Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1152
Version No:1.0
Subject:May 2010 Update Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:24 May 2010

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the May 2010 Release.

This patch includes:

Summary of changes:

Diagrams
ACTIVITY   Changed Diagram
ADDRESS GEOGRAPHICAL AREA AND COMMUNICATION   Changed Diagram
APPOINTMENTS   Changed Diagram
CARE PROFESSIONAL   Changed Diagram
LISTS   Changed Diagram
ORGANISATION   Changed Diagram
PATIENT PATHWAY   Changed Diagram
PERSON AND PERSON PROPERTY   Changed Diagram
PRESCRIBING AND DISPENSING   Changed Diagram
RADIOTHERAPY   Changed Diagram
REFERRAL REQUEST   Changed Diagram
 
Central Return Forms
KC53 1   Changed Description
KC53 10   Changed Description
KC53 2   Changed Description
KC53 3   Changed Description
KC53 4   Changed Description
KC53 5   Changed Description
KC53 6   Changed Description
KC53 7   Changed Description
KC53 8   Changed Description
KC53 9   Changed Description
KC63 1   Changed Description
KC63 2   Changed Description
KC64 1   Changed Description
KC64 2   Changed Description
KT31 1   Changed Description
KT31 2   Changed Description
KT31 3   Changed Description
KT31 4   Changed Description
KT31 5   Changed Description
 
Supporting Information
ANTI-CANCER DRUG REGIMEN   Changed Description
CDS TYPE LIST NAVIGATION MENU (RETIRED) renamed from CDS TYPE LIST NAVIGATION MENU   Changed status to Retired, Name
CENTRAL RETURN FORMS MENU   Changed Description
DIAGNOSTICS WAITING TIMES AND ACTIVITY DATA SET OVERVIEW   Changed Description
HEALTHCARE RESOURCE GROUP   Changed Description
INDEX   Changed Description
NATIONAL JOINT REGISTRY DATA SET OVERVIEW   Changed Description
OPCS CLASSIFICATION OF INTERVENTIONS AND PROCEDURES   Changed Aliases
SEXUAL AND REPRODUCTIVE HEALTH ACTIVITY DATA SET OVERVIEW   Changed Description
SYMPTOMS FIRST NOTED DATE   Changed Aliases
WHAT'S NEW: MAY 2010 renamed from WHAT'S NEW: MARCH 2010   Changed Description, Name
 
Class Definitions
ACCOMMODATION   Changed Description
ACTIVITY DRUG   Changed Attributes
CARE PROFESSIONAL GROUP   Changed Attributes
PATIENT   Changed Attributes
 
Attribute Definitions
ACTIVITY GROUP TYPE   Changed Description
ADMISSION METHOD   Changed Description
CARE PROFESSIONAL GROUP TYPE renamed from CARE PROFESSIONAL TYPE   Changed Aliases, Name
DECISION TO TREAT DATE   Changed Description
ELECTIVE ADMISSION SUSPENSION INITIATOR   Changed Description
EMPLOYEE ABSENCE CATEGORY CODE   Changed Description
EMPLOYEE INTERNATIONAL RECRUIT INDICATOR   Changed Description
EMPLOYMENT STATUS FOR MENTAL HEALTH   Changed Description
PATIENT TRIAL STATUS   Changed Description
PLANNED TREATMENT CHANGE REASON   Changed Description
 
Data Elements
ADMINISTRATIVE CATEGORY (AT START OF EPISODE)   Changed Description
ADMINISTRATIVE CATEGORY (ON ADMISSION)   Changed Description
ADMISSION OFFER OUTCOME   Changed Description
CONSULTANT CODE (PATHOLOGIST)   Changed linked Attribute
DRUG REGIMEN ACRONYM   Changed Description
DRUG ROUTE OF ADMINISTRATION   Changed Description
DRUG TREATMENT INTENT   Changed Description
INTENDED CLINICAL CARE INTENSITY   Changed Description
PATIENT TRIAL STATUS (CANCER)   Changed Description
PERFORMANCE STATUS (ADULT)   Changed Description
PLANNED TREATMENT CHANGE REASON   Changed Description
REFERRER CODE   Changed Description
UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)   Changed Description
WAITING TIME ADJUSTMENT (FIRST SEEN)   Changed Description
WAITING TIME ADJUSTMENT (TREATMENT)   Changed Description
 

Date:24 May 2010
Sponsor:Richard Kavanagh, NHS Connecting for Health

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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ACTIVITY

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ADDRESS GEOGRAPHICAL AREA AND COMMUNICATION

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APPOINTMENTS

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CARE PROFESSIONAL

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LISTS

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ORGANISATION

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PATIENT PATHWAY

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PERSON AND PERSON PROPERTY

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PRESCRIBING AND DISPENSING

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RADIOTHERAPY

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REFERRAL REQUEST

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KC53 1

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC53: Adult Screening Programmes: Cervical Screening

  1. Contextual Overview
    • Contextual Overview
    • The Department of Health, NHS Cervical Screening Programme (NHSCSP) and Strategic Health Authorities require information from Primary Care Trusts on Cervical Screening.

    • The information helps to monitor the process of achieving the Government's target to reduce the incidence of invasive cervical cancer and to ensure that the screening programme is managed effectively. It is used to monitor coverage by the cervical screening programme of the eligible Primary Care Trust responsible population.

    • Information on the return is also used in Public Expenditure Survey (PES) negotiations, resource allocation to the NHS and Departmental accountability.

    • Information based on the KC53 return is published annually by the Department in the Statistical Bulletin `Cervical Screening Programme'.

      Completing Return KC53: Cervical Screening Programme
    • The Cervical Screening Programme is a programme to deliver services within a 'structured framework' to a defined target population, planned by a Primary Care Trust. The services provided to the population under this programme may be carried out by one or more Health Care Providers - NHS Trust, general medical practitioner (GMP), private or voluntary organisation or any combination of these.

    • Information on Cervical Screening should be readily available from the call and recall service's computerised call and recall system. A standard computer programme is provided by NHS Connecting for Health.

    • The return requires the ORGANISATION CODE and ORGANISATION NAME of the Primary Care Trust. It requires information about women (PERSONS) on the lists of GPs in the Primary Care Trust and women from the unregistered population who live in the geographical area for which the Primary Care Trust is responsible at 31 March. It is completed annually and submitted within two months of this date.

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KC53 10

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC53: Adult Screening Programmes: Cervical Screening

  1. Part F: Cervical Screening Programme - Test Recall/Status of women following most severe screening result in the year
    • Part F: Cervical Screening Programme - Test Recall/Status of women following most severe screening result in the year
    • This part of the return collects information about the action taken following a woman's most severe test result in a year.

    • The women included are those who have had a Screening Test and are aged 20 to 64. The age is derived from the PERSON BIRTH DATE.

      A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.

    • The data are based on the results of the woman's most severe test in the year and relate to Screening Tests with a Screening Test Date between 1 April - 31 March. Classifications are those of CYTOLOGY RESULT TYPE of a Request for Pathology Investigation and are in accordance with the categories shown in box 22 of HMR 101/5 Request/Report for Cervical or Vaginal Cytology.

      Screening Test Date is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'. A Request for Pathology Investigation is a DIAGNOSTIC TEST REQUEST where the DIAGNOSTIC TEST REQUEST TYPE is National Code 03 'Request for Pathology Investigation.'

      Woman's most severe test result in the year
    • This is classified by the following CYTOLOGY RESULT TYPES:

      Inadequate (cat. 1)
      Negative (cat. 2)
      Mild dyskaryosis (cat. 3)
      Severe dyskaryosis (cat. 4)
      Severe dyskaryosis/?invasive carcinoma (cat. 5)
      ?Glandular neoplasia (cat. 6)
      Moderate dyskaryosis (cat. 7)
      Borderline changes (cat. 8)
    • The return requires a count of the CYTOLOGY SCREENING ACTION TYPE against each CYTOLOGY RESULT TYPE. The actions are classified into:

      Normal (A) -Standard Primary Care Trust recall interval (Normal) (A) 
      Suspend (S) -Refer for medical assessment or under medical treatment (Suspend) (S) 
      Repeat (R) -Repeat at interval specified (R) 
    • The actions are based on result codes 1 to 8 from HMR 101/5, the operational document used by most laboratories for coding the results of cervical smears.

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KC53 2

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC53: Adult Screening Programmes: Cervical Screening

  1. Part A: Cervical Screening Programme - Status of PCT Responsible Population
    • Part A: Cervical Screening Programme - Status of PCT Responsible Population
      Part A1
    • Part A1 of KC53 requires information on the routine recall interval in force in the Primary Care Trust for the Screening Programme. This is the CERVICAL SCREENING RECALL INTERVAL.

      A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.

      Part A2
    • Part A2 of KC53 requires information on the SCREENING STATUS of the Screening Population - the number of women in Primary Care Trusts responsible population at 31 March.

      Screening Population is a HEALTH PROGRAMME POPULATION where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.

      Age of woman at 31 March (column 1)
    • The age bands are derived from the PERSON BIRTH DATE.

      Under 20 (line 0001)
      20-24 (line 0002)
      25-29 (line 0003)
      30-34 (line 0004)
      35-39 (line 0005)
      40-44 (line 0006)
      45-49 (line 0007)
      50-54 (line 0008)
      55-59 (line 0009)
      60-64 (line 0010)
      65-69 (line 0011)
      70-74 (line 0012)
      75-79 (line 0013)
      80 & over (line 0014)
      Number of women resident in Primary Care Trust responsible population (column 2)
    • This is the total number of women of all ages derived from the registers maintained by the Primary Care Trust to ensure compatibility with the other data recorded on the return.

      The responsible population includes:

      and
      • the unregistered population who live within the geographical area for which the Primary Care Trust is responsible.
      Number of women recorded as having recall ceased (columns 3, 4 and 5)
    • These columns do not include women with the SCREENING STATUS classification of Recall suspended.

