Type: | Patch |
Reference: | 1941 |
Version No: | 1.0 |
Subject: | Headings Patch: Data Sets |
Effective Date: | Immediate |
Reason for Change: | Patch |
Publication Date: | 10 June 2025 |
Background:
The Accessibility Monitoring Team at the Government Digital Service have identified the NHS Data Model and Dictionary as having web accessibility issues that must be resolved to comply with current Web Content Accessibility Guidelines (2.2).
This Patch adds headings html to the Data Sets, other than Commissioning Data Sets, to comply with current Web Content Accessibility Guidelines.
A short demonstration is available which describes "How to Read an NHS Data Model and Dictionary Change Request", in an easy to understand screen capture including a voice over and readable captions. This demonstration can be viewed at: https://datadictionary.nhs.uk/elearning/change_request/index.html.
Note: if the web page does not open, please copy the link and paste into the web browser. A guide to how to use the demonstration can be found at: Demonstrations.
Summary of changes:
Date: | 10 June 2025 |
Sponsor: | Tomas Sanchez Lopez, Director Technology and Data Integration, Data and Analytics, NHS England |
Note: New text is shown with a blue background. Deleted text is crossed out. Retired text is shown in grey. Within the Diagrams deleted classes and relationships are red, changed items are blue and new items are green.
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Change to Supporting Information: Changed Description
Introduction
Introduction
The Aggregate Contract Monitoring Data Set is to enable the interchange, in a uniform and consistent format, of monthly aggregate Contract Monitoring data between all purchasers and Health Care Providers. This will ensure that Contract Monitoring and reporting is consistent, comparable and fit for purpose across all commissioning ORGANISATIONS.
Submission of the Aggregate Contract Monitoring Data Set is a contractual requirement and a recognised monthly reconciliation statement. It demonstrates the aggregated cost of commissioned clinical care provided to PATIENTS as well as financial adjustments not attributed directly to clinical care. The totality of expenditure documented in the Aggregate Contract Monitoring Data Set must be equivalent to the monetary value of the invoice raised by the Health Care Provider and presented to the commissioner.
Scope
Scope
The scope of the Aggregate Contract Monitoring Data Set is all NHS-funded clinical care provided (including drugs and MEDICAL DEVICES not covered by the National Tariff Payment System) provided to PATIENTS as well as financial adjustments not attributed directly to clinical care, for all commissioners. This covers:
- All NHS and Independent Sector Healthcare Providers, secondary Health Care Providers, (acute, mental health and community services), but not primary care, from whom the NHS commissions healthcare.
- All NHS commissioners (Integrated Care Boards or their equivalents and NHS England)
The Aggregate Contract Monitoring Data Set is an aggregation of the three separate patient-level Contract Monitoring data set flows:
Submission
Submission
The Aggregate Contract Monitoring Data Set is submitted on a monthly basis to the respective Data Services for Commissioners Regional Office (DSCRO) as nominated by each commissioning function in line with the dates documented in the data submission timetable within Schedule 6 of the NHS Standard Contract.
The completed monthly Aggregate Contract Monitoring Data Set should be transmitted using the NHS England Data Landing Portal (DLP).
For further information on the Aggregate Contract Monitoring Data Set, see the NHS England website at: Directly commissioned services reporting requirements.
Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data.
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element
- O = Optional: the inclusion of this data element is optional as required for local purposes.
Change to Supporting Information: Changed Description
Introduction
Introduction
The purpose of the Automatic Identification and Data Capture for Patient Identification Data Set is to support the accurate, timely and, therefore, safer identification of NHS PATIENTS in England, by encoding the key PATIENT identifiers into a GS1 DataMatrix 2D barcode which is printed on the PATIENT identity band.
Implementation of this Information Standard enables subsequent processes involving the PATIENT and care provided to the PATIENT (where these processes are also uniquely identified and barcoded) to be automatically identified using Automatic Identification and Data Capture (AIDC) techniques, e.g. bed management, phlebotomy, theatre management and medications administration.
The Automatic Identification and Data Capture for Patient Identification Data Set provides an agreed national standard for how to encode a GS1 DataMatrix with the key PATIENT identifiers on the identity wristband and covers production, printing and verification rules for the barcode.
Further guidance can be found on the NHS England website at: DCB1077: AIDC for Patient Identification.
Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data.
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element
- O = Optional: the inclusion of this data element is optional as required for local purposes.
Change to Supporting Information: Changed Description
Introduction
Introduction
Please note that the data items which are included in the Pathology Sets in this version of the Cancer Outcomes and Services Data Set (v5 of the Pathology Data Sets), do NOT meet the Data Design Principles of NHS England and the NHS Data Model and Dictionary. They have been included as part of this release of the Cancer Outcomes and Services Data Sets (v10) but data items which align to the Royal College of Pathologists data set but which do not meet the required standards, have been clearly marked as requiring an update at a later version, and should NOT be used in any other data collection or Information Standard until this has been completed.
The Cancer Outcomes and Services Data Set is a compiled data set which provides the standard for secondary uses information required to support national cancer registration and associated analysis (at local, regional, national and international level), as well as other national cancer audit programmes.
The standard and XML Schema consists of:
- a set of individual data items, with their definitions
- the assemblage of data items into discrete data sets
- the means of flowing the data items
- compilation of the data items into a reconciled and verified data set.
Additionally, the output supports commissioning and service development through provision of relevant information on service delivery and outcomes.
All PATIENTS diagnosed with or receiving cancer treatment in or funded by the NHS in England are covered by the standard. This includes adult and paediatric cancer PATIENTS. The standard applies to all ORGANISATIONS providing Cancer Services within secondary acute care. It does not apply to general practice ORGANISATIONS.
The Cancer Outcomes and Services Data Set covers diseases as defined by the United Kingdom and Ireland Association of Cancer Registries (UKIACR) as described in the Cancer Outcomes and Services Data Set User Guide at Appendix A and B.
Unless otherwise specified, the term cancer is used throughout the standard and related documents to cover all conditions registerable by the United Kingdom and Ireland Association of Cancer Registries.
Submission Information
Submission Information
Providers of Cancer Services are required to provide a monthly return on all cancer PATIENTS using the Cancer Outcomes and Services Data Set.
The Cancer Outcomes and Services Data Set is submitted to the National Disease Registration Service (NDRS) using the COSDS XML Schema.
While the core and cancer site specific data sets are shown as separate data sets within the NHS Data Model and Dictionary, the COSDS XML Schema integrates each core and cancer site specific set of data elements. Documentation provided on the Technology Reference Update Distribution (TRUD) page at: NHS Data Model and Dictionary: DD XML Schemas gives full details of the specification.
For all diagnoses not covered by a cancer site specific data set, only the Core Data Set should be completed. A full list of diagnoses mapped to the appropriate data set is provided in the National Disease Registration Service: Cancer Outcomes and Services Data Set User Guide.
Pathology
Pathology
From January 2016 Pathology Laboratories across England were mandated through SCCI1521 17/2014, to collect and return structured pathology using the COSDS XML Schema.
This replaced the current reporting to the National Disease Registration Service of electronic pathology reports which were then transcribed by the National Cancer Registration and Analysis Service into the Cancer Registration Reports. This also prevented Cancer Service teams, for example, Multidisciplinary Teams, Pathway Co-ordinators, duplicating the work, which had been happening as part of their data collection process.
From April 2020, the pathology data can only be collected and submitted using the separate Pathology Core Data Set and Pathology XML Schema. Pathology data items have been removed from the main Cancer Outcomes and Services Data Set.
This allows the Cancer Service teams to concentrate on collecting and reporting all the other clinical data required for the Cancer Outcomes and Services Data Set and the Pathologists to collect and report the pathology items. This will reduce the burden of data collection for the Cancer Service teams and allow for more accurate pathology reporting to be submitted to the National Disease Registration Service.
There will be no requirement for Pathology Laboratories to double report. Once their Laboratory Information Management Systems (LIMS) are updated to report in the COSDS XML Schema, all other pathology reporting can cease.
Further Guidance
Further Guidance
Further guidance for submission of the Cancer Outcomes and Services Data Set is provided by the National Disease Registration Service at: Cancer Outcomes and Services Data Set User Guide.
Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data.
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element
- O = Optional: the inclusion of this data element is optional as required for local purposes.
XML Schema
XML Schema
For guidance on the XML Schema constraints, see the Cancer Outcomes and Services Data Set XML Schema Constraints.
For guidance on downloading the XML Schema, see XML Schema TRUD Download.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Chlamydia Testing Activity Data Set collects information on all chlamydia testing commissioned by the NHS and carried out in all Laboratory settings in England. It includes results taken from all PATIENTS tested for Chlamydia in all NHS settings, or in non-healthcare settings and as part of the NHS National Chlamydia Screening Programme in England.
Public Health England (PHE) is required to monitor and evaluate the NHS National Chlamydia Screening Programme (NCSP) through the reporting of data.
Data Extract Specification
Data Extract Specification
Description: Each Laboratory will be required to generate a quarterly disaggregated data extract of all chlamydia tests carried out using Nucleic Acid Amplification Testing (NAAT).
Time period: The extract will cover one calendar quarter, based on the date the SAMPLE is received at the Laboratory.
Frequency: Extracts will run quarterly, 6 weeks after the end of the quarter.
Format: Data returned should be formatted to a comma separated variable (CSV) or MS Excel file.
Transmission: Electronic files will be transmitted to Public Health England through the secure Microbiology and Epidemiology of STI's and HIV (MESH) Departments web portal. Connection to the portal requires a login account name and password which are available from Public Health England.
Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data:
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element.
- O = Optional: the inclusion of this data element is optional as required for local purposes.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Community Services Data Set (CSDS) is a PATIENT level, output based, secondary uses data set which delivers robust, comprehensive, nationally consistent and comparable person-centred information for people who are in contact with publicly-funded Community Health Services. As a secondary uses data set it aims to re-use clinical and operational data for purposes other than direct PATIENT care. It defines the data items, definitions and associated value sets to be extracted or derived from local systems.
The data collected in the Community Services Data Set covers all publicly-funded Community Health Services provided by Health Care Providers in England. This includes all SERVICES listed in the SERVICE OR TEAM TYPE REFERRED TO FOR COMMUNITY CARE within the Community Services Data Set. This includes acute and Independent Sector Healthcare Providers that provide publicly-funded Community Health Services.
The Community Services Data Set is used by the Department of Health and Social Care, commissioners and Health Care Providers of Community Health Services and PATIENTS, as the data set provides:
- National, comparable, standardised data about Community Health Services that are being delivered, which will support intelligent commissioning decisions and SERVICE provision
- Information on the use of resources to improve the operational management of SERVICES
- Information on outcomes, to help to address health inequalities
- Support for current national outcome indicators for Community Health Services
- Traceability and visibility of Community Health Service expenditure, allowing the implementation of new payment approaches for Community Health Services through the development of defined currencies which are underpinned by consistent data
- Information to improve reference costs for Community Health Services, to ensure that these are reported consistently
- Support for a nationally consistent clinical record for all PATIENTS across England, which can be used to support national research projects
- Information for the future development of Community Health Services.
Data Collection
Data Collection
The Community Services Data Set provides the definitions for data to provide timely, pseudonymised PATIENT-based data and information for purposes other than direct clinical care, e.g. planning, commissioning, public health, clinical audit, performance improvement, research, clinical governance.
Data is expected to be collected from various clinical systems, collated and assembled. This standard is intended to facilitate electronic data recording and reporting but it is not intended to create clinical records for Community Health Services or to enable systems used by Community Health Services to interoperate with other clinical systems.
Submission Information
Submission Information
The Community Services Data Set is submitted via the Strategic Data Collection Service in the Cloud (SDCS Cloud) maintained by NHS England using the Community Services Data Set (CSDS) XML Schema.
Format Information
Format Information
Data for submission is formatted into an XML file as per the Technology Reference Update Distribution (TRUD) page at: NHS Data Model and Dictionary XML Schemas.
