTEGRATED CARE SYSTEM

Change to Supporting Information: Changed Description

An Integrated Care System (ICS) is an integral part of NHS England and NHS Improvement.An Integrated Care System (ICS) is a geographically based partnership of health and care ORGANISATIONS.

An Integrated Care System is a collaboration where NHS ORGANISATIONS are in partnership with Local Authorities and other bodies, taking collective responsibility for managing resources, delivering NHS standards and improving the health of the population they serve.Integrated Care Systems bring together Health Care Providers and commissioners of NHS SERVICES with Local Authorities and other local partners to plan, co-ordinate, commission and deliver joined up health and care SERVICES to improve the health of PEOPLE who live and work in their area.

An Integrated Care System is an evolvement of a Sustainability and Transformation Partnership to form a closer collaboration between the NHS and Local Authorities.Each Integrated Care System is comprised of an:

For further information Integrated Care Systems, see the NHS England and NHS Improvement website at: Integrated care systems.For further information on Integrated Care Systems, see the NHS England website at Integrated Care Systems: Guidance.

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LOCAL AUTHORITY

Change to Supporting Information: Changed Description

A Local Authority is an ORGANISATION.

The structure of local government varies from area to area in England. In some areas there are two layers or tiers:

  1. a County or Shire Council as the upper tier and
  2. a District, Borough or City Council as the lower tier.

In other areas there is just a single tier made up of a ‘Unitary Authority’. Unitary Authorities may have adopted any of these names. In London each borough is a Unitary Administration with a status similar to that of Metropolitan Districts, with the London Assembly providing strategic, city-wide government.

A Local Authority is responsible for a range of services for both individuals and business which include:

  • Health Services
  • Social Services
  • Education
  • Planning
  • Waste disposal, recycling and collection
  • Trading standards
  • Roads, highways and transportation
  • Housing
  • Environmental Health
  • Approving planning applications
  • Enforcing health, safety, environment and trading standards requirements etc

From April 2013:

For the purposes of the Organisation Data Service, the definition for a ‘Local AuthorityORGANISATION  is based on (but is not exactly the same as) the definition given within the Local Government Act, as follows:

A “Local Authority”, in relation to England is:

Across Wales, there is a single tier system of Unitary Authorities (Councils).

Note that the Scotland Councils and Northern Ireland Councils are not included within the Organisation Data Service data set.

 

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MENTAL HEALTH SERVICES DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The Mental Health Services Data Set (MHSDS) is a PATIENT level, output based secondary uses data set which aims to deliver robust, comprehensive, nationally consistent and comparable person-based information for PATIENTS who are in contact with Mental Health Services.

The Mental Health Services Data Set covers Mental Health Services located in England, or located outside England but treating PATIENTS commissioned by an English Clinical Commissioning Group (CCG), NHS England and NHS Improvement specialised commissioner or an NHS-led Provider Collaborative.The Mental Health Services Data Set covers Mental Health Services located in England, or located outside England but treating PATIENTS commissioned by an English Integrated Care BoardNHS England specialised commissioner or an NHS-led Provider Collaborative.

As a secondary uses data set, the Mental Health Services Data Set re-uses clinical and operational data for purposes other than direct PATIENT care, and defines the data items, definitions and associated value sets to be extracted or derived from local information systems.

All ACTIVITY relating to PATIENTS who receive assessments and treatment from Mental Health Services is within the scope of the Mental Health Services Data Set, where the PATIENT has, or are thought to have:

  • A mental health condition and/or
  • A need for support with their mental wellbeing and/or
  • Autism or any other neurodevelopmental condition.

The scope of the Mental Health Services Data Set requires PATIENT record level data submission from SERVICES as follows:

The Mental Health Services Data Set is used across the range of Health Care Providers and ORGANISATIONS that provide Mental Health Services (irrespective of funding arrangements) including:

Submission information

The Mental Health Services Data Set is submitted centrally via the Strategic Data Collection Service in the Cloud (SDCS Cloud) maintained by NHS Digital.

The Mental Health Services Data Set has historically been submitted using two submission windows, primary and refresh. This has changed to a multiple submission window model which gives submitters the opportunity to resubmit throughout the submission year. Guidance on the new submission model can be found on the NHS Digital website at: How to submit to the MHSDS.

Further guidance

Further information regarding the structure and submission of the Mental Health Services Data Set can be found on the NHS Digital website at: Mental Health Services Data Set (MHSDS).

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
  • R = Required: NHS business processes cannot be delivered without this data element
  • O = Optional: the inclusion of this data element is optional as required for local purposes
  • P = Pilot: this data element is for piloting use only.

Note: items in the Mandation column which are shown with notation P have not been approved by the Data Alliance Partnership Board and are included to facilitate piloting and testing of future data requirements, prior to formal inclusion in later versions of the Mental Health Services Data Set. These items have been included in the data set layout in order to provide advance notice to data providers and system suppliers of the intention to require these items at a later date. Unless ORGANISATIONS are engaged in piloting activities relating to these items, they should NOT submit any data item marked P.

Data Set Constraints

For guidance on the Data Set constraints, see the Mental Health Services Data Set Constraints.

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NATIONAL CANCER WAITING TIMES MONITORING DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The information in the National Cancer Waiting Times Monitoring Data Set is required to provide details on cancer SERVICES in England. This enables the performance monitoring of Health Care Providers and Clinical Commissioning Groups in order to maintain and increase standards across England. This enables the performance monitoring of Health Care Providers and Integrated Care Boards in order to maintain and increase standards across England.

Cancer Waiting Times data relates to the waiting time requirements outlined in the:

The National Cancer Waiting Times Monitoring Data Set supports waiting times which are defined on the NHS Digital website at: Cancer Waiting Times Data Collection (CWT).

Patient Pathway Scenarios

The Patient Pathway Scenarios for the National Cancer Waiting Times Monitoring Data Set are to be used to manage the collection of data for all PATIENTS suspected of having, or diagnosed with cancer.

Transmission

Further guidance

See Patient Pathway Scenarios, for the scenarios which show:

  • the data items required for a range of health care scenarios and
  • information on how records will be validated to ensure these scenarios have been correctly reported.

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
  • R = Required: NHS business processes cannot be delivered without this data element.  Required data elements may not be applicable to all PATIENT PATHWAYS, see Patient Pathway Scenarios for further details
  • O = Optional: the inclusion of this data element is optional as required for local purposes.

Data Set Constraints

For guidance on the Data Set constraints, see the National Cancer Waiting Times Monitoring Data Set Constraints.

XML Schema

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

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NATIONAL TARIFF PAYMENT SYSTEM

Change to Supporting Information: Changed Description

The National Tariff Payment System is managed by NHS England and NHS Improvement.The National Tariff Payment System is managed by NHS England.

The National Tariff Payment System sets out the national tariff for each year.

This set of prices and rules helps local Clinical Commissioning Groups work with Health Care Providers, such as NHS Trusts and NHS Foundation Trusts to identify which health care SERVICES provide best value to their PATIENTS.This set of prices and rules helps local Integrated Care Boards work with Health Care Providers, such as NHS Trusts and NHS Foundation Trusts to identify which health care SERVICES provide best value to their PATIENTS.

For further information on the National Tariff Payment System, see the NHS England and NHS Improvement website at: National tariff payment system.For further information on the National Tariff Payment System, see the NHS England website at: National tariff payment system.

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NHS CONTINUING HEALTHCARE

Change to Supporting Information: Changed Description

NHS Continuing Healthcare is an ACTIVITY GROUP.

NHS Continuing Healthcare (NHS CHC) is a package of care for adults aged 18 or over which is arranged and funded solely by the NHS.

In order to receive NHS Continuing Healthcare funding individuals have to be assessed by Clinical Commissioning Groups (CCGs) according to a legally prescribed decision making process to determine whether the individual has a ‘primary health need’.In order to receive NHS Continuing Healthcare funding individuals have to be assessed by Integrated Care Boards according to a legally prescribed decision making process to determine whether the individual has a ‘primary health need’.

There are two types of NHS Continuing Healthcare:

For further information on NHS Continuing Healthcare, see the:

 

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NHS CONTINUING HEALTHCARE LOCAL APPEAL

Change to Supporting Information: Changed Description

An NHS Continuing Healthcare Local Appeal is an individual request for a review of an NHS Continuing Healthcare eligibility decision, by the PATIENT or their Patient Proxy to the Clinical Commissioning Group (CCG), following a full assessment undertaken using the Decision Support Tool for NHS Continuing Healthcare.An NHS Continuing Healthcare Local Appeal is an individual request for a review of an NHS Continuing Healthcare eligibility decision, by the PATIENT or their Patient Proxy to the responsible commissioner following a full assessment undertaken using the Decision Support Tool for NHS Continuing Healthcare.

NHS Continuing Healthcare Local Appeals are those that are addressed through the local NHS Continuing Healthcare Local Resolution process by the Clinical Commissioning Group (CCG) and do not include Independent Reviews or Ombudsman complaints.NHS Continuing Healthcare Local Appeals are those that are addressed through the local NHS Continuing Healthcare Local Resolution process by the responsible commissioner and do not include Independent Reviews or Ombudsman complaints.