    • Column 3 counts women in the Screening Programme with the SCREENING STATUS classification of Recall ceased - clinical reasons. Women no longer eligible for screening due to removal of the cervix are included.

    • Column 4 counts the number of women with the SCREENING STATUS classification of Recall ceased - age reasons, and column 5 counts those with the classification of Recall ceased - other reasons.

      Eligible population (column 6)
    • This is calculated by subtracting the number of women in column 3 (i.e. women with the SCREENING STATUS classification of Recall ceased - clinical reasons) from the number in column 2 (i.e. the Primary Care Trust responsible population).

      Number of women whose most recent test was no more than 5 years ago (column 7)
    • This is calculated from the addition of columns (2) to (5) in part A3.

      Coverage (%) - less than 5 years since last adequate test (column 8)
    • This is calculated from columns (6) and (7) in Part A2.

      Target Age Group (25-64) (line 0015)
    • This counts the number of women in the Screening Programme aged between 25 and 64 on 31 March (sum of lines 0003 to 0010). Coverage of the Screening Programme is based on women aged 25 to 64, and not on the NHS Cervical Screening Programme's target population of women aged 20 to 64 who are eligible to receive screening test invitations.

      Total all ages (line 9999)
    • This is the total for all age groups counted in lines 0001 to 0014 for each category of women.

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KC53 3

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC53: Adult Screening Programmes: Cervical Screening

  1. Part A3: Cervical Screening Programme - Screening Status of Eligible Women at 31 March YYYY
    • Part A3: Cervical Screening Programme - Screening Status of Eligible Women at 31 March YYYY
    • This part of the return collects information specifically about the number of women screened by time since their last test. It includes all women who have had a Screening Test at any time during their life, even if the test was not part of a call and recall system, but was taken opportunistically. It does not include inadequate tests.

      A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.
      Age of women at 31 March (column 1)
    • The age bands are derived from the PERSON BIRTH DATE.

      Under 20 (line 0001)
      20-24 (line 0002)
      25-29 (line 0003)
      30-34 (line 0004)
      35-39 (line 0005)
      40-44 (line 0006)
      45-49 (line 0007)
      50-54 (line 0008)
      55-59 (line 0009)
      60-64 (line 0010)
      65-69 (line 0011)
      70-74 (line 0012)
      75-79 (line 0013)
      80 & over (line 0014)
      Number of women whose most recent adequate test was in last 1.5 years (column 2)
      Number of women whose most recent adequate test was more than 1.5 years but no more than 3 years ago (column 3)
      Number of women whose most recent adequate test was more than 3 years but no more than 3.5 years ago (column 4)
      Number of women whose most recent adequate test was more than 3.5 years but no more than 5 years ago (column 5)
      Number of women whose most recent adequate test was more than 5 years but no more than 10 years ago (column 6)
      Number of women whose most recent adequate test was more than 10 years but no more than 15 years ago (column 7)
      Number of women whose most recent adequate test was more than 15 years ago (column 8)
    • The Screening Test Date should be used to derive the count of women tested in the time periods required by the return.

      The Screening Test Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'.
      Women called but no adequate smear (column 9)
    • This is a count of the number of women who have been invited at any time in their lives but have no adequate smear.

      Women called but never attended (column 10)
    • This is a count of the number of women who have been invited at any time in their lives but have never attended.

      Number of women with no cytology record (column 11)
    • This is a count of women in the Primary Care Trust responsible population with no cervical screening history.

      The responsible population includes:

      and
      • the unregistered population who live within the geographical area for which the Primary Care Trust is responsible.
      Target Age Group (25-64) (line 0015)
    • This counts the number of women in the Screening Programme aged between 25 and 64 on 31 March (sum of lines 0003 to 0010). Coverage of the Screening Programme is based on women aged 25 to 64, and not on the NHS Cervical Screening Programme's target population of women aged 20 to 64 who are eligible to receive Screening Test Invitations.

      A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.

      Total all ages (line 9999)
    • This is the total for all age groups counted in lines 0001 to 0014 for each category of women.

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KC53 4

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC53: Adult Screening Programmes: Cervical Screening

  1. Part B: Cervical Screening Programme - Number of Women Invited
    • Part B: Cervical Screening Programme - Number of Women Invited
    • Part B of KC53 requires age-banded data on the number of women invited for screening, The number invited relates to Screening Test Invitations with an APPOINTMENT DATE OFFERED between 1 April and 31 March. This date does not necessarily relate to a due date in the year - e.g. the Screening Test could be set to take place outside this period. Where a woman is invited on more than one occasion in the year, the last invitation is recorded on KC53.

      A Screening Test Invitation is an APPOINTMENT associated with an APPOINTMENT OFFER where the APPOINTMENT CLASSIFICATION CODE is National Code 06 'Screening Test'.

      A Screening Test is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.
      Age of woman at 31 March (column 1)
    • The age bands are derived from the PERSON BIRTH DATE.

      Under 20 (line 0001)
      20-24 (line 0002)
      25-29 (line 0003)
      30-34 (line 0004)
      35-39 (line 0005)
      40-44 (line 0006)
      45-49 (line 0007)
      50-54 (line 0008)
      55-59 (line 0009)
      60-64 (line 0010)
      65-69 (line 0011)
      70-74 (line 0012)
      75 & over (line 0013)
      Call (column 2)
    • A count of the number of women invited for their first screen i.e. those who have never been screened before. The INVITATION TYPE of the Screening Test Invitation will have the classification First call.

      Routine recall (column 3)
    • A count of the number of women invited for screening in the year as a result of a routine recall for screening. These women will have had a previous negative result and been recalled after the usual interval (3 to 5 years). The INVITATION TYPE of the Screening Test Invitation will have the classification Routine recall.

      Surveillance (column 4)
    • A count of the number of women invited for early screening because of a previous abnormal screening result or following treatment for cervical abnormalities. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than three years for surveillance.

      Abnormality (column 5)
    • A count of the number of women invited for early screening because their last smear showed some abnormality and a repeat was advised. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than three years because of abnormality.

      Inadequate smear (column 6)
    • A count of the number of women invited for screening because their last smear was inadequate. The INVITATION TYPE of the Screening Test Invitation will have either the classification Repeat in less than three years because of inadequate smear, or the classification Technical recall (inadequate test).

      Target age group (line 0014)
    • This counts the number of women in the Screening Programme aged between 20 and 64 on 31 March (sum of lines 0002 to 0010).

      A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.

      Total all ages (line 9999)
    • This is the total for all age groups counted in lines 0001 to 0013 for each INVITATION TYPE.

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KC53 5

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC53: Adult Screening Programmes: Cervical Screening

  1. Part C1: Cervical Screening Programme - Number of Women Tested - by Age
    • Part C1: Cervical Screening Programme - Number of Women Tested - by Age
    • Part C1 of KC53 requires data on the women screened in the year, by invitation or opportunistically. The number screened relates to Screening Tests with a Screening Test Date between 1 April and 31 March. Where a woman is screened more than once in the year, for whatever reason, her INVITATION TYPE at her first Screening Test Date in the review period is to be recorded.

      A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'. Screening Test Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test'.

      Call (column 2)
    • A count of the number of women screened in the year as a result of a first call for screening within 12 months of the original invitation. These women will not have been screened before. The INVITATION TYPE of the Screening Test Invitation will have the classification First call.

      A Screening Test Invitation is an APPOINTMENT associated with an APPOINTMENT OFFER where the APPOINTMENT CLASSIFICATION CODE is National Code 06 'Screening Test'.

      Routine recall (column 3)
    • A count of the number of women screened in the year as a result of a routine recall for screening within 12 months of the recall invitation. These women will have had a previous negative result and been recalled after the usual interval (3 to 5 years). The INVITATION TYPE of the Screening Test Invitation will have the classification Routine recall.

      Surveillance (column 4)
    • A count of the number of women screened in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years for surveillance.

      Abnormality (column 5)
    • A count of the number of women screened in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. These women will usually have had a recent mildly abnormal smear. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years because of abnormality.

      Inadequate smear (column 6)
    • Enter the number of women screened in the year as a result of a technical recall within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have either the classification Repeat in less than 3 years because of inadequate smear or the classification Technical recall (inadequate test).

      While recall suspended (column 7)
    • A count of the number of women screened in the year who were suspended from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'screened while recall suspended'.

      A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.

      While recall ceased (column 8)
    • A count of the number of women screened opportunistically in the year who were ceased from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'screened while recall ceased'.

      Not Invited by Programme (column 9)
    • A count of the number of women screened opportunistically during the year. This includes all women whose Recall Status was "No action", "GP not informed", "GP informed", "ZZZ GP" and those women whose Recall Status was "Final non-responder" where the initial invitation was generated more than 12 months ago. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'not invited by programme'.

      Target age group (line 0014)
    • This counts the number of women in the Screening Programme aged between 20 and 64 on 31 March (sum of lines 0002 to 0010).

      Total all women (line 9999)
    • This is the total for all age groups counted in lines 0001 to 0013 for each INVITATION TYPE or women who have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE recorded.

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KC53 6

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC53: Adult Screening Programmes: Cervical Screening

  1. Part C2: Cervical Screening Programme - Number of Women Tested - by Result
    • Part C2: Cervical Screening Programme - Number of Women Tested - by Result
    • Part C2 of KC53 requires data on the women aged 20 - 64 screened in the year, by invitation or opportunistically. The number screened relates to Screening Tests with a Screening Test Date between 1 April and 31 March. Where a woman is screened more than once in the year, for whatever reason, her INVITATION TYPE at her first Screening Test Date in the review period is to be recorded.

      A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'. Screening Test Date is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'.

      Call (column 2)
    • A count of the number of women screened in the year as a result of a first call for screening within 12 months of the original invitation. These women will not have been screened before. The INVITATION TYPE of the Screening Test Invitation will have the classification First call.

      A Screening Test Invitation is an APPOINTMENT associated with an APPOINTMENT OFFER where the APPOINTMENT CLASSIFICATION CODE is National Code 06 'Screening Test'.