For enquiries regarding the XML Schema, please contact NHS England at enquiries@nhsdigital.nhs.uk.
Community Services Data Set (CSDS) submissions are made using the latest MS Access Community Services Data Set Intermediate Database (IDB) which is available for download from the Technology Reference Update Distribution (TRUD) page at: Community Services Data Set Intermediate Database.
For enquiries regarding technical support for the Intermediate Database (IDB) files, please contact the National Service Desk at: ssd.nationalservicedesk@nhs.net
Further Guidance
Further Guidance
Further information and implementation guidance has been produced by NHS England and is available at:
Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data.
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element
- O = Optional: the inclusion of this data element is optional as required for local purposes
- P = Pilot: this data element is for piloting use only.
Data Set Constraints
Data Set Constraints
For guidance on the Data Set constraints, see the Community Services Data Set Constraints.
XML Schema
XML Schema
For guidance on downloading the XML Schema, see XML Schema TRUD Download.
Intermediate Database (IDB)
Intermediate Database (IDB)
For guidance on downloading the Intermediate Database (IDB), see the NHS England website at: Intermediate Database (IDB) guidance.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Cover of Vaccination Evaluated Rapidly (COVER) Data Set is used to evaluate the routine childhood Immunisation Programme in England for children up to 5 years of age. The aim is to collect and report vaccine uptake data for all children at three months (Tuberculosis (BCG) only), one, two and five years of age on a quarterly and annual basis.
The Cover of Vaccination Evaluated Rapidly (COVER) Data Set is also used to evaluate the neonatal hepatitis B Immunisation Programme in England for babies born to hepatitis B surface antigen (HBsAg) positive mothers.
The information is used:
- to reliably measure vaccine coverage
- to evaluate the success of a vaccination programme
- to identify susceptible populations for further interventions
- and to inform future vaccine policy decisions.
The UK Health Security Agency is mandated to report on vaccine uptake figures for children aged three months (Tuberculosis (BCG) only), one, two and five years for the Local Authority (upper tier) registered population for the Public Health Outcomes Framework (PHOF) indicator Population vaccination coverage.
NHS England is mandated to produce the annual Cover of Vaccination Evaluated Rapidly (COVER) statistics. Cover of Vaccination Evaluated Rapidly (COVER) statistics enable the monitoring of the contribution of the routine childhood Immunisation Programme towards protecting and improving the nation’s health and are used to address inequalities.
The UK Health Security Agency and the Department of Health and Social Care also have commitments to report vaccine coverage figures to international organisations such as the World Health Organisation, and the European Centre for Disease Prevention and Control.
Submission
Submission
Immunisation records are held in Child Health Information Systems (CHIS). Quarterly and annual returns are transmitted by Child Health Record Departments (who operate local Child Health Information Systems (CHIS)) or other local Health Care Providers to the NHS England Strategic Data Collection Service (SDCS).
Further Guidance
Further Guidance
For further guidance see the UK Health Security Agency part of the gov.uk website at Vaccine uptake guidance and the latest coverage data.
Mandation
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
Change to Supporting Information: Changed Description
Introduction
Introduction
The Critical Care Minimum Data Set was developed by the Critical Care Information Advisory Group (CCIAG) and endorsed by the Intensive Care Society.
The Critical Care Minimum Data Set contains a subset of mandatory items for the generation of Critical Care Healthcare Resource Groups (HRGs). The Critical Care HRG subset replaced the Augmented Care Period data elements in the Commissioning Data Sets.
The purpose of the Critical Care Minimum Data Set is to provide a standardised set of data to support National Tariff Payment System, Healthcare Resource Groups, Resource Management, Commissioning and national policy analysis. The full Critical Care Minimum Data Set has been incorporated into and is consistent with the ICNARC (Intensive Care National Audit and Research Centre) data collection.
The Critical Care Minimum Data Set has been developed to be used in all units where Critical Care is provided. That is where the CRITICAL CARE LEVEL is National Code:
- 02 Patients requiring more detailed observation or intervention including support for a single failing organ system or post-operative care and those 'stepping down' from higher levels of care
- 03 Patients requiring advanced respiratory support alone or monitoring and support for two or more organ systems. This level includes all complex patients requiring support for multi-organ failure.
Neonates are excluded from the data set. The recording of Critical Care Minimum Data Set for older babies (over 28 days) on Neonatal and Paediatric Intensive Care Units is optional. However, the activity for children treated on adult critical care units should be recorded.
A subset of this minimum data set is used to derive Adult Critical Care HRGs. The subset is sent in the following Commissioning Data Set messages:
- CDS V6-2 Type 120 - Admitted Patient Care - Finished Birth Episode Commissioning Data Set
- CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set
- CDS V6-2 Type 140 - Admitted Patient Care - Finished Delivery Episode Commissioning Data Set
- CDS V6-2 Type 180 - Admitted Patient Care - Unfinished Birth Episode Commissioning Data Set
- CDS V6-2 Type 190 - Admitted Patient Care - Unfinished General Episode Commissioning Data Set
- CDS V6-2 Type 200 - Admitted Patient Care - Unfinished Delivery Episode Commissioning Data Set
Change to Supporting Information: Changed Description
Introduction
Introduction
The purpose of the Devices Patient Level Contract Monitoring Data Set (DePLCM) is to enable the interchange, in a uniform format, of monthly PATIENT level device Contract Monitoring data between all purchasers and Health Care Providers. This will ensure that device Contract Monitoring and reporting is consistent, comparable and fit for purpose across all commissioning ORGANISATIONS.
The Devices Patient Level Contract Monitoring Data Set is a PATIENT level report containing PATIENT identifiers relating to High Cost Tariff Excluded Devices. Its purpose is to substantiate and provide detail to the information contained within the Aggregate Contract Monitoring Data Set (ACM).
Scope
Scope
The scope of the Devices Patient Level Contract Monitoring Data Set is all NHS-funded MEDICAL DEVICES not reimbursed through the National Tariff Payment System, as defined in the NHS England National Tariff Payment System High Cost Devices list and any High Cost Devices not associated with a National Tariff, provided to PATIENTS for all NHS commissioners.
This covers:
- All acute and community NHS and Independent Sector Healthcare Provider secondary Health Care Providers, but not primary care, from whom the NHS commissions healthcare;
- All NHS commissioners (Integrated Care Boards or their equivalents and NHS England).
Note that the totality of expenditure in the Devices Patient Level Contract Monitoring Data Set must be equivalent to the aggregate monetary value shown relating to High Cost Tariff Excluded Devices in the Aggregate Contract Monitoring Data Set.
Submission
Submission
The Devices Patient Level Contract Monitoring Data Set is submitted on a monthly basis to the respective Data Services for Commissioners Regional Office (DSCRO) as nominated by each commissioning function in line with the dates documented in the data submission timetable within Schedule 6 of the NHS Standard Contract.
The completed monthly Devices Patient Level Contract Monitoring Data Set should be transmitted using the NHS England Data Landing Portal (DLP).
For further information on the Devices Patient Level Contract Monitoring Data Set, see the NHS England website at: Directly commissioned services reporting requirements.
Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data.
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element
- O = Optional: the inclusion of this data element is optional as required for local purposes.
Data Set Constraints
Data Set Constraints
For guidance on the Data Set constraints, see the Devices Patient Level Contract Monitoring Data Set Constraints.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Diagnostic Imaging Data Set was introduced by ISB 1577 Diagnostic Imaging Data Set, in response to the lack of detailed data on national data on Diagnostic Imaging tests for NHS PATIENTS. The original requirement came from the cancer strategy to improve GP direct access to certain Diagnostic Imaging tests, as a method was required to monitor implementation of this policy.
The Diagnostic Imaging Data Set, however, has many benefits for example, to:
- Provide NHS data on GPs’ direct access to tests, as well as tests requested via other referral sources. Benchmarking data will be fed back to GPs and, where appropriate, used to encourage increased use of tests, leading to earlier diagnosis and hence improved outcomes
- Provide more detailed NHS data than is currently available on test type (modality), body site of test and PATIENT demographics
- Enable analysis of turnaround times for tests
- Enable better analysis of cancer pathways by linking the National Cancer Registration and Analysis Service data to Diagnostic Imaging test data for cancer PATIENTS
- Allow Public Health England (PHE) to calculate more accurate estimates of the distribution of individual radiation dose estimates from medical exposures.
From April 2012 it became a mandatory requirement that all providers of NHS-funded Diagnostic Imaging tests for NHS PATIENTS in England submit the central Diagnostic Imaging Data Set on a monthly basis.
The Diagnostic Imaging Data Set facilitates the collection of clinical data and the sharing of such data to underpin the delivery of effective Diagnostic Imaging. It is structured around the clinical processes of local Radiology Information Systems (RISs) used by NHS Trusts and NHS Foundation Trusts. It records administrative data relating to Diagnostic Imaging test ACTIVITY.
Information is collected relating exclusively to Diagnostic Imaging test ACTIVITY. The Diagnostic Imaging Data Set describes Diagnostic Imaging tests that have taken place as part of a broader PATIENT PATHWAY. This includes PATIENTS referred from within the ORGANISATION, either as an out-patient, in-patient or from Emergency Care Department, or referred directly from their GP or another Health Care Provider.
The Diagnostic Imaging Data Set is collected from NHS funded providers of Diagnostic Imaging test SERVICES and submitted via a portal on the NHS England website. The submissions are processed and aggregate extracts are produced for provider and commissioner ORGANISATIONS and national groups such as the Department of Health and Social Care and Public Health England. This also allows linkage to the National Cancer Registration and Analysis Service.
Please note that the collection of the Diagnostic Imaging Data Set does not replace any other collection of diagnostic data such as the Diagnostics Waiting Times and Activity Data Set (DM01), which should continue to be collected.
Mandation
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.
XML Schema
XML Schema
For guidance on the XML Schema constraints, see the Diagnostic Imaging Data Set XML Schema Constraints.
For guidance on downloading the XML Schema, see XML Schema TRUD Download.
Change to Supporting Information: Changed Description
Introduction
Introduction
The purpose of the Drugs Patient Level Contract Monitoring Data Set (DrPLCM) is to enable the interchange, in a uniform format, of monthly PATIENT level drug Contract Monitoring data between all purchasers and Health Care Providers. This will ensure that drug Contract Monitoring and reporting is consistent, comparable and fit for purpose across all commissioning ORGANISATIONS.
The Drugs Patient Level Contract Monitoring Data Set is a PATIENT level report containing PATIENT identifiers relating to high cost (National Tariff-excluded) drugs. Its purpose is to substantiate and provide detail to the aggregate information contained within the Aggregate Contract Monitoring Data Set (ACM).
Scope
Scope
The scope of the Drugs Patient Level Contract Monitoring Data Set is all NHS-funded PRESCRIBED ITEMS not reimbursed through National Tariff Payment System, as defined by the NHS England National Tariff Payment System High Cost Tariff Excluded Drugs list, provided to PATIENTS for all NHS commissioners.
This covers:
- All acute and community NHS and Independent Sector Healthcare Provider secondary Health Care Providers, but not primary care, from whom the NHS commissions healthcare;
- All NHS commissioners (Integrated Care Boards or their equivalents and NHS England).
Note that the totality of expenditure in the Drugs Patient Level Contract Monitoring Data Set must be equivalent to the aggregate monetary value shown relating to High Cost Tariff Excluded Drugs in the Aggregate Contract Monitoring Data Set.
Submission
Submission
The Drugs Patient Level Contract Monitoring Data Set is required to be submitted on a monthly basis to the respective Data Services for Commissioners Regional Office (DSCRO) as nominated by each commissioning function in line with the dates documented in the data submission timetable within Schedule 6 of the NHS Standard Contract.
The completed monthly Drugs Patient Level Contract Monitoring Data Set should be transmitted using the NHS England Data Landing Portal (DLP).
