The ABO System is a CODED CLINICAL ENTRY.

The ABO System is a system of 4 basic types into which human blood may be classified according to the presence or absence of particular antigens:The ABO System is a system of 4 basic types into which human blood may be classified according to the presence or absence of particular antigens.

The 4 types are:

• A - Blood group A has A antigens in its red blood cells and anti-B antibodies in its plasma;
• B - Blood group B has B antigens and anti-A antibodies in its plasma;
• O - Blood group O blood has no antigens but both anti-A and anti-B antibodies
• AB - Blood group AB has both A and B antigens but no antibodies, as it would destroy itself.

For further information on the ABO System, see the NHS website at: Blood groups.

A Allied Health Professional Referral To Treatment Measurement is a REFERRAL TO TREATMENT PERIOD.An Allied Health Professional Referral To Treatment Measurement is a REFERRAL TO TREATMENT PERIOD.

In 2008, the Department of Health and Social Care published 'Framing the Contribution of Allied Health Professionals', which sets out three key aspects for improving the SERVICES which ALLIED HEALTH PROFESSIONALS in NHS Allied Health Professional Services (Referral To Treatment Measurement) provide:In 2008, the Department of Health and Social Care published 'Framing the Contribution of Allied Health Professionals', which sets out three key aspects for improving the SERVICES which ALLIED HEALTH PROFESSIONALS in NHS Allied Health Professional Services (Referral To Treatment Measurement) provide.

These are:

• To mandate the collection of Referral To Treatment information for ALLIED HEALTH PROFESSIONALS and support SERVICE redesign to improve SERVICES for PATIENTS
• To promote the benefits of self-referral to Physiotherapy SERVICES
• To improve the quality of SERVICES delivered

The Department of Health and Social Care introduced voluntary collection of ALLIED HEALTH PROFESSIONAL REFERRAL TO TREATMENT PERIOD waiting time information from April 2010, and mandatory collection from April 2011.  The Community Services Data Set and the Commissioning Data Sets (version 6-2 onwards) include the facility to report the ALLIED HEALTH PROFESSIONAL REFERRAL TO TREATMENT PERIOD waiting time data elements which are used for waiting time measurement.

The ALLIED HEALTH PROFESSIONALS mandated to collect and flow Referral To Treatment data are:

• Art Therapists, Music Therapists and Dramatherapists (Arts Therapists)
• Chiropodists/Podiatrists
• Dietitians
• Occupational Therapists
• Orthoptists
• Physiotherapists
• Prosthetists and Orthotists
• Radiographers (Diagnostic and Therapeutic)
• Speech and Language Therapists

There is no maximum waiting time target attached to an ALLIED HEALTH PROFESSIONAL REFERRAL TO TREATMENT PERIOD, so no adjustments can be applied to the calculated waiting time between the REFERRAL TO TREATMENT PERIOD START DATE and the REFERRAL TO TREATMENT PERIOD END DATE.  However, locally the EARLIEST CLINICALLY APPROPRIATE DATE and the EARLIEST REASONABLE OFFER DATE can be used by Health Care Providers and their Commissioners to analyse unexpectedly long waits for First Definitive Treatment.

ALLIED HEALTH PROFESSIONALS working as part of a Consultant Led Service in secondary care are excluded.

Further guidance relating to the Allied Health Professional Referral To Treatment initiative can be found on the Department of Health and Social Care at: Allied Health Professional (AHP) Referral to Treatment (RTT) guide.

An Anaesthetist is a CARE PROFESSIONAL.

Anaesthetists form the largest single hospital medical specialty and their skills are used in all aspects of PATIENT care, including:Anaesthetists form the largest single hospital medical specialty and their skills are used in all aspects of PATIENT care.

These skills include:

• The preoperative preparation of surgical PATIENTS
• The resuscitation and stabilisation of PATIENTS in the Emergency Care Department
• Pain relief in Labour and obstetric anaesthesia
• Intensive care medicine
• Transport of acutely ill and injured PATIENTS
• Pre-hospital emergency care
• Pain medicine including:
  • The relief of post-operative pain
  • Acute pain medicine and the management of acute teams
  • Chronic and cancer pain management
• The provision of sedation and anaesthesia for PATIENTS undergoing various procedures outside the operating theatre. Examples of this include different Endoscopies, interventional radiology and dental surgery.

For further information on Anaesthetists, see the Royal College of Anaesthetists website at: What do Anaesthetists do?.

Blood Pressure is a CLINICAL INVESTIGATION RESULT ITEM.

Blood Pressure is the pressure of the blood within the arteries and is comprised of:Blood Pressure is the pressure of the blood within the arteries.

Blood Pressure is comprised of:

• Systolic Blood Pressure and
• Diastolic Blood Pressure.

The British HIV Association is an ORGANISATION.

The British HIV Association (BHIVA):The British HIV Association (BHIVA) is the leading UK association representing CARE PROFESSIONALS in HIV care.

The British HIV Association:

• is the leading UK association representing professionals in Human Immunodeficiency Virus (HIV) care
• is committed to providing excellent care for people living with and affected by HIV
• is a national advisory body on all aspects of HIV care
• provides a national platform for HIV care issues.

For further information on the British HIV Association, see the British HIV Association website at: About BHIVA.

A Cancer Treatment Period is an ACTIVITY GROUP.

A Cancer Treatment Period is:A Cancer Treatment Period is initiated when a Decision To Treat for a cancer condition is made and ends when the PATIENT receives the Planned Cancer Treatment specified in the Cancer Care Plan covering the PATIENTS condition. This is the same as TREATMENT START DATE (CANCER).

• initiated when a Decision To Treat for a cancer condition is made and
• ends when the PATIENT receives the Planned Cancer Treatment specified in the Cancer Care Plan covering the PATIENTS condition. This is the same as TREATMENT START DATE (CANCER).

The full list of International Classification of Diseases (ICD) diagnosis codes is available on the NHS Digital website at: Cancer Waiting Times.

If the PATIENT receives several different types of treatment within the same Cancer Care Plan (e.g. surgery, followed by Chemotherapy, followed by Radiotherapy), then each stage has its own Cancer Treatment Period of 31 days between DECISION TO TREAT DATE (or EARLIEST CLINICALLY APPROPRIATE DATE) and TREATMENT START DATE (CANCER).

CANCER CARE SETTING (TREATMENT) is used to derive whether a waiting time adjustment between CANCER TREATMENT PERIOD START DATE and TREATMENT START DATE (CANCER) may be recorded in WAITING TIME ADJUSTMENT (TREATMENT).

A Care Home With Nursing is an ORGANISATION SITEA Care Home With Nursing is an ORGANISATION SITE.

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

Examples of Care Homes With Nursing include:

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

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

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

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

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

A Care Plan Creation Date is an ACTIVITY DATE TIME.

A Care Plan Creation Date is the date that a CARE PLAN was created.  

A Care Plan Creation Time is an ACTIVITY DATE TIME.

A Care Plan Creation Time is the time that a CARE PLAN was created.  

A Care Plan Implementation Date is an ACTIVITY DATE TIME.

A Care Plan Implementation Date is the date that aspects of the CARE PLAN have commenced.  

A Care Plan Last Updated Date is an ACTIVITY DATE TIME.

A Care Plan Last Updated Date is the date that a CARE PLAN was last updated.  

A Care Professional Admitted Care Episode is an ACTIVITY GROUP.

A Care Professional Admitted Care Episode is the period of time within a Hospital Provider Spell during which the PATIENT is under the medical responsibility of a:A Care Professional Admitted Care Episode is the period of time within a Hospital Provider Spell during which the PATIENT is under the medical responsibility of a CARE PROFESSIONAL.

The CARE PROFESSIONAL could be a:

• CONSULTANT
• MIDWIFE
• NURSE
• ALLIED HEALTH PROFESSIONAL
• ALLIED HEALTH PROFESSIONAL.

A Care Professional Admitted Care Episode can be a:

• Consultant Episode (Hospital Provider)
• Midwife Episode
• Nursing Episode.

A Child Protection Plan is a CARE PLAN.

A Child Protection Plan is initiated when a child is judged to be at risk of significant harm.

A Child Protection Plan should:

• assess the likelihood of the child suffering harm and look at ways that the child can be protected;
• decide upon short and long term aims to reduce the likelihood of harm to the child and to protect the child’s welfare;
• clarify people’s responsibilities and actions to be taken; and
• outline ways of monitoring and evaluating progress.

A Chiropractor is a CARE PROFESSIONAL.

A Chiropractor is a CARE PROFESSIONAL who is registered with the General Chiropractic Council and is competent to diagnose, manage and prevent musculoskeletal disorders.

A Clinical Dental Technician is a CARE PROFESSIONAL.

A Clinical Dental Technician (CDT) is a registered Dental Care Professional who provides complete dentures directly to PATIENTS and other dental devices on prescription from a dentistA Clinical Dental Technician (CDT) is a registered Dental Care Professional who provides complete dentures directly to PATIENTS and other dental devices on prescription from a dentist.

Clinical Dental Technicians are also qualified Dental Technicians.

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, for example by providing:Commissioning Support Units (CSU) provide Clinical Commissioning Groups 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.

A Community Health Service is a SERVICE.

Community Health Services include a range of SERVICES and treatments provided by CARE PROFESSIONALS in Community premises such as:Community Health Services include a range of SERVICES and treatments provided by CARE PROFESSIONALS in Community premises.

These SERVICES include:

• Health Visiting SERVICE
• District Nursing SERVICE
• Musculoskeletal SERVICE
• School Nursing SERVICE
• Community Dental SERVICE
• Community Paediatrics SERVICE
• Speech and Language Therapy SERVICE

A full list of SERVICES can be found as National Codes on SERVICE OR TEAM TYPE REFERRED TO FOR COMMUNITY CARE.

SERVICES may be provided in various LOCATIONS and settings in the community.

A Crisis Response Intermediate Care Waiting Time Measurement is a REFERRAL TO TREATMENT PERIOD.

The Crisis Response Intermediate Care Waiting Time Measurement:The Crisis Response Intermediate Care Waiting Time Measurement is the duration between the REFERRAL TO TREATMENT PERIOD START DATE and REFERRAL TO TREATMENT PERIOD START TIME and REFERRAL TO TREATMENT PERIOD END DATE and REFERRAL TO TREATMENT PERIOD END TIME.

• is the duration between the REFERRAL TO TREATMENT PERIOD START DATE and REFERRAL TO TREATMENT PERIOD START TIME and REFERRAL TO TREATMENT PERIOD END DATE and REFERRAL TO TREATMENT PERIOD END TIME
• allows monitoring of waiting times for PATIENTS that are deemed not clinically appropriate for the Crisis Response Intermediate Care Within 2 Hours Waiting Time Measurement.

The Crisis Response Intermediate Care Waiting Time Measurement allows monitoring of waiting times for PATIENTS that are deemed not clinically appropriate for the Crisis Response Intermediate Care Within 2 Hours Waiting Time Measurement.

The Crisis Response Intermediate Care Waiting Time Measurement:

• REFERRAL TO TREATMENT PERIOD START DATE and REFERRAL TO TREATMENT PERIOD START TIME:
  
  
  • The PATIENT is identified by a CARE PROFESSIONAL or Social Care Worker as needing support from a Crisis Response Intermediate Care Service (in a community or Urgent Emergency Care (UEC) setting).

• REFERRAL TO TREATMENT PERIOD END DATE and REFERRAL TO TREATMENT PERIOD END TIME:
  
  
  • The CARE CONTACT DATE and CARE CONTACT TIME of the first face-to-face contact between the PATIENT, CARE PROFESSIONAL and Social Care Worker from the Crisis Response Intermediate Care Service.

A Dental Hygienist is a CARE PROFESSIONAL.

A Dental Hygienist is a registered Dental Care Professional who helps PATIENTS maintain their oral health by preventing and treating gum disease and promoting good oral health practice.

A Dental Nurse is a CARE PROFESSIONAL.

A Dental Nurse is a registered Dental Care Professional who provides clinical and other support to other General Dental Council registrants and PATIENTS.

A Dental Technician is a CARE PROFESSIONAL.

A Dental Technician is a registered Dental Care Professional who makes dental devices including dentures, crowns and bridges to prescription from a dentist or Clinical Dental Technician. They also repair dentures direct to the public.

The Department for Work and Pensions is an ORGANISATION.

The Department for Work and Pensions (DWP) supports Ministers in developing and implementing policies and strategies aimed at:The Department for Work and Pensions (DWP) supports Ministers in developing and implementing policies and strategies.

These policies and strategies are aimed at:

• people who receive benefit
• people who need help to find work
• disabled people
• older people
• people who receive the State Pension.
• PEOPLE who receive benefit
• PEOPLE who need help to find work
• disabled PEOPLE
• older PEOPLE
• PEOPLE who receive the State Pension.

For further information on the Department for Work and Pensions, see the Department for Work and Pensions part of the gov.uk website at: Department for Work & Pensions.

The e-Government Interoperability Framework has been archived and is still available for reference only.

The e-Government Interoperability Framework (e-GIF):

• defined the technical policies and specifications governing information flows across government and the public sector
• covered interconnectivity, data integration, e-services access and content management.