      Routine recall (column 3)
    • A count of the number of women screened in the year as a result of a routine recall for screening within 12 months of the recall invitation. These women will have had a previous negative result and been recalled after the usual interval (3 to 5 years). The INVITATION TYPE of the Screening Test Invitation will have the classification Routine recall.

      Surveillance (column 4)
    • A count of the number of women screened in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years for surveillance.

      Abnormality (column 5)
    • A count of the number of women screened in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. These women will usually have had a recent mildly abnormal smear. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years because of abnormality.

      Inadequate smear (column 6)
    • Enter the number of women screened in the year as a result of a technical recall within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have either the classification Repeat in less than 3 years because of inadequate smear or the classification Technical recall (inadequate test).

      While recall suspended (column 7)
    • A count of the number of women screened in the year who were suspended from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'screened while recall suspended'.

      A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.

      While recall ceased (column 8)
    • A count of the number of women screened opportunistically in the year who were ceased from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'screened while recall ceased'.

      Not Invited by Programme (column 9)
    • A count of the number of women screened opportunistically during the year. This includes all women whose Recall Status was "No action", "GP not informed", "GP informed", "ZZZ GP" and those women whose Recall Status was "Final non-responder" where the initial invitation was generated more than 12 months ago. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'not invited by programme'.

      Result of test
    • This is classified by the following CYTOLOGY RESULT TYPES:
      Inadequate (cat. 1) (line 0001)
      Negative (cat. 2) (line 0002)
      Borderline changes (cat. 8) (line 0003)
      Mild dyskaryosis (cat. 3) (line 0004)
      Moderate dyskaryosis (cat. 7) (line 0005)
      Severe dyskaryosis (cat. 4) (line 0006)
      Severe dyskaryosis/?invasive carcinoma (cat. 5) (line 0007)
      ?Glandular neoplasia (cat. 6) line 0008)

      Total women tested aged 20-64 (line 9999)
    • This counts the number of women in the Screening Programme aged between 20 and 64 on 31 March (sum of lines 0001 to 0008).

      A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.

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KC53 7

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC53: Adult Screening Programmes: Cervical Screening

  1. Part C3: Cervical Screening Programme - Number of Tests - by Result
    • Part C3: Cervical Screening Programme - Number of Tests - by Result
    • Part C3 of KC53 requires data on all tests in the review period, not limited to the target age group 20 - 64, by invitation or opportunistically. The number screened relates to Screening Tests with a Screening Test Date between 1 April and 31 March. Where a woman is screened more than once in the year, for whatever reason, her INVITATION TYPE at her first Screening Test Date in the review period is to be recorded.

      A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'. Screening Test Date is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'.

      Call (column 2)
    • A count of the number of tests in the year as a result of a first call for screening within 12 months of the original invitation. These women will not have been screened before. The INVITATION TYPE of the Screening Test Invitation will have the classification First call.

      A Screening Test Invitation is an APPOINTMENT associated with an APPOINTMENT OFFER where the APPOINTMENT CLASSIFICATION CODE is National Code 06 'Screening Test'.

      Routine recall (column 3)
    • A count of the number of tests in the year as a result of a routine recall for screening within 12 months of the recall invitation. These women will have had a previous negative result and been recalled after the usual interval (3 to 5 years). The INVITATION TYPE of the Screening Test Invitation will have the classification Routine recall.

      Surveillance (column 4)
    • A count of the number of tests in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years for surveillance.

      Abnormality (column 5)
    • A count of the number of tests in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. These women will usually have had a recent mildly abnormal smear. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years because of abnormality.

      Inadequate smear (column 6)
    • Enter the number of tests in the year as a result of a technical recall within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have either the classification Repeat in less than 3 years because of inadequate smear or the classification Technical recall (inadequate test).

      While recall suspended (column 7)
    • A count of the number of tests in the year of women who were suspended from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'Screened while recall suspended'

      A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.

      While recall ceased (column 8)
    • A count of the number of tests in the year of women who were ceased from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'screened while recall ceased'.

      Not Invited by Programme (column 9)
    • A count of the number of opportunistic tests during the year. This includes all women whose Recall Status was "No action", "GP not informed", "GP informed", "ZZZ GP" and those women whose Recall Status was "Final non-responder" where the initial invitation was generated more than 12 months ago. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification 'not invited by programme'.

      Result of test
    • This is classified by the following CYTOLOGY RESULT TYPES:
      Inadequate (cat. 1) (line 0001)
      Negative (cat. 2) (line 0002)
      Borderline changes (cat. 8) (line 0003)
      Mild dyskaryosis (cat. 3) (line 0004)
      Moderate dyskaryosis (cat. 7) (line 0005)
      Severe dyskaryosis (cat. 4) (line 0006)
      Severe dyskaryosis/?invasive carcinoma (cat. 5) (line 0007)
      ?Glandular neoplasia (cat. 6) line 0008)

      Total all results (line 9999)
    • This counts the number of tests in the Screening Programme for all age groups on 31 March (sum of lines 0001 to 0008).

      A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.

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KC53 8

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC53: Adult Screening Programmes: Cervical Screening

  1. Part D: Cervical Screening Programme - Result of Test

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KC53 9

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC53: Adult Screening Programmes: Cervical Screening

  1. Part E: Cervical Screening Programme - Notification of Result - Waiting Times
    • Part E: Cervical Screening Programme - Notification of Result - Waiting Times
    • This part of the return requires information on the length of time elapsing between a woman taking a smear test and when notification of the result is sent to her by the call and recall service. The national standard to be achieved is that women should be advised in writing of the result of their test four weeks from the date the test was taken. The information is used to monitor the performance of Screening Programmes and laboratories.

      A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.

    • The return also collects information on those instances where the letter is sent directly by the laboratory or by some other agency instead of by the call and recall service.

    • The return counts all tests and not just those tests with the most severe result. It includes only smears taken as part of a NHS Screening Programme.

      Number of weeks between date smear is taken and date result is sent from the call and recall service
    • This is the number of weeks between the Screening Test Date and the Screening Result Sent Date of the Screening Test, where the RESULT SENT DIRECT indicator is Yes.

      A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'. Screening Test Date is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'. Screening Result Sent Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 29 'Screening Result Sent Date'.

    • They are sub-divided into the following time periods:

      Less than or equal to four weeks (line 0001)
      > 4 weeks up to 6 weeks (line 0002)
      > 6 weeks up to 8 weeks (line 0003)
      > 8 weeks up to 10 weeks (line 0004)
      > 10 weeks up to 12 weeks (line 0005)
      > Over 12 weeks (line 0006)
      Number of tests (column 2)
    • This counts the number of Screening Tests where results were sent from the call and recall service for each time period.

      Total (line 0007)
    • This is the total of Screening Tests for all time periods counted in lines 0001 to 0006.

      Letter not sent by the call and recall service (line 0008)
    • This counts the number of Screening Tests where the RESULT SENT DIRECT indicator is No, indicating that the result was not sent by the call and recall service.

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KC63 1

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC63 - Adult Screening Programmes: Breast Screening, Resident Based

  1. Contextual Overview
    • Contextual Overview
    • The Department, NHS Breast Screening Programme (NHSBSP) and Regional Offices require information from Health Authorities on the breast cancer screening status of their residents.

    • The information is used to assess performance. Quality targets for breast screening are monitored and poor performances identified and followed up via performance management.

    • Information on screening is used to monitor progress towards achieving the Government's target of a reduction in the death rate in the population invited for screening.

    • Information on the return is also used in Public Expenditure Survey (PES) negotiations, resource allocation to the NHS and Departmental accountability.

    • Information based on the KC63 return is published annually by the Department in the Statistical Bulletin `Breast Screening Programme'.

      Completing Return KC63 - Adult Screening Programmes: Breast Screening
    • The Breast Screening Programme is a structured programme by a Strategic Health Authority which is directed towards detecting specific diseases and conditions in a specific target group. The services provided to the population under this programme are carried out by a breast screening centre or Unit.

      A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National code 06 'Screening programme'. A breast screening centre is type of a SERVICE POINT.

    • Information on Breast Screening should be readily available from the Health Authorities computerised call and recall system designed for breast cancer screening. A standard computer program is provided by NHS Connecting for Health.

    • The return must be submitted by Health Authorities in respect of women resident in the Health Authority at 31 March. It is completed annually and submitted by the end of October following the end of the financial year to which the return relates.

    • The KC63 return requires the ORGANISATION CODE and ORGANISATION NAME of the Health Authority as well as the name of a contact and the contact telephone number.

    • Detailed information about compilation of the KC63 is contained in the NHS Connecting for Health publication `KC63 Statistics: Table definitions'.

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KC63 2

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC63 - Adult Screening Programmes: Breast Screening

  1. Breast Screening Programme

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KC64 1

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC64: Community Dental Service - Dental Activity

  1. Contextual Overview

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KC64 2

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KC64 - Community Dental Service - Dental Activity

  1. Part 3: Patient Care - continued

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KT31 1

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KT31 - Cross Sector Services

  1. Contextual Overview
    • Contextual Overview
    • The Department of Health requires the collection of information about services provided by Sexual and Reproductive Health Clinics, in order to monitor the implementation of the Government's strategy to reduce the number of teenage pregnancies.

    • Improving contraception and sexual health services and encouraging young people to seek advice are important aspects of the Teenage Pregnancy Strategy. Best Practice Guidance on the provision of effective contraception and advice services for young people was issued in November 2000 and Local Teenage Pregnancy Strategies all include proposals to ensure that appropriate services are in place.

    • Monitoring of the Teenage Pregnancy Strategy is being undertaken partly through a National Indicator Set, which was issued in November 2001. This includes indicators on the provision of services in accordance with Best Practice Guidance and the uptake of services by under 18 year olds. The Central Return Form KT31 will provide data needed for these indicators.

    • The Best Practice Guidance on service provision is concerned with services for young people under 25, and this is reflected in KT31:

      (i) A key goal of the Teenage Pregnancy Strategy is to reduce the rate of conceptions for under 18s. The AGE group is split into 16-17 year olds and 18-19 year olds in parts B and C of the form.

