NHS Data Model and DictionaryNHS Digital
Type:Change Request
Reference:1760
Version No:1.0
Subject:Main Specialty Code and Treatment Function Code Updates
Effective Date:1 April 2021
Reason for Change:Change to Information Standards
Publication Date:16 April 2020

Background:

The National Specialty List was approved by the Information Standards Board (ISB) as: ISB 0028: National Specialty List.

A number of changes have been identified since the last version and these include:

The following new Main Specialty Codes have been added:

The following existing Main Specialty Codes have been renamed:

The following new Treatment Function Codes have been added:

The following existing Treatment Function Codes have been renamed:

The following existing Treatment Function Codes representing Specialised Services will be removed from 1st April 2022:

To support the Information Standard, this Change Request introduces changes to Main Specialty Codes and Treatment Function Codes.

The additional/new Treatment Function and Main Specialty Codes are currently defined for local use only. The functionality to report these codes will become available in the next release of the affected data sets. Name changes to existing Treatment Function Codes may be implemented immediately in local systems.

To view a demonstration on "How to Read an NHS Data Model and Dictionary Change Request", visit the NHS Data Model and Dictionary help pages at: https://www.datadictionary.nhs.uk/Flash_Files/changerequest.htm.

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Summary of changes:

Supporting Information
ALLIED HEALTH PROFESSIONAL REFERRAL TO TREATMENT MEASUREMENT   Changed Description
ARTS THERAPIST   Changed Description
HEALTH AND CARE PROFESSIONS COUNCIL   Changed Description
MAIN SPECIALTY AND TREATMENT FUNCTION CODES TABLE   Changed Description
NHS ALLIED HEALTH PROFESSIONAL SERVICE (REFERRAL TO TREATMENT MEASUREMENT)   Changed Description
 
Class Definitions
MAIN SPECIALTY   Changed Description
 
Attribute Definitions
CARE PROFESSIONAL STAFF GROUP FOR COMMUNITY CARE   Changed Description
CARE PROFESSIONAL TYPE   Changed Description
MAIN SPECIALTY CODE   Changed Description
REFERRING CARE PROFESSIONAL STAFF GROUP FOR MENTAL HEALTH AND COMMUNITY CARE   Changed Description
TREATMENT FUNCTION CODE   Changed Description
 
Data Elements
CARE PROFESSIONAL MAIN SPECIALTY CODE   Changed Description
MAIN SPECIALTY CODE (MENTAL HEALTH)   Changed Description
TREATMENT FUNCTION CODE (MATERNITY)   Changed Description
TREATMENT FUNCTION CODE (MENTAL HEALTH)   Changed Description
 

Date:16 April 2020
Sponsor:Tom Denwood, Executive Director Data, Insights and Statistics, Data Services Directorate, NHS Digital

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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ALLIED HEALTH PROFESSIONAL REFERRAL TO TREATMENT MEASUREMENT

Change to Supporting Information: Changed Description

A Allied Health Professional Referral To Treatment Measurement is a REFERRAL TO TREATMENT PERIOD.

In 2008, the Department of Health and Social Care published 'Framing the Contribution of Allied Health Professionals', which sets out three key aspects for improving the SERVICES which CARE PROFESSIONALS in NHS Allied Health Professional Services (Referral To Treatment Measurement) provide:

  • To mandate the collection of Referral To Treatment information for Allied Health Professionals and support SERVICE redesign to improve SERVICES for PATIENTS
  • To promote the benefits of self-referral to Physiotherapy SERVICES
  • To improve the quality of SERVICES delivered

The Department of Health and Social Care introduced voluntary collection of Allied Health Professional REFERRAL TO TREATMENT PERIOD waiting time information from April 2010, and mandatory collection from April 2011.  The Community Services Data Set and the Commissioning Data Sets (version 6-2 onwards) include the facility to report the Allied Health Professional REFERRAL TO TREATMENT PERIOD waiting time data elements which are used for waiting time measurement.

The Allied Health Professionals mandated to collect and flow Referral To Treatment data are:

There is no maximum waiting time target attached to an Allied Health Professional REFERRAL TO TREATMENT PERIOD, so no adjustments can be applied to the calculated waiting time between the REFERRAL TO TREATMENT PERIOD START DATE and the REFERRAL TO TREATMENT PERIOD END DATE.  However, locally the EARLIEST CLINICALLY APPROPRIATE DATE and the EARLIEST REASONABLE OFFER DATE can be used by Health Care Providers and their Commissioners to analyse unexpectedly long waits for First Definitive Treatment.

Allied Health Professionals working as part of a Consultant Led Service in secondary care are excluded.