For further information on the Drugs Patient Level Contract Monitoring Data Set, see the NHS England website at: Directly Commissioned Services Reporting Requirements.
Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data.
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element
- O = Optional: the inclusion of this data element is optional as required for local purposes.
Data Set Constraints
Data Set Constraints
For guidance on the Data Set constraints, see the Drugs Patient Level Contract Monitoring Data Set Constraints.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Emergency Care Data Set V4 Type 001 - Commissioning Data Set Interchange Header carries mandatory controls for a Commissioning Data Set Interchange and is only used by inclusion in other CDS Types.
Commissioning Data Set Interchanges containing Commissioning Data Set Messages submitted to the Secondary Uses Service must use the required Commissioning Data Set Interchange and Message Header and Trailer Controls to provide the correct addressing and identification for the data flows.
Multiple Commissioning Data Set messages are usually sent in a single Commissioning Data Set Interchange which consists of:
- Emergency Care Data Set V4 Type 001 - Commissioning Data Set Interchange Header - Mandatory - One per Commissioning Data Set Interchange
- Emergency Care Data Set V4 Type 003 - Commissioning Data Set Message Header - Mandatory - One per Commissioning Data Set Message
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used:
Followed by:
- The CDS Type - As required to carry the specific Commissioning Data Set data records
Each Commissioning Data Set message ends with:
- Emergency Care Data Set V4 Type 004 - Commissioning Data Set Message Trailer - Mandatory - One per Commissioning Data Set Message
Each Commissioning Data Set Interchange ends with:
- Emergency Care Data Set V4 Type 002 - Commissioning Data Set Interchange Trailer - Mandatory - One per Commissioning Data Set Interchange
To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.
Notation
Notation
See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.
Business Rules
Business Rules
See Commissioning Data Set Business Rules for an explanation of the business and/or processing rules which apply to individual Data Elements.
XML Schema
XML Schema
For guidance on the XML Schema constraints, see the Emergency Care Data Set Version 4 XML Schema Constraints.
For guidance on downloading the XML Schema, see XML Schema TRUD Download.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Emergency Care Data Set V4 Type 002 - Commissioning Data Set Interchange Trailer carries mandatory controls for a Commissioning Data Set Interchange and is only used by inclusion in other CDS Types.
Commissioning Data Set Interchanges containing Commissioning Data Set Messages submitted to the Secondary Uses Service must use the required Commissioning Data Set Interchange and Message Header and Trailer Controls to provide the correct addressing and identification for the data flows.
Multiple Commissioning Data Set messages are usually sent in a single Commissioning Data Set Interchange which consists of:
- Emergency Care Data Set V4 Type 001 - Commissioning Data Set Interchange Header - Mandatory - One per Commissioning Data Set Interchange
- Emergency Care Data Set V4 Type 003 - Commissioning Data Set Message Header - Mandatory - One per Commissioning Data Set Message
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used:
Followed by:
- The CDS Type - As required to carry the specific Commissioning Data Set data records
Each Commissioning Data Set message ends with:
- Emergency Care Data Set V4 Type 004 - Commissioning Data Set Message Trailer - Mandatory - One per Commissioning Data Set Message
Each Commissioning Data Set Interchange ends with:
- Emergency Care Data Set V4 Type 002 - Commissioning Data Set Interchange Trailer - Mandatory - One per Commissioning Data Set Interchange.
To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.
Notation
Notation
See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.
Business Rules
Business Rules
See Commissioning Data Set Business Rules for an explanation of the business and/or processing rules which apply to individual Data Elements.
XML Schema
XML Schema
For guidance on the XML Schema constraints, see the Emergency Care Data Set Version 4 XML Schema Constraints.
For guidance on downloading the XML Schema, see XML Schema TRUD Download.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Emergency Care Data Set V4 Type 003 - Commissioning Data Set Message Header carries mandatory controls for a Commissioning Data Set Message and is only used by inclusion in other CDS Types.
Commissioning Data Set Interchanges containing Commissioning Data Set Messages submitted to the Secondary Uses Service must use the required Commissioning Data Set Interchange and Message Header and Trailer Controls to provide the correct addressing and identification for the data flows.
Multiple Commissioning Data Set messages are usually sent in a single Commissioning Data Set Interchange which consists of:
- Emergency Care Data Set V4 Type 001 - Commissioning Data Set Interchange Header - Mandatory - One per Commissioning Data Set Interchange
- Emergency Care Data Set V4 Type 003 - Commissioning Data Set Message Header - Mandatory - One per Commissioning Data Set Message
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used:
Followed by:
- The CDS Type - As required to carry the specific Commissioning Data Set data records
Each Commissioning Data Set message ends with:
- Emergency Care Data Set V4 Type 004 - Commissioning Data Set Message Trailer - Mandatory - One per Commissioning Data Set Message
Each Commissioning Data Set Interchange ends with:
- Emergency Care Data Set V4 Type 002 - Commissioning Data Set Interchange Trailer - Mandatory - One per Commissioning Data Set Interchange.
To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.
Notation
Notation
See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.
Business Rules
Business Rules
See Commissioning Data Set Business Rules for an explanation of the business and/or processing rules which apply to individual Data Elements.
XML Schema
XML Schema
For guidance on the XML Schema constraints, see the Emergency Care Data Set Version 4 XML Schema Constraints.
For guidance on downloading the XML Schema, see XML Schema TRUD Download.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Emergency Care Data Set V4 Type 004 - Commissioning Data Set Message Trailer carries mandatory controls for a Commissioning Data Set Message and is only used by inclusion in other CDS Types.
Commissioning Data Set Interchanges containing Commissioning Data Set Messages submitted to the Secondary Uses Service must use the required Commissioning Data Set Interchange and Message Header and Trailer Controls to provide the correct addressing and identification for the data flows.
Multiple Commissioning Data Set messages are usually sent in a single Commissioning Data Set Interchange which consists of:
- Emergency Care Data Set V4 Type 001 - Commissioning Data Set Interchange Header - Mandatory - One per Commissioning Data Set Interchange
- Emergency Care Data Set V4 Type 003 - Commissioning Data Set Message Header - Mandatory - One per Commissioning Data Set Message
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used:
Followed by:
- The CDS Type - As required to carry the specific Commissioning Data Set data records
Each Commissioning Data Set message ends with:
- Emergency Care Data Set V4 Type 004 - Commissioning Data Set Message Trailer - Mandatory - One per Commissioning Data Set Message
Each Commissioning Data Set Interchange ends with:
- Emergency Care Data Set V4 Type 002 - Commissioning Data Set Interchange Trailer - Mandatory - One per Commissioning Data Set Interchange.
To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.
Notation
Notation
See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.
Business Rules
Business Rules
See Commissioning Data Set Business Rules for an explanation of the business and/or processing rules which apply to individual Data Elements.
XML Schema
XML Schema
For guidance on the XML Schema constraints, see the Emergency Care Data Set Version 4 XML Schema Constraints.
For guidance on downloading the XML Schema, see XML Schema TRUD Download.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Emergency Care Data Set V4 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol carries mandatory controls for a Commissioning Data Set Type and is only used by inclusion in other CDS Types.
Commissioning Data Set Interchanges containing Commissioning Data Set Messages submitted to the Secondary Uses Service must use the required Commissioning Data Set Interchange and Message Header and Trailer Controls to provide the correct addressing and identification for the data flows. All CDS Types using the Commissioning Data Set Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol must begin with this Mandatory Data Group.
Multiple Commissioning Data Set messages are usually sent in a single Commissioning Data Set Interchange which consists of:
- Emergency Care Data Set V4 Type 001 - Commissioning Data Set Interchange Header - Mandatory - One per Commissioning Data Set Interchange
- Emergency Care Data Set V4 Type 003 - Commissioning Data Set Message Header - Mandatory - One per Commissioning Data Set Message
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used:
Followed by:
- The CDS Type - As required to carry the specific Commissioning Data Set data records
Each Commissioning Data Set message ends with:
- Emergency Care Data Set V4 Type 004 - Commissioning Data Set Message Trailer - Mandatory - One per Commissioning Data Set Message
Each Commissioning Data Set Interchange ends with:
- Emergency Care Data Set V4 Type 002 - Commissioning Data Set Interchange Trailer - Mandatory - One per Commissioning Data Set Interchange.
To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.
Notation
Notation
See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.
Business Rules
Business Rules
See Commissioning Data Set Business Rules for an explanation of the business and/or processing rules which apply to individual Data Elements.
XML Schema
XML Schema
For guidance on the XML Schema constraints, see the Emergency Care Data Set Version 4 XML Schema Constraints.
For guidance on downloading the XML Schema, see XML Schema TRUD Download.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Emergency Care Data Set V4 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol carries mandatory controls for a Commissioning Data Set Type and is only used by inclusion in other CDS Types.
Commissioning Data Set Interchanges containing Commissioning Data Set Messages submitted to the Secondary Uses Service must use the required Commissioning Data Set interchange and Message Header and Trailer Controls to provide the correct addressing and identification for the data flows. All CDS Types using the Commissioning Data Set Net Change Update Mechanism of the Commissioning Data Set Submission Protocol must begin with this Mandatory Data Group.
Multiple Commissioning Data Set messages are usually sent in a single Commissioning Data Set Interchange which consists of:
- Emergency Care Data Set V4 Type 001 - Commissioning Data Set Interchange Header - Mandatory - One per Commissioning Data Set Interchange
- Emergency Care Data Set V4 Type 003 - Commissioning Data Set Message Header - Mandatory - One per Commissioning Data Set Message
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used:
Followed by:
- The CDS Type - As required to carry the specific Commissioning Data Set data records
Each Commissioning Data Set message ends with:
- Emergency Care Data Set V4 Type 004 - Commissioning Data Set Message Trailer - Mandatory - One per Commissioning Data Set Message
Each Commissioning Data Set Interchange ends with:
- Emergency Care Data Set V4 Type 002 - Commissioning Data Set Interchange Trailer - Mandatory - One per Commissioning Data Set Interchange.
To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.
Notation
Notation
See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.
Business Rules
Business Rules
See Commissioning Data Set Business Rules for an explanation of the business and/or processing rules which apply to individual Data Elements.
XML Schema
XML Schema
For guidance on the XML Schema constraints, see the Emergency Care Data Set Version 4 XML Schema Constraints.
For guidance on downloading the XML Schema, see XML Schema TRUD Download.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Electronic Prescribing and Medicines Administration Data Sets are secondary use data sets which aim to re-purpose clinical and operational data concerning the prescribing and administration of medication in Health Care Providers in England who have a live Electronic Prescribing and Medication Administration system.
The utilisation of secondary care PATIENT-level data supports improvements to health outcomes, and the Electronic Prescribing and Medicines Administration Data Sets will be linked to other national data sets to provide enhanced intelligence to support:
- safety and effectiveness
- monitoring uptake of innovative medicine
- pharmacovigilance
- cost-effectiveness (pharmacoeconomics)
- compliance with best practice and policy directives
- antimicrobial stewardship
Data in scope of the Electronic Prescribing and Medicines Administration Data Sets is from the Primary Electronic Prescribing and Medicine Administration system. Therefore the data should not include activity where a separate system is used, for example for the delivery of certain cancer treatments (such as those covered by the Systemic Anti-Cancer Therapy Data Set), the prescribing and administration of specific medications such as Warfarin, and delivery of medications in specific care settings such as Intensive Care Units.
Care settings in scope of the Electronic Prescribing and Medicines Administration Data Sets are:
- Admitted Patient Setting - on a WARD during a Hospital Provider Spell
- Out-Patient Setting - in an Out-Patient Clinic or Ward Attendance
- Emergency Care Department setting
- Admitted Patient - on Discharge from the Hospital Provider Spell
- Admitted Patient - for Home Leave
- Admitted Patient - existing medication on admission
- Other Medication Administration Setting
Submission Information
Submission Information
Electronic Prescribing and Medicines Administration Data Sets data for submission must be formatted into XML files as per the Technology Reference Update Distribution (TRUD) page at: NHS Data Model and Dictionary XML Schemas.