      (ii) An important part of the Teenage Pregnancy Strategy is to increase the awareness and involvement of young men in sexual health matters. Data on males is to be collected for exactly the same AGE groups as for females.

      Completing the Central Return KT31 Family Planning Services

    • The coverage of the KT31 return includes services provided by NHS Trusts / Primary Care Trusts in Sexual and Reproductive Health Clinics and at Sexual and Reproductive Health Domiciliary Visits and also those provided by non-NHS clinics funded wholly or in part by the NHS. Not included are services provided by CONSULTANTS in Out-Patient Clinics or those provided by GENERAL MEDICAL PRACTITIONERS.

      Sexual and Reproductive Health Clinic and Out-Patient Clinic are both types of a CLINIC OR FACILITY. A Sexual and Reproductive Health Domiciliary Visit is a CARE CONTACT where the CARE CONTACT TYPE is National Code 21 'Family Planning Domiciliary Visit'.

    • A contact is a Clinic Attendance Sexual and Reproductive Health Service or a Sexual and Reproductive Health Domiciliary Visit, during which a PATIENT is seen by professional staff for counselling, or in order to be prescribed contraceptives.

      Clinic Attendance Sexual and Reproductive Health Service and Sexual and Reproductive Health Domiciliary Visit are both a CARE CONTACT where the CARE CONTACT TYPE is National Code 07 'Clinic Attendance Family Planning' and 21 'Family Planning Domiciliary Visit' respectively.

    • A first contact in financial year is the first time a PATIENT is seen in the year by the family planning service. A subsequent contact with the same service provider does not count as a first contact, so each PATIENT is recorded only once in any year by any NHS Trust / Primary Care Trust.

    • Where a couple are seen together only one first contact is recorded; where either vasectomy or the male condom is the main method chosen, the first contact is recorded as one with a man; in all other cases, where any other method is chosen, the first contact is recorded as one with a woman.

    • The CONTRACEPTION METHOD MAIN for new PATIENTS is that chosen after counselling; for existing PATIENTS it is the principal method in use unless a change is advised. For new PATIENTS, the main method should be the substantive method chosen and not any interim method, even if the choice is not made until a subsequent attendance or visit. In particular, where vasectomy or female sterilisation is the method chosen after counselling, any interim methods used while waiting for an operation should not be recorded.

    • The information in the KT31 Central Return form can now be submitted to the Department of Health via the Internet. If you would be interested in using this facility, please contact your Information Manager. Alternatively further information about this facility can be obtained from the Department of Health: http://www.dh.gov.uk

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KT31 2

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KT31 - Cross Sector Services

  1. Part A (I) - Total Contacts

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KT31 3

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KT31 - Cross Sector Services

  1. Part B - First Contacts in the Financial Year - Females
    • Part B - First Contacts in the Financial Year - Females
    • This is a count of the 'Main Methods of Contraception Chosen': CONTRACEPTION METHOD MAIN (Lines 01-17), recorded the first time a female PATIENT is seen in the year by the family planning service: first contact in financial year, broken down by 7 AGE groups (columns 8-14). Please provide full details if possible; if full year detail by age or method is not available, part year or sample based detail would be helpful in addition to any full-year figures.

    • The CONTRACEPTION METHOD MAIN for new PATIENTS, is that chosen after counselling; for existing CONTRACEPTION METHODS MAIN, it is the principal method in use unless a change is advised. For new PATIENTS, the main method should be the substantive method chosen and not any interim method, even if the choice is not made until a subsequent attendance or visit. In particular, where vasectomy or female sterilisation is the method chosen after counselling, any interim methods used while waiting for an operation should not be recorded.

    • Note: Information about male first contacts should be recorded in part D(i) of the KT31 form)

      Main Method of Contraception Chosen (Female first contacts in financial year): Column 7: Lines 01-17
    • This is the CONTRACEPTION METHOD MAIN chosen or already in use by a female PATIENT, recorded during a first contact in financial year.

    • The first contact in financial year is the first time a female PATIENT is seen in the year by the family planning service.

    • A subsequent contact with the same service provider does not count as a first contact, so each PATIENT is recorded only once in any year by any NHS Trust / Primary Care Trust.

      Oral Contraceptive: Lines 01 - 02
      Line 01: Columns 8 - 14: Main Method of Contraception Chosen - (i) Combined Preparation - (Oral Contraceptive)
    • This is the count of the number of times the classification of 'Combined Preparation - oral contraceptive' is chosen or is already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

      Line 02: Columns 8 - 14: Main Method of Contraception Chosen - (ii) Progestogen only (Oral Contraceptive)
    • This is the count of the number of times the classification of 'Progestogen only - oral contraceptive' is chosen or is already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

      Line 03: Columns 8 - 14: Main Method of Contraception Chosen - IU Device (IUD)
    • This is the count of the number of times the classification of 'IU Device (IUD)' is chosen or is already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8 14).

    • Note: IU Devices - do not include use of the Mirena intra-uterine system (IUS), this should be included at line 13.

      Line 04: Columns 8 - 14: Main Method of Contraception Chosen - Cap, Diaphragm
    • This is the count of the number of times the classification of 'Cap, Diaphragm' is chosen or is already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8 14).

      Line 05: Columns 8 - 14: Main Method of Contraception Chosen - Injectable contraceptive
    • This is the count of the number of times the classification of 'Injectable contraceptive' is chosen or is already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

      Line 06: Columns 8 - 14: Main Method of Contraception Chosen - Other chemicals (Spermicides etc, but only when used on their own)
    • This is the count of the number of times the classification of 'Other chemicals' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

    • Note: Other Chemicals (mainly spermicidal foams, gels, jellies and cream), should be included only when they are used on their own and not when used with, for example, a barrier method.

      Line 07: Columns 8 - 14: Main Method of Contraception Chosen - Male condom (female first Contacts only)
    • This is the count of the number of times the classification of 'Male condoms' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8 - 14).

      Line 08: Columns 8 - 14: Main Method of Contraception Chosen - Female condom: e.g. FEMIDOM
    • This is the count of the number of times the classification of 'Female condoms' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8 - 14).

      Main Method of Contraception Chosen - Natural Family Planning/Fertility Awareness (Rhythm Method): Lines 09-10
    • Where both indictors and devices are used, record under line 10 devices.

      Line 09: Columns 8 - 14: Main Method of Contraception Chosen - (i) Fertility Indicators (singular or combined)
    • This is the count of the number of times the classification of 'Fertility Indicators' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

      Line 10: Columns 8 - 14: Main Method of Contraception Chosen - (ii) Fertility Devices (including Persona)
    • This is the count of the number of times the classification of 'Fertility devices' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8 - 14).

    • For Lines 9 and 10 - The terms "Natural Family Planning" or "Fertility Awareness" are now used in preference to 'Rhythm Method'. There are a number of recognised indicators that monitor the timing of ovulation, for example cycle length, waking body temperature, cervical secretions (cervical mucus); these indicators may be used in combination and there are also fertility devices (including Persona).

      Line 11: Columns 8 - 14: Main Method of Contraception Chosen - Female Sterilisation
    • This is the count of the number of times the classification of 'Female sterilisation' is chosen or has already been chosen as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

      Line 12: Columns 8 - 14: Main Method of Contraception Chosen - Implant
    • This is the count of the number of times the classification of 'Implants' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

      Line 13: Columns 8 - 14: Main Method of Contraception Chosen - IU System (IUS) (Including Mirena)
    • This is the count of the number of times the classification of 'IU System (IUS) (Including Mirena)*' is chosen or is already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

    • *Include use of the Mirena intra-uterine system (IUS)

      Line 14: Columns 8 - 14: Main Method of Contraception Chosen - Contraceptive Patch
    • This is the count of the number of times the classification of 'Patches' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8 -14).

      Line 15: Columns 8 - 14: Main Method of Contraception Chosen - Other Methods
    • This is the count of the number of times the classification of 'Other methods' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8 -14).

    • Note: Record here the number of women whose CONTRACEPTION METHOD MAIN is not listed in lines 1 to 14; include in line 15 women whose first contact is an attendance for post-coital (emergency) contraception, who have no other method recorded as their main method.

      Line 16: Columns 8 - 14: Main Method of Contraception: No Method Provided
    • This is the count of the number of times the classification of 'No method provided' is recorded the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8 -14).

    • Note: Record here the number of women who attend for contraceptive advice and have no current method, but for whom no method is advised (Line 16: Column 7)

      Line 17: Columns 8 - 14: Contact for Reasons other than Contraception
    • This is the count of the number of times 'Contact for reasons other than contraception' is recorded the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

    • Note: Record here the number of women who attend the clinic solely for purposes not connected with contraceptive advice, e.g. for cervical screening only (Line 17: Column 7)

      Line 99: Totals - Main Method of Contraception Chosen (broken down by age groups: Columns 8 - 14) - for Female first contacts in financial year
    • This is the count of the total for each age group for first contact in financial year for females, broken down by 7 age groups (columns 8 - 14).

      Line 99: Totals - Column 8
    • The totals for Column 8 (age: <15), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 8 in Line: 99 - Total.

      Line 99: Totals - Column 9
    • The totals for Column 9 (age: 15), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 9 in Line: 99 - Total

      Line 99: Totals - Column 10
    • The totals for Column 10 (age: 16-17), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 10 in Line: 99 - Total

      Line 99: Column 11
    • The totals for Column 11 (age: 18-19), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 11 in Line: 99 - Total

      Line 99: Column 12
    • The totals for Column 12 (age: 20-24), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 12 in Line: 99 - Total

      Line 99: Column 13
    • The totals for Column 13 (age: 25-34), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 13 in Line: 99 - Total

      Line 99: Column 14
    • The totals for Column 14 (age: 35+), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 14 in Line: 99 - Total

      Column 15: Lines 01-17
    • The total count for each CONTRACEPTION METHOD MAIN chosen or already in use (lines 01-17), should be entered into each line in Column 15. The total for each line that needs to be entered into Column 15, is the figure for each age group (columns 8-14), added together to form a total for each CONTRACEPTION METHOD MAIN.