The e-Government Interoperability Framework have been archived and are still available for reference only.

The archived e-Government Interoperability Framework can be found on the archived Cabinet Office website.

An Emergency Care Arrival Date is an ACTIVITY DATE TIME.

An Emergency Care Arrival Date is the date the PATIENT:An Emergency Care Arrival Date is the date the PATIENT self presented at the Emergency Care Department or arrived in an Ambulance at the Emergency Care Department.

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

Note that for piloting purposes only, an Emergency Care Arrival Date may also be the Ambulatory Emergency Care Arrival Date.

An Emergency Care Arrival Time is an ACTIVITY DATE TIME.

An Emergency Care Arrival Time is the time the PATIENT:An Emergency Care Arrival Time is the time the PATIENT self presented at the Emergency Care Department or arrived in an Ambulance at the Emergency Care Department.

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

The time should be recorded using the 24 hour clock.

Note that for piloting purposes only, an Emergency Care Arrival Time may also be the Ambulatory Emergency Care Arrival Time.

An Emergency Care Attendance Conclusion Date is an ACTIVITY DATE TIME.

An Emergency Care Attendance Conclusion Date is the date:An Emergency Care Attendance Conclusion Date is the date that a PATIENT's Emergency Care Attendance concludes or when treatment in the Emergency Care Department is completed (whichever is the later).

• that a PATIENT's Emergency Care Attendance concludes or
• when treatment in the Emergency Care Department is completed (whichever is the later).

For those PATIENTS admitted into hospital, the EMERGENCY CARE ATTENDANCE CONCLUSION DATE is recorded as the date when the DECISION TO ADMIT was made.

Where the PATIENT dies in the Emergency Care Department, the Emergency Care Attendance Conclusion Date is the same as the PERSON DEATH DATE.

Note that for piloting purposes only, an Emergency Care Attendance Conclusion Date may also be the Ambulatory Emergency Care Attendance Conclusion Date.

An Emergency Care Attendance Conclusion Time is an ACTIVITY DATE TIME.

An Emergency Care Attendance Conclusion Time is the time, recorded using a 24 hour clock:An Emergency Care Attendance Conclusion Time is the time, recorded using a 24 hour clock that a PATIENT's Emergency Care Attendance concludes or when treatment in an Emergency Care Department is completed (whichever is the later).

• that a PATIENT's Emergency Care Attendance concludes or
• when treatment in an Emergency Care Department is completed (whichever is the later).

For those PATIENTS admitted into hospital, the EMERGENCY CARE ATTENDANCE CONCLUSION TIME is recorded as the time when the DECISION TO ADMIT was made.

Where the PATIENT dies in the Emergency Care Department, the Emergency Care Attendance Conclusion Time is the same as the PERSON DEATH TIME.

Note that for piloting purposes only, an Emergency Care Attendance Conclusion Time may also be the Ambulatory Emergency Care Attendance Conclusion Time.

An Emergency Service is a SERVICE.

An Emergency Service is the provision of an emergency SERVICE to PATIENTS following a 999 call, for SERVICES such as:An Emergency Service is the provision of an emergency SERVICE to PATIENTS following a 999 call.

This is for SERVICES such as:

• Police Service
• Fire Service
• Emergency Ambulance Service
• Search and Rescue.

The Follicular Lymphoma International Prognostic Index 2 (FLIPI2) is an ASSESSMENT TOOL.

The Follicular Lymphoma International Prognostic Index 2 was developed to categorise the prognostic score for PATIENTS with untreated follicular lymphoma and is derived from:The Follicular Lymphoma International Prognostic Index 2 was developed to categorise the prognostic score for PATIENTS with untreated follicular lymphoma.

The Follicular Lymphoma International Prognostic Index 2 is derived from:

• Age of the PATIENT in years
• Serum beta 2 microglobulin
• Haemoglobin
• Bone marrow involvement
• Longest diameter of the largest involved node.

The Follicular Lymphoma International Prognostic Index 2 calculator can be found at: Follicular Lymphoma International Prognostic Index 2 (FLIPI2) Calculator.

A Forensic Mental Health Patient is a PATIENT.

A Forensic Mental Health Patient is a PATIENT being treated by a Forensic Mental Health Service.

A Forensic Mental Health Patient is someone in the following categories:

• Not guilty by reason of mental illness: a PERSON subject to a special verdict who has been found not guilty by reason of mental illness and detained in a hospital, Prison or other place, or who has been granted release into the community conditionally
• Unfit for trial: a PERSON who has been found unfit to be tried for the offences with which they have been charged
• Limiting term: a PERSON who has been given a limiting term following a special hearing and has been detained in a mental health facility, Prison or other place, or who has been granted conditional release
• Transferees: a PERSON who has been transferred from a Prison to a mental health facility whilst on remand or following conviction of a criminal offence and whilst serving a sentence of imprisonment

The General Dental Council is a Regulatory Body.

The General Dental Council is supported by a number of committees and boards.

The General Dental Council aims to:

• protect PATIENTS
• promote confidence in dentists and Dental Care Professionals
• be at the forefront of healthcare regulation.

• register qualified professionals
• set standards of dental practice and conduct
• assure the quality of dental education
• ensure professionals keep up-to-date
• help PATIENTS with complaints about a dentist or a Dental Care Professional
• strengthen PATIENT protection

The General Osteopathic Council is a Regulatory Body.

The aim of the General Osteopathic Council is to protect PATIENTS, develop the osteopathic profession and promote an understanding of osteopathic care.

The General Osteopathic Council:

• Registers qualified professionals
• Sets standards of osteopathic practice and conduct
• Assures the quality of osteopathic education
• Ensures Continuing Professional Development
• Helps PATIENTS with complaints about an Osteopath

For further information on the General Osteopathic Council, see the General Osteopathic Council website at: About us.

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

The General Pharmaceutical Council Register (GPhC Register) is divided into three parts:The General Pharmaceutical Council Register (GPhC Register) is divided into three parts.

The three parts are:

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

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

The Government Data Standards Catalogue has been archived and is still available for reference only.

The Government Data Standards Catalogue:

• set out the rationale, approach and rules for setting and agreeing the set of Government Data Standards (GDS) to be used in the schemas and other interchange processes
• contained the standards agreed to date.

The Government Data Standards Catalogue has been archived and is still available for reference only.

The archived Government Data Standards Catalogue can be found on the archived Cabinet Office website.

A GP Practice is an ORGANISATION.

GP Practices may operate from multiple ORGANISATION SITES.

A GP Practice may be either:

• a single GENERAL PRACTITIONER not practising in partnership, or
• two or more GENERAL PRACTITIONERS practising in partnership.

GP Practices may operate from multiple ORGANISATION SITES.

A GP Practice could be a:

• General Dental Practitioner Practice
• General Medical Practitioner Practice.

Haemodialysis is a CLINICAL INTERVENTIONHaemodialysis is a CLINICAL INTERVENTION.

Haemodialysis is a form of Renal Dialysis which removes waste products from the blood by passing it out of the body through a filtering system (dialyser) and returning it, cleaned, to the body.

For further information on Haemodialysis, see Kidney Patient Guide - Haemodialysis.

A Hospice is an ORGANISATION.

Hospices provide care, treatment and support to PATIENTS in specialised accommodation or in the community. The care provided may be long or short-term and may be provided on an inpatient basis or through day care, day therapy or outreach SERVICES.

A Hospice:

• provides a range of SERVICES for conditions where curative treatment is no longer an option, and people are approaching the end of their life
• provides care, treatment and support for people and their families and carers, including respite care for people who live with friends or family at home
• will generally employ or work with a broad range of health and social CARE PROFESSIONALS to meet the needs of people using the SERVICE.

Care, treatment and support can be provided in accommodation or in the community. It can be long or short-term care, on an inpatient basis or provided through day care, day therapy or outreach services.

Examples of Hospices include:

• Adult Hospice
• Children’s Hospice
• Day Hospice
• End of life care teams
• Hospice at home.

For further information on Hospices, see the NHS website at: Finding a Hospice.

A Hospital Provider is an ORGANISATION.

A Hospital Provider is a Health Care Provider providing SERVICES from a:A Hospital Provider is a Health Care Provider providing SERVICES from a Care Home or separately managed unit (including NHS Trusts and NHS Foundation Trusts).

• Care Home
• separately managed unit (including NHS Trusts and NHS Foundation Trusts).

An Immigration Removal Centre is a Justice Organisation.

An Immigration Removal Centre is a place where people are held:An Immigration Removal Centre is a place where people are held for reasons relating to their immigration status.

This could be:

• whilst immigration requests are being processed
• whilst appeals against removal are being processed or
• pending deportation after having had asylum applications refused.

For further information on Health and Justice healthcare, see the NHS England and NHS Improvement website at: Health and Justice.

Immunisation Programme is a HEALTH PROGRAMME.An Immunisation Programme is a HEALTH PROGRAMME.

An Immunisation Programme aims to maintain an adequate level of immunisation in a population against a specific disease.

The release of Information Standards Notices is managed by the Data Alliance Partnership Board (DAPB).

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

An Information Standards Notice (ISN) is either a notice of an:

• Information Standard approved by the Information Standards Board for Health and Social Care (ISB)
  Information Standards and Collections (Including Extraction) (ISCE) accepted by the Standardisation Committee for Care Information (SCCI) for formal approval by the Department of Health and Social Care or NHS England and NHS Improvement
• Information Standards and Collections (Including Extraction) approved by the Data Coordination Board (DCB).
• Information Standards and Collections (Including Extraction) approved by the Data Alliance Partnership Board (DAPB).

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

When a health and social care ORGANISATION in England receives an Information Standards Notice, they ensure that they and their contractors comply with the notice as specified.

Further information on Information Standards Notices, see the NHS Digital website at Information Standards and Collections (Including Extractions).

Details of all published Information Standards Notices can be found at the NHS Digital website: at Publications and Notifications.

Intermediate Care is an ACTIVITY GROUP.

Intermediate Care provides care to help PATIENTS achieve what they want to do, which may involve:Intermediate Care provides care to help PATIENTS achieve what they want to do.

This may involve:

• remaining at home when the PATIENT starts to find things more difficult
• recovery after a fall, an acute illness or an operation
• avoiding going into hospital unnecessarily
• returning home more quickly after a hospital stay.

There are four types of Intermediate Care:

• Reablement Intermediate Care
• Crisis Response Intermediate Care
• Home-based Intermediate Care
• Community Bed-based Intermediate Care.

For further information on Intermediate Care, see the National Institute for Health and Care Excellence (NICE) website at: Understanding intermediate care.

Joint Replacement Surgery is a CLINICAL INTERVENTION.

Joint Replacement Surgery is surgery to replace a damaged joint with an artificial joint.

There are two types of Joint Replacement Surgery referred to in the National Joint Registry Data Set:

• Primary Joint Replacement Surgery
• Primary Joint Replacement Surgery
  • This uses Implants made from metal, high density polyethylene or ceramic to replace a diseased or worn out joint

This uses Implants made from metal, high density polyethylene or ceramic to replace a diseased or worn out joint and

• Revision Joint Replacement Surgery
• Revision Joint Replacement Surgery
  • This involves removing Implants that were inserted during Primary Joint Replacement Surgery, and usually involves replacing them with new Implants.

This involves removing Implants that were inserted during Primary Joint Replacement Surgery, and usually involves replacing them with new Implants.

A Learning Difficulty is a PERSON PROPERTY. 

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

There are several levels of Learning Difficulties, such as:

• Specific Learning Difficulty - a particular difficulty in learning to read, write, spell etc
• Moderate Learning Difficulty - achievements well below expected levels in all or most areas of the curriculum, despite appropriate interventions
• Severe Learning Difficulty - significant intellectual or cognitive impairments
• Profound and Multiple Learning Difficulty - multiple Learning Difficulties have severe and complex learning needs, in addition they have other significant difficulties, such as physical disabilities or a sensory impairment.

For further information on Learning Difficulties, see the mentalhealth.org.uk website at: Learning difficulties.

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

A Level 1 Sexual Health Service is a Sexual Health Service.

Level 1 Sexual Health Services provide Sexually Transmitted Infection (STI) management and includes:

• Sexual history-taking and risk assessment: Including assessment of need for emergency CONTRACEPTION and Human Immunodeficiency Virus (HIV) post-exposure prophylaxis following sexual exposure (PEPSE)
• Signposting to appropriate Sexual Health Services
• Chlamydia screening: Opportunistic screening for genital chlamydia in asymptomatic males and females under the age of 25
• Asymptomatic Sexually Transmitted Infection screening and treatment of asymptomatic infections (except treatment for syphilis) in men (excluding men who have sex with men) and women
• Partner notification of Sexually Transmitted Infections or onward referral for partner notification
• Human Immunodeficiency Virus testing: Including appropriate pre-test discussion and giving results
• Point of care Human Immunodeficiency Virus testing: Rapid result Human Immunodeficiency Virus testing using a validated test (with confirmation of positive results or referral for confirmation)
• Screening and vaccination for Hepatitis B: Appropriate screening and vaccination for Hepatitis B in at-risk groups
• Sexual health promotion: Provision of verbal and written sexual health promotion information
• Condom distribution: Provision of condoms for safer sex
• Psychosexual problems: Assessment and referral for psychosexual problems

A Level 2 Sexual Health Service is a Sexual Health Service.