The data sets should be extracted from the primary Electronic Prescribing and Medicine Administration system on a weekly basis, covering the previous seven days' ACTIVITY for both prescribing and medicines administration.
Data submissions are made to NHS England using the Message Exchange for Social Care and Health (MESH) portal.
Further Guidance
Further Guidance
Further guidance for the Electronic Prescribing and Medicines Administration Data Sets is available at Interoperable Medicines Programme.
Mandation
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
XML Schema
XML Schema
For guidance on the XML Schema constraints, see the Electronic Prescribing and Medicines Administration Data Set XML Schema Constraints.
For guidance on downloading the XML Schema, see XML Schema TRUD Download.
Change to Supporting Information: Changed Description
Introduction
The Emergency Care Data Set Version 4 (ECDS V4) collects information about why people attend Emergency Care Departments and the treatment they receive to improve PATIENT care through better and more consistent information; allow better planning of healthcare SERVICES; improve communication between CARE PROFESSIONALS.
The Emergency Care Data Set Version 4 carries the data for Urgent and Emergency Care Activity.
Note that Emergency Care Data Set Version 4 is a Commissioning Data Set, see CDS Type.
Previous versions of Emergency Care Data Set can be found at: CDS V6-2-3 Type 011 - Emergency Care CDS.
To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.
Notation
Notation
See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.
Business Rules
Business Rules
See Commissioning Data Set Business Rules for an explanation of the business and/or processing rules which apply to individual Data Elements.
XML Schema
XML Schema
For guidance on the XML Schema constraints, see the Emergency Care Data Set Version 4 XML Schema Constraints.
For guidance on downloading the XML Schema, see XML Schema TRUD Download.
Further guidance
For further information regarding the Emergency Care Data Set Version 4, see the NHS England website at: Emergency Care Data Set (ECDS).
Change to Supporting Information: Changed Description
Introduction
Introduction
The Female Genital Mutilation Data Set provides essential information in relation to the female genital mutilation population across England.
The Female Genital Mutilation Data Set is used:
- To publish Official Statistics which will inform the Department of Health and Social Care, NHS England, other Government Agencies and the public, about female genital mutilation when it has been identified
- To identify the potential risk of female genital mutilation to young girls and vulnerable women
- For better planning and management of female genital mutilation SERVICES at a local level and across England
Data for an individual PATIENT can be entered using a direct input screen on the NHS England Clinical Audit Platform, or an ELECTRONIC HEALTH RECORD EXTRACT can be used to submit bulk data uploads on a monthly basis for each ORGANISATION.
CARE CONTACT activities undertaken for female genital mutilation PATIENTS during the REPORTING PERIOD are reported in the data upload. This includes any attendances at an Out-Patient Clinic led by any type of CARE PROFESSIONAL, Hospital Provider Spells, Emergency Care Attendances, Group Therapy, Ward Attendances; or any other type of direct PATIENT-facing CARE CONTACT, with the exception of Sexual and Reproductive Health Clinics and Genitourinary Medicine (GUM) clinics, who are not required to submit the Female Genital Mutilation Data Set to NHS England.
- Female genital mutilation related findings:
For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Female genital mutilation related findings simple reference set (foundation metadata concept).
- Female genital mutilation related procedures:
For further details relating to the SNOMED CT Refset, see the SNOMED CT Browser at: Female genital mutilation related procedures simple reference set (foundation metadata concept).
Data Extract Specification
Data Extract Specification
Description
The Department of Health and Social Care requires all NHS Trusts, NHS Foundation Trusts and GENERAL MEDICAL PRACTITIONERS to generate and provide a data extract in accordance with the Female Genital Mutilation Data Set.Description: The Department of Health and Social Care requires all NHS Trusts, NHS Foundation Trusts and GENERAL MEDICAL PRACTITIONERS to generate and provide a data extract in accordance with the Female Genital Mutilation Data Set. This requirement is applicable to all CARE PROFESSIONALS in these ORGANISATIONS whenever it has been identified that a woman or young girl has undergone female genital mutilation.
Time periodTime period: Data extracted from systems can be submitted as a bulk upload on a quarterly basis for each ORGANISATION.
Data extracted from systems can be submitted as a bulk upload on a quarterly basis for each ORGANISATION.
Format
Data submitted by the bulk upload facility must be formatted in 3 separate comma separated variable (csv) files (i.e. Patient, Attendance or Female Genital Mutilation), which are used to populate the NHS England Clinical Audit Platform.Format: Data submitted by the bulk upload facility must be formatted in 3 separate comma separated variable (csv) files (i.e. Patient, Attendance or Female Genital Mutilation), which are used to populate the NHS England Clinical Audit Platform. The data elements should be transmitted in the order specified in the Female Genital Mutilation Data Set.
TransmissionTransmission: Electronic files must be transmitted to NHS England via the Clinical Audit Platform which is a secure web portal.
Electronic files must be transmitted to NHS England via the Clinical Audit Platform which is a secure web portal.
Connection to the web portal requires registration to the Clinical Audit Platform, which will include the provision of a login account name and password.
Further information about the Clinical Audit Platform and the data upload facility can be found on the NHS England website: at Clinical Audit Platform.
Further guidance on the Female Genital Mutilation Data Set can be found on the NHS England website at: SCCI2026: Female Genital Mutilation Enhanced Dataset.
Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data.
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element
- O = Optional: the inclusion of this data element is optional as required for local purposes.
Change to Supporting Information: Changed Description
Introduction
Introduction
The GUMCAD Sexually Transmitted Infection Surveillance System Data Set provides essential public health information about Sexually Transmitted Infection (STI) diagnoses, treatments and SERVICES provided by Level 3 Genitourinary Medicine Services and commissioned Level 2 Sexual Health Services.
The GUMCAD Sexually Transmitted Infection Surveillance System Data Set is used:
- To inform public health response and policy formulation for England
- To monitor the effectiveness of the policies introduced as part of the National Strategy for Sexual Health and Human Immunodeficiency Virus (HIV)
- For performance management at local and national level to ensure delivery of the national Public Service Agreement target on Sexual Health Services
- For better planning and management of Sexual Health Services at local level
- To adapt and refine clinical interventions, as appropriate
Data Extract Specification
Data Extract Specification
Description:
Public Health England require Sexual Health Services to generate and provide a data extract in accordance with the GUMCAD Sexually Transmitted Infection Surveillance System Data Set.Description: Public Health England require Sexual Health Services to generate and provide a data extract in accordance with the GUMCAD Sexually Transmitted Infection Surveillance System Data Set. These SERVICES include:
- NHS providers of specialised Level 3 Genitourinary Medicine Services, where the primary function of the specialist clinical multidisciplinary team is concerned with the provision of screening, diagnosis and management of Sexually Transmitted Infections and related genital medical conditions.
- All Level 2 Sexual Health Services commissioned by the NHS who offer testing, diagnostic and/or treatment of Sexually Transmitted Infections.
It should be noted that General Practitioners with Extended Roles (GPwERs) will only be included if they operate from a General Medical Practitioner Practice that has been commissioned to provide a Level 2 Sexual Health Service.
Time period: The extract must cover one calendar quarter.
Frequency: Reports must be run quarterly, 6 weeks after the end of the quarter.
Format: Data returned must be formatted into a single comma separated variable (csv) file. The data elements should be transmitted in the order specified in the GUMCAD Sexually Transmitted Infection Surveillance System Data Set.
Transmission: Electronic files must be transmitted to Public Health England through a secure web portal on the Public Health England website. This web portal enables ORGANISATIONS to submit data files in a secure manner to the HIV and STI Department of Public Health England. The web portal can be found at HIV & STI web portal.
Connection to the web portal requires a login account name and password at Public Health England. Please contact gumcad@phe.org.uk for access or more information.
Further guidance on the GUMCAD Sexually Transmitted Infection Surveillance System Data Set can be found on the Public Health England part of the gov.uk website at: STI Surveillance, data, screening and management.Mandation
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
Change to Supporting Information: Changed Description
Introduction
Introduction
The Healthcare Operational Data Flows (Acute) Data Set has been established by the Faster Data Flows Programme to provide the data definitions for an automated PATIENT-based daily data collection.
The Healthcare Operational Data Flows (Acute) Data Set supports NHS delivery plans for the recovery of elective care and urgent and emergency care in relation to NHS waiting lists, care co-ordination, and the improvement of managing PATIENT flows through the health and social care system.
Scope
Scope
All NHS commissioned ACTIVITY provided by NHS Trusts and NHS Foundation Trusts commissioned to provide acute services should be submitted in these 4 collections:Acute services includes secondary care ACTIVITY undertaken by any NHS Trust or NHS Foundation Trust in England including overseas PATIENTS, but not including PATIENTS receiving private treatment within an NHS Trust or NHS Foundation Trust (i.e. within a Private Patient Unit (PPU)).
Where possible the definitions of data items collected in the Healthcare Operational Data Flows (Acute) Data Set are aligned with those collected in Commissioning Data Set V6.Where possible the definitions of data items collected in the Healthcare Operational Data Flows (Acute) Data Set are aligned with those collected in Commissioning Data Set V6.3.
Submission Information
Submission Information
The Healthcare Operational Data Flows (Acute) Data Set is submitted via the Faster Data Flows Application Programme Interface as one CSV file for each collection.
- Minimum requirement: All new admissions in a 24 hour period 00:00:00 to 23:59:59 prior to the day of submission
- Best practice: All new and all newly recorded or changed admissions in a 24 hour period 00:00:00 to 23:59:59 prior to the day of submission
- All current bed occupants at 08:00:00 on the day of submission
- Minimum requirement: All new discharges in a 24 hour period 00:00:00 to 23:59:59 prior to the day of submission
- Best practice: All new and all newly recorded or changed discharges in a 24 hour period 00:00:00 to 23:59:59 prior to the day of submission
- Minimum requirement: All out-patient appointments in a 24 hour period 00:00:00 to 23:59:59 prior to the day of submission
- Best practice: All new and all newly recorded or changed out-patient appointments in a 24 hour period 00:00:00 to 23:59:59 prior to the day of submission
NHS commissioned ACTIVITY submitted in the Healthcare Operational Data Flows (Acute) Data Set should include:
- Out-Patient Appointments (including Did Not Attends and Cancelled Appointments) and Admitted Patient Care under the care of a CONSULTANT, MIDWIFE, NURSE or ALLIED HEALTH PROFESSIONAL where an appropriate TREATMENT FUNCTION CODE is present
- ACTIVITY taking place under the care of other Biomedical Scientists and Clinical Scientists may be included (where an appropriate TREATMENT FUNCTION CODE is present) if required, although this is not mandated
- Where the ACTIVITY relates to a Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement, or Allied Health Professional Referral To Treatment Measurement the ACTIVITY should be included, and PATIENT PATHWAY IDENTIFIER or UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) must be completed where appropriate.
Further Guidance
Further Guidance
Implementation guidance and Frequently Asked Questions have been produced by NHS England and can be found on Faster Data Flows (FDF) - National Reporting - FutureNHS Collaboration Platform at FutureNHS for You.
For enquiries regarding the Healthcare Operational Data Flows (Acute) Data Set, please contact england.fdf@nhs.net.
Mandation
Mandation
The Mandatory or Required (M/R/O) column indicates the recommendation for the inclusion of data.
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element
- O = Optional: the inclusion of this data element is optional as required for local purposes.
Change to Supporting Information: Changed Description
Introduction
Introduction
The scope of the HIV and AIDS Reporting Data Set is all PATIENTS who are diagnosed with Human Immunodeficiency Virus (HIV) and receive HIV care from Health Care Providers.
NHS Health Care Providers are required to generate the HIV and AIDS Reporting Data Set.
The HIV and AIDS Reporting Data Set is used to:
- Identify the groups at risk of HIV infection in England
- Monitor the short and long term clinical outcomes of people living with HIV infection
- Monitor the effectiveness of the national policies and guidance
- Adapt and refine interventions, as appropriate.