      Column 15: Line 99
    • This is the total count for all PATIENTS - females, from all CONTRACEPTION METHODS MAIN chosen (lines 01-17), for all age groups (columns 8-14).

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KT31 4

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KT31 - Cross Sector Services

  1. Part C - Post Coital Contraceptives - Females - Number of Occasions
    • Part C - Post Coital Contraceptives - Females - Number of Occasions
    • Part C - Record every contact with a woman for CONTRACEPTION METHOD POST COITAL, not just first contacts.

      Line 01: Post Coital Contraceptives - Females - Number of occasions (Type of Post Coital Contraception - Hormonal)
    • This is a count for the number of contacts with women for CONTRACEPTION METHOD POST COITAL (not just for first contacts), for type of post-coital contraception classification of 'Hormonal', broken down by 7 age groups (columns 17-23).

      Line 02: Post Coital Contraceptives - Females - Number of occasions (Type of Post Coital Contraception - IUD)
    • This is a count for the number of contacts with women for CONTRACEPTION METHOD POST COITAL (not just for first contacts), for type of post-coital contraception classification of 'IUD', broken down by 7 age groups (columns 17 - 23).

      Line 99: Totals Column 17 - 23
    • The totals for Columns 17-23, for Lines 01-02 (CONTRACEPTION METHOD POST COITAL classification of 'Hormonal' and 'IUD') added together to create total figures for each age group, in Line: 99.

      Column 24: Totals Lines 01-02
    • The total count for each type of CONTRACEPTION METHOD POST COITAL for lines 01-02, should be entered into each line in Column 24. The total for each line that needs to be entered into Column 24, is the figure for each age group (columns 17-23), added together to form a total for each type of post-coital contraception.

      Column 24: Line 99
    • This is the total count from both types of CONTRACEPTION METHOD POST COITAL (lines 01-02), for all age groups (columns 8-14).

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KT31 5

Change to Central Return Form: Changed Description

Central Return Form Guidance
 

KT31 - Cross Sector Services

  1. Part D(i) First contacts in the financial year - male
    • Part D(i) First contacts in the financial year - male
      Main Method of Contraception Chosen (Males - first contacts in financial year)
    • This is the CONTRACEPTION METHOD MAIN chosen or already in use; the first time a male PATIENT is seen in the year by the family planning service. A subsequent contact with the same service provider does not count as a first contact, so each PATIENT is recorded only once in any year by any NHS Trust / Primary Care Trust.

    • The CONTRACEPTION METHOD MAIN for new PATIENTS is that chosen after counselling; for existing CONTRACEPTION METHODS MAIN, it is the principal method in use unless a change is advised. For new PATIENTS, the main method should be the substantive method chosen and not any interim method, even if the choice is not made until a subsequent attendance or visit. In particular, where vasectomy or female sterilisation is the method chosen after counselling, any interim methods used while waiting for an operation should not be recorded.

      Line 01: Main Method of Contraception Chosen - Vasectomy
    • This is the count of the number of times the classification of 'Vasectomy' is chosen or has already been chosen as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 26-32).

      Line 02: Main Method of Contraception Chosen - Male condom
    • This is the count of the number of times the classification of 'Male Condoms' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 26-32).

      Line 03: Main Method of Contraception Chosen - Other methods
    • This is the count of the number of times the classification of 'Other Methods' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service , broken down by 7 age groups (columns 26-32).

    • Note: Record the number of male first contacts whose main method is neither vasectomy nor male condom

      Line 04: Main Method of Contraception Chosen - No method provided
    • This is the count of the number of times the classification of 'No method provided' is recorded the first time a PATIENT is seen in the year at a family planning service as a CONTRACEPTION METHOD MAIN, broken down by 7 age groups (columns 26-32).

      Line 05: Main Method of Contraception Chosen: Contact for reasons other than contraception
    • This is the count of the number of times the classification of 'Contacts for reasons other than contraception' is recorded the first time a male PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 26-32).

      Line 99: Totals - Column 26 - 32
    • The totals for Columns 26-32, for Lines 1-5 for the CONTRACEPTION METHOD MAIN chosen or already in use by males during first contact in the financial year, added together to create total figures for each age group in Line: 99.

      Column 33: Totals - Lines 1-5
    • The total count for each CONTRACEPTION METHOD MAIN chosen by Males or already in use for lines 1-5, should be entered into each line in Column 33. The total for each line that needs to be entered into Column 33, is the figure for each age group (columns 26-32) added together to form a total for each CONTRACEPTION METHOD MAIN chosen (Lines 1-5).

      Column 44: Total - Line 99
    • This is the total count for all Main Methods of Contraception chosen or already in use by Males during first contacts in financial year, from all CONTRACEPTION METHODS MAIN (lines 1 - 5), for all age groups (columns 26-32).

      Part D (ii) Vasectomies - all operations in family planning clinics, out-patients clinics or under contract
      Column 34: Total of all vasectomy operations carried out at family planning Clinics, out-patient clinics or under contract.
    • A count of all the vasectomy operations carried out by the NHS Trust / Primary Care Trust in a Sexual and Reproductive Health Clinic or an Out-Patient Clinic or under contract with a non-NHS clinic or hospital; do not include vasectomies carried out by the NHS Trust / Primary Care Trust on an in-patient basis.

      Sexual and Reproductive Health Clinic and Out-Patient Clinic are both types of a CLINIC OR FACILITY.

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ANTI-CANCER DRUG REGIMEN

Change to Supporting Information: Changed Description

Anti-Cancer Drug Regimen is a CLINICAL INTERVENTION.Anti-Cancer Drug Regimen is a CLINICAL INTERVENTION.

A prescribed systematic form of treatment for a course of drug(s), comprising one or more Anti-Cancer Drug Cycles, provided to a PATIENT suffering from cancer.

References:
National Cancer Dataset

 

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CDS TYPE LIST NAVIGATION MENU (RETIRED)  renamed from CDS TYPE LIST NAVIGATION MENU

Change to Supporting Information: Changed status to Retired, Name

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CENTRAL RETURN FORMS MENU

Change to Supporting Information: Changed Description

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DIAGNOSTICS WAITING TIMES AND ACTIVITY DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Diagnostics Waiting Times and Activity Data Set provides definitions to support the national data collections on DIAGNOSTIC TESTS, a key element towards monitoring waits from referral to treatment. ORGANISATIONS responsible for the DIAGNOSTIC TEST activity report the DIAGNOSTIC TEST waiting times and the number of tests completed.

This data set is for the monthly return covering 15 key DIAGNOSTIC TESTS as below:

IMAGING
Magnetic Resonance Imaging
Computer Tomography
Non-obstetric ultrasound
Barium Enema
DEXA Scan (Dual-energy X-ray absorptiometry)

PHYSIOLOGICAL MEASUREMENT
Audiology - audiological assessments
Cardiology - echocardiography
Cardiology - electrophysiology
Neurophysiology - peripheral neurophysiology
Respiratory physiology - sleep studies
Urodynamics - pressures & flows

ENDOSCOPY
Colonoscopy
Flexible sigmoidoscopy
Cystoscopy
Gastroscopy

Aggregated numbers of PATIENTS waiting for a DIAGNOSTIC TEST/procedure funded by the NHS should be included. This includes all referral routes (i.e. whether the PATIENT was referred by a GENERAL PRACTITIONER or by a hospital-based clinician or other route) and also all settings (i.e. Out-Patient Clinic, WARD, Imaging Department or a LOCATION TYPE such as a Health Centre). It is recognised that there will be some overlap between PATIENTS reported in this data set and PATIENTS reported in the other waiting times data sets.

How the data set is transmitted

Information is to be submitted onto the Unify2 database that has been developed and maintained by the Department of Health. Full guidance on Unify2 can be found at the following address:
Unify2 Forum

Further guidance

Guidance on extracting the data sets and PATIENT PATHWAYS, including OPCS Classification of Interventions and Procedures, can be found at:Guidance on extracting the data sets and PATIENT PATHWAYS, including OPCS Classification of Interventions and Procedures, can be found at:
Department of Health - Monthly and Biannual Diagnostics Statistics - Definitions
and NHS 18 weeks - Guidance.

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HEALTHCARE RESOURCE GROUP

Change to Supporting Information: Changed Description

Developed by The Casemix Service, Healthcare Resource Groups (HRGs) are standard groupings of clinically similar treatments which use common levels of healthcare resource.

Healthcare Resource Groups offer ORGANISATIONS the ability to understand their ACTIVITY in terms of the types of PATIENTS they care for and the treatments they undertake. They enable the comparison of ACTIVITY within and between different ORGANISATIONS and provide an opportunity to benchmark treatments and services to support trend analysis over time.

Healthcare Resource Groups are currently used as a means of determining fair and equitable reimbursement for care services delivered by Health Care Providers. Their use as consistent 'units of currency' supports standardised healthcare commissioning across the NHS. They improve the flow of finances within - and sometimes beyond - the NHS. HRG4 has been in use for Reference Costs since April 2007 (for financial year 2006/7 onwards) and for Payment by Results (PbR) since April 2009 (for financial year 2009 onwards).

HRG4 was a major revision that introduced Healthcare Resource Groups to new clinical areas, to support the Department of Health's policy of Payment by Results. It includes a portfolio of new and updated HRG groupings that accurately record PATIENTS treatment to reflect current practice and anticipated trends in healthcare.

For further information on Healthcare Resource Groups, see the Information Centre for Health and Social Care website.For further information on Healthcare Resource Groups, see The NHS Information Centre for health and social care website.

 

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INDEX

Change to Supporting Information: Changed Description


NHS DATA MODEL AND DICTIONARY

Version 3

What's New: March 2010What's New: May 2010

The NHS Data Model and Dictionary provides a reference point for assured information standards to support health care activities within the NHS in England.

It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS.