A Local Appeal is complete at the point the outcome of the NHS Continuing Healthcare Local Resolution process is communicated to the PATIENT or their Patient Proxy (i.e. the date a decision letter is sent), or the request is discounted (for those requests that are withdrawn or not appropriate).

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NHS CONTINUING HEALTHCARE LOCAL RESOLUTION

Change to Supporting Information: Changed Description

An NHS Continuing Healthcare Local Resolution  is the process where a PATIENT or Patient Proxy asks the Clinical Commissioning Group to review the eligibility decision for NHS Continuing Healthcare.An NHS Continuing Healthcare Local Resolution  is the process where a PATIENT or Patient Proxy asks the responsible commissioner to review the eligibility decision for NHS Continuing Healthcare.

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NHS CONTINUING HEALTHCARE PATIENT LEVEL DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The NHS Continuing Healthcare Patient Level Data Set is PATIENT level, output based, secondary user data set. It delivers robust, comprehensive, nationally consistent and comparable PERSON centred information for people who are in receipt of, or whose eligibility is being assessed for, NHS Continuing Healthcare or NHS-funded Nursing Care. The data set does not include information about requests for an independent review of an NHS Continuing Healthcare eligibility decision.

As a secondary uses data set the NHS Continuing Healthcare Patient Level Data Set re-uses operational data for purposes other than direct PATIENT care. It defines the data items, definitions and associated value sets to be extracted or derived from local systems.

The data collected in the NHS Continuing Healthcare Patient Level Data Set covers all NHS Continuing Healthcare and NHS-funded Nursing Care ACTIVITY undertaken by Clinical Commissioning Groups (or other ORGANISATIONS acting on their behalf), in line with the NHS Continuing Healthcare (National Framework) in England.The data collected in the NHS Continuing Healthcare Patient Level Data Set covers all NHS Continuing Healthcare and NHS-funded Nursing Care ACTIVITY undertaken by responsible commissioners (or other ORGANISATIONS acting on their behalf), in line with the NHS Continuing Healthcare (National Framework) in England.

The NHS Continuing Healthcare Patient Level Data Set is used by the Department of Health and Social Care, NHS England and NHS Improvement, commissioners and PATIENTS, as the data set provides:The NHS Continuing Healthcare Patient Level Data Set is used by the Department of Health and Social Care, NHS England, commissioners and PATIENTS, as the data set provides:

Data Collection

The NHS Continuing Healthcare Patient Level Data Set provides the definitions for data to:

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

Data is expected to be extracted and collated from the NHS Continuing Healthcare management systems used by Clinical Commissioning Groups to manage their NHS Continuing Healthcare function.Data is expected to be extracted and collated by Sub Integrated Care Board Locations from the NHS Continuing Healthcare management systems used by responsible commissioners (Integrated Care Boards) to manage their NHS Continuing Healthcare function.

Data will be reported monthly.

Submission Information

The NHS Continuing Healthcare Patient Level Data Set is submitted to NHS Digital using the NHS Continuing Healthcare Patient Level Data Set XML Schema.

Format Information

Data for submission will be formatted into an XML file as per the Technology Reference Update Distribution (TRUD) page at: NHS Data Model and Dictionary: DD XML Schemas.

For enquiries regarding the XML Schema, please contact NHS Digital at enquiries@nhsdigital.nhs.uk.

Further Guidance

Further information and implementation guidance has been produced by NHS Digital and is available at: NHS Continuing Health Care (CHC) Data Set.

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
  • R = Required: NHS business processes cannot be delivered without this data element
  • O = Optional: the inclusion of this data element is optional as required for local purposes.

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NHS CONTINUING HEALTHCARE REQUEST RECEIVED DATE

Change to Supporting Information: Changed Description

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NHS ENGLAND  renamed from NHS ENGLAND AND NHS IMPROVEMENT

Change to Supporting Information: Changed Description, Name

NHS England and NHS Improvement is an ORGANISATION.NHS England is an ORGANISATION.

Since 2019 NHS England and NHS Improvement work together as a single ORGANISATION in the management of England's National Health Service.NHS England leads the National Health Service (NHS) in England.

NHS England and NHS Improvement:NHS England has responsibility for:

For further information on NHS England and NHS Improvement, see the NHS England and NHS Improvement website at: What do we do?For further information on NHS England, see the NHS England website at: What do we do?.

 

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NHS ENGLAND  renamed from NHS ENGLAND AND NHS IMPROVEMENT

Change to Supporting Information: Changed Description, Name
  • Changed Description
  • Changed Name from Data_Dictionary.NHS_Business_Definitions.N.NHS_England_and_NHS Improvement to Data_Dictionary.NHS_Business_Definitions.N.NHS_England

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NHS ENGLAND (REGION)

Change to Supporting Information: Changed Description

An NHS England (Region) is an integral part of NHS England and NHS Improvement.An NHS England (Region) is an integral part of NHS England.

NHS England (Regions) are sub-divisions of NHS England and NHS Improvement's Operations and Information Directorate.NHS England (Regions) are sub-divisions of NHS England's Operations and Information Directorate.

NHS England (Regions) are responsible for:

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ORGANISATION CODING FRAMES (RETIRED)  renamed from ORGANISATION CODING FRAMES

Change to Supporting Information: Changed status to Retired, Description, Name

For further information, see the attribute ORGANISATION CODE.This item has been retired from the NHS Data Model and Dictionary.

ORGANISATION CODING FRAMES

  • All NHS ORGANISATIONS are coded using coding frames, as shown in the tables below:

Character
Position

 

1

 

2

 

3

 

4

 

5

 

6

 

7

 

8

 

Format

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

A Frame

 

Organisation
Type Identifier

 

Organisation Identifier

 
   

B Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
   

C Frame

 

Organisation Type Identifier

 

Organisation Identifier

 

D Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
     

E Frame

 

Organisation Identifier

 
       

F Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
    

G Frame

 

Organisation Type Identifier

 

Practice Identifier

 
  

H Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
     

I Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
   

K Frame

 

Organisation Identifier

 
     

 L Frame

 

Organisation Type Identifier

 

Organisation Identifier

 

Organisation Type Identifier

 
   

M Frame

 

Organisation and Organisation Type Identifier

 
     

N Frame

 

Organisation Type Identifier

 

Organisation Identifier

 


A Frame:The last live version of this item is available in the April 2022 release of the NHS Data Model and Dictionary.

Example
Non NHS Organisation (Independent Provider) e.g. 8HA03

  • 8 = Organisation Type Identifier
  • Remainder = Organisation Identifier

B Frame:

Example
Local Service Provider e.g. LSP01

  • LSP = Organisation Type Identifier
  • 01 = Organisation Identifier

Also:

Application Service Providere.g. YGM01
Education Establishmente.g. YDF01
NHS Support Agencye.g. YDD01


C Frame:

Example
School e.g. EE134290

  • EE = Organisation Type Identifier
  • Remainder = Organisation Identifier

D Frame:

Example
Care Trust e.g. TAK

  • T = Organisation Type Identifier
  • AK = Organisation Identifier

Also:

Commissioning Support Unit (CSU)
Data Services for Commissioners Regional Office (DSCRO)
e.g. 0AA
High Level Health Geography, e.g. Sustainability and Transformation Partnershipe.g. QJK
Local Health Board (Wales)e.g. 7A1
NHS Truste.g. RH8
Justice Organisatione.g. VAA

E Frame:

Example
Government Office Region (GOR) e.g. K

  • K = Organisation Identifier

Note: Government Office Region (GOR) is identified by a one character code; no other one character code exists.


F Frame:

Example
Pharmacy Headquarters e.g. P001

  • P = Organisation Type Identifier
  • 001 = Organisation Identifier

Also:

Care Home Headquarterse.g.CA0A
Optical Headquarterse.g.T1A1

G Frame:

Example
GP Practices in England and Wales e.g. Y00001

  • Y = Organisation Type Identifier
  • 00001 = Practice Identifier

Also:

Dental Practicee.g.V20052


H Frame:

Example
Cancer Network e.g. N01

  • N0 (where the 2nd character is numeric and not alpha) = Organisation Type Identifier
  • 1 = Organisation Identifier

Also:

Booking Management System (BMS) Call Centre Establishment)e.g. YF1
Government Departmente.g. XDA
Independent Sector Healthcare Provider (ISHP) (where the 2nd character is alpha)e.g. NV7
National Application Service Providere.g. YEA
Other Statutory Authority (OSA)e.g. X16


I Frame:

Example
Special Health Authority (SpHA) e.g. T1150

  • T1 = Organisation Type Identifier
  • 150 = Organisation Identifier

K Frame:

Example
Digital Health and Care Wales e.g. W00

  • W00 = Organisation Identifier

L Frame:

Example
Northern Ireland Local Commissioning Group e.g. ZC010

  • Characters 1-3 (ZC0) AND character 5 (0) = Organisation Type Identifier
  • Character 4 = Organisation Identifier

Note: this is a 5 character method of displaying Northern Ireland Local Commissioning Group identifiers.
Characters 3 and 5 are ‘fillers’. If a 3 character code is required (as used by the Office for National Statistics in the NHS Postcode Directory) zeros can be omitted, e.g. ZC1.
The 3 character method of displaying the Northern Ireland Local Commissioning Group identifiers fit under the H Frame.