Further guidance relating to the Allied Health Professional Referral To Treatment initiative can be found on the Department of Health and Social Care at: Allied Health Professional (AHP) Referral to Treatment (RTT) guide.

 

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ARTS THERAPIST

Change to Supporting Information: Changed Description

An Arts Therapist is a CARE PROFESSIONAL who is registered with the Health and Care Professions Council.

Arts Therapists include art therapists, music therapists and drama therapists.Arts Therapists include art therapists, music therapists and dramatherapists. They encourage people to express their feelings and emotions through art, such as painting and drawing, music or drama.

 

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HEALTH AND CARE PROFESSIONS COUNCIL

Change to Supporting Information: Changed Description

The Health and Care Professions Council (HCPC) is a Regulatory Body.

The Health and Care Professions Council is an independent, United Kingdom wide professional regulator, which sets standards of professional training, skills, behaviour and health of the professions they regulate.

The Health and Care Professions Council works to protect the health and well-being of people using the services of the health, social work and psychological professionals registered with them.

The Health and Care Professions Council regulates the following professions:

For further information on the Health and Care Professions Council, see the Health and Care Professions Council website at: Regulating health, psychological and social work professionals.

 

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MAIN SPECIALTY AND TREATMENT FUNCTION CODES TABLE

Change to Supporting Information: Changed Description


For further information regarding the definition and use of MAIN SPECIALTY see the attribute MAIN SPECIALTY CODE.

For further information regarding the definition and use of TREATMENT FUNCTION see the attribute TREATMENT FUNCTION CODE.

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

Note:

  • New National Codes for MAIN SPECIALTY CODE and TREATMENT FUNCTION 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.