Secondary analyses of aggregate outputs from the HIV and AIDS Reporting Data Set will be used to:
- Support the commissioning of HIV Services through collation of data to inform the national HIV outpatient tariff for the National Tariff Payment System
- Conduct performance management at the Local Authority and national level.
For further information on Acquired Immune Deficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV), see the Public Health England part of the gov.uk website.
Time period
Time period
The extract covers one calendar quarter.
Frequency
Frequency:
The HIV and AIDS Reporting Data Set is attendance based and should be submitted quarterly, 2 weeks after the end of the quarter.
Format
Data for submission will be formatted into an xml file as per the HIV and AIDS Reporting Data Set XML Schema.
Transmission
Transmission
Submissions should be transmitted to Public Health England through a secure web portal on the Public Health England (PHE) website, using the HARS Data Set XML Schema.
The web portal enables ORGANISATIONS to submit data files in a secure manner to the HIV and STI Department of Public Health England across the internet and can be found at HIV & STI Web Portal.
For further information on the HIV and AIDS Reporting Data Set, see the Public Health England part of the gov.uk website at: HIV surveillance systems.
Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data.
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element
- O = Optional: the inclusion of this data element is optional as required for local purposes.
XML Schema
XML Schema
For guidance on the XML Schema constraints, see the HIV and AIDS Reporting Data Set XML Schema Constraints.
For guidance on downloading the XML Schema, see XML Schema TRUD Download.
Change to Supporting Information: Changed Description
The Improving Access to Psychological Therapies Data Set will be in included in a future version of the Mental Health Services Data Set.
Improving Access to Psychological Therapies Services are being renamed as NHS Talking Therapies for Anxiety and Depression, see NHS Talking Therapies, for anxiety and depression.
Introduction
Introduction
The Improving Access to Psychological Therapies Data Set (IAPT) has been developed to support the Adult Improving Access to Psychological Therapies Programme through a regular national return of data. This includes for example: supporting commissioning, service improvement and service design.
The Adult Improving Access to Psychological Therapies Programme is an NHS programme in England, which started in 2008, that has transformed treatment of anxiety disorders and depression through the delivery of interventions approved by the National Institute for Health and Care Excellence (NICE).
The Improving Access to Psychological Therapies Data Set is a PATIENT level, output based, secondary uses data set which aims to deliver robust, comprehensive, nationally consistent and comparable information for PATIENTS accessing NHS-funded Improving Access to Psychological Therapies Services located in England.
As a secondary uses data set, the Improving Access to Psychological Therapies Data Set re-uses clinical and operational data for purposes other than direct PATIENT care. It defines the data items, definitions and associated value sets to be extracted or derived from local information systems. These national definitions allow Health Care Providers to extract data from their local systems in a consistent manner, which supports national and local reporting to be undertaken.
The Improving Access to Psychological Therapies Data Set includes information on:
- PATIENT Demographics: including geographical, gender, age, ethnicity, religion, sexual orientation and DISABILITY
- Care Pathways: referral details, Mental Health Care Cluster details and Presenting Complaints information
- CARE CONTACTS and CARE ACTIVITIES: SESSION details and any clinical, economic and social outcomes recorded relating to the interventions and coded scored assessments provided
- Waiting Time Pauses: ACTIVITY SUSPENSION periods across the PATIENT's care pathway
- Improving Access to Psychological Therapies Patient Experience Questionnaires: Improving Access to Psychological Therapies treatment and assessment questionnaires
- National Tariff Payment System: Additional data items to support the introduction and development of a payment system for Improving Access to Psychological Therapies Services
- Care Personnel: Qualifications of the Care Personnel delivering treatment.
Submission Information
Submission Information
The Improving Access to Psychological Therapies Data Set is submitted centrally on a monthly basis via the Strategic Data Collection Service in the Cloud (SDCS Cloud) maintained by NHS England.
Format Information
Format Information
Improving Access to Psychological Therapies Data Set submissions are made using the latest MS Access Improving Access to Psychological Therapies Data Set Intermediate Database (IDB) which is available for download from the Technology Reference Update Distribution (TRUD) page at: Improving Access to Psychological Therapies Data Set Intermediate Database.
For guidance on downloading the Intermediate Database (IDB), see the NHS England website at: Intermediate Database (IDB) guidance preparing the IDB for making submissions to the SDCS Cloud.
For enquiries regarding technical support for the Intermediate Database (IDB) files, please contact the National Service Desk at: ssd.nationalservicedesk@nhs.net.
Further Guidance
Further Guidance
Further guidance relating to the Improving Access to Psychological Therapies Data Set is available on the NHS England website: at Improving Access to Psychological Therapies Data Set.
Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data.
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element
- O = Optional: the inclusion of this data element is optional as required for local purposes
- P = Pilot: this data element is for piloting use only.
Note: items in the Mandation column which are shown with notation P have not been approved by the Data Assurance Board and are included to facilitate piloting and testing of future data requirements, prior to formal inclusion in later versions of the Improving Access to Psychological Therapies Data Set. These items have been included in the data set layout in order to provide advance notice to data providers and system suppliers of the intention to require these items at a later date. Unless ORGANISATIONS are engaged in piloting activities relating to these items, they should NOT submit any data item marked P.
Data Set Constraints
Data Set Constraints
For guidance on the Data Set constraints, see the Improving Access to Psychological Therapies Data Set Constraints.
Change to Supporting Information: Changed Description
Introduction
Introduction
This Inter-Provider Transfer Administrative Minimum Data Set specifies the data necessary to permit the receiving Health Care Provider to be able to report the PATIENT's progress along their PATIENT PATHWAY and, in particular, their REFERRAL TO TREATMENT PERIOD.
The NHS need to measure and monitor the REFERRAL TO TREATMENT PERIOD within PATIENT PATHWAYS to ensure that they are progressing as planned to achieve the 18 weeks target.
In an estimated 10% to 20% of cases, responsibility for the PATIENT PATHWAY will be transferred between Health Care Providers. The receiving Health Care Provider would be unable to report on the 18 weeks target for these cases unless the referring Health Care Provider supplied the PATIENT PATHWAY information at the time of transfer.
Scope and Collection
- Completion is mandatory for all PATIENTS with a REFERRAL TO TREATMENT PERIOD where there has been a transfer of care to an alternative Health Care Provider.
- Completion is advisable for PATIENTS without a REFERRAL TO TREATMENT PERIOD, where there has been a transfer of care to an alternative Health Care Provider, but this is voluntary.
- The referring ORGANISATION should send the data set within 48 hours of DECISION TO REFER DATE (INTER-PROVIDER TRANSFER).
- Inter-provider transfer SERVICE REQUESTS for clinical opinion or diagnostics, where the care of the PATIENT remains with the referring Health Care Provider, are voluntary.
- SERVICE REQUESTS associated with the following PATIENT PATHWAYS are also not currently included:
- Non-elective PATIENTS
- Planned admissions (usually part of a planned sequence of clinical care determined mainly on social or clinical criteria, for example, a check cystoscopy).
Where the Inter-Provider Transfer Administrative Minimum Data Set is sent WITH the clinical referral letter it is considered to be complete if the following key data items are included:
- PATIENT PATHWAY IDENTIFIER
- ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
- REFERRING ORGANISATION CODE
- REFERRAL TO TREATMENT PERIOD START DATE
- REFERRAL TO TREATMENT PERIOD STATUS (INTER-PROVIDER TRANSFER)
Where the Inter-Provider Transfer Administrative Minimum Data Set is sent independently of the clinical referral letter, ALL mandated Inter-Provider Transfer Administrative Minimum Data Set data items must be completed.
Further Guidance
Further guidance on the data set can be found in 'The Inter-Provider Transfer Administrative Data Set Operational Information Standard' and in DSCN 30/2007.
Further guidance and definitions on REFERRAL TO TREATMENT PERIODS and those PATIENT PATHWAYS included within the Consultant-Led Referral to Treatment Waiting Times can be found on the NHS England website at: Consultant-led Referral to Treatment Waiting Times.
Mandation
Mandation
The Mandation column indicates the NHS 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
- O = Optional: the inclusion of this data element is optional as required for local purposes.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Maternity Services Data Set (MSDS) is a PATIENT-level data set that captures key information at each stage of the maternity care pathway including mother’s demographics, Antenatal Booking Appointments, admissions and re-admissions, Screening Tests, Labour and Delivery along with baby’s demographics, admissions, diagnoses and Screening Tests.
As a secondary uses data set the Maternity Services Data Set re-uses clinical and operational data for purposes other than direct PATIENT care. It defines the data items, definitions and associated value sets extracted or derived from local information systems.
The Maternity Services Data Set is designed to meet requirements that resulted from the National Maternity Review, which led to the publication of the Better Births report in February 2016. Better Births highlighted the need for Maternity Services in England to become safer, more personalised and provide better access to information for pregnant women. The publication of Better Births resulted in the establishment of the Maternity Transformation Programme, and the data set forms part of the ‘Sharing Data and Information’ workstream of the programme.
Data Collection
Data Collection
The Maternity Services Data Set collects information on each stage of care for women as they go through pregnancy.
The Maternity Services Data Set Information Standards Notice (ISN) mandates the central flow of administrative and clinical information for secondary uses purposes. The scope of the data set includes all ACTIVITY carried out by NHS-funded Maternity Services relating to the mother and baby or babies, from the point of the first Antenatal Booking Appointment until the mother and baby are discharged from Maternity Services.
The Maternity Services Data Set provides the definitions for data:
- to be lodged in the central data warehouse regularly and routinely e.g. monthly. Extracts will be taken at prearranged intervals for publication
- to be assembled, compiled and to flow into a secondary uses data warehouse
- to provide timely, pseudonymised PATIENT-based data and information for purposes other than direct clinical care, e.g. planning, commissioning, public health, clinical audit, performance improvement, research, clinical governance.
The Maternity Services Data Set enables standardised collection of data from various services to be assembled for reporting purposes.
Submission information
Submission information
The Maternity Services Data Set is submitted centrally via the Data Processing Services (DPS) maintained by NHS England.
The Maternity Services Data Set is submitted to NHS England using the Maternity Services Data Set XML Schema.
A conversion tool has also been developed which enables the loading or copying of data into the provided table structure. Once populated, the tool can export the data in the required XML format, ready for submission.
Format information
Format information
Data for submission will be formatted into an XML file as per Technology Reference Update Distribution (TRUD) at: NHS Data Model and Dictionary XML Schemas.
For enquiries regarding the XML Schema, please contact NHS England at enquiries@nhsdigital.nhs.uk.
Further guidance
Further guidance
Further guidance has been produced by NHS England and is available at Maternity Services Data Set.
Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data:
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element
- O = Optional: the inclusion of this data element is optional as required for local purposes.
XML Schema
XML Schema
For guidance on downloading the XML Schema, see XML Schema TRUD Download.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Mental Health Services Data Set (MHSDS) is a PATIENT level, output based secondary uses data set which aims to deliver robust, comprehensive, nationally consistent and comparable person-based information for PATIENTS who are in contact with Mental Health Services.
The Mental Health Services Data Set covers Mental Health Services located in England, or located outside England but treating PATIENTS commissioned by an English Integrated Care Board, NHS England specialised commissioner or an NHS-led Provider Collaborative.
As a secondary uses data set, the Mental Health Services Data Set re-uses clinical and operational data for purposes other than direct PATIENT care, and defines the data items, definitions and associated value sets to be extracted or derived from local information systems.
All ACTIVITY relating to PATIENTS who receive assessments and treatment from Mental Health Services is within the scope of the Mental Health Services Data Set, where the PATIENT has, or are thought to have:
- A mental health condition and/or
- A need for support with their mental wellbeing and/or
- A Learning Disability and/or
- Autism or any other neurodevelopmental condition.