M Frame:

Example
Clinical Commissioning Group (CCG) e.g. 12A

  • 12A = Organisation and Organisation Type Identifier

Also:

Local Authoritye.g.000


N Frame:

Example
GP Abeyance and Dispersal GP Practice e.g. G7817414

  • G78 = Organisation Type Identifier
  • 17414 = Organisation Identifier

The structure and format of ORGANISATION CODES maintained by the Organisation Data Service, NHS Prescription Services, NHS Dental Services and other agencies are detailed in the tables below.

ORGANISATION CODES TABLES

Table 1: CODING FORMATS FOR ORGANISATIONS IN ENGLAND AND WALES

Organisation Type

Frame Type

Character Position

Code allocated by:

Notes/Comments

 

See Coding Frames Table

 

1

 

2

 

3

 

4

 

5

 

6

 

7

 

8

 
  

Application Service Provider

 

B

 

Y

 

G

 

M

 

A-9

 

A-9

 
   

ODS 

 

e.g. YGM01

 

Booking Management System (BMS) Call Centre Establishment

 

H

 

Y

 

F

 

A-9

 
     

ODS

 

e.g. YF1

 

Cancer Network

 

H

 

N

 

0-9

 

A-9

 
     

ODS

 

e.g. N01

 

Cancer Registry

A

 

Y

 

0-9

 

0-9

 

0-9

 

0-9

 
   

ODS

 

e.g. Y0401

All Cancer Registries in England are now part of the National Cancer Registration and Analysis Service

Care Home Headquarters

 

F

 

A, C or D

 

A-9

 

A-9

 

A-9

 
    

ODS

 

e.g. CA0A

 

Care Trust (CT)

 

D

 

T

 

A-Y

 

A-Y

 
     

ODS

 

e.g. TAK

 

Clinical Commissioning Group (CCG

M

 

0-9

 

0-9

 

A-Y

 
     

ODS

 

e.g. 12A

 

Clinical Network

B

 

Y

 

D

 

G

 

A-9

 

A-9

 
   

ODS

 

e.g. YDG01

 

Commissioning Support Unit (CSU) / Data Services for Commissioners Regional Office (DSCRO)

D

 

0

 

A-Y

 

A-Y

 
     

ODS

 

e.g. 0AA

 

Dental Practice - England and Wales

 

G

 

V

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 
  

NHS Dental Services

 

e.g. V20052

 

Digital Health and Care Wales (DHCW)

 

K

 

W

 

0

 

0

 
     

ODS

 

Only one organisation of this type exists for Wales

e.g. W00

Digital Health and Care Wales replaced NHS Wales Informatics Service on 1 April 2021 

Education Establishment

 

B

 

Y

 

D

 

F

 

A-9

 

A-9

 
   

ODS

 

e.g. YDF01

 

Executive Agency

 

N/A

See Note 1 

X

 

0-9

 

0-9

 
     

ODS

 

e.g. X09

 

Executive Agency Programme

 

N/A

See Note 1 

X

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 
  

ODS

 

First three characters denote Executive Agency

e.g. X09001

 

Government Department

 

H

 

X

 

A-Y

 

A-Y

 
     

ODS

 

e.g. XDA

 

Government Office Region (GOR)

 

E

A-Y

 
       

ONS

 

e.g. K

Government Office Regions (GORs) closed 31 March 2011 - from 1 April 2011 referred to as Regions

 

GP Abeyance and Dispersal GP Practice

 

N

G

 

7

 

8

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 

ODS

 

e.g. G7817414

 

GP Practices in England and Wales

G

 

A-H,
J-N,
P,
W &
Y

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 
  

NHS Prescription Services

 

Char 1 = W for Welsh GP Practice.

All other values represent GP Practices in England.

Note: from 2003, ALL newly allocated Practice Codes in England begin with a Y

e.g. Y00001

 
Justice Organisation

D

 

V or W

 

A-Y

 

A-9

 

 

 

 

 

 

 

 

 

 

 

ODS

 

e.g. VAA

 

High Level Health Geography, e.g. Sustainability and Transformation Partnership 

D

 

Q

 

A-9

 

A-9

 
     

ODS

 

e.g. QJK

 

Independent Sector Healthcare Provider (ISHP)

H

 

A, B, D, G, I, K, L, M , N, O, S, U, V, W

 

A-Y

 

A-Y, 0-9

 
     

ODS

 

e.g. NV7

 

Local Authority (LA)

 

M

 

0-9

 

0-9

 

0-9

 
     

ODS

 

e.g. 000

 

Local Health Board (Wales)

 

B

 

7

 

A-9

 

A-9

 
     

ODS 

 

e.g. 7A1 

 

Local Service Provider (LSP)

 

B

 

L

 

S

 

P

 

0-9

 

0-9

 
   

ODS

 

e.g. LSP01

 

Military Hospital

B

 

X

 

M

 

D

 

A-9

 

A-9

 
   

ODS

 

e.g.XMDA1

 

National Application Service Provider

H

 

Y

 

E

 

A-9

 
     

ODS

 

e.g. YEA

 

National Groupings (England) 

H

Y

 

5

 

0-9

 
     

ODS

 

e.g. Y51

 

NHS Support Agency 

B

 

Y

 

D

 

D

 

A-9

 

A-9

 
   

ODS

 

e.g. YDD01

 

NHS Trust

 

D

 

R

 

A-9

 

A-9

 
     

ODS

 

e.g. RH8

 

Non NHS Organisation (Independent Provider)

 

A

 

8

 

A-Y

 

A-9

 

0-9

 

0-9

 
   

ODS

 

e.g. 8HA03

 

Northern Ireland Health & Social Care Board

N/A

 

Z

 

B

 

0

 

0

 

1

 
   

ODS

 

e.g. ZB001

 

Northern Ireland Health & Social Care Trust

 

I

 

Z

 

T

 

0-9

 

0-9

 

0-9

 
   

ODS

 

e.g. ZT001

 

Northern Ireland Local Commissioning Group

 

L

 

Z

 

C

 

0

 

0-9

 

0

 
   

Department for Health, Social Services and Public Safety (DHSSPS), Northern Ireland

 

e.g. ZC010

Note that characters 3 and 5 are ‘fillers’ to create a 5 character code. If a 3 character code is required (as used by the Office for National Statistics in the NHS Postcode Directory), zeros can be omitted and fits under the H frame: e.g. ZC1.
Guidance on the use of Northern Ireland codes can be found in Data Set Change Notice 19/2009. 

 

Optical Headquarters

 

 

 

0-9

 

A-9

 

A-9

 
    

ODS 

 

e.g. T1A1 

 

Other Statutory Authority (OSA)

 

H

 

X

 

0-9

 

0-9

 
     

ODS

 

e.g. X16

 

Pharmacy

 

A

 

F

 

A-Y

 

A-9

 

A-9

 

A-9

 
   

ODS

 

e.g. FA002

 

Pharmacy Headquarters

 

F

 

P

 

A-9

 

A-9

 

A-9

 
    

ODS

 

e.g. P001

 

Primary Care Trust (PCT)

 

D

 

5

 

A-9

 

A-9

 
     

ODS

 

e.g. 5CT

All Primary Care Trusts closed 31 March 2013

Prison Health Service

B

 

Y

 

D

 

E

 

A-9

 

A-9

 
   

ODS

 

e.g. YDE01

 

School

 

C

 

E

 

E

 

A-9

 

A-9

 

A-9

 

A-9

 

A-9

 

A-9

 

Department for Education and ODS

 

e.g. EE134290

 

Special Health Authority (SpHA)

 

I

 

T

 

1

 

0-9

 

0-9

 

0

 
   

ODS

 

e.g. T1150

 

Strategic Health Authority (SHA)

 

D

 

Q

 

A-9

 

A-9

 
     

ODS

 

e.g. Q30

All Strategic Health Authorities in England closed 31 March 2013

Welsh Assembly

 

D

 

W

 

0-9

 

0-9

 

 

 

 
   

ODS

 

e.g. W01

 

Welsh Health Commission 

A

 

W

 

0-9

 

0-9

 

A-Y

 

A-Y

 
   

ODS

 

e.g. W01HC

 


Notes:

  • Codes for Executive Agency, Executive Agency Programme, Executive Agency Site and Executive Agency Programme Department do not easily fit into the coding frames as shown above and are therefore not included. This is due to their unusual structure in that there are more hierarchical 'tiers' than with other organisations.

Executive Agency and Executive Agency Programme are both considered Organisation level entities, although each Programme does have a relationship to an Executive Agency. Executive Agency codes are three characters long. Executive Agency Programme codes are six, and their first three characters are the same as the Executive Agency they are associated to.