Level 2 Sexual Health Services incorporate Sexual Health Services provided by a Level 1 Sexual Health Service plus:

• Sexually Transmitted Infection (STI) testing and treatment of symptomatic but uncomplicated infections in men (except men who have sex with men) and women excluding: men with dysuria and/or genital discharge, symptoms at extra-genital sites, e.g. rectal or pharyngeal, pregnant women, genital ulceration other than uncomplicated genital herpes.

Commissioned Level 2 Sexual Health Services include:

• Enhanced General Practices
• Sexual and Reproductive Health Services
• Young people clinics such as Brook
• Other NHS commissioned Sexual Health Services

A Level 3 Genitourinary Medicine Service is a Sexual Health Service.

Level 3 Genitourinary Medicine Services provide Sexually Transmitted Infection (STI) management and include SERVICES provided by Level 1 Sexual Health Services and Level 2 Sexual Health Services plus:

• Sexually Transmitted Infection testing and treatment of men who have sex with men
• Sexually Transmitted Infection testing and treatment of men with dysuria and genital discharge
• Testing and treatment of Sexually Transmitted Infections at extra-genital sites
• Sexually Transmitted Infections with complications, with or without symptoms
• Sexually Transmitted Infections in pregnant women
• Gonorrhoea cultures and treatment of gonorrhoea
• Recurrent or recalcitrant Sexually Transmitted Infections and related conditions
• Management of syphilis at all stages of infection and blood borne viruses
• Tropical Sexually Transmitted Infections
• Specialist HIV treatment and care
• Provision and follow up of HIV post exposure prophylaxis (PEP), both sexual and occupational
• Sexually Transmitted Infection service co-ordination across a network including:
  • Clinical leadership of Sexually Transmitted Infection management
  • Co-ordination of clinical governance
  • Co-ordination of Sexually Transmitted Infection training
  • Co-ordination of partner notification

A Local Authority District is a GEOGRAPHIC AREA.

A Local Authority District describes the GEOGRAPHIC AREA for which a local government body is responsible.

A Local Authority District is a generic term used to cover:

• London Boroughs
• Metropolitan Districts
• Unitary Authorities and Non-Metropolitan Districts in England
• Unitary Authorities in Wales
• Council Areas in Scotland and
• District Council Areas in Northern Ireland.

For further information on Local Authority Districts, see the Office for National Statistics website at: Glossary.

A Long Term Physical Health Condition is a PATIENT DIAGNOSIS.

For the Improving Access to Psychological Therapies Data Set, a Long Term Physical Health Condition (also known as a Chronic Condition) is:A Long Term Physical Health Condition (also known as a Chronic Condition) is a health problem that requires ongoing management over a period of years or decades and is one that cannot currently be cured but can be controlled with the use of medication and/or other therapies.

• A health problem that requires ongoing management over a period of years or decades
• One that cannot currently be cured but can be controlled with the use of medication and/or other therapies.

Examples of Long Term Physical Health Conditions include:

• Diabetes
• Cardiovascular (e.g. Hypertension, Angina)
• Chronic Respiratory (e.g. Asthma, Chronic Obstructive Pulmonary Disease (COPD))
• Chronic Neurological (e.g. Multiple Sclerosis)
• Chronic Pain (e.g. Arthritis)
• Post-COVID-19 syndrome (see Long COVID)
• Other Long Term Conditions (e.g. Chronic Fatigue Syndrome, Irritable Bowel Syndrome (IBS), Cancer) etc.

For further information on the Long Term Physical Health Conditions, see the NHS England and NHS Improvement website at: Long Term Conditions and Medically Unexplained Symptoms.

A Looked After Child is a PERSON.

A Looked After Child (also referred to as a Child Looked After) is a child in the care of a Local Authority either:A Looked After Child (also referred to as a Child Looked After) is a child in the care of a Local Authority.

This could either be through a:

• through a Care Order made by a Court or
• Care Order made by a Court or
• voluntary agreement with their parent(s) to accommodate them.

They may be looked after:

• in a Children's Home,
• by foster carers, or
• other family members.

All Unaccompanied Asylum Seeking Children are also Looked After Children.

A Measured Referral to Treatment Period is any REFERRAL TO TREATMENT PERIOD.

It enables the time to the start of First Definitive Treatment to be measured following a SERVICE REQUEST toA Measured Referral to Treatment Period enables the time between referral of a PATIENT to a SERVICE and the start of First Definitive Treatment to be measured.

This is following a SERVICE REQUEST to:

• a Consultant Led Service
• an Interface Service
• a Direct Access Service for Audiology
• an NHS Allied Health Professional Service (Referral To Treatment Measurement)

See REFERRAL TO TREATMENT PERIOD START DATE for details of the types of SERVICE REQUEST which may start a REFERRAL TO TREATMENT PERIOD.

See Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement for the subset of REFERRAL TO TREATMENT PERIODS included in the Referral To Treatment Consultant-Led Waiting Times Measurement rules.

Where a referral is made during a Referral To Treatment Period Excluded From Target for the same disease, condition or injury and the referral is to a Consultant Led Service the Referral To Treatment Period Excluded From Target will end with REFERRAL TO TREATMENT PERIOD STATUS of National Code 34 - Decision not to treat and a new REFERRAL TO TREATMENT PERIOD will start.Where a referral is made during a Referral To Treatment Period Excluded From Target for the same disease, condition or injury and the referral is to a Consultant Led Service the Referral To Treatment Period Excluded From Target will end with REFERRAL TO TREATMENT PERIOD STATUS of National Code 34 - Decision not to treat and a new REFERRAL TO TREATMENT PERIOD will start.

A Mental Health Conditional Discharge Period is an ACTIVITY GROUP.

A Mental Health Conditional Discharge Period:A Mental Health Conditional Discharge Period is the period of time that a Mental Health PATIENT is under a mental health conditional discharge.

• Starts when a mental health tribunal or the Secretary of State decides that a PATIENT, who is detained under section 37/41 of the Mental Health Act, can be discharged from the care of a Health Care Provider subject to conditions which must be adhered to.
• A Mental Health Conditional Discharge Period starts when a mental health tribunal or the Secretary of State decides that a PATIENT, who is detained under section 37/41 of the Mental Health Act, can be discharged from the care of a Health Care Provider subject to conditions which must be adhered to.

If the PATIENT does not adhere to the conditions then they may be recalled to hospital, this would end the Mental Health Conditional Discharge Period.If the PATIENT does not adhere to the conditions then they may be recalled to hospital, this would also end the Mental Health Conditional Discharge Period.

• Ends where the PATIENT receives absolute discharge from either the mental health tribunal or the Secretary of State, or the PATIENT dies.
• A Mental Health Conditional Discharge Period ends where the PATIENT receives absolute discharge from either the mental health tribunal or the Secretary of State, or the PATIENT dies.

A Mental Health Service is a SERVICE.

A Mental Health Service is a SERVICE that provides assessment, treatment and support for PATIENTS (irrespective of funding arrangements) with:A Mental Health Service is a SERVICE that provides assessment, treatment and support for PATIENTS (irrespective of funding arrangements).

This is for:

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

This could be provided by ORGANISATIONS including:

• NHS Mental Health Trusts
• NHS Learning Disabilities Trusts
• NHS Acute Trusts
• NHS Care Trusts
• Independent Sector Healthcare Providers offering a service model that includes NHS funded and non-NHS funded PATIENTS
• Any qualified providers offering Mental Health Services.

SERVICES may be provided in various LOCATIONS and settings.

A Multidisciplinary Team Meeting is a CARE ACTIVITY. 

A Multidisciplinary Team Meeting is a meeting of a Multidisciplinary Team.

The following definition is used for the National Cancer Waiting Times Monitoring Data Set and Cancer Outcomes and Services Data Set:

• A Multidisciplinary Team Meeting is a meeting of the group of professionals from one or more clinical disciplines who together make decisions regarding recommended treatment of individual PATIENTS.
• Multidisciplinary Teams may specialise in certain conditions, such as Cancer.  Clinical decisions are made based on reviews of clinical documentation such as case notes, test results, diagnostic imaging etc. The PATIENT may or may not be present.
• Multidisciplinary Teams may specialise in certain conditions, such as Cancer.
• Clinical decisions are made based on reviews of clinical documentation such as case notes, test results, diagnostic imaging etc.
• The PATIENT may or may not be present.

National Cancer Waiting Times Monitoring Data Set: Concept of Operation and Patient Pathway ScenariosNational Cancer Waiting Times Monitoring Data Set: Concept of Operation and Patient Pathway Scenarios.

The National Cancer Waiting Times Monitoring Data Set is a generic data set designed to support the monitoring of waiting times for a variety of different pathways of cancer care. For the purpose of this data collection cancer is defined using the International Classification of Diseases (ICD) codes. The full list of International Classification of Diseases (ICD) diagnosis codes is available on the NHS Digital website at: Cancer Waiting Times.

Collection and submission of the National Cancer Waiting Times Monitoring Data Set is to be managed according to the maximum waiting time and information requirements of the pathway of care for each individual PATIENT. These requirements for providers of cancer SERVICES to return data to the Cancer Waiting Times Database are defined using different scenarios.

• Scenario 1a:
  The Health Care Provider where the PATIENT is first seen following a REFERRAL REQUEST with PRIORITY TYPE 'Two Week Wait', or where an urgent referral is from an NHS Cancer Screening Programme, and where the PATIENT has not had a Decision To Treat, has not had the diagnosis outcome communicated, and the PATIENT has not been excluded from the Cancer Faster Diagnosis Pathway. No inter-provider transfers are in progress.
• Scenario 1b:
  The Health Care Provider where the PATIENT is first seen following a REFERRAL REQUEST with PRIORITY TYPE 'Two Week Wait', or where an urgent referral is from an NHS Cancer Screening Programme, and where the PATIENT has not had a Decision To Treat, has had the diagnosis outcome communicated, and the PATIENT has not been excluded from the Cancer Faster Diagnosis Pathway. No inter-provider transfers are in progress.
• Scenario 1c:
  The Health Care Provider where the PATIENT is first seen following a direct access diagnostic test result that suggested an urgent suspected cancer referral with PRIORITY TYPE 'Two Week Wait' was required, and where a locally agreed escalation process to secondary care has been followed (as defined in National Cancer Waiting Times Monitoring Data Set - A Guide), where the PATIENT has not had the Decision To Treat, and has not had the diagnosis outcome communicated, and the PATIENT has not been excluded from the Cancer Faster Diagnosis Pathway. No inter provider transfers are in progress.
• Scenario 1d:
  The Health Care Provider where the PATIENT is first seen following a REFERRAL REQUEST with PRIORITY TYPE 'Two Week Wait', or where an urgent referral is from an NHS Cancer Screening Programme, and where the PATIENT has had the Decision To Treat, has had the diagnosis outcome communicated, and the PATIENT has not been excluded from the Cancer Faster Diagnosis Pathway. No inter-provider transfers are in progress.
• Scenario 1e:
  The Health Care Provider where the PATIENT is first seen following a REFERRAL REQUEST with PRIORITY TYPE 'Two Week Wait', or where an urgent referral is from an NHS Cancer Screening Programme, and where the PATIENT has not had a Decision To Treat, has not had the diagnosis outcome communicated, and the PATIENT has not been excluded from the Cancer Faster Diagnosis Pathway. The Health Care Provider sends the PATIENT to another Health Care Provider, that is, makes an inter-provider transfer.
• Scenario 1f:
  The Health Care Provider receiving an inter-provider transfer of a PATIENT, where the PATIENT is first seen at a different Health Care Provider, and where the PATIENT has not had a Decision To Treat, has not had the diagnosis outcome communicated, and the PATIENT has not been excluded from the Cancer Faster Diagnosis Pathway. The Health Care Provider then subsequently sends the PATIENT to another Health Care Provider, that is, makes a further inter-provider transfer.
• Scenario 1g:
  The Health Care Provider where the PATIENT is first seen following a REFERRAL REQUEST with PRIORITY TYPE 'Two Week Wait', or where an urgent referral is from an NHS Cancer Screening Programme, and where the PATIENT has not had a Decision To Treat, has not had the diagnosis outcome communicated, and the PATIENT has been excluded from the Cancer Faster Diagnosis Pathway. No inter-provider transfers are in progress.
• Scenario 2a:
  The Health Care Provider where the PATIENT receives First Definitive Treatment for cancer following a REFERRAL REQUEST with PRIORITY TYPE 'Two Week Wait', or where an urgent referral is from an NHS Cancer Screening Programme, and where the PATIENT has had the Decision To Treat, has had the diagnosis outcome communicated, and the PATIENT has not been excluded from the Cancer Faster Diagnosis Pathway. No inter-provider transfers are in progress.
• Scenario 2b:
  The Health Care Provider where the PATIENT receives First Definitive Treatment for cancer following an inter-provider transfer, and where the PATIENT has had the Decision To Treat, and has had the diagnosis outcome communicated, and the PATIENT has not been excluded from the Cancer Faster Diagnosis Pathway.
• Scenario 3:
  The Health Care Provider where the PATIENT receives second or subsequent treatment for cancer following a REFERRAL REQUEST with PRIORITY TYPE 'Two Week Wait', or where an urgent referral is from an NHS Cancer Screening Programme. No inter-provider transfers are in progress.
• Scenario 4:
  The Health Care Provider where the PATIENT receives First Definitive Treatment for cancer following a consultant upgrade onto a 62 day PATIENT PATHWAY. No inter-provider transfers are in progress.
• Scenario 5:
  The Health Care Provider where the PATIENT receives second or subsequent treatment for cancer following a consultant upgrade onto a 62 day PATIENT PATHWAY. No inter-provider transfers are in progress.
• Scenario 6:
  The Health Care Provider where the PATIENT receives First Definitive Treatment for cancer following a REFERRAL REQUEST from another SOURCE OF REFERRAL FOR OUT-PATIENTS or a different PRIORITY TYPE. No inter-provider transfers are in progress.
• Scenario 7:
  The Health Care Provider where the PATIENT receives second or subsequent treatment for cancer following a REFERRAL REQUEST from another SOURCE OF REFERRAL FOR OUT-PATIENTS or a different PRIORITY TYPE. No inter-provider transfers are in progress.

