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.

For further information, contact NHS Digital  by email at: enquiries@nhsdigital.nhs.uk  with the subject "Main Specialty and Treatment Function Codes".

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. Note that new codes should not be reported nationally until the functionality to do so becomes available in the next release of the affected data sets and any associated XML Schemas. Prior to these updates, health and care ORGANISATIONS must review the impact of this information standard and make appropriate changes to local health IT systems from 2 April 2020 and before 1 April 2021. Where new National Codes are recorded locally, these will need to be mapped to an appropriate existing code for transmission and reporting purposes.

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 Intellectual 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
Class MAIN SPECIALTY has an attribute MAIN SPECIALTY CODE of type MAIN SPECIALTY CODE
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 MAIN SPECIALTY CODE (MENTAL HEALTH) 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 Element CARE PROFESSIONAL MAIN SPECIALTY CODE references in description MAIN SPECIALTY CODE
Data Element CARE PROFESSIONAL MAIN SPECIALTY CODE (CANCER REFERRAL) references in description MAIN SPECIALTY CODE
Data Element CARE PROFESSIONAL MAIN SPECIALTY CODE (DIAGNOSIS) references in description MAIN SPECIALTY CODE
Data Element CARE PROFESSIONAL MAIN SPECIALTY CODE (START SYSTEMIC ANTI-CANCER THERAPY) references in description 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
Attribute CONSULTANT CODE references in description MAIN SPECIALTY CODE
NHS Business Definition Consultant Led Activity references in description MAIN SPECIALTY CODE
Class MAIN SPECIALTY references in description MAIN SPECIALTY CODE
Attribute MAIN SPECIALTY CODE references in description MAIN SPECIALTY CODE
Data Element MAIN SPECIALTY CODE (MENTAL HEALTH) references in description 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