The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are assured by the Information Standards Board for Health and Social Care and published as Information Standards Notices (ISNs).
Classes are shown in Red Text, Attributes are shown in Purple, Data Elements are shown in Green, Data Sets are shown in Aqua Blue, Central Return Forms are shown in Pink and other pages are shown in Blue.
 

Related Links 
Frequently Asked Questions
Useful Links
Department of Health website
The NHS Information Centre for health and social care website
Information Catalogue
Secondary Uses Service website

 

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NATIONAL JOINT REGISTRY DATA SET OVERVIEW

Change to Supporting Information: Changed Description

About the National Joint Registry:

Hip and knee joints comprise the largest number of joint replacements used in the UK and both are subject to a high proliferation of different implant types that commonly lack data on their long-term effectiveness. The National Joint Registry is a keystone to delivering the commitment of both the Department of Health and the Welsh Assembly Government to improve the health and wellbeing of the population and is a vital tool for improving clinical standards for hip and knee replacements. It will benefit patients, clinicians and the orthopaedic industry. At the heart of the National Joint Registry is a database of information collected from all the hip and knee replacement procedures in England and Wales.

Is the National Joint Registry Compulsory?

If a hospital is in an NHS Trust, then they are expected by ministers to comply. If the hospital is Independent, then the National Joint Registry is compulsory and enforced by the National Care Standards Commission.

Further Information:

Further information on the background to the National Joint Registry can be found in the summary of a consultation exercise, which can be accessed on the Department of Health website.

National Joint Registry website:

The National Joint Registry website is available at: http://www.The National Joint Registry website is available at:
http://www.njrcentre.org.uk/njrcentre/default.aspx.aspx.

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OPCS CLASSIFICATION OF INTERVENTIONS AND PROCEDURES

Change to Supporting Information: Changed Aliases


SEXUAL AND REPRODUCTIVE HEALTH ACTIVITY DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Department of Health requires the mandatory collection of information on the SERVICES provided by  Sexual And Reproductive Health Services (formerly Family Planning Clinics) in order to monitor the implementation of the Government's strategy to reduce the number of teenage pregnancies.

The Sexual and Reproductive Health Activity Data Set will provide essential data to support and monitor the delivery of a number of key Government National Strategies aimed at reducing teenage pregnancies in England and improving sexual health. These strategies include:

  • National Strategy for Sexual Health and HIV
  • Department for Children Schools and Families PSA target to reduce under 18 conceptions by 50 per cent by 2010
  • Improved access to Contraception Services as undertaken in the Healthcare Commission in 2006/07 and 2007/08
  • The National Teenage Pregnancy Strategy
  • The National Standards, Local Action: Health and Social Care Standards and Planning Framework (2004)

Improving Sexual And Reproductive Health Services and encouraging young people to seek advice are important aspects of the Teenage Pregnancy Strategy. England's under 18 conception rate is 41.7 per 1000 and has fallen by 10.7 per cent since the launch of the Teenage Pregnancy strategy. The under 16 rate is 8.3 per 1000 and has fallen by 6.4 per cent over the same period. Statistics published in February 2009 by the Office of National Statistics show that in 2007 the under 18 conception rate rose by 2.6 per cent. Despite the rise in national figures in 2007, the long-term trend is still downward.

The success of the Teenage Pregnancy strategy relies on all local areas applying it effectively. However, there is still significant variation at a local level, with some areas achieving reductions of over 30 per cent, whereas in other areas, rates have increased.

Monitoring of the Teenage Pregnancy strategy is being undertaken partly through a National Indicator Set, which was issued in November 2001. This includes indicators on the provision of Sexual And Reproductive Health Service in accordance with Best Practice Guidance and the uptake of these by under 18 year olds. The Sexual and Reproductive Health Activity Data Set will provide data needed for these indicators.

The Best Practice Guidance on Sexual And Reproductive Health Service provision is concerned with the Sexual And Reproductive Health Services  for young people under the age of 25, and this is reflected in this return. The guidance, to be published in 2009, will highlight the access to the full range of CONTRACEPTION as key to good Sexual And Reproductive Health Service provision as a means of reducing unplanned conceptions and repeat abortions.

The introduction of the requirements in this Data Set will replace the existing KT31 return and are necessary to modernise this collection, make the data more relevant and rationalise certain data items. Improving the quality of commissioning is a key feature of the Government's health reform agenda and it has been highlighted that effective commissioning will have extensive information requirements. The purpose of this revised collection is to enable monitoring of activity at PRIMARY CARE TRUST LEVEL to enable commissioners to understand which of their population groups are accessing Sexual And Reproductive Health Services and the SERVICES they are receiving. The Sexual and Reproductive Health Activity Data Set covers only face to face contacts with the Sexual And Reproductive Health Service whether in a clinic setting, in the PATIENT's home or an alternative location.

DATA EXTRACT SPECIFICATION

Description: The Sexual and Reproductive Health Activity Data Set return includes individual face to face PATIENT Activity provided by Sexual And Reproductive Health Services in clinics and non-clinic venues (e.g. outreach facilities or domiciliary visits).Description: The Sexual and Reproductive Health Activity Data Set return includes individual face to face 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 the NHS (e.g. Brook). It does not include those provided by CONSULTANTS in Outpatient Clinics or those provided by GENERAL MEDICAL PRACTITIONERS.`

Data collected will be used by the NHS, Care Quality Commission, Department of Health and other appropriate Organisations to support the monitoring of the National Strategies on Sexual And Reproductive Health Services, service provision, benchmarking and develop commissioning. The existing KT31 Central Return Form will remain in operation alongside the Sexual and Reproductive Health Activity Data Set until such time as the Department of Health notify Organisations that it will be discontinued.Data collected will be used by the NHS, Care Quality Commission, Department of Health and other appropriate ORGANISATIONS to support the monitoring of the National Strategies on Sexual And Reproductive Health Services, service provision, benchmarking and develop commissioning. The existing KT31 Central Return Form will remain in operation alongside the Sexual and Reproductive Health Activity Data Set until such time as the Department of Health notify ORGANISATIONS that it will be discontinued.

Time period: The extract will cover one financial quarter.

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 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 collated by the Primary Care Trust will be submitted via an on-line process to The NHS Information Centre for health and social care.

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SYMPTOMS FIRST NOTED DATE

Change to Supporting Information: Changed Aliases


WHAT'S NEW: MAY 2010  renamed from WHAT'S NEW: MARCH 2010

Change to Supporting Information: Changed Description, Name

Release: May 2010

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR957 (Immediate) - DSCN 19/2010 Central Returns: KA34 Ambulance Services

Release: March 2010

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

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

Release: January 2010

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

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

Release: December 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

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

Release: November 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

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

Release: September 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

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

Release: June 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1014 (1 June 2009) - DSCN 13/2009 Religious and Other Belief System Affiliation
  • CR1074 (Immediate) - DSCN 12/2009 Data Standards: Care Quality Commission
  • CR1056 (Immediate) - DSCN 11/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
  • CR1072 (1 December 2009) - DSCN 10/2009 Data Standards: National Radiotherapy Data Set
  • CR1073 (Immediate) - DSCN 09/2009 Central Returns: Diagnostic Waiting Times and Activity Data Set
  • CR1066 (Immediate) - DSCN 08/2009 Data Standards: NHS Prescription Services and NHS Dental Services
  • CR1047 (1 April 2011) - DSCN 07/2009 Data Standards: Diabetic Retinopathy Screening Dataset v3.6 
  • CR1059 (Immediate) - DSCN 06/2009 Data Standard: National Workforce Data Set v2.1
  • CR914 (April 2008 (Retrospective)) - DSCN 05/2009 NHS Stop Smoking Services Quarterly Monitoring Return
  • CR899 (Immediate) - DSCN 02/2009 NHS Data Model and Dictionary Maintenance Update

Release: March 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

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

Release: December 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

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

Release: November 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
  • CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme Vaccine Monitoring Minimum Dataset
  • CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
  • CR861 (Immediate) - DSCN 16/2008 Central Return:  Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
  • CR964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
  • CR965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
  • CR879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

Release: May 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
  • CR910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
  • CR900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
  • CR934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
  • CR935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
  • CR925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
  • CR942 (1 June 2008) - DSCN 03/2008 General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract

Release: February 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
  • CR881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
  • CR904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
  • CR824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

Release: November 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
  • CR814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
  • CR930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
  • CR834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
  • CR875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
  • CR880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

Release: August 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
  • CR831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
  • CR825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

Release: June 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
  • CR833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
  • CR801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

Release: May 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
  • CR856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
  • CR869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
  • CR827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
  • CR817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
  • CR849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
  • CR822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
  • CR850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
  • CR786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

Release: February 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
  • CR826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
  • CR813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
  • CR768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
  • CR798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema
  • CR776 (1 October 2006) - DSCN 05/2006 Data Standards: Accident and Emergency Enhancements to Investigation and Treatment Codes

Release: September 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
  • CR792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
  • CR719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
  • CR791 (1 April 2007) - DSCN 13/2006 Priority Type
  • CR774 (1 September 2006) - DSCN 12/2006 Person Marital Status

Release: May 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR764 (1 April 2006) - DSCN 08/2006 Diagnostics waiting times and activity
  • Correction to menu structure to include Critical Care Minimum Data Set

Release: April 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
  • CR756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
  • CR724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
  • CR754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
  • CR763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
  • CR767 (Immediate) - DSCN 02/2006 Referral Request Received Date
  • CR690 (1 September 2005) - DSCN 16/2005 Marital Status

Release: August 2005

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

  • CR555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
  • CR715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
  • CR706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
  • CR691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

For all Information Standards Notices and Data Set Change Notices, see the Information Standards Board for Health and Social Care Website

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ACCOMMODATION

Change to Class: Changed Description

This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.This item has beed renamed for development purposes and the change has not yet been assured by the Information Standards Board for Health and Social Care.