Department codes of eight characters long can then be allocated underneath a Programme code (sharing the first six characters). Executive Agency Site codes of five characters long can be allocated under an Executive Agency code (and share the first three characters).

Access to this version can be obtained by emailing information.standards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line. 

Table 2: CODING FORMATS FOR ORGANISATIONS IN SCOTLAND

Scottish ORGANISATION CODES are supplied by the Information Standards Directorate (ISD) from NHS Scotland and published by the Organisation Data Service.

Organisation Type

Character Position

Code allocated by:

Notes/Comments

 123456  

GP Practice - Scotland 

S

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 

NHS

 
 

Scottish GP Fundholder

 

S

 

A-Z

 

B

 

0-9

 

0-9

 
 

ISD, Scotland

 

2nd character identifies the Health Board the GPFH reports to.
3rd character (always B) shows GPFH status.

 

Scottish Health Agency

 

S

 

D

 

0-9

 

0-9

 

0-9

 
 

ISD, Scotland

 

2nd character (D) identifies Scottish Office agencies

 

Scottish Health Board

 

S

 

A-Z

 

9

 

9

 

9

 
 

 ISD, Scotland

 

 

Scottish Provider

 

S

 

A-Z

 

A,C,D

 

0-9

 

0-9

 
 

ISD, Scotland

 

2nd character identifies the Health Board the organisation reports to.
3rd character identifies the organisation type:
A= Health Unit
C = Hospital Trust
D = Nursing Home

 


Table 3: CODING FORMATS for ORGANISATIONS in OTHER HOME COUNTRIES

Organisation Type

Character Position

Code allocated by:

Notes/Comments

 123456  

GP Practice - Alderney

 

A

 

L

 

D

 

0-9

 

0-9

 

0-9

 

NHS Prescription Services

 
 

GP Practice - Guernsey

 

G

 

U

 

E

 

0-9

 

0-9

 

0-9

 

NHS Prescription Services

 
 

GP Practice - Isle of Man (IOM)

 

Y

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 

NHS Prescription Services

 
 

GP Practice - Jersey

 

J

 

E

 

R

 

0-9

 

0-9

 

0-9

 

NHS Prescription Services

 
 

Primary Healthcare Directorate (Isle of Man)

 

Y

 

K

 

A-9

 
   

ODS

 

e.g. YK1

 


Note: A-9 indicates that characters A-Z and 0-9 are valid: except B, I, O, S, U and Z (to avoid ambiguity).

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ORGANISATION CODING FRAMES (RETIRED)  renamed from ORGANISATION CODING FRAMES

Change to Supporting Information: Changed status to Retired, Description, Name
  • Retired Organisation Coding Frames
  • Changed Description
  • Changed Name from Web_Site_Content.Supporting_Information.Organisation_Coding_Frames to Retired.Web_Site_Content.Supporting_Information.Organisation_Coding_Frames

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ORGANISATION SITE CODING FRAMES (RETIRED)  renamed from ORGANISATION SITE CODING FRAMES

Change to Supporting Information: Changed status to Retired, Description, Name

For further information, see the attribute ORGANISATION SITE CODE.This item has been retired from the NHS Data Model and Dictionary.

ORGANISATION SITE CODING FRAMES

Character
Position

1

2

3

4

5

6

7

8

9

Format

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

a/n

 

A Frame

 

Organisation Type Identifier

 

Organisation Identifier

 

Site or Sub-Division Identifier

 
  

B Frame

 

Organisation Type Identifier

 

Organisation Identifier

 

Site or Sub-Division Identifier

 
    

C Frame

 

Organisation Type Identifier

 

Organisation Identifier

 

Site or Sub-Division Identifier

 
    

D Frame

 

Organisation Type
Identifier

 

Practice Identifier

 

Branch Surgery Identifier

 

F Frame

 

Organisation Type
Identifier

 

Organisation Identifier

 
    

H Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
    

I Frame

 

Organisation Type Identifier

 

Organisation Identifier

 
    

J Frame

 

Organisation Type Identifier

Organisation Identifier

    

K Frame

 

Organisation and Organisation Type Identifier

Organisation Site Identifier

    

L Frame

 

Organisation Type Identifier and
Site or Sub-Division Identifier

    

A Frame:The last live version of this item is available in the April 2022 release of the NHS Data Model and Dictionary.

Example
Local Service Provider Site e.g. LSP0101Access to this version can be obtained by emailing information.standards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

  • LSP = Org Type Identifier
  • 01 = Organisation Identifier
  • 01 = Site or Sub-Division Identifier

B Frame:

Example
Care Trust Site e.g. TAK01

  • T = Organisation Type Identifier
  • AK = Organisation Identifier
  • 01 = Site or Sub-Division Identifier

Also:

Government Department Sitee.g. XDA01
Local Authority Sitee.g. 000AA
Local Health Board (Wales) Sitee.g. 7A101
NHS Trust Sitee.g. RH802
Other Statutory Authority (OSA) Sitee.g. X1601
e.g. Q3001

C Frame:

Example
Independent Sector Healthcare Provider (ISHP) Site e.g. NV701

  • NV = Organisation Site Type Identifier
  • 7 = Organisation Identifier
  • 01 = Site or Sub-Division Identifier

D Frame

Example
GP Practice Branch Surgery: e.g. H81010002

  • H (and length of code) = Organisation Identifier
  • 81010 = Organisation Identifier (parent GP Practice)
  • 002 = Branch Surgery Identifier

F Frame

Example
Commissioning Support Unit Site: e.g. 0AA01

  • 0 = Organisation Type Identifier
  • AA01 = Organisation Identifier

H Frame

Example
Prison: e.g. YDE01

  • YDE = Organisation Type Identifier
  • 01 = Site or Sub-Division Identifier

I Frame

Example
Optical Site: e.g. TP01A

  • TP = Organisation Type Identifier
  • 01A = Site or Sub-Division Identifier

J Frame

Example
Care Home Site: e.g. VN01A

  • VN = Organisation Type Identifier
  • 01A = Site or Sub-Division Identifier

Also:

Health Observatorye.g. XP001
Primary Healthcare Directorate (Isle of Man) Sitee.g. YK101



K Frame

Example
Clinical Commissioning Group (CCG) Site e.g. 11AAA - 99YZZ

  • 11A = Organisation and Organisation Type Identifier
  • AA = Organisation Site Identifier

L Frame

Example
Special Health Authority (SpHA) Site: e.g. T115A

  • T115A – Organisation Type Identifier and Site or Sub-Division Identifier

The structure and format of ORGANISATION SITE CODES maintained by the Organisation Data Service, NHS Prescription Services and other agencies are detailed in the tables below.

NHS ORGANISATION SITE CODES TABLES

Coding Formats

Table 1: CODING FORMATS FOR ORGANISATION SITES IN ENGLAND AND WALES

Organisation Site Type

Frame Type

Character Position

Code allocated by:

Notes/Comments

 

See Coding Frames Table

 

1

 

2

 

3

 

4

 

5

 

6

 

7

 

8

 

9

 
  

Care Home Site

 

J

 

V

 

L, M or N

 

A-9

 

A-9

 

A-9

 
    

ODS

 

e.g. VN01A, VM01A, VL01A

 

Care Trust Site

 

B

 

T

 

A-Y

 

A-Y

 

A-9

 

A-9

 
    

ODS

 

First three characters denote owning Care Trust

e.g. TAK01

 
Clinical Commissioning Group (CCG) Site  

K

 

0-9

 

0-9

 

A-Y

 

A-Y

 

A-Y

 
    

ODS

 

First three characters denote owning Clinical Commissioning Group

e.g. 11AAA - 99YZZ

 

Commissioning Support Unit (CSU) Site

 

F

 

0

 

A-Y

 

A-Y

 

A-9

 

A-9

 
    

ODS

 

e.g. 0AA01

 

Executive Agency Site

 

N/A

See Note

 

X

 

0-9

 

0-9

 

0-9

 

0-9

 
    

ODS

 

First three characters denote Executive Agency

e.g. X0901

 

Government Department Site

 

B

 

X

 

A-Y

 

A-Y

 

0-9

 

0-9

 
    

ODS

 

First three characters denote Government Department

e.g. XDA01

 

GP Practice Branch Surgery - England and Wales

 

D

 

A-H,
J-N,
P,
W &
Y

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 

0-9

 

ODS

 

First 6 characters denote parent practice. Char 1 = W for Welsh GP Practice.