The scope of the Mental Health Services Data Set requires PATIENT record level data submission from SERVICES as follows:
- For each PATIENT attending a SERVICE located outside England, but commissioned by an English Integrated Care Board or NHS England specialised commissioner, the data submission is optional but may be a requirement of the commissioning arrangements.
The Mental Health Services Data Set is used across the range of Health Care Providers and ORGANISATIONS that provide Mental Health Services (irrespective of funding arrangements) including:
- Independent Sector Healthcare Providers offering a service model that includes NHS funded and non-NHS funded PATIENTS
- Voluntary sector Health Care Providers
- Any qualified provider offering Mental Health Services
- Community SERVICES offering secondary care to children.
Submission information
Submission information
The Mental Health Services Data Set is submitted centrally via the Strategic Data Collection Service in the Cloud (SDCS Cloud) maintained by NHS England.
A multiple submission window model for the Mental Health Services Data Set has been available to submitters since 1 April 2020. This allows submitters to resubmit data for each full financial year, rather than by the previous primary and refresh methods of submissions.
Guidance on the submission model can be found on the NHS England website at:
Further guidance
Further guidance
Further information regarding the structure and submission of the Mental Health Services Data Set can be found on the NHS England website at: Mental Health Services Data Set (MHSDS).
Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data.
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element
- O = Optional: the inclusion of this data element is optional as required for local purposes
- P = Pilot: this data element is for piloting use only.
Note: items in the Mandation column which are shown with notation P have not been approved by the Data Assurance Board and are included to facilitate piloting and testing of future data requirements, prior to formal inclusion in later versions of the Mental Health Services Data Set. These items have been included in the data set layout in order to provide advance notice to data providers and system suppliers of the intention to require these items at a later date. Unless ORGANISATIONS are engaged in piloting activities relating to these items, they should NOT submit any data item marked P.
Data Set Constraints
Data Set Constraints
For guidance on the Data Set constraints, see the Mental Health Services Data Set Constraints.
Change to Supporting Information: Changed Description
Introduction
Introduction
The information in the National Cancer Waiting Times Monitoring Data Set is required to provide details on cancer SERVICES in England. This enables the performance monitoring of Health Care Providers and Integrated Care Boards in order to maintain and increase standards across England.
Cancer Waiting Times data relates to the waiting time requirements outlined in the:
The National Cancer Waiting Times Monitoring Data Set supports waiting times which are defined on the NHS England website at: Cancer Waiting Times Data Collection (CWT).
Patient Pathway Scenarios
Patient Pathway Scenarios
The Patient Pathway Scenarios for the National Cancer Waiting Times Monitoring Data Set are to be used to manage the collection of data for all PATIENTS suspected of having, or diagnosed with cancer.
Transmission
Transmission
- Data can be transmitted to the Cancer Waiting Times System through any of three routes:
- Bulk upload via an XML file
- Bulk upload via a CSV file
- Single record entry through the Cancer Waiting Times Submission portal
- The specification for the CSV upload file is detailed in the ‘National Cancer Waiting Times User Manual’ available on the NHS England website
- Data for XML submission will be formatted into an XML file as per Technology Reference Update Distribution (TRUD) at: NHS Data Model and Dictionary XML Schemas
- Once data is transmitted to the Cancer Waiting Times system it will undergo further validation. Details of this validation is available on the NHS England website at: Cancer Waiting Times.
Further guidance
Further guidance
- Further guidance relating to the National Cancer Waiting Times Monitoring Data Set is available on the NHS England website at: Cancer Waiting Times.
- Queries regarding the National Cancer Waiting Times Monitoring Data Set should be addressed to england.cancerwaitsdata@nhs.net.
See Patient Pathway Scenarios, for the scenarios which show:
- the data items required for a range of health care scenarios and
- information on how records will be validated to ensure these scenarios have been correctly reported.
Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data.
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element. Required data elements may not be applicable to all PATIENT PATHWAYS, see Patient Pathway Scenarios for further details
- O = Optional: the inclusion of this data element is optional as required for local purposes.
Data Set Constraints
Data Set Constraints
For guidance on the Data Set constraints, see the National Cancer Waiting Times Monitoring Data Set Constraints.
XML Schema
XML Schema
For guidance on downloading the XML Schema, see XML Schema TRUD Download.
Change to Supporting Information: Changed Description
Introduction
Introduction
The National Joint Registry Data Set collects information on primary Joint Replacement Surgery and revision Joint Replacement Surgery.
The majority of National Joint Registry Data Set items relate to the PATIENT's operation details and are collected in the OPERATING THEATRE.
The National Codes for National Joint Registry items match the National Joint Registry bulk upload codes / system generated codes.
PATIENTS must give their consent for this data to be recorded on the National Joint Registry Data Entry System (the electronic system for collection and transfer of data).
Note: the consent is for data in the 'Patient Identifiers' group. Where consent is not given, the 'Patient Details' group and the operation details are still recorded.
Operations included in the National Joint Registry database
Operations included in the National Joint Registry database
- Primary Hip Replacement Surgery
- Primary Knee Replacement Surgery
- Revision Knee Replacement Surgery
- Primary Shoulder Replacement Surgery
- Revision Shoulder Replacement Surgery
Further Guidance
Further Guidance
Further guidance can be found on the National Joint Registry website at: About the NJR.
Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data.
- M = Mandatory: this data element is mandatory
- Optional: this data element is optional.
Change to Supporting Information: Changed Description
Introduction
Introduction
The National Neonatal Data Set consists of a defined list of data items that are extracted from electronic clinical records created by clinical staff on all admissions to NHS Neonatal Units in England, Wales and Scotland.
The National Neonatal Data Set is in two parts:
- The National Neonatal Data Set - Episodic and Daily Care covers the period of time a baby is cared for in a Neonatal Unit regardless of the designation (Neonatal Intensive Care Unit, Local Neonatal Unit, Special Care Baby Unit, Transitional Care Unit)
- The National Neonatal Data Set - Two Year Neonatal Outcomes Assessment covers data relating to a Two Year Neonatal Outcomes Assessment carried out on the same child approximately two years after their stay in a Neonatal Unit.
- The Two Year Neonatal Outcomes Assessment may be carried out by the same ORGANISATION responsible for the Neonatal Unit admission or a different ORGANISATION.
The two neonatal data sets comprise data items relating to PATIENT demographics, CLINICAL INTERVENTIONS, outcomes, and PATIENT DIAGNOSES. Each data item is mapped or in the process of being mapped where possible to existing Information Standards and Data Collections (including Extractions) (such as the Neonatal Critical Care Minimum Data Set and Maternity Services Data Set) as well as to SNOMED CT and ICD codes.
The National Neonatal Data Set consists of a defined list of data items that are extracted from electronic clinical records created by clinical staff relating to all admissions to a Neonatal Unit in England, Wales and Scotland. The Neonatal Data Analysis Unit has established a database, the National Neonatal Research Database, to hold data comprising the National Neonatal Data Set, as a national resource, to serve a variety of needs, so avoiding duplicate data collections for different purposes, minimising the burden placed upon clinical teams, and promoting data quality and completeness.
Submission Information
Submission Information
Identifiable information (i.e. PERSON IDENTIFIERS, such as NHS NUMBER) is pseudonymised by the System Supplier before being submitted to the Neonatal Data Analysis Unit. These pseudonymised data items are listed alongside their identifiable counterparts in the National Neonatal Data Set. Only data from PATIENTS whose parents have not opted-out of secondary uses of their babies data will flow to the Neonatal Data Analysis Unit.
Where anonymisation is required, the dates and times of events carried throughout the data set (such as CODED PROCEDURE TIMESTAMP (SAMPLE COLLECTION), CODED PROCEDURE TIMESTAMP (ABDOMINAL X-RAY) should be replaced with the specific relevant year and month of the event and the NUMBER OF MINUTES (BIRTH TO EVENT).
Further Guidance
Further Guidance
Further guidance has been produced by the Neonatal Data Analysis Unit and is available on their website at: Neonatal Data Analysis Unit.
Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data.
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element
- O = Optional: the inclusion of this data element is optional as required for local purposes
- P = Pilot: this data element is for piloting use only.
Note: items in the Mandation column which are shown with notation P are included to facilitate piloting and testing of future Neonatal Data Analysis Unit data requirements, prior to formal inclusion in later versions of the data set. These items have been included in the data set layout in order to provide advance notice to data providers and system suppliers of the intention to require these items at a later date. Unless ORGANISATIONS are engaged in piloting activities relating to these items, they should NOT submit any data item marked P.
Change to Supporting Information: Changed Description
Introduction
Introduction
The National Workforce Data Set (NWD) is a reference Data Set comprising standardised definitions to facilitate the capture of nationally consistent information relating to the NHS and wider healthcare workforce. National Workforce data items and definitions support a variety of workforce based collections. They are also embedded within operational HR/workforce systems including Electronic Staff Record (ESR), and the NHS Jobs web system.
The National Workforce Data Set provides common definitions for those data items that are needed to support workforce planning for the NHS workforce and is intended as a reference with an agreed set of data definitions for people who plan workforce at strategic, national and local level.
The changing nature of the provision of NHS funded care is leading to plurality of supply, and therefore a National Workforce Data Set ensures that all suppliers of NHS care provide workforce information in an agreed and pre-determined format. This provides a practical means for the consistent collection of this information from all providers of NHS funded care to enable comprehensive Healthcare Workforce planning going forwards.
The information captured using the values defined in the National Workforce Data Set will also be used locally within ORGANISATIONS by a range of people in addition to those mentioned above, such as in Training and Development, Workforce Information and Planning and Equality and Diversity. The accuracy and relevance of the data captured using the National Workforce Data Set values will therefore impact on a number of issues at local level and beyond.
Further guidance has been produced by NHS England and is available on their website at: National Workforce Data Set (NWD) and NHS occupation codes.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Neonatal Critical Care Minimum Data Set (NCCMDS) provides a record of what happens to a PATIENT when they receive Neonatal Critical Care in a Neonatal Intensive Care Unit, Maternity WARD, or Neonatal Transitional Care WARD.
The primary purpose of the Neonatal Critical Care Minimum Data Set is to allow the operation of the National Tariff Payment System within neonatal critical care. The Neonatal Critical Care Minimum Data Set supports the National Tariff Payment System by capturing the data needed to generate a Healthcare Resource Group (HRG) for each calendar day (or part thereof) of a period of neonatal critical care; these Healthcare Resource Groups are then used to inform the annual aggregate costing exercise, NHS Reference Costs.