The columns in the table below show which data items are required for a range of health care scenarios:

Data Set Notation:

• M = Mandatory: the Standard Contract Schedule 5 requires NHS provider ORGANISATIONS to submit this information on a monthly basis. NHS England and NHS Improvement require the data to be submitted a number of working days after the end of each month or quarter. This submission schedule is set out on the NHS Digital website at: Cancer Waiting Times Data Collection (CWT).
• M* = Mandatory if applicable: the Standard Contract Schedule 5 requires NHS provider ORGANISATIONS to submit this information on a monthly basis, where collection of the item was applicable to them. NHS England and NHS Improvement require the data to be submitted a number of working days after the end of each month or quarter. This submission schedule is set out on the NHS Digital website at: Cancer Waiting Times Data Collection (CWT).
• O = Optional
• O* = Optional if applicable: These optional fields should only be populated if they relate to the PATIENT PATHWAY identified in the scenarios and the conditions required for their use are met.
• N/A = Not Applicable

Note: Inter-Provider Transfers:

• # First transfer involving the Health Care Provider
• ## Second transfer involving the Health Care Provider. There can be up to ten inter-provider transfers involving many ORGANISATIONS, but an individual ORGANISATION can only be involved in two transfers of a PATIENT.

Full details of the validation rules and processes are available on the NHS Digital website at: Cancer Waiting Times.

A Newborn Physical Examination is a Clinical Investigation.

A physical examination of the baby is carried out within 72 hours of birth, using appropriate clinical examination techniques to examine:A Newborn Physical Examination is a physical examination of the baby carried out within 72 hours of birth.

A Newborn Physical Examination uses appropriate clinical examination techniques to examine the:

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

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

An NHS Allied Health Professional Service (Referral To Treatment Measurement) is a SERVICE.

An NHS Allied Health Professional Service (Referral To Treatment Measurement) is a SERVICE involving the treatment of a PATIENT by one of the following types of ALLIED HEALTH PROFESSIONAL:An NHS Allied Health Professional Service (Referral To Treatment Measurement) is a SERVICE included in the requirement to measure the time between referral of a PATIENT to an ALLIED HEALTH PROFESSIONAL and First Definitive Treatment.

This is treatment of a PATIENT by one of the following types of ALLIED HEALTH PROFESSIONAL:

• Art Therapists, Music Therapists and Dramatherapists (Arts Therapists)
• Chiropodists/Podiatrists
• Dietitians
• Occupational Therapists
• Orthoptists
• Physiotherapists
• Prosthetists and Orthotists
• Radiographers (Diagnostic and Therapeutic)
• Speech and Language Therapists

Where the ALLIED HEALTH PROFESSIONAL works in a Community Health Service, the Department of Health and Social Care requires their Allied Health Professional Referral To Treatment Measurement activity to be reported in the Community Services Data Set. 

Where the ALLIED HEALTH PROFESSIONAL ACTIVITY took place at an Out-Patient Clinic, the Allied Health Professional Referral To Treatment Measurement activity must be reported in the CDS V6-2 Type 020 - Outpatient Commissioning Data Set / CDS V6-3 Type 020 - Outpatient Commissioning Data Set. 

In addition, where an ALLIED HEALTH PROFESSIONAL sees a PATIENT on a WARD but the ACTIVITY is not related to the Hospital Provider Spell the PATIENT is being treated under, this should be regarded as replacing a Care Professional Out-Patient Attendance under the management of the ALLIED HEALTH PROFESSIONAL , and a CDS V6-2 Type 020 - Outpatient Commissioning Data Set / CDS V6-3 Type 020 - Outpatient Commissioning Data Set record should be recorded and submitted to the Secondary Uses Service.  The ACTIVITY LOCATION TYPE CODE in the CDS V6-2 Type 020 - Outpatient Commissioning Data Set / CDS V6-3 Type 020 - Outpatient Commissioning Data Set may be submitted to allow identification of this ALLIED HEALTH PROFESSIONAL ACTIVITY. 

For example, if a Podiatrist were asked to see a PATIENT who was currently admitted for a condition where the agreed care pathway did not include Podiatry services, then a Care Professional Out-Patient Attendance should be recorded, with the ACTIVITY LOCATION TYPE CODE National Code 'WARD', and the relevant Referral To Treatment data items also completed.

Further guidance relating to Allied Health Professional Referral To Treatment initiative can be found on the Department of Health and Social Care part of the gov.uk website at: the Revised guide for referral to treatment for allied health professionals.

An NHS Continuing Healthcare Local Resolution Formal Meeting Date is an ACTIVITY DATE TIME An NHS Continuing Healthcare Local Resolution Formal Meeting Date is an ACTIVITY DATE TIME.

An NHS Continuing Healthcare Local Resolution Formal Meeting Date is the date on which the formal NHS Continuing Healthcare Local Resolution meeting took place.

An NHS Continuing Healthcare Local Resolution Informal Meeting Date is an ACTIVITY DATE TIME An NHS Continuing Healthcare Local Resolution Informal Meeting Date is an ACTIVITY DATE TIME.

An NHS Continuing Healthcare Local Resolution Informal Meeting Date is the date on which the informal NHS Continuing Healthcare Local Resolution meeting took place.

NHS Shared Business Services is an ORGANISATION.

NHS Shared Business Services established by the Department of Health and Social Care has a unique partnership with digital experts to deliver modern corporate services to:NHS Shared Business Services was established by the Department of Health and Social Care and has a unique partnership with digital experts to deliver modern corporate services.

This is to:

• improve efficiency and quality,
• save time and money, and
• support world-class patient care

For further information on the NHS Shared Business Services, see the NHS Shared Business Services website at: About us.

A Northern Ireland Local Commissioning Group is an ORGANISATION in Northern Ireland.

Northern Ireland Local Commissioning Group carry out a range of functions with respect to the commissioning of health and social care for people within their area, including:Northern Ireland Local Commissioning Groups carry out a range of functions with respect to the commissioning of health and social care for people within their area.

This includes:

• assessing health and social care needs
• planning health and social care to meet current and emerging needs
• securing the delivery of health and social care to meet assessed needs.

In exercising these functions, the Northern Ireland Local Commissioning Group have regard to improving the health and social well-being of people in the area within which they exercise their functions, and improving the availability and quality of health and social care in that area.In exercising these functions, the Northern Ireland Local Commissioning Groups have regard to improving the health and social well-being of people in the area within which they exercise their functions, and improving the availability and quality of health and social care in that area.

Further information relating to Northern Ireland Local Commissioning Group can be found at:Further information relating to Northern Ireland Local Commissioning Groups can be found at:

• The Local Commissioning Groups (Number, Area and Functions) Regulations (Northern Ireland) 2009 and
• Health and Social Care (Reform) Act (Northern Ireland) 2009.

A Nurse or Midwife Contact is a CARE CONTACT.

A Nurse or Midwife Contact is a contact, attendance or visit as defined in each of the following:A Nurse or Midwife Contact is a contact or attendance with, or visit to, a PATIENT by a NURSE or MIDWIFE.

A Nurse or Midwife Contact is a contact is defined in each of the following:

• Clinic Attendance Midwife
• Clinic Attendance Nurse
• Maternity Domiciliary Visit
• Sexual and Reproductive Health Domiciliary Visit
• Ward Attendance 

There must be only one Nurse or Midwife Contact recorded for a face to face contact, whether it is at a clinic or any other location at one Health Care Provider.

There must be only one responsible NURSE or MIDWIFE for each Nurse or Midwife Contact.

Nursing contacts may be made either by qualified NURSES or by community support workers (nursing).

An Orthodontic Therapist is a registered Dental Care ProfessionalAn Orthodontic Therapist is a CARE PROFESSIONAL.

An Orthodontic Therapist is a registered Dental Care Professional.

An Orthodontic Therapist who carries out certain parts of orthodontic treatment under prescription from a dentist.

An Other Intermediate Care Waiting Time Measurement is a REFERRAL TO TREATMENT PERIOD.

The Other Intermediate Care Waiting Time Measurement:Other Intermediate Care Waiting Time Measurement allows monitoring of waiting times for PATIENTS that are deemed not clinically appropriate for the Other Intermediate Care Within 2 Days Waiting Time Measurement.

• is for Intermediate Care other than Crisis Response Intermediate Care, i.e. Reablement Intermediate Care, Home-based Intermediate Care and Community Bed-based Intermediate Care
• allows monitoring of waiting times for PATIENTS that are deemed not clinically appropriate for the Other Intermediate Care Within 2 Days Waiting Time Measurement.

The Other Intermediate Care Waiting Time Measurement is for Intermediate Care other than Crisis Response Intermediate Care, i.e. Reablement Intermediate Care, Home-based Intermediate Care and Community Bed-based Intermediate Care.

Reablement Intermediate Care:

The waiting time is the duration between the REFERRAL TO TREATMENT PERIOD START DATE and REFERRAL TO TREATMENT PERIOD START TIME and REFERRAL TO TREATMENT PERIOD END DATE and REFERRAL TO TREATMENT PERIOD END TIME.

The Reablement Intermediate Care Waiting Time Measurement:

• REFERRAL TO TREATMENT PERIOD START DATE and REFERRAL TO TREATMENT PERIOD START TIME:
  • The PATIENT is identified by a CARE PROFESSIONAL or Social Care Worker as needing reablement to enable care to be delivered in their own home as a safe alternative to hospital or Community Bed-based Intermediate Care.
    • 
      
    • For step up care, the need for the Reablement Intermediate Care Service is identified for a community-located PATIENT by a community-based CARE PROFESSIONAL or Social Care Worker
    • 
      
    • For step down care, the need for the Reablement Intermediate Care Service is identified for an acute hospital-located PATIENT based on a "medically optimised for discharge" decision making process that determines care in hospital is no longer needed.
      
• 
  
• REFERRAL TO TREATMENT PERIOD END DATE and REFERRAL TO TREATMENT PERIOD END TIME:
  • The CARE CONTACT DATE and CARE CONTACT TIME of the first face-to-face contact from a reablement worker in their own home.

Home-based Intermediate Care:

The waiting time is the duration between the REFERRAL TO TREATMENT PERIOD START DATE and REFERRAL TO TREATMENT PERIOD START TIME and REFERRAL TO TREATMENT PERIOD END DATE and REFERRAL TO TREATMENT PERIOD END TIME.

The Home-based Intermediate Care Waiting Time Measurement:

• REFERRAL TO TREATMENT PERIOD START DATE and REFERRAL TO TREATMENT PERIOD START TIME:
  • The PATIENT is identified by a CARE PROFESSIONAL or Social Care Worker as needing Home-based Intermediate Care as a safe alternative to hospital or Community Bed-based Intermediate Care.
    
    • 
      
    • For step up care, the need for the Home-based Intermediate Care Service is identified for a community-located PATIENT by a community-based CARE PROFESSIONAL or Social Care Worker.
    
    
    • For step down care, the need for the Home-based Intermediate Care Service is identified for an acute hospital-located PATIENT based on a "medically optimised for discharge" decision making process that determines care in hospital is no longer needed.

• REFERRAL TO TREATMENT PERIOD END DATE and REFERRAL TO TREATMENT PERIOD END TIME:
  • The CARE CONTACT DATE and CARE CONTACT TIME of the first face-to-face contact the PATIENT receives from an Intermediate Care Service CARE PROFESSIONAL in their own home.

Community Bed-based Intermediate Care:

The waiting time is measured to ensure there are 2 midnights or fewer between the REFERRAL TO TREATMENT PERIOD START DATE and REFERRAL TO TREATMENT PERIOD START TIME and REFERRAL TO TREATMENT PERIOD END DATE and REFERRAL TO TREATMENT PERIOD END TIME.