All other values represent English GP Practices

e.g. H81010002

 
Health Observatory

X

P

 

0-9

 

0-9

 

0-9

 
    

ODS

 

e.g. XP001

 

Care Trust Site

 

B

 

Q

 

A-9

 

A-9

 

A-9

 

A-9

 
    

ODS

 

e.g. TAK01

 

Independent Sector Healthcare Provider (ISHP) Site

 

C

 

A, B, D, G, I, K, L, M , N, O, S, U, V, W

 

A-Y

 

A-Y, 0-9

 

A-Y, 0-9

 

A-Y, 0-9

 
    

ODS

 

First three characters denote owning Independent Sector Healthcare Provider (ISHP)

e.g. NV701

Note: The A-Y range includes all letters except Z

 

Local Authority (LA) Site

 

B

 

0-9

 

0-9

 

0-9

 

A-Z

 

A-Z

 
    

ODS

 

First three characters denote parent Local Authority

e.g. 000AA

 
Local Health Board (Wales) Site

B

 

7

 

A-9

 

A-9

 

A-9

 

A-9

 
    

ODS

 

First three characters denote owning NHS Trust

e.g. 7A101

 

Local Service Provider Site

 

A

 

L

 

S

 

P

 

0-9

 

0-9

 

0-9

 

0-9

 
  

ODS

 

First five characters denote owning Local Service Provider

e.g. LSP0101

 

NHS Trust Site

 

B

 

R

 

A-9

 

A-9

 

A-9

 

A-9

 
    

ODS

 

First three characters denote owning NHS Trust

e.g. RH802

 

Optical Site

 

I

 

T

 

P or Q

 

0-9

 

A-9

 

A-9

 
    

ODS

 

e.g. TP01A, TQ01A

 

Other Statutory Authority (OSA) Site

 

B

 

X

 

0-9

 

0-9

 

0-9

 

0-9

 
    

ODS

 

First three characters denote owning Other Statutory Authority

e.g. X1601 

 

Primary Care Trust (PCT) Site

 

B

 

5

 

A-9

 

A-9

 

A-9

 

A-9

 
    

ODS

 

First three characters denote owning Primary Care Trust

e.g. 5CT49

All Primary Care Trusts closed 31 March 2013

Special Health Authority (SpHA) Site

 

L

 

T

 

1

 

0-9

 

0-9

 

A-Y, 1-9

 
    

ODS

 

The characters do NOT denote any ownership.

e.g. T115A

Strategic Health Authority (SHA) Site

 

B

 

Q

 

A-9

 

A-9

 

A-9

 

A-9

 
    

ODS

 

First three characters denote owning SHA Trust

e.g. Q3001

All Strategic Health Authorities closed 31 March 2013 - from 1 April 2013 referred to as High Level Health Geography Site

Note: Codes for Executive Agency, Executive Agency Programme, Executive Agency Site and Executive Agency Programme Department do not easily fit into the coding frames as shown above and are therefore not included. This is due to their unusual structure in that there are more hierarchical 'tiers' than with other organisations.

Executive Agency and Executive Agency Programme are both considered Organisation level entities, although each Programme does have a relationship to an Executive Agency. Executive Agency codes are three characters long. Executive Agency Programme codes are six, and their first three characters are the same as the Executive Agency they are associated to.

Department codes of eight characters long can then be allocated underneath a Programme code (sharing the first six characters). Executive Agency Site codes of five characters long can be allocated under an Executive Agency code (and share the first three characters).


Note: A-9 indicates that characters A-Z and 0-9 are valid: except B, I, O, S, U and Z (to avoid ambiguity). This applies to all ORGANISATION SITE CODES in the Coding Format Table above except Independent Sector Healthcare Provider (ISHP) sites.

  

Table 2: CODING FORMATS FOR ORGANISATION SITES IN OTHER HOME COUNTRIES

Organisation Site Type

Frame Type

Character Position

Code allocated by:

Notes/Comments

 

See Coding Frames Table

 

1

 

2

 

3

 

4

 

5

 

6

 

7

 

8

 

9

 
  

Primary Healthcare Directorate (Isle of Man) Site

J

 

Y

 

K

 

A-9

 

A-9

 

A-9

 
  

 

 
 

ODS

 

e.g. YK101

 

Note: A-9 indicates that characters A-Z and 0-9 are valid: except B, I, O, S, U and Z (to avoid ambiguity).

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ORGANISATION SITE CODING FRAMES (RETIRED)  renamed from ORGANISATION SITE CODING FRAMES

Change to Supporting Information: Changed status to Retired, Description, Name
  • Retired Organisation Site Coding Frames
  • Changed Description
  • Changed Name from Web_Site_Content.Supporting_Information.Organisation_Site_Coding_Frames to Retired.Web_Site_Content.Supporting_Information.Organisation_Site_Coding_Frames

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PATIENT LEVEL CONTRACT MONITORING DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The purpose of the Patient Level Contract Monitoring Data Set (PLCM) is to enable the interchange, in a uniform format, of monthly PATIENT level Contract Monitoring data between all purchasers and Health Care Providers. This will ensure that Contract Monitoring and reporting is consistent, comparable and fit for purpose across all commissioning ORGANISATIONS.

The Patient Level Contract Monitoring Data Set is a PATIENT level report containing PATIENT identifiers. Its purpose is to substantiate and provide detail to the information contained within the Aggregate Contract Monitoring Data Set (ACM). It will contain details of PATIENT level clinical activities that are not found in flows of standard Commissioning Data Sets (CDS) submitted to the Secondary Uses Service.

Scope

The scope of the Patient Level Contract Monitoring Data Set Information Standard is all NHS-funded acute and community clinical care (excluding drugs and MEDICAL DEVICES not covered by the National Tariff Payment System) provided to PATIENTS, as well as financial adjustments not attributed directly to clinical care, for all commissioners.

This covers:

Note that the totality of expenditure in the Patient Level Contract Monitoring Data Set must be equivalent to the monetary value (excluding drugs and MEDICAL DEVICES not covered by the National Tariff Payment System) shown in the Aggregate Contract Monitoring Data Set.

Submission

The Patient Level Contract Monitoring Data Set is submitted on a monthly basis to the respective Data Services for Commissioners Regional Office (DSCRO) as nominated by each commissioning function in line with the dates documented in the data submission timetable within Schedule 6 of the NHS Standard Contract.

The completed monthly Patient Level Contract Monitoring Data Set should be transmitted using the NHS Digital Data Landing Portal (DLP).

For further information on the Patient Level Contract Monitoring Data Set, see the NHS England and NHS Improvement website at: Directly commissioned services reporting requirements.For further information on the Patient Level Contract Monitoring Data Set, see the NHS England website at: Directly commissioned services reporting requirements.

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
  • R = Required: NHS business processes cannot be delivered without this data element
  • O = Optional: the inclusion of this data element is optional as required for local purposes.

Data Set Constraints

For guidance on the Data Set constraints, see the Patient Level Contract Monitoring Data Set Constraints.

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PERSONAL HEALTH BUDGET

Change to Supporting Information: Changed Description

A Personal Health Budget is a payment for SERVICES PROVIDED UNDER AGREEMENT.

A Personal Health Budget is an amount of money to support a PATIENT's health and wellbeing needs, which is planned and agreed between the PATIENT or their representative, and the local Clinical Commissioning Group.A Personal Health Budget is an amount of money to support a PATIENT's health and wellbeing needs, which is planned and agreed between the PATIENT or their representative, and the local Integrated Care Board.

For further information on Personal Health Budgets, see the NHS England and NHS Improvement website at: Personal Health Budgets.For further information on Personal Health Budgets, see the NHS England website at: Personal health budgets (PHBs).

 

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PRIMARY CARE NETWORK

Change to Supporting Information: Changed Description

A Primary Care Network (PCN) is an integral part of NHS England and NHS Improvement.

Primary Care Networks were introduced into the National Health Service in England as part of the NHS Long Term Plan and form the building blocks of Integrated Care Systems.

A Primary Care Network consists of a group of GP Practices working together with a range of local Health Care Providers (pharmacy, mental health, social care, community and voluntary sector).A Primary Care Network (PCN) consists of a group of GP Practices working together with a range of local Health Care Providers (pharmacy, mental health, social care, community and voluntary sector).

Primary Care Networks build on the core of current primary care services and enable greater provision of proactive, personalised, coordinated and more integrated health and social care.

For further information on Primary Care Networks, see the NHS England and NHS Improvement website at: Primary care networks.For further information on Primary Care Networks, see the NHS England website at: Primary care networks.

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SEXUAL AND REPRODUCTIVE HEALTH ACTIVITY DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The Sexual and Reproductive Health Activity Data Set covers PATIENT contact with the Sexual and Reproductive Health Services whether in a clinic setting, in the PATIENT's home or at an alternative location.

Public Health England requires the mandatory collection of information on the SERVICES provided by Sexual and Reproductive Health Services.

The Sexual and Reproductive Health Activity Data Set provides essential data to:

  • Ensure a relevant collection of electronic data to support local service development
  • Allow monitoring of key policy initiatives and indicators such as: The Public Health Outcome Framework Indicator on under 18 conceptions; increasing access to all methods of contraception, including Long Acting Reversible Contraceptions (LARC) methods and emergency contraception for women of all ages and their partners; reducing teenage conceptions; reducing the rate of unintended pregnancies and modernisation of Sexual and Reproductive Health Services
  • Provide appropriate definitions and guidance material to enable a standardised data set from Sexual and Reproductive Health Services
  • Support commissioners in understanding which population groups are accessing Sexual and Reproductive Health Services and which SERVICES they are receiving, including the LARC methods as recommended by National Institute for Health and Care Excellence (NICE), and therefore allowing for long-term commissioning of SERVICES
  • Develop, over time, indicators of quality and outcome in SERVICE delivery (especially in comparative reports). For example the removal and length of use for LARC devices, provision of emergency CONTRACEPTION, the provision of CONTRACEPTION post abortion and referrals to secondary care, the comparison of attendance rates for selected care and the diversity of young PERSON provision by Sexual and Reproductive Health Services including social referrals
  • Aid the development of a benchmark measure to indicate how SERVICES compare in delivering the most appropriate and effective care to PATIENTS
  • Reflect current data collection practices and requirements at Sexual and Reproductive Health Services.

