MAIN SPECIALTY CODE
A unique code identifying each MAIN SPECIALTY designated by Royal Colleges.
Description
A unique code identifying each MAIN SPECIALTY designated by Royal Colleges. This is the same as the NHS OCCUPATION CODES describing specialties.
Specialties are divisions of clinical work which may be defined by body systems (dermatology), age (paediatrics), clinical technology (nuclear medicine), clinical function (rheumatology), group of diseases (oncology) or combinations of these factors. Only Specialty titles recognised by the Royal Colleges and Faculties should be used. This list is maintained by the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998.
Each CONSULTANT should be assigned a MAIN SPECIALTY by the ORGANISATION to which the CONSULTANT is contracted. For physicians and surgeons with a generalist component to their work, the MAIN SPECIALTY should be general medicine or general surgery. The hallmark of a general physician or general surgeon is the continued care of unselected emergency referrals. The MAIN SPECIALTY is specific to a Health Care Provider. If, for example, a CONSULTANT physician working in two Health Care Providers has a generalist component to the work in one and not the other, general medicine is only assigned as the MAIN SPECIALTY in the former case. CONSULTANTS in general medicine or general surgery may also have specialist interests and these should be recorded as well as the MAIN SPECIALTY.
The initial source of the information should be the designation on the CONSULTANT's contract. This should be checked periodically against the work a CONSULTANT is actually doing so that the statistics can relate to a CONSULTANT's current type of work.
The MAIN SPECIALTY only should be used for the purpose of producing Specialty costing statistics and for Workforce statistics where links with ACTIVITY and finance are required. Other specialist interests of CONSULTANTS may be recorded for workforce planning purposes.
This will be used to indicate the skill level of medical and dental employees.
Pseudo MAIN SPECIALTY CODES should be used in Commissioning Data Set messages for lead CARE PROFESSIONALS other than CONSULTANT medical and dental staff e.g. 560, 950 and 960.
The MAIN SPECIALTY CODE for GENERAL PRACTITIONERS is General Medical Practice or General Dental Practice.
Joint Consultant Clinic ACTIVITY should be recorded against the MAIN SPECIALTY CODE of the CONSULTANT managing the clinic.
Further information on the groupings and each MAIN SPECIALTY CODE is provided at: Main Specialty and Treatment Function Codes Table.
Note:
-
New National Codes for MAIN SPECIALTY CODE were introduced from 2 April 2020 as part of the update to the DCB0028: Treatment Function and Main Specialty Standard. Submission of these codes for the Commissioning Data Sets is only possible where the healthcare provider has updated their CDS-XML schema version to CDS-XML version 6-2-0. Users of the original CDS-XML schema version 6-2 will be unable to submit the new codes introduced in the release of DCB0028: Treatment Function and Main Specialty Standard in April 2020.
National Codes
Code | Description |
---|---|
100 | General Surgery |
101 | Urology |
107 | Vascular Surgery |
110 | Trauma and Orthopaedics |
120 | Ear Nose and Throat |
130 | Ophthalmology |
140 | Oral Surgery |
141 | Restorative Dentistry |
142 | Paediatric Dentistry |
143 | Orthodontics |
145 | Oral and Maxillofacial Surgery |
146 | Endodontics |
147 | Periodontics |
148 | Prosthodontics |
149 | Surgical Dentistry |
150 | Neurosurgery |
160 | Plastic Surgery |
170 | Cardiothoracic Surgery |
171 | Paediatric Surgery |
191 | Pain Management (Retired 1 April 2004) |
180 | Emergency Medicine |
190 | Anaesthetics |
192 | Intensive Care Medicine |
200 | Aviation and Space Medicine |
300 | General Internal Medicine |
301 | Gastroenterology |
302 | Endocrinology and Diabetes |
303 | Clinical Haematology |
304 | Clinical Physiology |
305 | Clinical Pharmacology |
310 | Audio Vestibular Medicine |
311 | Clinical Genetics |
312 | CLINICAL CYTOGENETICS and MOLECULAR GENETICS (Retired 1 April 2010) National Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010 |
313 | Clinical Immunology |
314 | Rehabilitation Medicine |
315 | Palliative Medicine |
317 | Allergy |
320 | Cardiology |
321 | Paediatric Cardiology |
325 | Sport and Exercise Medicine |
326 | Acute Internal Medicine |
330 | Dermatology |
340 | Respiratory Medicine |
350 | Infectious Diseases |
352 | Tropical Medicine |
360 | Genitourinary Medicine |
361 | Renal Medicine |
370 | Medical Oncology |
371 | Nuclear Medicine |
400 | Neurology |
401 | Clinical Neurophysiology |
410 | Rheumatology |
420 | Paediatrics |
421 | Paediatric Neurology |
430 | Geriatric Medicine |
450 | Dental Medicine |
451 | Special Care Dentistry |
460 | Medical Ophthalmology |
500 |
Obstetrics and Gynaecology National Code 500 is not acceptable for Central Returns including Hospital Episode Statistics |