Observations of the ACCOMMODATION, based on the ADDRESS nominated by a PERSON with ADDRESS ASSOCIATION TYPE of Main Permanent Residence or Other Permanent Residence

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ACTIVITY DRUG

Change to Class: Changed Attributes

Attributes of this Class are:
KAMI DRUG TYPE
AMI DRUG TYPE
DISCHARGED ON INDICATOR

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CARE PROFESSIONAL GROUP

Change to Class: Changed Attributes

Attributes of this Class are:
KCARE PROFESSIONAL GROUP CODE
KCARE PROFESSIONAL TYPE
KCARE PROFESSIONAL GROUP TYPE

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PATIENT

Change to Class: Changed Attributes

Attributes of this Class are:
CARER PERMISSION DATE
CARER SUPPORT INDICATOR
CHRONICALLY SICK OR DISABLED
DRUG MISUSE DATABASE NUMBER
DRUG MISUSER INJECTED EVER
DRUG MISUSER SHARED NEEDLE EVER
ENLISTMENT DATE
INJECTED IN LAST 4 WEEKS
INTERPRETER REQUIRED INDICATOR
LAST DISCHARGE DATE
NHS NUMBER
NHS NUMBER OLD
OVERSEAS VISITOR UK ARRIVAL DATE
REFUGEE OR ASYLUM SEEKER INDICATOR
SHARED NEEDLE OR SYRINGE IN LAST 4 WEEKS
YEAR OF FIRST KNOWN PSYCHIATRIC CARE

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ACTIVITY GROUP TYPE

Change to Attribute: Changed Description

One of the business definitions listed in the ACTIVITY GROUP class as a type of this class.

Consultant Episode (Hospital Provider) has four 'sub types' (General, Birth, Delivery and Detained and Long Term Psychiatric Patient Census) which form four individual ACTIVITY GROUP TYPE values.

National Codes:

01Accident And Emergency Episode 
02Acute Myocardial Infarction Care Spell 
03Augmented Care Period (Retired 1 April 2006)
03Augmented Care Period (Retired 1 April 2006)
04Breast Cancer Care Spell 
05Cancer Care Spell 
06Care Home Stay (Consultant Care) 
07Care Home Stay (Midwife Care) 
08Care Home Stay (Nursing Care) 
09Care Home Stay (Residential) 
10Care Programme Approach Episode 
11Colorectal Cancer Care Spell 
12Community Episode 
13Consultant Episode (Acute Home-Based) 
14Consultant Episode (Hospital Provider) 
15Consultant Out-Patient Episode 
16Dental Episode 
17Drug Misuse Episode 
18Genitourinary Episode 
19Head And Neck Cancer Care Spell 
20Home Dialysis Episode 
21Hospital Provider Spell 
22Lung Cancer Care Spell 
23Mental Health Care Spell 
24Midwife Episode 
25Neonatal Level Of Care Period 
26Nursing Episode 
27Palliative Care Episode 
28PERSON STOP SMOKING EPISODE 
29Pregnancy Episode 
30Professional Staff Group Episode 
31Regular Attender Episode 
32Road Traffic Accident Treatment
33Sarcoma Care Spell 
34Skin Cancer Care Spell 
35Supervised Discharge Episode 
36Supervision Register Episode 
37Upper GI Cancer Care Spell 
38Urological Cancer Care Spell 
39Ward Stay 
40Hospital Stay 
41Care Spell 
42CRITICAL CARE PERIOD 
43PATIENT PATHWAY 
44REFERRAL TO TREATMENT PERIOD 
45Active Monitoring 
46Supervised Community Treatment Recall 
47Supervised Community Treatment 
48Mental Health Care Without Patient Consent 

Note: The list is not in alphabetical order.

 

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ADMISSION METHOD

Change to Attribute: Changed Description

The method of admission to a Hospital Provider Spell. A detailed definition of Elective Admission is given in ELECTIVE ADMISSION TYPE.

National Codes:

Elective Admission, when the DECISION TO ADMIT could be separated in time from the actual admission:
11Waiting list
12Booked
13Planned
Note that this does not include a transfer from another Hospital Provider (see 81 below).

Emergency admission, when admission is unpredictable and at short notice because of clinical need:

Emergency Admission, when admission is unpredictable and at short notice because of clinical need:
21Accident and emergency or dental casualty department of the Health Care Provider
22GENERAL PRACTITIONER: after a request for immediate admission has been made direct to a Hospital Provider, i.e. not through a Bed bureau, by a GENERAL PRACTITIONER or deputy
23Bed bureau
24Consultant Clinic, of this or another Health Care Provider
28Other means, examples are:
- admitted from the Accident And Emergency Department of another provider where they had not been admitted
- transfer of an admitted PATIENT from another Hospital Provider in an emergency
- baby born at home as intended

Maternity admission, of a pregnant or recently pregnant woman to a maternity ward (including delivery facilities) except when the intention is to terminate the pregnancy

Maternity Admission, of a pregnant or recently pregnant woman to a maternity ward (including delivery facilities) except when the intention is to terminate the pregnancy
31Admitted ante-partum
32Admitted post-partum

Other admission not specified above

Other Admission not specified above
82The birth of a baby in this Health Care Provider
83Baby born outside the Health Care Provider except when born at home as intended.
81Transfer of any admitted PATIENT from other Hospital Provider other than in an emergency
 

Note: The classification has been listed in logical sequence rather than alphanumeric order.

 

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CARE PROFESSIONAL GROUP TYPE  renamed from CARE PROFESSIONAL TYPE

Change to Attribute: Changed Aliases, Name


DECISION TO TREAT DATE

Change to Attribute: Changed Description

The date on which it was decided that the PATIENT required a specific Planned Cancer Treatment. This is the date that the consultation between the PATIENT and the clinician took place and a Planned Cancer Treatment was agreed.

This is the date that the consultation between the PATIENT and the clinician took place and a Planned Cancer Treatment was agreed.

References:
National Cancer Dataset Version 1.1_ISB October 2001

 

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ELECTIVE ADMISSION SUSPENSION INITIATOR

Change to Attribute: Changed Description

A reason for suspending an ELECTIVE ADMISSION LIST ENTRY.

Classification:

a.Initiated by CONSULTANT for medical reasons including awaiting an organ transplant or an unrelated bone marrow transplant
b.Initiated by PATIENT
a.Initiated by CONSULTANT for medical reasons including awaiting an organ transplant or an unrelated bone marrow transplant
b.Initiated by PATIENT
 

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EMPLOYEE ABSENCE CATEGORY CODE

Change to Attribute: Changed Description

A high level classification of the reason for an EMPLOYEE ABSENCE.

National Codes:

01Adoption
02Paternity Adoption
03Paternity Birth
04Annual Leave
05Maternity
06Sickness
07Special leave
07Special Leave
08Study Leave
 

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EMPLOYEE INTERNATIONAL RECRUIT INDICATOR

Change to Attribute: Changed Description

An indicator to denote whether or not an EMPLOYEE was recruited from outside of the United Kingdom.

National Codes:

01EMPLOYEE was recruited from outside the United Kingdom
02EMPLOYEE was not recruited from outside the United Kingdom
01EMPLOYEE was recruited from outside the United Kingdom
02EMPLOYEE was not recruited from outside the United Kingdom
 

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EMPLOYMENT STATUS FOR MENTAL HEALTH

Change to Attribute: Changed Description

This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.This item has been renamed for development purposes and the change has not yet been assured by the Information Standards Board for Health and Social Care.

The current EMPLOYMENT status of the PATIENT as recorded in the Mental Health Minimum Data Set.

Employed refers to those who are employed by a company and have their National Insurance paid for directly from their wages. It also includes those who are self-employed (i.e. those who work for themselves and generally pay their National Insurance themselves); those who are in supported employment; and those who are in permitted work (i.e. those who are in paid work and who are also receiving Incapacity Benefit). It should also include those who are unpaid family workers (i.e. those who do unpaid work for a business they own or for a business a relative owns).

Unemployed refers to those who are not in paid work but are actively seeking work and are available to start, or are waiting to start a paid job they have already obtained.

Other employment status such as education or training includes those who are economically inactive, that is, those who are not in paid work and who are not actively seeking work, or they are not available to start.
It includes the following:

-Students who are undertaking full (at least 16 hours per week) or part-time (less than 16 hours per week) education or training and who are not working or actively seeking work;
-The long-term sick or disabled, including those who are receiving Incapacity Benefit, income support or both, and who are not working or actively seeking work;
-Those looking after the family or home and who are not working or actively seeking work;
-Those who are not receiving benefits and who are not working or actively seeking work;
-Those who are in unpaid voluntary work who are not working or actively seeking work;
-Those of working age who have retired from paid work.

National Codes:

01Employed
02Unemployed
03Other employment status such as in education or training
 

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PATIENT TRIAL STATUS

Change to Attribute: Changed Description

A classification which indicates whether a PATIENT who is eligible for a cancer CLINICAL TRIAL is taking part in it.

National Codes:

EEPatient eligible, consented to and entered trial
EDPatient eligible, declined trial
EEPATIENT eligible, consented to and entered trial
EDPATIENT eligible, declined trial

References:
National Cancer Dataset Version 1.3_ISB October 2002

 

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PLANNED TREATMENT CHANGE REASON

Change to Attribute: Changed Description

An indicator of whether the treatment within an Anti-Cancer Drug Programme was completed as planned, and if not, the reason why.

National Codes:

0Treatment completed as prescribed

Treatment not completed - 
1Patient died
2Progressive disease during chemotherapy
3Acute chemotherapy toxicity
4Technical or organisational problems
5Patient choice (stopped or interrupted treatment)
0Treatment completed as prescribe

Treatment not completed
1PATIENT died
2Progressive disease during chemotherapy
3Acute chemotherapy toxicity
4Technical or organisational problems
5PATIENT choice (stopped or interrupted treatment)

References:
National Cancer Dataset Version 1.3_ISB October 2002

 

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ADMINISTRATIVE CATEGORY (AT START OF EPISODE)

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See ADMINISTRATIVE CATEGORY CODE
Default Codes:98 - Not applicable
 99 - Not known: a validation error

See ADMINISTRATIVE CATEGORY.

