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

Notes:

• National Code 12 'referral from a General Practitioner with an Extended Role (GPwER) or Dentist with Enhanced Skills (DES)' has been updated in Data Dictionary Change Notice 1752 "Practitioners with a Special Interest Name Change". The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.
• National Code descriptions have been updated to remove National Code headings and add prefixes where required. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.
  • The explanation of the National Code description prefixes are:
    • CONSULTANT initiated: Initiated by the CONSULTANT responsible for the Consultant Out-Patient Episode
    • CONSULTANT not initiated: Not initiated by the CONSULTANT responsible for the Consultant Out-Patient Episode.
• Where a PATIENT is referred by a GENERAL PRACTITIONER acting in the capacity of a General Practitioner with an Extended Role (GPwER), National Code 12 'CONSULTANT not initiated following a referral from a General Practitioner with an Extended Role (GPwER) or Dentist with Enhanced Skills (DES)' should be used.
• Where a PATIENT is referred by that GENERAL PRACTITIONER acting in their capacity as an ordinary GENERAL MEDICAL PRACTITIONER, or as an ordinary GENERAL DENTAL PRACTITIONER, National Code 03 'CONSULTANT not initiated following a referral from a GENERAL MEDICAL PRACTITIONER' or National Code 92 'CONSULTANT not initiated following a referral from a GENERAL DENTAL PRACTITIONER' should be used as appropriate.
• Two Week Wait Referrals made by Specialist NURSES in Primary Care, under the authority of the GENERAL MEDICAL PRACTITIONER leading their team, should continue to be classified as referrals from the GENERAL PRACTITIONER (National Code 03 'CONSULTANT not initiated following a referral from a GENERAL MEDICAL PRACTITIONER'. Referrals from Specialist NURSES in Secondary Care should be classified as National Code 13 'CONSULTANT not initiated following a referral from a Specialist NURSE (Secondary Care)'
• The following National Codes have been updated in DCB0092-2062: Commissioning Data Sets: Emergency Care Data Set. The Data Set specifications that contain these items will be updated in the next version of the Information Standard where it is not already correct:
  • 10 'CONSULTANT initiated following an Emergency Care Attendance (including Minor Injuries Units, Walk In Centres and Urgent Treatment Centres)'
  • 04 'CONSULTANT not initiated following a referral from a General Practitioner with an Extended Role (GPwER) or Dentist with Enhanced Skills (DES)'
  • 05 'CONSULTANT not initiated following a referral from a CONSULTANT, other than in an Emergency Care Department'.

National Codes:

This attribute is also known by these names:

Context	Alias
plural	SOURCES OF REFERRALS FOR OUT-PATIENTS