Data Extract Specification

Description: The Sexual and Reproductive Health Activity Data Set return includes PATIENT ACTIVITY provided by Sexual and Reproductive Health Services in clinics and non-clinic venues (e.g. outreach facilities or domiciliary visits). Also included are Sexual and Reproductive Health Services provided by non - NHS clinics funded wholly or in part by Local Authorities and/or Clinical Commissioning Groups (e.g. Brook). Also included are Sexual and Reproductive Health Services provided by non - NHS clinics funded wholly or in part by Local Authorities and/or Integrated Care Boards (e.g. Brook). It does not include SERVICES provided by CONSULTANTS in Outpatient Clinics or those provided by GENERAL MEDICAL PRACTITIONERS.

Data collected will be used by the NHS, Care Quality Commission, Local Authorities Clinical Commissioning GroupsPublic Health England and other appropriate ORGANISATIONS to support the monitoring of the National Strategies on Sexual and Reproductive Health Services, service provision, benchmarking and development of commissioning.Data collected will be used by the NHS, Care Quality Commission, Local Authorities, Integrated Care BoardsUK Health Security Agency and other appropriate ORGANISATIONS to support the monitoring of the National Strategies on Sexual and Reproductive Health Services, service provision, benchmarking and development of commissioning.

Time period: The extract will cover one financial year.

Frequency: Extracts run annually, six weeks after the end of the financial year.

Format: Data returned should be formatted to a comma separated variable (CSV) or in a MS Excel file. The data variables should be transmitted in the order specified in the Sexual and Reproductive Health Activity Data Set.

Transmission: Data is submitted via an on-line process to NHS Digital.

For further information on the Sexual and Reproductive Health Activity Data Set see the NHS Digital website at: Sexual and Reproductive Health Activity Data Set (SRHAD) Collection.

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
  • R = Required: NHS business processes cannot be delivered without this data element.

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SPECIALISED COMMISSIONING HUB

Change to Supporting Information: Changed Description

A Specialised Commissioning Hub is an ORGANISATION.A Specialised Commissioning Hub is an artefact in the Organisation Data Service (ODS) data used as a proxy for the standard commissioning ORGANISATIONS.

A Specialised Commissioning Hub is a part of NHS England and NHS Improvement.These codes enable IT systems and financial flows to identify ACTIVITY commissioned nationally or commissioned in some other way that is outside the standard commissioning model in England.

Specialised Commissioning Hubs are responsible for leading the commissioning of specialised services.

A smaller number of the Specialised Commissioning Hubs also carry out the direct commissioning of military and prison health services.

 

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SPECIALIST COMMUNITY PUBLIC HEALTH NURSE: SCHOOL NURSE

Change to Supporting Information: Changed Description

A Specialist Community Public Health Nurse: School Nurse is a CARE PROFESSIONAL.

Specialist Community Public Health Nurse - School Nurses provide a variety of SERVICES.

This could be:

  • providing health and sex education within Schools
  • carrying out developmental screening
  • undertaking health interviews, administering immunisation programmes etc.
Specialist Community Public Health Nurse - School Nurses can be employed either by the Local Authority, Clinical Commissioning GroupNHS Trust, NHS Foundation Trust or by the School directly.Specialist Community Public Health Nurse - School Nurses can be employed either by the Local Authority, Integrated Care BoardNHS Trust, NHS Foundation Trust or by the School directly. 

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SUB INTEGRATED CARE BOARD LOCATION

Change to Supporting Information: New Supporting Information

A Sub Integrated Care Board Location is a sub-division of an Integrated Care Board’s total GEOGRAPHIC AREA, required for data disaggregation purposes and to support the ELECTRONIC HEALTH RECORD.

Sub Integrated Care Board Locations are reference data artefacts and do not represent any legally defined organisational entity in their own right; rather they are intended to be used as proxies for the Integrated Care Board of which they form a component part.

Sub Integrated Care Board Locations are intended as a temporary measure for a period of time to allow Integrated Care System legislation to be enacted, while minimising impacts on downstream systems and processes by allowing more time for the completion of planning and design activities.

Note: the Organisation Data Service (ODS) codes identifying Clinical Commissioning Groups at the point of their dissolution were retained, and their names changed to reflect their new status as Sub Integrated Care Board Locations. Each Sub Integrated Care Board Location inherited the geographical boundary from the Clinical Commissioning Group they displaced, adjusted in line with any geographical boundary changes.

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SUPPORTING DEFINITIONS MENU

Change to Supporting Information: Changed Description


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SUSTAINABILITY AND TRANSFORMATION PARTNERSHIP

Change to Supporting Information: Changed Description

A Sustainability and Transformation Partnership (STP) is an integral part of NHS England and NHS Improvement.Sustainability and Transformation Partnerships have now evolved into Integrated Care Systems.

A Sustainability and Transformation Partnership is where local NHS ORGANISATIONS and Local Authorities draw up shared proposals to improve health and care in the areas they serve.All Organisation Data Service records for Sustainability and Transformation Partnerships were renamed as Integrated Care Boards on 1 July 2022. 

In some areas Sustainability and Transformation Partnerships have evolved to become Integrated Care Systems, a new form of even closer collaboration between the NHS and Local Authorities.The definition has been retained for historical reporting.

Sustainability and Transformation Partnership (STP) is an integral part of NHS England and NHS Improvement.

For further information on Sustainability and Transformation Partnerships, see the NHS England and NHS Improvement website at: The journey to integrated care systems in every area.A Sustainability and Transformation Partnership is where local NHS ORGANISATIONS and Local Authorities draw up shared proposals to improve health and care in the areas they serve.

In some areas Sustainability and Transformation Partnerships have evolved to become Integrated Care Systems, a new form of even closer collaboration between the NHS and Local Authorities.

For further information on Sustainability and Transformation Partnerships, see the NHS England and NHS Improvement website at: The journey to integrated care systems in every area.

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NHS SERVICE AGREEMENT

Change to Class: Changed Description

A formal agreement between a commissioner ORGANISATION and one or more Health Care Provider ORGANISATIONS for the provision of PATIENT care SERVICES.

SERVICES may be commissioned in two ways:

The costs of a NHS SERVICE AGREEMENT accrue to the ORGANISATION responsible for commissioning the treatment.

For Commissioning Data Set messages the commissioner is identified in the ORGANISATION CODE (CODE OF COMMISSIONER) field.For Commissioning Data Set messages the commissioner is identified in the ORGANISATION CODE (CODE OF COMMISSIONER) / ORGANISATION IDENTIFIER (CODE OF COMMISSIONER) field.

 

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CLINICAL COMMISSIONING GROUP ELIGIBILITY DECISION OUTCOME FOR NHS CONTINUING HEALTHCARE STANDARD

Change to Attribute: Changed Description

The outcome of the eligibility decision for NHS Continuing Healthcare (Standard) made by the Clinical Commissioning Group.The outcome of the eligibility decision for NHS Continuing Healthcare (Standard) made by the responsible commissioner.

National Codes:

01Eligible for NHS Continuing Healthcare (Standard)
02Eligible for NHS-funded Nursing Care
03Not eligible for NHS Continuing Healthcare or NHS-funded Nursing Care
 

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CLINICAL COMMISSIONING GROUP REVIEW ELIGIBILITY DECISION OUTCOME FOR NHS CONTINUING HEALTHCARE

Change to Attribute: Changed Description

The outcome of the review request of eligibility for NHS Continuing Healthcare made by the Clinical Commissioning Group.The outcome of the review request of eligibility for NHS Continuing Healthcare made by the responsible commissioner.

National Codes:

01Eligible for NHS Continuing Healthcare (Standard)
02Eligible for NHS Continuing Healthcare (Fast Track)
03Eligible for NHS-funded Nursing Care
04Not eligible for NHS Continuing Healthcare or NHS-funded Nursing Care
05Request discounted for NHS Continuing Healthcare
 

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DOCTOR INDEX NUMBER

Change to Attribute: Changed Description

The General Medical Council allocates all doctors a GENERAL MEDICAL COUNCIL REFERENCE NUMBER on their first contact with the General Medical Council.

A doctor can be both a GENERAL PRACTITIONER and a Hospital CONSULTANT, and therefore hold a DOCTOR INDEX NUMBER, GENERAL MEDICAL PRACTITIONER PPD CODE and a CONSULTANT CODE simultaneously.