This data element is used to record the category at the start of each episode.

The patient's ADMINISTRATIVE CATEGORY may change during a spell, for example, the patient may opt to change from NHS to private health care.The PATIENT's ADMINISTRATIVE CATEGORY may change during a spell, for example, the PATIENT may opt to change from NHS to private health care.

The category on admission is recorded as ADMINISTRATIVE CATEGORY (ON ADMISSION) and is used to derive the 'Category of Patient' for HES.

 

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ADMINISTRATIVE CATEGORY (ON ADMISSION)

Change to Data Element: Changed Description

Format/length:n2
HES item:ADMINCAT
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See ADMINISTRATIVE CATEGORY CODE
Default Codes:98 - Not applicable
 99 - Not known: a validation error

See ADMINISTRATIVE CATEGORY.

This data element is used to record the ADMINISTRATIVE CATEGORY at the start of the Hospital Provider Spell and is used to derive the 'Category of Patient' for HES.

The patient's ADMINISTRATIVE CATEGORY may change during an episode or spell.The PATIENT's ADMINISTRATIVE CATEGORY may change during an episode or spell.
For example, the patient may opt to change from NHS to private health care.For example, the PATIENT may opt to change from NHS to private health care.

The ADMINISTRATIVE CATEGORY (AT START OF EPISODE) is recorded per episode.

 

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ADMISSION OFFER OUTCOME

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See ADMISSION OFFER OUTCOME
Default Codes: 

Notes: 
ADMISSION OFFER OUTCOME is the same as attribute ADMISSION OFFER OUTCOME.

PATIENTS are taken off the ELECTIVE ADMISSION LIST once they are admitted into hospital. If treatment is then deferred because of lack of facilities, or for medical reasons, e.g. the PATIENT may have a cold or unacceptably high blood pressure, the PATIENT is discharged with the ADMISSION OFFER OUTCOME recorded as 'Patient admitted - treatment deferred'.

If treatment is then deferred because of lack of facilities, or for medical reasons, e.g. the PATIENT may have a cold or unacceptably high blood pressure, the PATIENT is discharged with the ADMISSION OFFER OUTCOME recorded as 'Patient admitted - treatment deferred'. A new DECISION TO ADMIT and a new ELECTIVE ADMISSION LIST ENTRY will then be made for the PATIENT. Note that the ORIGINAL DECIDED TO ADMIT DATE will still be used for the PATIENT's waiting time calculation.

Note that the ORIGINAL DECIDED TO ADMIT DATE will still be used for the PATIENT's waiting time calculation. However, if the PATIENT fails to arrive or if the Admission is cancelled by, or on behalf of, the PATIENT then the waiting time is re-set from the missed admission date.  

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CONSULTANT CODE (PATHOLOGIST)

Change to Data Element: Changed linked Attribute

CONSULTANT CODE (PATHOLOGIST)
 
Attribute:
CONSULTANT CODE
CONSULTANT CODE

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DRUG REGIMEN ACRONYM

Change to Data Element: Changed Description

Format/length:an35
HES item: 
National Codes: 
Default Codes: 
 Notes: 
DRUG REGIMEN ACRONYM is the same as attribute DRUG REGIMEN ACRONYM. 

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DRUG ROUTE OF ADMINISTRATION

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See DRUG ROUTE OF ADMINISTRATION
Default Codes: 
 Notes: 
DRUG ROUTE OF ADMINISTRATION is the same as attribute DRUG ROUTE OF ADMINISTRATION. 

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DRUG TREATMENT INTENT

Change to Data Element: Changed Description

Format/length:an1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See DRUG TREATMENT INTENT
Default Codes:9 - Not known

Notes: 
DRUG TREATMENT INTENT is the same as the attribute DRUG TREATMENT INTENT.

 

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INTENDED CLINICAL CARE INTENSITY

Change to Data Element: Changed Description

Format/length:n2
HES item: 
National Codes:See CLINICAL CARE INTENSITY
Default Codes: 

Notes: 
Data Set Change Notice 07/2000 implemented a change to replace the composite data items WARD TYPE AT PSYCHIATRIC CENSUS DATE and WARD TYPE AT START OF EPISODE within Commissioning Data Set by their constituent components. For Commissioning Data Set message purposes therefore the constituent component INTENDED CLINICAL CARE INTENSITY is required to be separately recorded.

INTENDED CLINICAL CARE INTENSITY is the same as attribute CLINICAL CARE INTENSITY and the values recorded within the Commissioning Data Set messages are the National Codes contained within the definition of CLINICAL CARE INTENSITY, but with the addition of:

71Home Leave, non-psychiatric
72Home Leave, psychiatric
71Home Leave, non-psychiatric
72Home Leave, psychiatric
 

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PATIENT TRIAL STATUS (CANCER)

Change to Data Element: Changed Description

Format/length:an2
HES item: 
National Codes: 
National Codes:See PATIENT TRIAL STATUS
Default Codes: 

PATIENT TRIAL STATUS (CANCER) is the same as attribute PATIENT TRIAL STATUS.

 

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PERFORMANCE STATUS (ADULT)

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes: 
National Codes:See PERFORMANCE STATUS CODE
Default Codes: 

PERFORMANCE STATUS (ADULT) is the same as class PERFORMANCE STATUS.PERFORMANCE STATUS (ADULT) is the same as class PERFORMANCE STATUS CODE.

 

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PLANNED TREATMENT CHANGE REASON

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:Click on the attribute tab to display the attribute that contains the National Codes.
National Codes:See PLANNED TREATMENT CHANGE REASON
Default Codes:9 - Not known
 Notes: 
PLANNED TREATMENT CHANGE REASON is the same as attribute PLANNED TREATMENT CHANGE REASON. 

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REFERRER CODE

Change to Data Element: Changed Description

Format/length:an8
HES item:REFERRER
National Codes: 
Default Codes:C9999998 - CONSULTANT GENERAL MEDICAL COUNCIL REFERENCE NUMBER not known
 CD999998 - Dental CONSULTANTGENERAL MEDICAL COUNCIL REFERENCE NUMBER / GENERAL DENTAL COUNCIL REGISTRATION NUMBER not known
 D9999998 - Dentist, Dental Practice Board (DPB) number not known
 R9999981 - Referrer other than GENERAL MEDICAL PRACTITIONER, GENERAL DENTAL PRACTITIONER or CONSULTANT
 X9999998 - Not applicable, e.g. PATIENT has self-presented or not known

Notes: 
This requires the code of the PERSON making the referral. This will normally be a CARE PROFESSIONAL - a GENERAL MEDICAL PRACTITIONER or a CONSULTANT.

The intention is for this item to reflect the actual (true) referrer. For example, following a GENERAL MEDICAL PRACTITIONER referral, a CONSULTANT may subsequently refer the PATIENT to another CONSULTANT within the Hospital Provider Spell. The code of the CONSULTANT making the referral and the CONSULTANTS ORGANISATION should be recorded in the Commissioning Data Set (CDS) rather than the code of the GENERAL MEDICAL PRACTITIONER referrer. This also applies where a CONSULTANT refers an NHS PATIENT to another doctor for NHS-commissioned treatment at another NHS Trust, a non-NHS provider, or an overseas provider. Where the CONSULTANT CODE is not known, the default value C9999998 should be used.

In all other cases, the code of the referring GENERAL MEDICAL PRACTITIONER should be recorded, if applicable. When a locum refers, use the code of the GENERAL PRACTITIONER for whom the locum is acting. See GENERAL MEDICAL PRACTITIONER PPD CODE. When a locum refers, use the GENERAL MEDICAL PRACTITIONER PPD CODE of the GENERAL PRACTITIONER for whom the locum is acting.

See CONSULTANT CODE and GENERAL MEDICAL PRACTITIONER (SPECIFIED) for the codes available for CONSULTANTS and GENERAL MEDICAL PRACTITIONERS and GENERAL DENTAL PRACTITIONERS and Ministry of Defence (MoD) Doctors.

If the REFERRER CODE is not known or not applicable e.g., the PATIENT has self-presented, the default code (X9999998) should be used.

Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.

 

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UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)

Change to Data Element: Changed Description

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WAITING TIME ADJUSTMENT (FIRST SEEN)

Change to Data Element: Changed Description

Format/length:n3
HES item: 
National codes 
Default codes 

Notes: 
This records the number of days that should be removed from the derived waiting time between the CANCER REFERRAL TO TREATMENT PERIOD START DATE and DATE FIRST SEEN.

Adjustments are only permissible when a PATIENT does not attend an Out-Patient Appointment or arrives late and could not be seen.  Guidance on calculating the number of days which may be deducted from the waiting time is available in Department of Health guidance at Cancer Waiting Times Documentation and Links.  Guidance on calculating the number of days which may be deducted from the waiting time is available in Department of Health guidance at Cancer Waiting Times Documentation and Links.

 

 

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WAITING TIME ADJUSTMENT (TREATMENT)

Change to Data Element: Changed Description

Format/length:n3
HES item: 
National codes 
Default codes 

Notes: 

This records the number of days that should be removed from the derived waiting time between CANCER TREATMENT PERIOD START DATE and TREATMENT START DATE (CANCER).

The recording of this data item is mandatory for all tumours, regardless of whether a national service standard is in place.

Adjustments are allowed in the following circumstances:

- When a patient pause is initiated because the PATIENT is unavailable for treatment for a specified period because of family commitments, holidays, or other (non-clinical) reasons

WAITING TIME ADJUSTMENT (TREATMENT) should only be recorded where CANCER CARE SETTING (TREATMENT) is National Code 01 - Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code - 1 Ordinary admission)  or National Code 02 - Cancer treatment delivered as part of a Hospital Provider Spell (where PATIENT CLASSIFICATION is National Code 2 - Day case admission).

Guidance on calculating the number of days which may be removed from the waiting time is available in Department of Health guidance at Cancer Waiting Times Documentation and Links.Guidance on calculating the number of days which may be removed from the waiting time is available in Department of Health guidance at Cancer Waiting Times Documentation and Links.

 

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