Scope and Uses
Scope and Uses
The scope of the Neonatal Critical Care Minimum Data Set is:
a) All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION of National Code '13 - Neonatal Intensive Care Unit (Neonatal critical care patients predominate)'.
b) All PATIENTS (excluding Mothers) on a WARD with a CRITICAL CARE UNIT FUNCTION of National Code:
14 - Facility for Babies on a Neonatal Transitional Care Ward 15 - Facility for Babies on a Maternity Wardto whom one or more of the following CRITICAL CARE ACTIVITY CODES applies for a period greater than 4 hours:
01 | Respiratory support via a tracheal tube (Respiratory support via a tracheal tube provided) |
02 | Nasal Continuous Positive Airway Pressure (nCPAP) (PATIENT receiving nCPAP for any part of the day) |
04 | Exchange Transfusion (PATIENT received exchange transfusion) |
05 | Peritoneal Dialysis (PATIENT received Peritoneal Dialysis) |
06 | Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin (PATIENT received a continuous infusion of an inotrope, vasodilator (includes pulmonary vasodilators) or prostaglandin) |
07 | Parenteral Nutrition (PATIENT receiving Parenteral Nutrition (amino acids +/- lipids)) |
08 | Convulsions (PATIENT having convulsions requiring treatment) |
09 | Oxygen Therapy (PATIENT receiving additional oxygen) |
10 | Neonatal abstinence syndrome (PATIENT receiving drug treatment for neonatal abstinence (withdrawal) syndrome) |
11 | Care of an intra-arterial catheter or chest drain (PATIENT receiving care of an intra-arterial catheter or chest drain) |
12 | Dilution Exchange Transfusion (PATIENT received Dilution Exchange Transfusion) |
13 | Tracheostomy cared for by nursing staff (PATIENT receiving care of tracheostomy cared for by nursing staff not by an external Carer (e.g. parent)) |
14 | Tracheostomy cared for by external Carer (PATIENT receiving care of tracheostomy cared for by an external Carer (e.g. parent) not by a NURSE) |
15 | Recurrent apnoea (PATIENT has recurrent apnoea needing frequent intervention, i.e. over 5 stimulations in 8 hours, or resuscitation with IPPV two or more times in 24 hours) |
16 | Haemofiltration (PATIENT received Haemofiltration) |
22 | Continuous monitoring (PATIENT requiring continuous monitoring (by mechanical monitoring equipment) of respiration or heart rate, or by transcutaneous transducers or by Saturation Monitors. Note: apnoea alarms and monitors are excluded as forms of continuous monitoring) |
23 | Intravenous glucose and electrolyte solutions (PATIENT being given intravenous glucose and electrolyte solutions) |
24 | Tube-fed (PATIENT being tube-fed) |
25 | Barrier nursed (PATIENT being barrier nursed) |
26 | Phototherapy (PATIENT receiving phototherapy) |
27 | Special monitoring (PATIENT receiving special monitoring of blood glucose or serum bilirubin measurement at a minimum frequency of more than one per calendar day) |
28 | Observations at regular intervals (PATIENT requiring recorded observations for temperature, heart rate, respiratory rate, blood pressure or scoring for neonatal abstinence syndrome. Recorded observations must be at a minimum frequency of 4 hourly) |
29 | Intravenous medication (PATIENT receiving intravenous medication) |
80 | Heated Humidified High Flow Therapy (HHHFT) (PATIENT receiving HHHFT) |
81 | Presence of an umbilical venous line |
82 | Continuous infusion of insulin (PATIENT receiving a continuous infusion of insulin) |
83 | Therapeutic hypothermia (PATIENT receiving therapeutic hypothermia) |
84 | PATIENT has a Replogle tube in situ |
85 | PATIENT has an epidural catheter in situ |
86 | PATIENT has an abdominal silo |
87 | Administration of intravenous (IV) blood products |
88 | PATIENT has a central venous or long line (Peripherally Inserted Central Catheter line) in situ |
89 | PATIENT has an indwelling urinary or suprapubic catheter in situ |
90 | PATIENT has a trans-anastomotic tube in situ following oesophageal atresia repair |
91 | PATIENT has confirmed clinical seizure(s) today and/or continuous cerebral function monitoring (CFM) |
92 | PATIENT has a ventricular tap via needle or reservoir today |
93 | PATIENT has a stoma |
This data is captured and recorded locally and may be used for the purposes of direct care, clinical audit, Reference Costs, and other local uses. Any transmission of the Neonatal Critical Care Minimum Data Set must be covered by fair processing arrangements in accordance with information governance criteria and appropriate local arrangements.
Commissioning Data Set Transmission
Commissioning Data Set Transmission
Subject to the Commissioning Data Set Version 6-2 XML Schema Constraints, the Neonatal Critical Care Minimum Data Set is carried into the Secondary Uses Service (SUS) as a part of the following Commissioning Data Set messages, see SCCI0075:
Subject to the Commissioning Data Set Version 6-2 XML Schema Constraints, the Neonatal Critical Care Minimum Data Set is carried into the Secondary Uses Service (SUS) as a part of the following Commissioning Data Set messages, see SCCI0075:
- CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set
- CDS V6-2 Type 180 - Admitted Patient Care - Unfinished Birth Episode Commissioning Data Set
- CDS V6-2 Type 190 - Admitted Patient Care - Unfinished General Episode Commissioning Data Set
The Secondary Uses Service groups this data into neonatal critical care Healthcare Resource Groups; these are a mandated currency under the National Tariff Payment System. Further guidance can be found on the NHS England website at: SCCI0075.
Change to Supporting Information: Changed Description
Introduction
Introduction
The NHS Breast Screening Programme Central Return Data Set (KC62) provides information to the NHS Breast Screening Programme from Breast Screening Units on the processes and outcomes of the call and recall system. Screening Programmes are supported by the UK National Screening Committee.
The information is used:
- to monitor progress towards achieving the cancer targets
- to ensure that the NHS Breast Screening Programme is monitored and managed effectively.
The NHS Breast Screening Programme Central Return Data Set (KC62) is analysed by NHS England and also used by the Public Health Research Unit to evaluate the effectiveness of Breast Screening. It is also used by the Regional Breast Screening Quality Assurance Reference Centres as part of the quality assurance process, and enables on-going monitoring of their individual programmes and comparisons within their regions and with England overall.
Collection
Collection
The NHS Breast Screening Programme Central Return Data Set (KC62) requires information on women invited for Breast Screening, the outcome of the Breast Screening and further information on each cancer detected. It is completed annually and submitted by the end of the October following the end of the REPORTING PERIOD to which the data relates.
Women are included in the NHS Breast Screening Programme Central Return Data Set (KC62) only if the test date offered or SCREENING TEST DATE was within the review period. All Screening Tests taking place within the REPORTING PERIOD are counted. One woman may not have more than one outcome of cancer in the REPORTING PERIOD. Women who are referred directly for a Screening Test (rather than an invitation as part of a Screening Programme) are also included if the SCREENING TEST DATE is within the REPORTING PERIOD.
Submission
Submission
The NHS Breast Screening Programme Central Return Data Set (KC62) is submitted via the Breast Screening Information System.
Parts One to Five of the NHS Breast Screening Programme Central Return Data Set (KC62) should be reported for Tables A to T.
TABLE | DESCRIPTION |
A* | First invitation for routine screening |
B* | Routine invitation to previous non-attenders |
C1* | Return invitation to previous attenders (last screen within 5 years) |
C2 | Return invitation to previous attenders (last screen more than 5 years) |
D | Short term recall |
E | Self/GP referrals of women not previously screened |
F1 | Self/GP referrals of women previously screened (last screen within 5 years) |
F2 | Self/GP referrals of women previously screened (last screen more than 5 years previously) |
T | All invitations and screenings: Sum of Tables A - F2 |
* INVASIVE BREAST CANCER TOTAL OBSERVED, INVASIVE BREAST CANCER TOTAL EXPECTED and STANDARDISED DETECTION RATIO TOTAL are only appropriate for tables A, B and C1.
Change to Supporting Information: Changed Description
Introduction
Introduction
The NHS Breast Screening Programme Central Return Data Set (KC63) provides information to the NHS Breast Screening Programme from Upper Tier Local Authorities on the Breast Screening history of their residents. Screening Programmes are supported by the UK National Screening Committee.
The information is used to:
- assess coverage of Breast Screening and monitor standards of the SERVICES provided
- monitor progress towards achieving the Government's objective of reducing the death rate in the population invited for Breast Screening
- provide data for the Public Expenditure Survey (PES) negotiations, resource allocation to the NHS and Departmental accountability
- provide data published annually by the Department of Health and Social Care in the statistical Bulletin 'Breast Screening Programme'.
Collection
Collection
Data on Breast Screening should be readily available from the Primary Care Organisation's computerised call and recall system designed for Breast Screening. A national computer program is provided and maintained by NHS England.
The NHS Breast Screening Programme Central Return Data Set (KC63) reports information on the Breast Screening history of women who were resident in the Upper Tier Local Authority, including Unitary Local Authorities at 31 March. It is completed annually and submitted by the end of the October following the end of the REPORTING PERIOD to which the data relates.
Submission
Submission
The NHS Breast Screening Programme Central Return Data Set (KC63) is submitted in csv file format.
The NHS Breast Screening Programme Central Return Data Set (KC63) is submitted in csv file format.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Paediatric Critical Care Minimum Data Set (PCCMDS) provides a record of what happens to a PATIENT when they receive Paediatric Critical Care in a Paediatric Intensive Care Unit, or other critical care setting suitable for children.
The primary purpose of the Paediatric Critical Care Minimum Data Set is to allow the operation of the National Tariff Payment System within paediatric critical care. The Paediatric Critical Care Minimum Data Set supports the National Tariff Payment System by capturing the data needed to generate a Healthcare Resource Group (HRG) for each calendar day (or part thereof) of a period of paediatric critical care; these Healthcare Resource Groups are then used to inform the annual aggregate costing exercise, NHS Reference Costs.
Scope and Uses
Scope and Uses
The scope of the Paediatric Critical Care Minimum Data Set is:
a) All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION of National Code '04 - Paediatric Intensive Care Unit (Paediatric critical care patients predominate)'
b) All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION of National Code of either:
- 16 - Ward for children and young people
- 17 - High Dependency Unit for children and young people
- 18 - Renal Unit for children and young people
- 19 - Burns Unit for children and young people
- 92 - Non standard location using the operating department for children and young people
to whom one or more of the following CRITICAL CARE ACTIVITY CODES applies for a period greater than 4 hours:
04 | Exchange Transfusion (PATIENT received exchange transfusion) |
05 | Peritoneal dialysis (acute PATIENTS only i.e. excluding chronic) * |
06 | Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin (PATIENT received a continuous infusion of an inotrope, vasodilator (includes pulmonary vasodilators) or prostaglandin) |
09 | Oxygen Therapy (supplementary Oxygen Therapy, irrespective of ventilatory state) ** |
13 | Tracheostomy cared for by nursing staff (PATIENT receiving care of tracheostomy cared for by nursing staff not by an external Carer (e.g. parent)) |
16 | Haemofiltration (PATIENT received Haemofiltration) |
50 | Continuous electrocardiogram monitoring |
51 | Invasive ventilation via endotracheal tube |
52 | Invasive ventilation via tracheostomy tube |
53 | Non-invasive ventilatory support |
55 | Nasopharyngeal airway |
56 | Advanced ventilatory support (Jet or Oscillatory ventilation) |
57 | Upper airway obstruction requiring nebulised Epinephrine/ Adrenaline |
58 | Apnoea requiring intervention |
59 | Acute severe asthma requiring intravenous bronchodilator therapy or continuous nebuliser |
60 | Arterial line monitoring |
61 | Cardiac pacing via an external box (pacing wires or external pads or oesophageal pacing) |
62 | Central venous pressure monitoring |
63 | Bolus intravenous fluids (> 80 ml/kg/day) in addition to maintenance intravenous fluids |
64 | Cardio-pulmonary resuscitation (CPR) |
65 | Extracorporeal membrane oxygenation (ECMO) or Ventricular Assist Device (VAD) or aortic balloon pump |
66 | Haemodialysis (acute PATIENTS only i.e. excluding chronic) |
67 | Plasma filtration or Plasma exchange |
68 | ICP-intracranial pressure monitoring |
69 | Intraventricular catheter or external ventricular drain |
70 | Diabetic ketoacidosis (DKA) requiring continuous infusion of insulin |
71 | Intravenous infusion of thrombolytic agent (limited to tissue plasminogen activator [tPA] and streptokinase) |
72 | Extracorporeal liver support using Molecular Absorbent Liver Recirculating System (MARS) |
73 | Continuous pulse oximetry |
74 | PATIENT nursed in single occupancy cubicle |
80 | Heated Humidified High Flow Therapy (HHHFT) (PATIENT receiving HHHFT) |
85 | PATIENT has an epidural catheter in situ |
94 | PATIENT has arrhythmia requiring intravenous anti-arrhythmic therapy |
95 | PATIENT has reduced conscious level (Glasgow Coma Score 12 or below) and hourly (or more frequent) Glasgow Coma Score monitoring |
96 | Intravenous infusion of sedative agent (PATIENT receiving continuous intravenous infusion of sedative agent) |
97 | PATIENT has status epilepticus requiring treatment with continuous intravenous infusion |
Notes:
- ** National Code 09 applies as an inclusion criterion when the PATIENT receives supplementary Oxygen Therapy, irrespective of their ventilatory state.