For further information, see the Organisation Data Service pages of the NHS Digital website at:For further information, see the:

 

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NHS CONTINUING HEALTHCARE COMMISSIONED SERVICES INDICATOR

Change to Attribute: Changed Description

An indication of whether the Clinical Commissioning Group (CCG) authorises another ORGANISATION to exercise any of its NHS Continuing Healthcare functions on its behalf, for example, Commissioning Support Unit (CSU), NHS Trust, section 75 arrangement with Local Authority.An indication of whether the responsible commissioner authorises another ORGANISATION to exercise any of its NHS Continuing Healthcare functions on its behalf, for example, Commissioning Support Unit (CSU), NHS Trust, section 75 arrangement with Local Authority.

This item has been updated in DCB0090: Health and Social Care Organisation Reference Data to reflect the new organisational hierarchy and naming. The NHS Continuing Healthcare Patient Level Data Set will be updated as part of an Information Standard to reflect the current arrangements for the Data Set.

National Codes:

YYes - the Clinical Commissioning Group (CCG) authorises another ORGANISATION to exercise its NHS Continuing Healthcare functions on its behalf
NNo - the Clinical Commissioning Group (CCG) does not authorise another ORGANISATION to exercise its NHS Continuing Healthcare functions on its behalf
YYes - the responsible commissioner authorises another ORGANISATION to exercise its NHS Continuing Healthcare functions on its behalf
NNo - the responsible commissioner does not authorise another ORGANISATION to exercise its NHS Continuing Healthcare functions on its behalf
 

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NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE DECISION OUTCOME

Change to Attribute: Changed Description

The decision outcome of eligibility for NHS Continuing Healthcare Previously Unassessed Period of Care following the review by the Clinical Commissioning Group.The decision outcome of eligibility for NHS Continuing Healthcare Previously Unassessed Period of Care following the review by the responsible commissioner.

National Codes:

01Eligible for NHS Continuing Healthcare for the full period claimed
02Eligible for NHS Continuing Healthcare for part of the period claimed
03Not Eligible for NHS Continuing Healthcare
04Request for NHS Continuing Healthcare Previously Unassessed Period of Care discounted
 

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PRIVATE CONTROLLED DRUG PRESCRIBER CODE

Change to Attribute: Changed Description

A PRIVATE CONTROLLED DRUG PRESCRIBER CODE is allocated by the NHS Prescription Services to private prescribers who prescribe schedule 2 and 3 controlled drugs that are intended to be dispensed by registered pharmacies.

Note: A registered pharmacy means Pharmacy Premises registered with the General Pharmaceutical Council and listed on the General Pharmaceutical Council Register.

For information on Controlled Drugs, see the NHS Business Services Authority Prescription Pricing Division website.

Private Controlled Drug Prescribers fall into one of the following types:

  • Private General Practitioners
  • Private Nurses
  • Private Pharmacists
  • Private Optometrists
  • Private Physiotherapists
  • Private Radiographers
  • Private Podiatrists.

Each Private Controlled Drug Prescriber is linked to one Sustainability and Transformation Partnership (STP). This is the Sustainability and Transformation Partnership that is responsible for the Private Controlled Drug Prescriber and may not necessarily be the geographic Sustainability and Transformation Partnership.Each Private Controlled Drug Prescriber is linked to one Integrated Care Board. This is the Integrated Care Board that is responsible for the Private Controlled Drug Prescriber and may not necessarily be the geographic Integrated Care Board.

For further information, see the Organisation Data Service pages of the NHS Digital website at:

 

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REFERRAL REQUEST ACCEPTED DATE FOR NHS CONTINUING HEALTHCARE FAST TRACK

Change to Attribute: Changed Description

The date the REFERRAL REQUEST was accepted by the Clinical Commissioning Group for NHS Continuing Healthcare (Fast Track).The date the REFERRAL REQUEST was accepted by the responsible commissioner for NHS Continuing Healthcare (Fast Track).

 

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REFERRAL REQUEST DISCOUNTED DATE FOR NHS CONTINUING HEALTHCARE STANDARD

Change to Attribute: Changed Description

The date the REFERRAL REQUEST for NHS Continuing Healthcare (Standard) was discounted by the Clinical Commissioning Group.The date the REFERRAL REQUEST for NHS Continuing Healthcare (Standard) was discounted by the responsible commissioner.

 

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REFERRAL REQUEST DISCOUNTED REASON FOR NHS CONTINUING HEALTHCARE

Change to Attribute: Changed Description

The reason why the REFERRAL REQUEST was discounted for NHS Continuing Healthcare by the Clinical Commissioning Group.The reason why the REFERRAL REQUEST was discounted for NHS Continuing Healthcare by the responsible commissioner.

National Codes:

01PATIENT deceased (fully funded at time of death)
02PATIENT placed on fully funded interim care
03PATIENT requiring further Acute treatment
04Inappropriate REFERRAL REQUEST
05REFERRAL REQUEST withdrawn by PATIENT/Family
98Other (not listed)
 

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REFERRAL REQUEST OR NOTIFICATION RECEIVED DATE FOR NHS CONTINUING HEALTHCARE

Change to Attribute: Changed Description

The date the REFERRAL REQUEST or notification for NHS Continuing Healthcare assessment was received by the Clinical Commissioning Group.The date the REFERRAL REQUEST or notification for NHS Continuing Healthcare assessment was received by the responsible commissioner.

 

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END DATE AGREED (NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE)

Change to Data Element: Changed Description

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END DATE REQUESTED (NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE)

Change to Data Element: Changed Description

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NHS CONTINUING HEALTHCARE INCOMPLETE REFERRALS (EXCEEDING 28 DAYS AT REPORTING PERIOD END STANDARD)

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Format/Length:max n6
National Codes: 
Default Codes: 

Notes:
NHS CONTINUING HEALTHCARE INCOMPLETE REFERRALS (EXCEEDING 28 DAYS AT REPORTING PERIOD END STANDARD) is the number of NHS Continuing Healthcare (Standard) referrals waiting to be concluded, that have exceeded 28 days at the end of the REPORTING PERIOD. 

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NHS CONTINUING HEALTHCARE REFERRALS

Change to Data Element: Changed Description

Format/Length:max n6
National Codes: 
Default Codes: 

Notes:
NHS CONTINUING HEALTHCARE REFERRALS is the same as attribute ACTIVITY COUNT.

NHS CONTINUING HEALTHCARE REFERRALS is the number of referrals for NHS Continuing Healthcare in the REPORTING PERIOD.

A referral is the earliest notification to the Clinical Commissioning Group (CCG), or ORGANISATION acting on behalf of the Clinical Commissioning Group, that full consideration for NHS Continuing Healthcare is required, for example, for:A referral is the earliest notification to the responsible commissioner, or ORGANISATION acting on behalf of the responsible commissioner, that full consideration for NHS Continuing Healthcare is required.

For example for:

The following should not be counted as referrals:

 

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NHS CONTINUING HEALTHCARE REFERRALS CONCLUDED (WITHIN 28 DAYS STANDARD)

Change to Data Element: Changed Description

Format/Length:max n6
National Codes: 
Default Codes: 

Notes:
NHS CONTINUING HEALTHCARE REFERRALS CONCLUDED (WITHIN 28 DAYS STANDARD) is the number of referrals for NHS Continuing Healthcare (Standard) that were concluded within 28 days. 

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ORGANISATION CODE (CODE OF COMMISSIONER)

Change to Data Element: Changed Description

Format/Length:an3 or an5
National Codes: 
Default Codes:VPP00 - Private PATIENTS / Overseas Visitor liable for charge
 XMD00 - Commissioner Code for Ministry of Defence (MoD) Healthcare
 YDD82 - Episodes funded directly by the National Commissioning Group for England (Retired September 2018)

Notes:
ORGANISATION CODE (CODE OF COMMISSIONER) is the same as attribute ORGANISATION CODE.

ORGANISATION CODE (CODE OF COMMISSIONER) is the ORGANISATION CODE of the ORGANISATION commissioning health care.

For Commissioning Data Sets, the ORGANISATION CODE (CODE OF COMMISSIONER) should always be the ORGANISATION CODE of the original commissioner to support the National Tariff Payment System.

The NHS England and NHS Improvement document "Who Pays? Determining responsibility for NHS payments to providers" out a framework for establishing responsibility for commissioning an individual's care within the NHS, (i.e. determining who pays for a PATIENT’s care.)The NHS England document "Who Pays? Determining responsibility for NHS payments to providers" sets out a framework for establishing responsibility for commissioning and paying for a PATIENT’s care within the NHS.

The document includes information on the following:

For further information on this document contact NHS England and NHS Improvement at "Contact us".For further information on this document contact: england.responsiblecommissioner@nhs.net.

Where NHS England and NHS Improvement is the responsible commissioner for a specialised SERVICE, based on the NHS England and NHS Improvement Commissioner Assignment Method (CAM), one of the Specialised Commissioning Hub ORGANISATION CODES should be used depending on which Health Care Provider delivered the SERVICE, e.g. NHS Trust, Independent Sector Healthcare Provider.Where NHS England is the responsible commissioner for a specialised SERVICE, based on the NHS England Commissioner Assignment Method (CAM), one of the Specialised Commissioning Hub ORGANISATION CODES should be used depending on which Health Care Provider delivered the SERVICE, e.g. NHS Trust, Independent Sector Healthcare Provider.