The Community Bed-based Intermediate Care Waiting Time Measurement:

• REFERRAL TO TREATMENT PERIOD START DATE and REFERRAL TO TREATMENT PERIOD START TIME:
  • The PATIENT is identified by a CARE PROFESSIONAL or Social Care Worker as needing Community Bed-based Intermediate Care as a safe alternative to acute hospital care.
    
    • 
      
    • For step up care, the need for the Community Bed-based Intermediate Care is identified for a community-located PATIENT by a community-based CARE PROFESSIONAL or Social Care Worker.
      
    • 
      
    • For step down care, the need for the Community Bed-based Intermediate Care is identified for an acute hospital-located PATIENT based on a "medically optimised for discharge" decision making process that determines care in hospital is no longer needed.
• 
  
• REFERRAL TO TREATMENT PERIOD END DATE and REFERRAL TO TREATMENT PERIOD END TIME:
  • The PATIENT is admitted to community-commissioned Hospital Bed.
• REFERRAL TO TREATMENT PERIOD END DATE and REFERRAL TO TREATMENT PERIOD END TIME:
  • The PATIENT is admitted to a community-commissioned Hospital Bed.

An Overseas Visitor is a PERSON.

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

For further information on Overseas Visitors, see the:

• Department of Health and Social Care part of the gov.uk website at:
  • NHS visitor and migrant cost recovery programme and
  • How the NHS charges overseas visitors for NHS hospital care.

The Oxford Orthopaedic Questionnaire is an ASSESSMENT TOOL.

The Oxford Orthopaedic Questionnaire is a 12 item questionnaire to measure outcomes before and after:The Oxford Orthopaedic Questionnaire is a 12 item questionnaire.

The Oxford Orthopaedic Questionnaire measures outcomes before and after:

• Primary Hip Replacement Surgery
• Revision Hip Replacement Surgery
• Primary Knee Replacement Surgery
• Revision Knee Replacement Surgery
• Primary Shoulder Replacement Surgery
• Revision Shoulder Replacement Surgery
• treatment for shoulder instability problems.

For further information on the Oxford Orthopaedic Questionnaires, see the Patient-Reported Outcomes Measurement Group website.

Please note that the NHS Data Model and Dictionary content relating to the Patient Level Information Costing System data sets has not been updated for the financial year 2021-2022.  Please refer to the Information Standards pages at: Patient Level Information and Costing Systems for the latest specifications. 

Introduction

The Patient Level Information Costing System Ambulance Data Set is used to standardise the method of reporting cost information at Ambulance Incident level. All designated providers of Ambulance Services are required to submit Patient Level Information Costing data.

The Patient Level Information Costing System Ambulance Data Set is used to:

• inform new methods of pricing NHS SERVICES
• inform new approaches and other changes to the design of the currencies used to price NHS SERVICES
• contribute to NHS England and NHS Improvement's strategic objective of a ‘single national cost collection by 2020’ to inform the relationship between provider characteristics and cost
• help NHS Trusts to maximise use of their resources and improve efficiencies, as required by the provider licence
• identify the relationship between PATIENT characteristics and cost
• support an approach to benchmarking for regulatory purposes.

Data Extract Specification

Description

NHS England and NHS Improvement have mandated all designated providers of Ambulance Services to record and report:

• Patient Level Information Costing System Ambulance Data Set
• Patient Level Information Costing System Reconciliation Data Set

Reporting is required at the end of each financial year, consistent with the methodologies and submission processes in the Approved Costing Guidance. This only includes those NHS Health Care Providers noted in the Costing Mandation Timetable and does not include non-NHS Health Care Providers.

Time

The data is collected annually. It must be submitted in accordance with the timetable set out by NHS England and NHS Improvement in the National Cost Collection Guidance (part of the Approved Costing Guidance).

Format

The data should be submitted in an XML file, created by NHS England and NHS Improvement's Data Validation Tool (DVT). Information on how to access and use this tool is included in the National Cost Collection Guidance (part of the Approved Costing Guidance).

Transmission

Patient Level Information Costing data will be submitted to NHS Digital using Secure Electronic File Transfer (SEFT). Secure Electronic File Transfer (SEFT) can only be accessed by registered and approved users and NHS England and NHS Improvement will invite relevant people to register for the service and provide details of the log in process.

Mandation

The Mandatory or Required (M/R) 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.

Data Set Constraints

For guidance on the Data Set constraints, see the PLICS Ambulance Data Set Constraints.

Please note that the NHS Data Model and Dictionary content relating to the Patient Level Information Costing System data sets has not been updated for the financial year 2021-2022.  Please refer to the Information Standards pages at: Patient Level Information and Costing Systems for the latest specifications. 

Introduction

The Patient Level Information Costing System Integrated Data Set is used to standardise the method of reporting cost information at PATIENT level. All designated NHS Health Care Providers are required to submit Patient Level Information Costing data.

The Patient Level Information Costing System Integrated Data Set is used to:

• inform new methods of pricing NHS SERVICES
• inform new approaches and other changes to the design of the currencies used to price NHS SERVICES
• contribute to NHS England and NHS Improvement's strategic objective of a ‘single national cost collection
• inform the relationship between provider characteristics and cost
• help NHS Trusts to maximise use of their resources and improve efficiencies, as required by the provider licence
• identify the relationship between PATIENT characteristics and cost
• support an approach to benchmarking for regulatory purposes.

Data Extract Specification

Description

NHS England and NHS Improvement has mandated designated NHS Trusts and NHS Foundation Trusts to record and report:

• Patient Level Information Costing System Reconciliation Data Set
• Patient Level Information Costing System Integrated Data Set - Admitted Patient Care (Acute)
• Patient Level Information Costing System Integrated Data Set - Emergency Care (Acute)
• Patient Level Information Costing System Integrated Data Set - Out-Patient Care (Acute)
• Patient Level Information Costing System Integrated Data Set - Specialist Ward Care (Acute)
• Patient Level Information Costing System Integrated Data Set - Supplementary Information
• Patient Level Information Costing System Integrated Data Set - Admitted Patient Care (Mental Health)
• Patient Level Information Costing System Integrated Data Set - Care Contacts (Mental Health)
• Patient Level Information Costing System Integrated Data Set - Improving Access to Psychological Therapies

Reporting is required at the end of each financial year, consistent with the methodologies and submission processes in the Approved Costing Guidance. This only includes those NHS Health Care Providers noted in the Costing Mandation Timetable and does not include non-NHS Health Care Providers.

Time

The data is collected annually. It must be submitted in accordance with the timetable set out by NHS England and NHS Improvement in the National Cost Collection Guidance (part of the Approved Costing Guidance).

Format

The data should be submitted in an XML file, created by NHS England and NHS Improvement's Data Validation Tool (DVT). Information on how to access and use this tool is included in the National Cost Collection Guidance (part of the Approved Costing Guidance).

Transmission

Patient Level Information Costing data will be submitted to NHS Digital using Secure Electronic File Transfer (SEFT). Secure Electronic File Transfer (SEFT) can only be accessed by registered and approved users and NHS England and NHS Improvement will invite relevant people to register for the service and provide details of the log in process.

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.

Data Set Constraints

For guidance on the Data Set constraints, see the:

• PLICS Reconciliation Data Set Constraints
• PLICS Integrated Data Set Admitted Patient Care (Acute) Constraints
• PLICS Integrated Data Set Emergency Care (Acute) Constraints
• PLICS Integrated Data Set Out-Patient Care (Acute) Constraints
• PLICS Integrated Data Set Specialist Ward Care (Acute) Constraints
• PLICS Acute Supplementary Information Data Set Constraints
• PLICS Integrated Data Set Mental Health Admitted Patient Care Constraints
• PLICS Mental Health Care Contacts Data Set Constraints
• PLICS Integrated Data Set Improving Access to Psychological Therapies Constraints

Please note that the NHS Data Model and Dictionary content relating to the Patient Level Information Costing System data sets has not been updated for the financial year 2021-2022.  Please refer to the Information Standards pages at: Patient Level Information and Costing Systems for the latest specifications.

Introduction

The Patient Level Information Costing System Reconciliation Data Set is used to help establish the Patient Level Information Costing quantum from the final audited accounts, and outline material differences between ACTIVITY data sets and Patient Level Information Costing totals and is an integral part of the Patient Level Information Costing submission process.

All designated NHS Health Care Providers, NHS Trusts, Mental Health Services, Improving Access to Psychological Therapies Services and Ambulance Services are required to submit Patient Level Information Costing data.

The Patient Level Information Costing System Reconciliation Data Set is used to:

• inform new methods of pricing NHS SERVICES
• inform new approaches and other changes to the design of the currencies used to price NHS SERVICES
• contribute to NHS England and NHS Improvement's strategic objective of a single national cost collection
• inform the relationship between Health Care Provider characteristics and cost
• help NHS Trusts to maximise use of their resources and improve efficiencies, as required by the provider licence
• identify the relationship between PATIENT characteristics and cost
• support an approach to benchmarking for regulatory purposes.

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

Data Set Constraints

For guidance on the Data Set constraints, see the PLICS Reconciliation Data Set Constraints.

A Patient Transport Service is a SERVICE.

A Patient Transport Service (PTS) is the provision of a non-emergency pre-planned service for PATIENTS to transport them to and from medical facilities for treatment or discharge from hospitalA Patient Transport Service (PTS) is the provision of a non-emergency pre-planned service for PATIENTS to transport them to and from medical facilities for treatment or discharge from hospital.

For further information on Patient Transport Services, see the nhs.uk website at: Non-emergency patient transport services.

Peritoneal Dialysis is a CLINICAL INTERVENTIONPeritoneal Dialysis is a CLINICAL INTERVENTION.

Peritoneal Dialysis is a form of Renal Dialysis which cleans the blood inside the body by running a Renal Dialysis fluid (dialysate) through a tube into the peritoneal cavity. The dialysate is left for a period of time to absorb the waste products and then drained out through the tube and discarded.

A Personal Development Plan is an EMPLOYEE PLAN.

A Personal Development Plan should aim to develop the EMPLOYEE and identify training and development needs, and learning requirements, with measurable outcomes. The plan should be developed from an agreed local or national appraisal and performance review process.  

A Place of Safety is a LOCATION.

A Place of Safety is where PEOPLE are detained and managed safely while an appropriate mental health assessment is undertaken.

A Place of Safety maybe:

• a residential ACCOMMODATION provided by a local social services authority under Part III of the National Assistance Act 1948
• a hospital as defined by the Mental Health Act 1983 as amended by the Mental Health Act 2007
• a police station
• an independent hospital or Care Home for mentally disordered PERSONS or
• any other suitable place.

The legislation.gov.uk website at: Restrictions on places that may be used as places of safety provides the following restrictions on places that may be used as places of safety:

A house, flat or room where a PERSON is living may not be regarded as a suitable Place of Safety unless:

• if the PERSON believed to be suffering from a mental disorder is the sole occupier of the place, that PERSON agrees to the use of the place as a Place of Safety
• if the PERSON believed to be suffering from a mental disorder is an occupier of the place but not the sole occupier, both that PERSON and one of the other occupiers agree to the use of the place as a Place of Safety
• if the PERSON believed to be suffering from a mental disorder is not an occupier of the place, both that PERSON and the occupier (or, if more than one, one of the occupiers) agree to the use of the place as a Place of Safety.

A place other than the one mentioned above may not be regarded as a suitable place, unless a PERSON who appears to the constable exercising powers under this section to be responsible for the management of the place agrees to its use as a Place of Safety.

A Radiographer is a CARE PROFESSIONAL.

A Radiographer is a CARE PROFESSIONAL who is registered with the Health and Care Professions Council.

Radiographers include:

• Therapeutic Radiographers who plan and deliver treatment using radiation.
• Diagnostic Radiographers who produce and interpret high-quality images of the body to diagnose injuries and diseases. For example, x-rays, Ultrasound Scans or CT Scans carried out in hospital etc.

A Radiotherapy Exposure is a CLINICAL INTERVENTION.

A Radiotherapy Exposure is the delivery of one treatment field as part of a Radiotherapy Fraction.  

A Reasonable Offer is an APPOINTMENT OFFER or OFFER OF ADMISSION.A Reasonable Offer relates to an APPOINTMENT OFFER or OFFER OF ADMISSION.

An offer is reasonable where:

• the offer of an Out-Patient Appointment or an OFFER OF ADMISSION is for a time and date three or more weeks from the time that the offer was made
  
  or
  
• the PATIENT accepts the offer
  
  or
  
• the offer is for the first Genitourinary Consultant Clinic Attendance in a Sexual Health and HIV Episode
  
  or
  
• the offer is for any APPOINTMENT for treatment in a Cancer Treatment Period
  
  or
  
• the offer of an APPOINTMENT for a non-outpatient CARE CONTACT provided by a Community Health Service complies with local, publicly available/published policies for access to that SERVICE.  These local policies should be clearly defined and specifically protect the clinical interests of vulnerable PATIENTS (e.g. children) and must have been agreed with clinicians, commissioners, PATIENTS and other stakeholders.