501 | Obstetrics |
502 | Gynaecology |
504 | Community Sexual and Reproductive Health |
510 | Antenatal Clinic (Retired 1 April 2004) |
520 | Postnatal Clinic (Retired 1 April 2004) |
560 | Midwifery |
600 | General Medical Practice |
601 | General Dental Practice |
610 | Maternity Function (Retired 1 April 2004) |
620 | Other than Maternity (Retired 1 April 2004) |
700 | Learning Disability |
710 | Adult Mental Illness |
711 | Child and Adolescent Psychiatry |
712 | Forensic Psychiatry |
713 | Medical Psychotherapy |
715 | Old Age Psychiatry |
800 | Clinical Oncology |
810 | Radiology |
820 | General Pathology |
821 | Blood Transfusion |
822 | Chemical Pathology |
823 | Haematology |
824 | Histopathology |
830 | Immunopathology |
831 | Medical Microbiology and Virology |
832 | Neuropathology (Retired 1 April 2004) |
833 | Medical Microbiology |
834 | Medical Virology |
900 | Community Medicine |
901 | Occupational Medicine |
902 | Community Health Services Dental |
903 | Public Health Medicine |
904 | Public Health Dental |
950 | Nursing |
960 | Allied Health Professional |
990 | Joint Consultant Clinics (Retired 1 April 2004) |
Also Known As
This attribute is also known by these names:
Context | Alias |
---|---|
Plural | MAIN SPECIALTY CODES |
Where Used
Type | Link | How used |
---|---|---|
Data Element | CARE PROFESSIONAL MAIN SPECIALTY CODE | is the data element of MAIN SPECIALTY CODE |
Data Element | CARE PROFESSIONAL MAIN SPECIALTY CODE (CANCER REFERRAL) | is the data element of MAIN SPECIALTY CODE |
Data Element | CARE PROFESSIONAL MAIN SPECIALTY CODE (DIAGNOSIS) | is the data element of MAIN SPECIALTY CODE |
Data Element | CARE PROFESSIONAL MAIN SPECIALTY CODE (START SYSTEMIC ANTI-CANCER THERAPY) | is the data element of MAIN SPECIALTY CODE |
Data Set | CDS V6-2 Type 020 - Outpatient CDS | references in description MAIN SPECIALTY CODE |
Data Set | CDS V6-2 Type 021 - Future Outpatient CDS | references in description MAIN SPECIALTY CODE |
Data Set | CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) CDS | references in description MAIN SPECIALTY CODE |
Data Set | CDS V6-2 Type 040 - Elective Admission List - End of Period Census (Old) CDS | references in description MAIN SPECIALTY CODE |
Data Set | CDS V6-2 Type 050 - Elective Admission List - End of Period Census (New) CDS | references in description MAIN SPECIALTY CODE |
Data Set | CDS V6-2 Type 060 - Elective Admission List - Event During Period (Add) CDS | references in description MAIN SPECIALTY CODE |
Data Set | CDS V6-2 Type 070 - Elective Admission List - Event During Period (Remove) CDS | references in description MAIN SPECIALTY CODE |
Data Set | CDS V6-2 Type 080 - Elective Admission List - Event During Period (Offer) CDS | references in description MAIN SPECIALTY CODE |
Data Set | CDS V6-2 Type 090 - Elective Admission List - Event During Period (Available or Unavailable) CDS | references in description MAIN SPECIALTY CODE |
Data Set | CDS V6-2 Type 100 - Elective Admission List - Event During Period (Old Service Agreement) CDS | references in description MAIN SPECIALTY CODE |
Data Set | CDS V6-2 Type 110 - Elective Admission List - Event During Period (New Service Agreement) CDS | references in description MAIN SPECIALTY CODE |
Data Set | CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode CDS | references in description MAIN SPECIALTY CODE |
Data Set | CDS V6-2 Type 190 - Admitted Patient Care - Unfinished General Episode CDS | references in description MAIN SPECIALTY CODE |
Data Set | CDS V6-3 Type 020 - Outpatient CDS | references in description MAIN SPECIALTY CODE |
Data Set | CDS V6-3 Type 130 - Admitted Patient Care - Finished General Episode CDS | references in description MAIN SPECIALTY CODE |
Data Set | CDS V6-3 Type 190 - Admitted Patient Care - Unfinished General Episode CDS | references in description MAIN SPECIALTY CODE |
NHS Business Definition | Consultant Led Activity | references in description MAIN SPECIALTY CODE |
Class | MAIN SPECIALTY | has an attribute MAIN SPECIALTY CODE of type MAIN SPECIALTY CODE |
Attribute | MAIN SPECIALTY CODE | references in description MAIN SPECIALTY CODE |
Data Element | MAIN SPECIALTY CODE (MENTAL HEALTH) | is the data element of MAIN SPECIALTY CODE |
Supporting Information | Main Specialty and Treatment Function Codes Table | references in description MAIN SPECIALTY CODE |
NHS Business Definition | Non-Consultant Led Activity | references in description MAIN SPECIALTY CODE |
Data Element | OCCUPATION CODE (CLINICAL SECOND SPECIALTY) | references in description MAIN SPECIALTY CODE |
Data Element | OCCUPATION CODE (CLINICAL SPECIALTY) | references in description MAIN SPECIALTY CODE |
NHS Business Definition | Out-Patient Attendance Consultant | references in description MAIN SPECIALTY CODE |
Attribute | TREATMENT FUNCTION CODE | references in description MAIN SPECIALTY CODE |