The NHS Digital website provides a mapping list of which Health Care Providers map to which Specialised Commissioning Hub.The NHS Digital website provides a mapping list of which Health Care Providers map to which Specialised Commissioning Hub. The mapping can be found on the Organisation Data Service web pages at: Provider to Commissioning Hub Mapping.

ORGANISATION CODE (CODE OF COMMISSIONER) will be replaced with ORGANISATION IDENTIFIER (CODE OF COMMISSIONER), which is the most recent approved national information standard to describe the required definition.

 

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ORGANISATION CODE (RESIDENCE RESPONSIBILITY)

Change to Data Element: Changed Description

Format/Length:an3
National Codes: 
Default Codes:Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known
Note: This code must not be used in the Commissioning Data Set header. It is not a default commissioner code.
 X98 - Primary Care ORGANISATION Not Applicable (Overseas Visitors)
Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.

Notes:
ORGANISATION CODE (RESIDENCE RESPONSIBILITY) is the same as attribute ORGANISATION CODE.

ORGANISATION CODE (RESIDENCE RESPONSIBILITY) is the ORGANISATION CODE derived from the PATIENT's POSTCODE OF USUAL ADDRESS.

This is where the PATIENT resides within the boundary of a:

ORGANISATION CODES can be downloaded from Technology Reference Update Distribution (TRUD). For further information, see Organisation Data Service.

For PATIENTS who are Overseas Visitors: Organisation Data Service Default Code X98 'Primary Care Organisation Not Applicable (Overseas Visitors)' should be reported.
Note: A review of Organisation Data Service Default Codes is planned to be carried out and this default code will be updated as part of that.

For the purposes of sending Commissioning Data Set messages to the Secondary Uses Service (regardless of how local systems hold the data), it is essential at present to continue using a 3 character field, using the first 3 characters of the ORGANISATION CODE (RESIDENCE RESPONSIBILITY) and following the same update rules relating to Prime Recipient as are currently in place. This is necessary, primarily to preserve the integrity of the current Commissioning Data Set message and the CDS PRIME RECIPIENT IDENTITY which is derived from the ORGANISATION CODE (RESIDENCE RESPONSIBILITY).

The Organisation Data Service provides postcode files which link postcodes to the Clinical Commissioning Group. See NHS Postcode Directory.

ORGANISATION CODE (RESIDENCE RESPONSIBILITY) will be replaced with ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY), which is the most recent approved national information standard to describe the required definition.

 

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ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)

Change to Data Element: Changed Description

Format/Length:min an3 max an5
National Codes: 
Default Codes:VPP00 - Private PATIENTS / Overseas Visitor liable for charge
 XMD00 - Commissioner Code for Ministry of Defence (MoD) Healthcare
 YDD82 - Episodes funded directly by the National Commissioning Group for England (Retired September 2018)

Notes:
ORGANISATION IDENTIFIER (CODE OF COMMISSIONER) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION IDENTIFIER (CODE OF COMMISSIONER) is the ORGANISATION IDENTIFIER of the ORGANISATION commissioning health care.

For Commissioning Data Sets, the ORGANISATION IDENTIFIER (CODE OF COMMISSIONER) should always be the ORGANISATION IDENTIFIER of the original commissioner to support the National Tariff Payment System.

The NHS England and NHS Improvement document "Who Pays? Determining responsibility for NHS payments to providers" sets out a framework for establishing responsibility for commissioning an individual's care within the NHS, (i.e. determining who pays for a PATIENT’s care.)The NHS England document "Who Pays? Determining responsibility for NHS payments to providers" sets out a framework for establishing responsibility for commissioning and paying for a PATIENT’s care within the NHS.

The document includes information on the following:

For further information on this document contact NHS England and NHS Improvement at "Contact us".For further information on this document contact: england.responsiblecommissioner@nhs.net.

Where NHS England and NHS Improvement is the responsible commissioner for a specialised SERVICE, based on the NHS England and NHS Improvement Commissioner Assignment Method (CAM), one of the Specialised Commissioning Hub ORGANISATION IDENTIFIERS should be used depending on which Health Care Provider delivered the SERVICE, e.g. NHS Trust, Independent Sector Healthcare Provider.Where NHS England is the responsible commissioner for a specialised SERVICE, based on the NHS England Commissioner Assignment Method (CAM), one of the Specialised Commissioning Hub ORGANISATION IDENTIFIERS should be used depending on which Health Care Provider delivered the SERVICE, e.g. NHS Trust, Independent Sector Healthcare Provider.

The NHS Digital website provides a mapping list of which Health Care Providers map to which Specialised Commissioning Hub.The NHS Digital website provides a mapping list of which Health Care Providers map to which Specialised Commissioning Hub. The mapping can be found on the Organisation Data Service web pages at: Provider to Commissioning Hub Mapping.

ORGANISATION CODE (CODE OF COMMISSIONER) will be replaced with ORGANISATION IDENTIFIER (CODE OF COMMISSIONER), which is the most recent approved national information standard to describe the required definition.

 

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ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY)

Change to Data Element: Changed Description

Format/Length:min an3 max an5
National Codes: 
Default Codes:Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known
 X98 - Primary Care ORGANISATION Not Applicable (Overseas Visitors)

Notes:
ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY) is the ORGANISATION IDENTIFIER of the ORGANISATION responsible for the GP Practice where the PATIENT is registered, irrespective of whether they reside within the boundary of the Clinical Commissioning Group.ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY) is the ORGANISATION IDENTIFIER of the ORGANISATION responsible for the GP Practice where the PATIENT is registered, irrespective of whether they reside within the boundary of the Sub Integrated Care Board Location.

 

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ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)

Change to Data Element: Changed Description

Format/Length:min an3 max an5
National Codes: 
Default Codes:Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known
Note: This code must not be used in the Commissioning Data Set header. It is not a default commissioner code.
 X98 - Primary Care ORGANISATION Not Applicable (Overseas Visitors)
Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.

Notes:
ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) is the ORGANISATION IDENTIFIER derived from the PATIENT's POSTCODE OF USUAL ADDRESS.

This is where the PATIENT resides within the boundary of a:

For PATIENTS who are Overseas Visitors: Organisation Data Service Default Code X98 'Primary Care Organisation Not Applicable (Overseas Visitors)' should be reported.
Note: A review of Organisation Data Service Default Codes is planned to be carried out and this default code will be updated as part of that.

For the purposes of sending Commissioning Data Set messages to the Secondary Uses Service (regardless of how local systems hold the data), it is essential at present to continue using a 3 character field, using the first 3 characters of the ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) and following the same update rules relating to Prime Recipient as are currently in place. This is necessary, primarily to preserve the integrity of the current Commissioning Data Set message and the CDS PRIME RECIPIENT IDENTITY which is derived from the ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY).For the purposes of sending Commissioning Data Set messages to the Secondary Uses Service (regardless of how local systems hold the data), it is essential at present to continue using a 3 character field, using the first 3 characters of the ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) and following the same update rules relating to Prime Recipient as are currently in place. This is necessary, primarily to preserve the integrity of the current Commissioning Data Set message and the CDS PRIME RECIPIENT IDENTITY / ORGANISATION IDENTIFIER (CDS RECIPIENT) which is derived from the ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY).

ORGANISATION CODE (RESIDENCE RESPONSIBILITY) will be replaced with ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY), which is the most recent approved national information standard to describe the required definition.

 

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PERSONS ASSESSED AS NOT ELIGIBLE FOR NHS CONTINUING HEALTHCARE (STANDARD)

Change to Data Element: Changed Description

Format/Length:max n6
National Codes: 
Default Codes: 

Notes:
PERSONS ASSESSED AS NOT ELIGIBLE FOR NHS CONTINUING HEALTHCARE (STANDARD) is the same as attribute PERSON COUNT.

PERSONS ASSESSED AS NOT ELIGIBLE FOR NHS CONTINUING HEALTHCARE (STANDARD) is the number of PERSONS assessed as not eligible for NHS Continuing Healthcare (Standard) in the REPORTING PERIOD.

This is where a new Decision Support Tool for NHS Continuing Healthcare or Multidisciplinary Team recommendation has been made and the Clinical Commissioning Group (CCG) has made a decision that the PERSON is not eligible for NHS Continuing Healthcare (Standard).This is where a new Decision Support Tool for NHS Continuing Healthcare or Multidisciplinary Team recommendation has been made and the responsible commissioner has made a decision that the PERSON is not eligible for NHS Continuing Healthcare (Standard).

This could also include those cases that were found not eligible for Standard NHS Continuing Healthcare but were eligible for NHS-funded Nursing Care (NHS FNC) or a Joint Funded individual package of care.

Note: this item is not applicable for NHS Continuing Healthcare (Fast Track)

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START DATE AGREED (NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE)

Change to Data Element: Changed Description

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START DATE REQUESTED (NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE)

Change to Data Element: Changed Description

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For enquiries about this Change Request, please email information.standards@nhs.net

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