A Referral To Treatment Period Excluded From Target is a REFERRAL TO TREATMENT PERIOD.A Referral To Treatment Period Excluded From Target is a type of REFERRAL TO TREATMENT PERIOD.

A Referral To Treatment Period Excluded From Target is where:A Referral To Treatment Period Excluded From Target is where:

• the referral was neither to a Consultant Led Service nor to an Interface Service 

or

• the REFERRAL TO TREATMENT PERIOD is not commissioned by or on behalf of the English NHS

or

• the REFERRAL TO TREATMENT PERIOD ended because the PATIENT did not attend their first APPOINTMENT.

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

April 2022

• CR1855 (Immedite) - DAPB0108 Automatic Identification and Data Capture (AIDC)

March 2022

• CR1736 (1 April 2022) - DAPB0111 Radiotherapy Data Set Version 6
• CR1818 (1 April 2022) - DAPB1520 Improving Access to Psychological Therapies Data Set Version 2.1
• CR1856 (1 February 2022) - DCB0011 Mental Health Services Data Set Version 5.0 Corrigendum
• CR1851 (Immediate) - DDCN 1851/2022 GUMCAD Code Description Amendment
• CR1857 (Immediate) - DDCN 1857/2022 NHSX merger with NHS England and NHS Improvement
• CR1861 (1 April 2022) - DDCN 1861/2022 Retirement of Commissioning Data Set V6-2-1 Type 011 - Emergency Care Commissioning Data Set

November 2021

• CR1850 (Immediate) - DDCN 1850/2021 Public Health England (PHE) and UK Health Security Agency (UKHSA)
• CR1848 (Immediate) - DDCN 1848/2021 National Cancer Registration and Analysis Service (NCRAS) Update

September 2021

• CR1768 (1 October 2021) - DCB0011 Mental Health Services Data Set Version 5.0
• CR1817 (6 September 2021) - DAPB4000 and DAPB4001 Patient Level Information Costing System (PLICS) Integrated Data Set
• CR1829 (Immediate) - DCB3085 NHS Continuing Healthcare Patient Level Data Set
• CR1833 (Immediate) - DDCN 1833/2021 Supporting Definition for Impairment Harmonised Standard
• CR1843 (Immediate) - DDCN 1843/2021 Care Quality Commission Update

August 2021

• CR1814 (1 September 2021) - DCB2050, DCB3003, DCB3002 and DCB2212 Contract Monitoring Data Sets Version 3

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2022:

• CR1764 (1 April 2022) - DAPB0092 Commissioning Data Sets Version 6-3

June 2021

• CR1806 (30 June 2021) - DCB1067 National Workforce Data Set v3.2
• CR1822 (Immediate) - DDCN 1822/2021 Introduction of Digital Health and Care Wales
• CR1805 (Immediate) - DDCN 1805/2021 Introduction of the Data Alliance Partnership Board
• CR1828 (Immediate) - DDCN 1828/2021 NHS England and NHS Improvement

March 2021

• CR1815 (1 April 2021) - DDCN 1815/2021 Commissioning Data Set XML Schema Version 6-2-0
• 
  
• The March 2021 Release introduces the NHS Data Model and Dictionary Demonstrations, which can be found at: Demonstrations.

February 2021

• CR1808 (Immediate) - DDCN 1808/2021 Correction of Format/Length Data Elements

January 2021

• CR1774 (11 January 2021) - DCB2123-02 Patient Level Information Costing System (PLICS) Ambulance Data Set
• CR1797 (11 January 2021) - DCB2123-03 Patient Level Information Costing System (PLICS) - Mental Health Admitted Patient Care Data Set and Patient Level Information Costing System (PLICS) - Mental Health Care Contacts Data Set
• CR1778 (11 January 2021) - DCB2123-04 Patient Level Information Costing System (PLICS) Improving Access to Psychological Therapies Data Set
• CR1807 (Immediate) - DCB0028 Corrigendum to DCB0028 Amd 45/2019 Treatment Function and Main Specialty Standard
• CR1811 (Immediate) - DCB0028 Addendum to add Treatment Function Code - Post-COVID-19 Syndrome Service

November 2020

• CR1790 (1 April 2021) - DDCN 1790/2020 NHS Continuing Healthcare Patient Level Data Set
• CR1798 (Immediate) - DDCN 1798/2020 Commissioning Data Set change to weekly submission
• CR1803 (Immediate) - DDCN 1803/2020 Emergency Care Department Update

October 2020

• CR1740 (1 November 2020) - DCB0092-2062 Update to Commissioning Data Set Type 011 Emergency Care

September 2020

• CR1716 (1 October 2020) - DCB0147 National Cancer Waiting Times Monitoring Data Set Version 2.1
• CR1779 (Immediate) - DDCN 1779/2020 Retirement of Information Sharing to Tackle Violence Minimum Data Set

August 2020

• CR1759 (7 September 2020) - DCB2123 Patient Level Information Costing System (PLICS) Acute Data Set Update

June 2020

• CR1773 (Immediate) - DDCN 1773/2020 Retirement of PDS Birth Notification Data Sets

May 2020

• CR1770 (23 April 2020) - DDCN 1770/2020 Job Role Code

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2021:

• CR1751 (1 April 2021) - DCB3085 NHS Continuing Healthcare Patient Level Data Set

April 2020

• CR1667 (Immediate) - DCB1077 AIDC for Patient Identification Data Set Update
• CR1760 (1 April 2021) - DCB0028 Main Specialty Code and Treatment Function Code Updates
• Note: New National Codes were introduced from 2 April 2020 and should not be reported nationally until the functionality to do so becomes available in the next release of the affected data sets. A note has been added to the affected items to provide further guidance.

March 2020

• CR1690 (1 April 2020) - DCB1069 Community Services Data Set Version 1.5
• CR1714 (1 April 2020) - DCB1521 Cancer Outcomes and Services Data Set Version 9
• CR1719 (1 April 2020) - DCB1520 Improving Access to Psychological Therapies Data Set Version 2
• CR1732 (1 April 2020) - DCB0011 Mental Health Services Data Set Version 4.1
• CR1723 (1 April 2020) - DCB0084 Introduction of OPCS-4.9
• CR1743 (1 April 2020) - DCB1533 Aggregate Contract Monitoring Data Set Update
• CR1744 (1 April 2020) - DCB1533 Patient Level Contract Monitoring Data Set Update
• CR1753 (1 April 2020) - DCB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set Update
• CR1757 (1 April 2020) - DDCN 1757/2020 Organisation Data Service Information Update
• CR1752 (Immediate) - DDCN 1752/2020 Practitioners with a Special Interest Name Change

Release: December 2019

• CR1746 (Immediate) - DCB0039 GUMCAD Sexually Transmitted Infection Surveillance System Data Set
• CR1747 (Immediate) - DCB2212 Drugs Patient Level Contract Monitoring Data Set Update
• CR1724 (1 January 2020) - DCB1533 National Workforce Data Set Version 3.1
• CR1756 (Immediate) - DDCN 1756/2019 Social Work England
• CR1703 (Immediate) - DDCN 1703/2019 Update to GP Default Code V81998 Definition
• CR1741 (Immediate) - DDCN 1741/2019 Critical Care Minimum Data Set

Release: October 2019

• CR1668 (Immediate) - DDCN 1668/2019 Retirement of National Renal Data Set

Release: August 2019

• CR1661 (1 September 2019) - DCB1533 Systemic Anti-Cancer Therapy Data Set Version 3
• CR1734 (Immediate) - DDCN 1734/2019 Consultation Medium Used Update
• CR1731 (Immediate) - DDCN 1731/2019 Retirement of Quarterly Bed Availability and Occupancy Data Set (KH03)
• CR1735 (Immediate) - DDCN 1735/2019 Retirement of Mixed Sex Accommodation Data Set
• CR1641 (Immediate) - DDCN 1641/2019 Retirement of Emergency Care Weekly Situation Report Data Set

Release: July 2019

• CR1634 (Immediate) - DCB2123 Patient Level Information Costing System (PLICS) Acute Data Set
• CR1696 (Immediate) - DDCN 1696/2019 SNOMED CT Subsets
• CR1722 (Immediate) - DDCN 1722/2019 GUMCAD Sexually Transmitted Infection Surveillance System Data Set

Release: May 2019

• CR1611 (Immediate) - DCB2050 Introduction of the Aggregate Contract Monitoring Data Set
• CR1613 (Immediate) - DCB3003 Introduction of Patient Level Contract Monitoring Data Set
• CR1612 (Immediate) - DCB3002 Introduction of Devices Patient Level Contract Monitoring Data Set
• CR1615 (Immediate) - DCB2212 Introduction of Drugs Patient Level Contract Monitoring Data Set
• CR1713 (Immediate) - DCB1593 Venous Thromboembolism Risk Assessment Data Set Update
• CR1730 (Immediate) - DDCN 1730/2019 Retirement of Diagnostics Waiting Times and Activity Data Set
• CR1729 (Immediate) - DDCN 1729/2019 Retirement of Diagnostics Waiting Times Census Data Set
• CR1728 (Immediate) - DDCN 1728/2019 Retirement of Referral To Treatment Data Set
• CR1727 (Immediate) - DDCN 1727/2019 Retirement of National Direct Access Audiology Data Set
• CR1725 (Immediate) - DDCN 1725/2019 Retirement of Quarterly Monitoring Cancelled Operations Data Set (QMCO)

Release: April 2019

• CR1704 (1 April 2019) - DCB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set Update
• CR1708 (Immediate) - DDCN 1708/2019 Retirement of KC50: Immunisation Programmes Activity Data Set (KC50)
• CR1700 (Immediate) - DDCN 1700/2019 Retirement of KC65: Colposcopy Clinics: Referrals, Treatments and Outcomes
• CR1699 (Immediate) - DDCN 1699/2019 Retirement of KC53: Adult Screening Programmes - Cervical Screening
• CR1698 (Immediate) - DDCN 1698/2019 Retirement of Edifact Items
• CR1568 (Immediate) - DDCN 1568/2019 Retirement of KC61: Pathology Laboratories: Cervical Screening and Outcome of Referrals
• CR1536 (Immediate) - DDCN 1536/2019 Retirement of KH12: Imaging and Radiological Examinations or Tests in any Part of a Hospital
• CR1499 (Immediate) - DDCN 1499/2019 Retirement of NHS Health Checks Data Set

Release: March 2019

• CR1550 (1 April 2019) - DCB1513 Maternity Services Data Set Version 2
• CR1648 (1 April 2019) - DCB0011 Mental Health Services Data Set Version 4 
• CR1654 (1 April 2019) - DCB0092-2062 Update to Commissioning Data Set Type 011 Emergency Care
• CR1715 (1 April 2019) - DCB0092-2062 Corrigendum to Commissioning Data Set V6-2-2 Type 011 Emergency Care
• CR1717 (1 April 2019) - DCB0092-2062 Corrigendum to Commissioning Data Set V6-2-1 Type 011 Emergency Care
• CR1695 (Immediate) - DDCN 1695/2019 Emergency Care Department Type - Urgent Treatment Centres
• CR1704 (1 April 2019) - DCB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set Update

Release: December 2018

• CR1650 (1 January 2018) - DCB1067 National Workforce Data Set v3.0

Release: November 2018

• CR1631 (Immediate) - DCB3017 Overseas Visitor Charging Category

Release: October 2018

• CR1618 (1 October 2018) - DCB0039 GUMCAD Sexually Transmitted Infection Surveillance System Data Set
• CR1666 (Immediate) - DDCN 1666/2018 Stop Smoking Services Quarterly Data Set

Release: September 2018

• CR1656 (Immediate) - DDCN 1656/2018 NHS Data Model Update
• CR1665 (Immediate) - DDCN 1665/2018 Person Marital Status
• CR1645 (Immediate) - DDCN 1645/2018 Specialised Commissioning: Removal of Default Code YDD82

Release: July 2018

• CR1639 (1 April 2018) - DCB2117 NHS Continuing Healthcare Data Set Update
• CR1630 (4 June 2018) - DCB1567 National Joint Registry Data Set Version 7
• CR1658 (Immediate) - DDCN 1658/2018 Young Offender Institution

Release: May 2018

• CR1653 (Immediate) - DDCN 1653/2018 HIV and AIDS Reporting Data Set Update
• CR1647 (Immediate) - DDCN 1647/2018 Terminology and Classifications Update

Release: April 2018

• CR1636 (Immediate) - DDCN 1636/2018 Department of Health: Change of name
• CR1638 (30 April 2018) - DCB0090 Health and Social Care Organisation Reference Data: Introducing an Application Programming Interface (API)

Release: March 2018

• CR1588 (1 April 2018) - DCB1521 Cancer Outcomes and Services Data Set Version 8
• CR1589 (1 April 2018) - DCB0147 National Cancer Waiting Times Monitoring Data Set Version 2.0
• CR1610 (1 April 2018) - DCB0011 Mental Health Services Data Set Version 3.0
• CR1642 (Immediate) - DDCN 1642/2018 Youth Offenders Institute: Change of name
• CR1635 (Immediate) - DDCN 1635/2018 Edubase: Change of name

Release: January 2018

• CR1633 (Immediate) - DDCN 1633/2017 Introduction of Strategic Data Collection Service (SDCS) and Data Services Platform (DSP)

Release: November 2017

• CR1623 (Immediate) - DCB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set
• CR1628 (Immediate) - DDCN 1628/2017 Employment Status

Release: October 2017

• CR1619 (1 October 2017) - DCB1067 National Workforce Data Set Version 2.9
• CR1595 (Immediate) - DCB0155 Stop Smoking Services Quarterly Data Set
• CR1572 (Immediate) - DCB2094 Sexual Orientation
• The October 2017 Release updates the NHS Data Model and Dictionary Help Pages and Demonstrations to reflect the new organisation structure.