This data is captured and recorded locally and may be used for the purposes of direct care, clinical audit, Reference Costs, and other local uses. Any transmission of the Paediatric Critical Care Minimum Data Set must be covered by fair processing arrangements in accordance with information governance criteria and appropriate local arrangements.
Commissioning Data Set Transmission
Commissioning Data Set Transmission
Subject to the Commissioning Data Set Version 6-2 XML Schema Constraints and Commissioning Data Set Version 6-3 XML Schema Constraints, the Paediatric Critical Care Minimum Data Set is sent to the Secondary Uses Service (SUS) as a part of the following Commissioning Data Set messages, SCCI0076:
The Secondary Uses Service groups this data into paediatric critical care Healthcare Resource Groups. Further guidance can be found on the NHS England website at: SCCI0076.
Change to Supporting Information: Changed Description
Introduction
Introduction
The purpose of the Patient Level Contract Monitoring Data Set (PLCM) is to enable the interchange, in a uniform format, of monthly PATIENT level Contract Monitoring data between all purchasers and Health Care Providers. This will ensure that Contract Monitoring and reporting is consistent, comparable and fit for purpose across all commissioning ORGANISATIONS.
The Patient Level Contract Monitoring Data Set is a PATIENT level report containing PATIENT identifiers. Its purpose is to substantiate and provide detail to the information contained within the Aggregate Contract Monitoring Data Set (ACM). It will contain details of PATIENT level clinical activities that are not found in flows of standard Commissioning Data Sets (CDS) submitted to the Secondary Uses Service.
Scope
Scope
The scope of the Patient Level Contract Monitoring Data Set Information Standard is all NHS-funded acute and community clinical care (excluding drugs and MEDICAL DEVICES not covered by the National Tariff Payment System) provided to PATIENTS, as well as financial adjustments not attributed directly to clinical care, for all commissioners.
This covers:
- All acute and community NHS and secondary care Independent Sector Healthcare Providers, but not primary care, from whom the NHS commissions healthcare
- All NHS commissioners (Integrated Care Boards or their equivalents and NHS England).
Note that the totality of expenditure in the Patient Level Contract Monitoring Data Set must be equivalent to the monetary value (excluding drugs and MEDICAL DEVICES not covered by the National Tariff Payment System) shown in the Aggregate Contract Monitoring Data Set.
Submission
Submission
The Patient Level Contract Monitoring Data Set is submitted on a monthly basis to the respective Data Services for Commissioners Regional Office (DSCRO) as nominated by each commissioning function in line with the dates documented in the data submission timetable within Schedule 6 of the NHS Standard Contract.
The completed monthly Patient Level Contract Monitoring Data Set should be transmitted using the NHS England Data Landing Portal (DLP).
For further information on the Patient Level Contract Monitoring Data Set, see the NHS England website at: Directly commissioned services reporting requirements.
Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data.
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element
- O = Optional: the inclusion of this data element is optional as required for local purposes.
Data Set Constraints
Data Set Constraints
For guidance on the Data Set constraints, see the Patient Level Contract Monitoring Data Set Constraints.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Radiotherapy Data Set (RTDS) allows for the routine collection of clinically and managerially relevant ACTIVITY data from Radiotherapy centres to provide operational data to enable bench marking and to support enhancing clinical practice, in addition to commissioning or monitoring Radiotherapy Services in an evidence-based manner.
Radiotherapy is a major modality in the treatment of cancer and also represents a significant sector within the NHS, in terms of both workforce and capital investment.
All NHS funded facilities in England providing Radiotherapy Services are required to return data to Public Health England (PHE) for all ACTIVITY undertaken on External Beam Radiotherapy (Teletherapy) and Brachytherapy MACHINES, or with radioisotopes not contained within an External Beam Radiotherapy (Teletherapy) or Brachytherapy MACHINE.
The Radiotherapy Data Set accompanies the Out-Patient Commissioning Data Set for PATIENTS attending for Radiotherapy.
Where admitted PATIENTS attend for Radiotherapy, a Radiotherapy Attendance record should be submitted to Public Health England along with the Out-Patient Commissioning Data Set for the In-Patient Attendance.
Data Submission
Data Submission
The Radiotherapy Data Set should be submitted to the National Disease Registration Service (NDRS) by the 20th working day of each month. The extracts should include all Radiotherapy Attendance records for the previous calendar month.
Data should be submitted using the National Cancer Registration and Analysis Service (NCRAS) upload portal at: NCRAS Login.
Further Guidance
Further Guidance
Further guidance for submission of the Radiotherapy Data Set is provided by the National Disease Registration Service at: National Radiotherapy Data Set (RTDS).
Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data:
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element
- O = Optional: the inclusion of this data element is optional as required for local purposes.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Sexual and Reproductive Health Activity Data Set covers PATIENT contact with the Sexual and Reproductive Health Services whether in a clinic setting, in the PATIENT's home or at an alternative location.
Public Health England requires the mandatory collection of information on the SERVICES provided by Sexual and Reproductive Health Services.
The Sexual and Reproductive Health Activity Data Set provides essential data to:
- Ensure a relevant collection of electronic data to support local service development
- Allow monitoring of key policy initiatives and indicators such as: The Public Health Outcome Framework Indicator on under 18 conceptions; increasing access to all methods of contraception, including Long Acting Reversible Contraceptions (LARC) methods and emergency contraception for women of all ages and their partners; reducing teenage conceptions; reducing the rate of unintended pregnancies and modernisation of Sexual and Reproductive Health Services
- Provide appropriate definitions and guidance material to enable a standardised data set from Sexual and Reproductive Health Services
- Support commissioners in understanding which population groups are accessing Sexual and Reproductive Health Services and which SERVICES they are receiving, including the LARC methods as recommended by National Institute for Health and Care Excellence (NICE), and therefore allowing for long-term commissioning of SERVICES
- Develop, over time, indicators of quality and outcome in SERVICE delivery (especially in comparative reports). For example the removal and length of use for LARC devices, provision of emergency CONTRACEPTION, the provision of CONTRACEPTION post abortion and referrals to secondary care, the comparison of attendance rates for selected care and the diversity of young PERSON provision by Sexual and Reproductive Health Services including social referrals
- Reflect current data collection practices and requirements at Sexual and Reproductive Health Services.
Data Extract Specification
Data Extract Specification
Description: The Sexual and Reproductive Health Activity Data Set return includes PATIENT ACTIVITY provided by Sexual and Reproductive Health Services in clinics and non-clinic venues (e.g. outreach facilities or domiciliary visits). Also included are Sexual and Reproductive Health Services provided by non - NHS clinics funded wholly or in part by Local Authorities and/or Integrated Care Boards (e.g. Brook). It does not include SERVICES provided by CONSULTANTS in Outpatient Clinics or those provided by GENERAL MEDICAL PRACTITIONERS.
Data collected will be used by the NHS, Care Quality Commission, Local Authorities, Integrated Care Boards, UK Health Security Agency and other appropriate ORGANISATIONS to support the monitoring of the National Strategies on Sexual and Reproductive Health Services, service provision, benchmarking and development of commissioning.
Time period: The extract will cover one financial year.
Frequency: Extracts run annually, six weeks after the end of the financial year.
Format: Data returned should be formatted to a comma separated variable (CSV) or in a MS Excel file. The data variables should be transmitted in the order specified in the Sexual and Reproductive Health Activity Data Set.
Transmission: Data is submitted via an on-line process to NHS England.
For further information on the Sexual and Reproductive Health Activity Data Set see the NHS England website at: Sexual and Reproductive Health Activity Data Set (SRHAD) Collection.
Mandation
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.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Stop Smoking Services Quarterly Data Set is used to monitor and evaluate the effectiveness and coverage of Stop Smoking Services. It is designed to provide consistent information on people who have sought and received quitting help from an evidence-based service.
Collection and Submission
Collection and Submission
The Stop Smoking Services Quarterly Data Set is required by Public Health England and is collected from Local Authorities.
The Stop Smoking Services Quarterly Data Set relates to ACTIVITY taking place over a 3 month period and should be submitted by the thirty second working day after the end of the quarter to which it relates.
The Stop Smoking Services Quarterly Data Set is transmitted at aggregate level to the NHS England Strategic Data Collection Service (SDCS) available at NHS Stop Smoking Services Collection.
Further guidance
Further guidance
Further information on the NHS Stop Smoking Services and the monitoring guidance can be found on the National Centre for Smoking Cessation and Training website at Local Stop Smoking Services: Service and Delivery Guidance 2014.
Mandation
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.
Change to Supporting Information: Changed Description
Introduction
Introduction
The Systemic Anti-Cancer Therapy Data Set collects clinical management information on PATIENTS undergoing Systemic Anti-Cancer Therapy in (or funded by) the NHS in England.
In the clinical setting its primary use is in prescribing and administering Systemic Anti-Cancer Therapy. The standard also specifies secondary uses information about Systemic Anti-Cancer Therapy which is required to assist in achieving, supporting and monitoring the NHS Operating Framework, specialised commissioning and related policy.
Details of Standard
Details of Standard
The Systemic Anti-Cancer Therapy Data Set relates to all cancer PATIENTS, both adult and paediatric, in both admitted PATIENT care and outpatient and community settings, who are receiving Systemic Anti-Cancer Therapy for all solid Tumour and haematological malignancies, including those treated in CLINICAL TRIALS.
The Systemic Anti-Cancer Therapy Data Set covers the period from the Start Date of the Systemic Anti-Cancer Therapy Drug Regimen to the Start Date of the last Systemic Anti-Cancer Therapy Drug Cycle.
Note: PATIENTS may end their treatment with an oral or other component taken at home. Although the dispensing of this will be recorded in the final Systemic Anti-Cancer Therapy Drug Cycle, it is not possible to confirm that the PATIENT has taken the medication.
Data Set Structure and Transmission
Data Set Structure and Transmission
Systemic Anti-Cancer Therapy is given over a prolonged period of time, often months or years, comprising repeating and sequential elements. The PATIENT may attend two or more Health Care Providers during the course of treatment.
In order to track the PATIENT during treatment, the data set must be capable of linking all the elements of care in a consistent and ordered way. In order to achieve this, the Systemic Anti-Cancer Therapy Data Set has a branching structure which links the initial data fields, which will remain constant during the treatment, with detail of each Systemic Anti-Cancer Therapy Drug Regimen, Systemic Anti-Cancer Therapy Drug Cycle and Systemic Anti-Cancer Therapy Drug Administration. At the completion or cessation of a Systemic Anti-Cancer Therapy Drug Regimen, the outcome section must link back to all previous fields. It must be possible to reconstitute details of each PATIENT’s sequential management from the serial downloads received.
All NHS Trusts and NHS Foundation Trusts providing Systemic Anti-Cancer Therapy Services are required to submit monthly data downloads to an agreed timetable, two months in arrears. These data must represent all treatment activity in the month period, including Systemic Anti-Cancer Therapy Drug Regimens started and completed or ceased in the REPORTING PERIOD.
The data repository is hosted by the National Cancer Registration and Analysis Service (NCRAS) and the data is held under their section 251 of the National Health Service Act 2006.
Data downloads is by csv and will uniquely identify the Health Care Provider.
Further Guidance
Further Guidance
Detailed technical guidance on the processes required, and any required updates, is available from the National Disease Registration Service in the Downloads and guides supporting the programme.Mandation
Mandation
The Mandation column indicates the recommendation for the inclusion of data.
- M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
- R = Required: NHS business processes cannot be delivered without this data element
- O = Optional: the inclusion of this data element is optional as required for local purposes
- P = Pilot: this data element is for piloting use only.
Data Set Constraints
Data Set Constraints
For guidance on the Data Set constraints, see the Systemic Anti-Cancer Therapy Data Set Constraints.
For enquiries about this Change Request, please email information.standards@nhs.net