Release: September 2017

• CR1587 (1 October 2017) - SCCI1069 Community Services Data Set (CSDS) Version 1.0

Release: July 2017

• CR1555 (Immediate) - SCCI1518 Sexual and Reproductive Health Activity Data Set Changes
• CR1606 (Immediate) - SCCI0011 Mental Health Services Data Set Version 2 Corrigendum

Release: June 2017

• CR1607 (Immediate) - DDCN 1607/2017 Renaming of NHS Commissioning Board Commissioning Region and NHS England Region (Geography)
• CR1604 (Immediate) - DDCN 1604/2017 Introduction of the Data Coordination Board

Release: April 2017

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 October 2017:

• CR1598 (1 October 2017) - SCCI0092-2062 Commissioning Data Set Type 011 Emergency Care

Release: March 2017

• CR1605 (Immediate) - DDCN 1605/2017 NHS Number Status Indicator Code
• CR1594 (Immediate) - DDCN 1594/2017 Technology Reference Data Update Distribution (TRUD)
• CR1564 (01 April 2017) - SCCI1521 Cancer Outcomes and Services Data Set Version 7
• CR1563 (01 April 2017) - SCCI0011 Mental Health Services Data Set Version 2.0
• CR1577 (01 April 2017) - SCCI0084 Introduction of OPCS-4.8

Release: December 2016

• CR1601 (Immediate) - DDCN 1601/2016 Organisation Identifier Data Elements
• CR1600 (Immediate) - DDCN 1600/2016 HES Data Dictionary

Release: November 2016

• CR1442 (01 November 2016) - SCCI1570 Amd 20/2015 HIV and AIDS Reporting Data Set and XML Schema Version 3
• CR1531 (Immediate) - DDCN 1531/2016 Clinical Terminology Update

Release: October 2016

• CR1578 (Immediate) - DDCN 1578/2016 Religious or Other Belief System Affiliation Groups SNOMED CT Subset
• CR1569 (Immediate) - DDCN 1569/2016 NHS Improvement

Release: September 2016

• CR1545 (Immediate) - SCCI0075 and SCCI0076 Updates to the Neonatal Critical Care and Paediatric Critical Care Minimum Data Sets

Release: August 2016

• CR1532 (Immediate) - SCCI0090 Health and Social Care Organisation Reference Data
• CR1583 (Immediate) - DDCN 1583/2016 Introduction of NHS Digital
• CR1575 (Immediate) - DDCN 1575/2016 Introduction of the National Cancer Registration and Analysis Service (NCRAS)
• CR1570 (Immediate) - DDCN 1570/2016 Update to COVER Central Return Data Set

Release: July 2016

• CR1565 (Immediate) - ISB 1561 Retirement of Diabetes Summary Core Data Set ISB 1561

Release: March 2016

• CR1300 (1 April 2016) - SCCI01477 Updates to the National Cancer Waiting Times Monitoring Data Set and introduction of the XML Schema
• CR1412 (1 April 2016) - SCCI0021 Introduction of the International Classification of Diseases (ICD) 10th Revision 5th Edition
• CR1544 (1 April 2016) - SCCI1111 Radiotherapy Data Set - Change of data flow
• CR1549 (1 April 2016) - SCCII0011 Mental Health Services Data Set Version 1.1

Release: February 2016

• CR1517 (1 January 2016) - SCCI1067 Workforce Data Set Version 2.8
• CR1559 (Immediate) - DDCN 1559/2016 Lower Layer Super Output Area (Residence) and ONS Local Government Geography Code (Local Authority District)

Release: December 2015

• CR1514 (1 January 2016) - SCCI0011 Mental Health Services Data Set
• CR1515 (1 January 2016) - SCCI0011 Retirement of Mental Health Standards
• CR1560 (Immediate) - DDCN 1560/2015 Retirement of Data Management and Integration Centre

Release: November 2015

• CR1558 (Immediate) - DDCN 1558/2015 Children and Young People’s Health Services Data Set and Community Information Data Set Inconsistencies
• CR1554 (1 October 2015) - SCCI2026 Corrigendum to CR1494 Female Genital Mutilation Data Set

Release: October 2015

• CR1534 (Immediate) - DDCN 1534/2015 Retirement of Hospital Episode Statistics Cross Reference Tables

Release: September 2015

• CR1521 (Immediate) - SCCI1580 Palliative Care Co-ordination: Core content (Formerly End of Life Care)
• CR1522 (Immediate) - DDCN 1522/2015 Update General Dental Council Registration Number
• CR1530 (Immediate) - ISB 0158 Retirement of Ambulance Services (KA34) Central Return Data Set
• CR1528 (Immediate) - ISB 1568 Retirement of KO41 (A) Hospital and Community Health Service Complaints and KO41 (B) General Practice (including Dental) Complaints Central Return Forms
• CR1551 (Immediate) - ISB 0133 Retirement of HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Set and HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set

Release: August 2015

• CR1374 (1 September 2015) - SCCI1510 Community Information Data Set Update
• CR1356 (1 September 2015) - SCCI1069 Children and Young People’s Health Services Data Set Update and XML Schema
• CR1529 (Immediate) - DDCN 1529/2015 Change to the Mechanism for XML Schema Publication and Download
• CR1543 (Immediate) - DDCN 1543/2015 Treatment Function Code: 840 Audiology

Release: July 2015

• CR1475 (Immediate) - SCCI1605 Accessible Information

Release: June 2015

• CR1518 (Immediate) - ISB 092 CDS 6-1 Retirement
• CR1525 (Immediate) - DDCN 1525/2015 Burden Advice and Assessment Service (BAAS)
• CR1524 (Immediate) - DDCN 1524/2015 Updating of Activity Location Type and Source of Admission Attributes
• CR1505 (Immediate) - DDCN 1505/2015 Death Cause Information

Release: May 2015

• CR1507 (Immediate) - DDCN 1507/2015 To add SUS CDS business rule H4 text

Release: April 2015

• CR 1494 and CR 1506 (1 April 2015) - SCCI2026 Amd 12/2014 Female Genital Mutilation Data Set and Retirement of Female Genital Mutilation Prevalence Data Set
• CR1513 (27 April 2015) - DDCN 1513/2015 Introduction of NHS England Region (Geography)
• CR1509 (1 April 2015) - ISB 1513 Maternity Services Data Set
• 
  CR1509 is a corrigendum to CR1355 (1 November 2014) - ISB 1513 Amd 45/2012 Maternity Services Data Set Update and XML Schema published in the October 2014 release

Release: March 2015

• CR1492 (1 April 2015) - SCCI1521 Amd 17/2014 Updates to the Cancer Outcomes and Services Data Set and XML Schema

Release: February 2015

• CR1486 (27 February 2015) - ISB 0090 Amd 9/2014 Organisation Data Service – Health and Justice Organisation Identifiers

Due to a delay in the Organisation Data Service (ODS) February release, the implementation date is now 6 March 2015.

Release: January 2015

• CR1473 (1 January 2015) - ISB 1538 Amd 13/2014 Chlamydia Testing Activity Data Set Update
• CR1496 (Immediate) - DDCN 1496/2015 Clinical Coding

Release: December 2014

• CR1396 (31 October 2014) - ISB 1567 Amd 15/2014 National Joint Registry Data Set Version 6

  The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 October 2015:

• CR1487 (1 October 2015) - ISB 0089 Amd 8/2014 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set

Release: November 2014

• CR1420 (Immediate) - ISB 0139 Amd 29/2013 Genitourinary Medicine Clinic Activity Data Set (GUMCAD) Update
• CR1421 (Immediate) - ISB 1518 Amd 30/2013 Sexual and Reproductive Health Activity Data Set (SRHAD) Update
• CR1422 (Immediate) - ISB 1518 Amd 30/2013 Retirement of Central Return Form KT31 Cross Sector Services

Release: October 2014

• CR1355 (1 November 2014) - ISB 1513 Amd 45/2012 Maternity Services Data Set Update and XML Schema

Release: September 2014

• CR1484 (Immediate) - DDCN 1484/2014 Female Genital Mutilation SNOMED CT Subsets

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 31 July 2015:

• CR1344 (31 July 2015) - ISB 1594 Amd 31/2012 Information Sharing to Tackle Violence Minimum Data Set

Release: August 2014

• CR1360 (1 September 2014) - ISB 0011 Amd 5/2014 Mental Health and Learning Disabilities Data Set

Release: July 2014

• CR1351 (1 July 2014) - ISB 1520 Amd 02/2013 Improving Access to Psychological Therapies Data Set Version 1.5
• CR1482 (Immediate) - DDCN 1482/2014 Source of Referral for Mental Health
• CR1480 (Immediate) - DDCN 1480/2014 Mental Health Care Cluster 9
• CR1477 (Immediate) - DDCN 1477/2014 Payment by Results
• 
  
• Note: CR1383 (31 December 2014) - ISB 1555 Amd 10/2012 Personal Demographics Service Birth Notification Data Sets

At the Standardisation Committee for Care Information meeting on 28th May 2014, an amendment to the implementation date of the ISB information standard was approved. The implementation date is now 31 December 2014.

• The July 2014 Release updates the NHS Data Model and Dictionary Help Pages to reflect the new organisation structure.

Release: June 2014

• CR1465 (Immediate) - DDCN 1465/2014 Primary Care Trusts and NHS Trusts
• CR1461 (Immediate) - DDCN 1461/2014 New Standardisation Committee for Care Information (SCCI) Process
• CR1383 (30 June 2014) - ISB 1555 Amd 10/2012 Personal Demographics Service Birth Notification Data Sets

Release: May 2014

• CR1353 (1 June 2014) - ISB 1067 Amd 22/2013 Workforce Data Set Version 2.7

Release: April 2014

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

Release: March 2014

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

Release: February 2014

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

Release: January 2014

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

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

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

Release: November 2013

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

Release: September 2013

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

Release: July 2013

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

Release: May 2013

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

Release: April 2013

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

Release: March 2013

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

Release: February 2013

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

Release: December 2012

• CR1155 (Immediate) - ISB 1567 Amd 12/2011 National Joint Registry Data Set Version 5
• CR1324 (1 December 2012) - ISB 1067 Amd 23/2012 Workforce Data Set Version 2.5
• CR1196, CR1287 and CR1195 (1 January 2013) - ISB 1521 Amd 64/2010 Cancer Outcomes and Services Data Set, Cancer Outcomes and Services Data Set Message and Retirement of Cancer Registration Data Set and National Cancer Data Set

The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

• CR1337 (1 April 2013) - ISB 1072 Amd 30/2012 Update to Child and Adolescent Mental Health Services Secondary Uses Data Set

Release: November 2012

• CR1166, CR1167 and CR1306 (1 November 2012) - ISB 0092 Amd-16-2010 Commissioning Data Set Version 6-2, Commissioning Data Set XML Message Version 6-2 and Retirement of CDS 6-0
• CR1305 (1 April 2013) - ISB 0092 Amd 06/2011 Allied Health Professions Referral to Treatment (AHP RTT) Update - CDS 6-2
• CR1286 (1 November 2012) - ISB 0028 Amd 17/2012 Treatment Function Codes Update
• CR1343 (Immediate) - DDCN 1343/2012 Change of name for NHS Commissioning Board Authority
• CR1342 (Immediate) - DDCN 1342/2012 Overseas Visitors Update
• CR1341 (Immediate) - DDCN 1341/2012 Discharge Default Code Descriptions
• CR1323 (Immediate) - National Cancer Waiting Times Monitoring Data Set Update for "Delay Reason To Treatment For Cancer"

CR1323 is a corrigendum to CR1258 (1 July 2012) - ISB 0147 Amd 23/2011 Changes to the National Cancer Waiting Times Monitoring Data Set published in the June 2012 release

The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

CR1231 and CR1288 (1 April 2013) - ISB 1570 Amd 164/2010 HIV and AIDS Reporting Data Set and HIV and AIDS Related Data Set Message

Release: September 2012

• CR1103 (Immediate) - ISB 0066 Amd 43/2010 Renal Data Set - Data Item Addition, Changes and Deletions
• CR1334 (Immediate) - DDCN 1334/2012 Psychology Definitions
• CR1331 (Immediate) - DDCN 1331/2012 Activity Date Time Type
• CR1329 (Immediate) - DDCN 1329/2012 Change of name for "Health and Social Care Information Centre"

Release: August 2012

• CR1326 (Immediate) - DDCN 1326/2012 Health and Care Professions Council
• CR1241 (Immediate) - DDCN 1241/2012 NHS dictionary of medicines and devices
• CR1292 (Immediate) - ISB 1549 Amd 4/2011 and DDCN 1292/2012 Deprecation and withdrawal of version 3.2 of the Acute Myocardial Infarction Data Set and subsequent retiring of the Data Set from the NHS Data Model and Dictionary

Release: June 2012

• CR1314 (Immediate) - DDCN 1314/2012 Reasonable Offer Update
• CR1282 (29 June 2012) - ISB 0090 Amd 36/2011 Independent Sector Healthcare Provider (ISHP) Codes extended for ISHPs and Sites
• CR1258 (1 July 2012) - ISB 0147 Amd 23/2011 Changes to the National Cancer Waiting Times Monitoring Data Set

Release: May 2012

• CR1215 (1 June 2012) - ISB 1067 Amd 30/2011 National Workforce Data Set

  The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

• CR1028 (1 April 2013) - ISB 1069 Amd 14/2012 Children and Young People's Health Services Data Set
• CR1029 (1 April 2013) - ISB 1072 Amd 12/2012 Child and Adolescent Mental Health Services (CAMHS) Data Set
• CR1104 (1 April 2013) - ISB 1513 Amd 13/2012 Maternity Secondary Uses Data Set

Release: March 2012

• CR1242 (Immediate) - DDCN 1242/2012 Retirement of Mental Health Minimum Data Set Version 3
• CR1238 and CR1276 (1 April 2012) - ISB 1577 Amd 10/2011 Diagnostic Imaging Data Set and Diagnostic Imaging Data Set Message v 1-0
• CR1290 (Immediate) - DDCN 1290/2012 Data Set Notation
• CR1263 (Immediate) - ISB 0090 Amd 5/2012 Health and Social Care Bill Changes
• CR1255 (31 March 2012) - ISB 1576 Amd 08/2011 Quarterly Bed Availability and Occupancy Data Set
• CR1295 (Immediate) - Retirement of old Commissioning Data Set messages
  The Information Standards Board for Health and Social Care have been involved in the redesign and retirement of the old Commissioning Data Set Pages, however a formal Information Standards Notice (ISN) will not be published as there are no changes to data standards.

Release: January 2012

• CR1285 (Immediate) - DDCN 1285/2012 Elective Admission Type
• CR1252 (Immediate) - DDCN 1252/2011 Geographic Area Changes

Release: November 2011

• CR1264 (Immediate) - ISB 1077 Amd 3/2012 Automatic Identification and Data Capture (AIDC) for Patient Identification Data Set
• CR1274 (Immediate) - DDCN 1274/2011 CDS Prime Recipient Identity Update

  The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

CR1265 (1 April 2012) - ISB 1520 Amd 29/2011 Changes to the Improving Access to Psychological Therapies Data Set

Release: October 2011

• CR1271 (Immediate) - DDCN 1271/2011 Commissioning Data Set Addressing Grid Update
• CR1268 (Immediate) - DDCN 1268/2011 Sexual Orientation Code
  

• The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

• CR1158 and CR1260 (1 April 2012) - ISB 1533 Amd 63/2010 Systemic Anti-Cancer Therapy Data Set and Systemic Anti-Cancer Therapy Data Set Message Schema

  The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012:

• CR1270 (1 July 2012) - ISB 1080 Amd 25/2011 Amendments to NHS Health Check Data Set
• CR1250 (1 July 2012) - ISB 1080 Amd 25/2011 NHS Health Checks Data Set Message Schema Version 2.0.0

Release: August 2011

• CR1232 (Immediate) - ISB 0034 Amd 26/2006 Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) - NHS Data Model and Dictionary Overview
• CR1222 (1 April 2012) - ISB 0021 Amd 86/2010 Introduction of the International Classification of Diseases Tenth Revision 4th Edition
• CR1190 (1 September 2011) - ISB 1538 Amd 131/2010 Chlamydia Testing Activity Data Set
• CR1188 (Immediate) - ISB 0139 Amd 85/2010 Genitourinary Medicine Clinic Activity Data Set (GUMCAD) Extension to include Enhanced Sexual Health Services (ESHS)

The following data set is initially being introduced for local use only. A future Information Standards Notice will be published to notify providers and system suppliers of the requirement to flow the data set nationally:

• CR1105 (1 April 2012) - ISB 1510 Amd 25/2010 Community Information Data Set

Release: July 2011

• CR1249 (Immediate) - DDCN 1249/2011 General Pharmaceutical Council Registration Changes

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012:

• CR1148 (1 July 2012) - ISB 1080 Amd 129/2010 NHS Health Checks Data Set

Release: June 2011

• CR1256 (Immediate) - DDCN 1256/2011 School Definitions
• CR1117 (26 August 2011) - ISB 0090 Amd 94/2010 Organisation Data Service Identification Codes for Local Authorities in England and Wales
• CR1251 (Immediate) - DDCN 1251/2011 Change to the Format/Length of Weekly Hours Worked
• CR1243 (Immediate) - DDCN 1243/2011 National Interim Clinical Imaging Procedure (NICIP) Code Set

Release: April 2011

• CR1154 (1 April 2011) - ISB 0011 Amd 87/2010 Mental Health Minimum Data Set Version 4.0
• CR1234 (Immediate) - DDCN 1234/2011 Technology Reference Data Update Distribution Service (TRUD)
• CR1168 (Immediate) - ISB 0097 Amd 140/2010 Genitourinary Medicine Access Monthly Monitoring Data Set Amendments - Removal of Human Immunodeficiency Virus data

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

• CR1050 (1 April 2012) - ISB 1520 Amd 51/2010 Improving Access to Psychological Therapies Data Set

Release: March 2011

• CR1224 (1 April 2011) - ISB 0092 Amd 02/20110 Commissioning Data Set Schema Version 6-1-1
• CR1223 (Immediate) - DDCN 1223/2011 Updates to Family Planning References
• CR1225 (Immediate) - DDCN 1225/2011 Practitioners with Special Interests
• CR1216 (1 April 2011) - ISB 0028 Amd 170/2010 Changes to Treatment Function Codes
• CR1203 (1 April 2011) - ISB 0084 Amd 150/2010 Introduction of OPCS Classification of Interventions and Procedures Version 4.6

Release: January 2011

• CR1116 (1 April 2010) - ISB 0003 Amd 79/2010 Immunisation Programmes Activity Data Set (KC50)
• CR1112 (1 April 2010) - ISB 1511 Amd 26/2010 NHS Continuing Healthcare and NHS Funded Nursing Care
• CR1068 (Immediate) - ISB 0133 Amd 161/2010 Change To Central Return: Human Papillomavirus (HPV) Immunisation Programme - Vaccine Monitoring Minimum Data Set
• CR1211 (Immediate) - DDCN 1211/2010 Commissioning Data Set Addressing Grid / Organisation Code (Code of Commissioner) Update

Release: December 2010

• CR1175 (1 April 2011) - ISB 1518 Amd 166/2010 Changes to Sexual and Reproductive Health Activity Data Set
• CR1198 (Immediate) - ISB 1067 Amd 165/2010 National Workforce Data Set
• CR1207 (01 December 2010) - ISB 1573 Amd 168/2010 Mixed-Sex Accommodation
• CR1149 (01 January 2011) - ISB 0139 Amd 99/2010 GUMCAD: Change to Genitourinary (GU) Episode Types

Release: November 2010

• CR1119 (Immediate) - DDCN 1119/2010 Organisation Codes Update
• CR1192 (Immediate) - DDCN 1192/2010 Change of name for "Health Solution Wales"
• CR1199 (Immediate) - DDCN 1199/2010 General Pharmaceutical Council and Royal Pharmaceutical Society of Great Britain Update
• CR1189 (Immediate) - DDCN 1189/2010 National Institute for Health and Clinical Excellence
• CR1187 (Immediate) - DDCN 1187/2010 Introduction of the Department for Education

Release: September 2010

• CR1128 (Immediate) - DDCN 1128/2010 Changes to reporting procedures for Overseas Visitors from the European Economic Area and Switzerland
• CR1173 (Immediate) - DDCN 1173/2010 Care Quality Commission Update
• CR1143 (Immediate) - DDCN 1143/2010 General Pharmaceutical Council
• CR1061 (1 October 2010) - ISB 0092/2010 CDS Type 20: Out-patient: Retirement of Default Codes for Out-patient Procedures
• CR1133 (Immediate) - ISB 00289/2010 National Specialty List

Release: August 2010

• The August 2010 Release introduces the NHS Data Model and Dictionary Help Pages.

Release: July 2010

• CR1134 (Immediate - ISB 1067/2010 Amd 109/2010 National Workforce Data Set
• CR1082 (Immediate) - ISB 0153/2010 Critical Care Minimum Data Set
• CR1121 (Immediate) - DSCN 17/2010 Retirement of Data Standard KC60 Central Return

Release: May 2010

• CR957 (Immediate) - DSCN 19/2010 Central Returns: KA34 Ambulance Services
• CR1069 (Immediate) - Redesign of the Commissioning Data Set Pages
  The Information Standards Board for Health and Social Care have been involved in the redesign of the Commissioning Data Set Pages and are satisfied that it meets the requirements of the service, however a formal Information Standards Notice (ISN) will not be published as there are no changes to data standards.

Release: March 2010

• CR1123 (1 April 2010) - DSCN 18/2010 Information Standards Notice (ISN)
• CR1139 (Immediate) - DSCN 16/2010 Person Weight
• CR1130 (Immediate) - DSCN 15/2010 Change of name for "The NHS Information Centre for health and social care"
• CR1013 (April 2010) - DSCN 14/2010 Sexual and Reproductive Health Activity Dataset (SRHAD)
• CR1125 (Immediate) - DSCN 13/2010 NHS Data Model and Dictionary Maintenance Update - Policy Definitions
• CR1122 (Immediate) - DSCN 11/2010 Changes to Family Planning References

Release: January 2010

• CR1115 (Immediate) - DSCN 10/2010 Data Standards: Updating of e-Government Interoperability Framework and Government Data Standards Catalogue References

Release: December 2009

• CR1100 (Immediate) - DSCN 25/2009 NHS Prescription Services Update
• CR1045 (1 December 2009) - DSCN 17/2009 Referral to Treatment Clock Stop Administrative Event
• CR1003 (1 December 2009) - DSCN 16/2009 Commissioning Data Sets: Mandation of 18 Week Referral To Treatment Data Items

Release: November 2009

• CR1113 (Immediate) - DSCN 24/2009 Information Standards Board for Health and Social Care Update
• CR1087 (Immediate) - DSCN 23/2009 Health Professions Council Update
• CR1081 (Immediate) - DSCN 22/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
• CR1019 (27 November 2009) - DSCN 21/2009 Data Standards: Organisation Data Service (ODS) - Optical Sites and Optical Headquarters
• CR1034 (27 November 2009) - DSCN 20/2009 Data Standards: Organisation Data Service (ODS) - Care Homes in England and Wales and their Headquarters

Release: September 2009

• CR1065 (1 October 2009) - DSCN 15/2009 Data Standards: Organisation Data Service, Local Health Boards

Release: June 2009

• CR1014 (1 June 2009) - DSCN 13/2009 Religious and Other Belief System Affiliation
• CR1074 (Immediate) - DSCN 12/2009 Data Standards: Care Quality Commission
• CR1056 (Immediate) - DSCN 11/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
• CR1072 (1 December 2009) - DSCN 10/2009 Data Standards: National Radiotherapy Data Set
• CR1073 (Immediate) - DSCN 09/2009 Central Returns: Diagnostic Waiting Times and Activity Data Set
• CR1066 (Immediate) - DSCN 08/2009 Data Standards: NHS Prescription Services and NHS Dental Services
• CR1047 (1 April 2009) - DSCN 07/2009 Data Standards: Diabetic Retinopathy Screening Dataset v3.6
• CR1059 (Immediate) - DSCN 06/2009 Data Standard: National Workforce Data Set v2.1
• CR914 (April 2008 (Retrospective)) - DSCN 05/2009 NHS Stop Smoking Services Quarterly Monitoring Return
• CR899 (Immediate) - DSCN 02/2009 NHS Data Model and Dictionary Maintenance Update

Release: March 2009

• CR1001 (1 April 2009) - DSCN 03/2009 Introduction of Commissioning Data Set Schema Version 6-1 (2008-04-01) and update to Commissioning Data Set Schema Version 6-0 (2008-01-14)
• CR976 (31 March 2009) - DSCN 26/2008 Subject: KP90 - Admissions, Changes in Status and Detentions under the Mental Health Act
• CR1017 (1 April 2009) - DSCN 25/2008 Critical Care Minimum Data Set
• CR1002 (1 April 2009) - DSCN 24/2008 Data Standards: Introduction of Commissioning Dataset Version 6.1
• CR1016 (Immediate) - DSCN 23/2008 4 Byte Version of the Read Codes - Withdrawal

Release: December 2008

• CR1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
• CR901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS)
• CR843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
• CR1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set