Table 1 Main Specialty codes

 CodeMain Specialty Title
Surgical Specialties
 100GENERAL SURGERY
 101UROLOGY
 110TRAUMA & ORTHOPAEDICS
 120ENT
 130OPHTHALMOLOGY
 140ORAL SURGERY
 141RESTORATIVE DENTISTRY
 142PAEDIATRIC DENTISTRY
 143ORTHODONTICS
 145ORAL & MAXILLO FACIAL SURGERY
 146ENDODONTICS
 147PERIODONTICS
 148PROSTHODONTICS
 149SURGICAL DENTISTRY
 150NEUROSURGERY
 160PLASTIC SURGERY
 170CARDIOTHORACIC SURGERY
 171PAEDIATRIC SURGERY
 180ACCIDENT & EMERGENCY
 191PAIN MANAGEMENT (Retired 1 April 2004)
Medical Specialties
 190ANAESTHETICS
 192CRITICAL CARE MEDICINE
 300GENERAL MEDICINE
 301GASTROENTEROLOGY
 302ENDOCRINOLOGY
 303CLINICAL HAEMATOLOGY
 304CLINICAL PHYSIOLOGY
 305CLINICAL PHARMACOLOGY
 310AUDIOLOGICAL MEDICINE
 311CLINICAL GENETICS
*312CLINICAL CYTOGENETICS and MOLECULAR GENETICS (Retired 1 April 2010)
 313CLINICAL IMMUNOLOGY and ALLERGY
 314REHABILITATION
 315PALLIATIVE MEDICINE
 320CARDIOLOGY
 321PAEDIATRIC CARDIOLOGY
 325SPORT AND EXERCISE MEDICINE
 326ACUTE INTERNAL MEDICINE
 330DERMATOLOGY
 340RESPIRATORY MEDICINE (also known as thoracic medicine)
 350INFECTIOUS DISEASES
 352TROPICAL MEDICINE
 360GENITOURINARY MEDICINE
 361NEPHROLOGY
 370MEDICAL ONCOLOGY
 371NUCLEAR MEDICINE
 400NEUROLOGY
 401CLINICAL NEURO-PHYSIOLOGY
 410RHEUMATOLOGY
 420PAEDIATRICS
 421PAEDIATRIC NEUROLOGY
 430GERIATRIC MEDICINE
 450DENTAL MEDICINE SPECIALTIES
 451SPECIAL CARE DENTISTRY
 460MEDICAL OPHTHALMOLOGY
500OBSTETRICS and GYNAECOLOGY
 501OBSTETRICS
 502GYNAECOLOGY
 504COMMUNITY SEXUAL AND REPRODUCTIVE HEALTH
 510ANTENATAL CLINIC (Retired 1 April 2004)
 520POSTNATAL CLINIC (Retired 1 April 2004)
 560MIDWIFE EPISODE
 600GENERAL MEDICAL PRACTICE
 601GENERAL DENTAL PRACTICE
 610MATERNITY FUNCTION (Retired 1 April 2004)
 620OTHER THAN MATERNITY (Retired 1 April 2004)
Psychiatry
 700LEARNING DISABILITY
 710ADULT MENTAL ILLNESS
 711CHILD and ADOLESCENT PSYCHIATRY
 712FORENSIC PSYCHIATRY
 713PSYCHOTHERAPY
 715OLD AGE PSYCHIATRY
Radiology
 800CLINICAL ONCOLOGY (previously RADIOTHERAPY)
 810RADIOLOGY
Pathology
 820GENERAL PATHOLOGY
 821BLOOD TRANSFUSION
 822CHEMICAL PATHOLOGY
 823HAEMATOLOGY
 824HISTOPATHOLOGY
 830IMMUNOPATHOLOGY
 831MEDICAL MICROBIOLOGY AND VIROLOGY
 832NEUROPATHOLOGY (Retired 1 April 2004)
 833MEDICAL MICROBIOLOGY (also known as MICROBIOLOGY AND BACTERIOLOGY)
 834MEDICAL VIROLOGY
Other
 900COMMUNITY MEDICINE
 901OCCUPATIONAL MEDICINE
 902COMMUNITY HEALTH SERVICES DENTAL
 903PUBLIC HEALTH MEDICINE
 904PUBLIC HEALTH DENTAL
 950NURSING EPISODE
 960ALLIED HEALTH PROFESSIONAL EPISODE
 990JOINT CONSULTANT CLINICS (Retired 1 April 2004)
 CodeMain Specialty TitleComments
Surgical Specialties
 100General SurgeryFor further information, see: Royal College of Surgeons - General Surgery
 101UrologyFor further information, see: Royal College of Surgeons - Urology
 107Vascular SurgeryFor further information, see: Royal College of Surgeons - Vascular Surgery
 110Trauma and OrthopaedicsFor further information, see: Royal College of Surgeons - Orthopaedic Surgery
 120Ear Nose and ThroatFormerly known as ENT.
For further information, see: Royal College of Surgeons - Ear, Nose and Throat (ENT)
 130OphthalmologyFor further information, see: The Royal College of Ophthalmologists
 140Oral SurgeryFor further information, see: Royal College of Surgeons - Oral and Maxillofacial Surgery
 141Restorative DentistryFor further information, see: The British Society for Restorative Dentistry (BSRD)
 142Paediatric DentistryFor further information, see: The British Society of Paediatric Dentistry
 143OrthodonticsFor further information, see: British Orthodontic Society
 145Oral and Maxillofacial SurgeryFor further information, see: Royal College of Surgeons - Oral and Maxillofacial Surgery
 146EndodonticsFor further information, see: British Endodontic Society
 147PeriodonticsFor further information, see: British Society of Periodontology
 148ProsthodonticsFor further information, see: The British Society of Prosthodontics (BSSPD)
 149Surgical DentistryFor further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
 150NeurosurgeryFor further information, see: Royal College of Surgeons - Neurosurgery
 160Plastic SurgeryFor further information, see: Royal College of Surgeons - Plastic and Reconstructive
 170Cardiothoracic SurgeryFor further information, see: Royal College of Surgeons - Cardiothoracic Surgery
 171Paediatric SurgeryFor further information, see: Royal College of Surgeons - Paediatric Surgery
 191Pain Management (Retired 1 April 2004) 
Medical Specialties
 180Emergency MedicineFormerly known as Accident and Emergency.
For further information, see: The Royal College of Emergency Medicine
 190AnaestheticsFor further information, see: Royal College of Anaesthetists
 192Intensive Care MedicineFormerly known as Critical Care Medicine.
For further information, see: The Faculty of Intensive Care Medicine
 200Aviation and Space MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Aviation and Space Medicine
 300General Internal MedicineFormerly known as General Medicine.
For further information, see: Joint Royal Colleges of Physicians Training Board - General Internal Medicine (GIM)
 301GastroenterologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Gastroenterology
 302Endocrinology and DiabetesFormerly known as Endocrinology.
For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus
 303Clinical HaematologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Haematology
 304Clinical PhysiologyFor further information, see: The Registration Council for Clinical Physiologists
 305Clinical PharmacologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Pharmacology and Therapeutics (CPT)
 310Audio Vestibular MedicineFormerly known as Audiological Medicine.
For further information, see: Joint Royal Colleges of Physicians Training Board - Audio vestibular Medicine
 311Clinical GeneticsFor further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Genetics
*312Clinical Cytogenetics and Molecular Genetics (Retired 1 April 2010) 
 313Clinical ImmunologyFormerly known as Clinical Immunology and Allergy.
For further information, see: Joint Royal Colleges of Physicians Training Board - Immunology
 314Rehabilitation MedicineFormerly known as Rehabilitation.
For further information, see: Joint Royal Colleges of Physicians Training Board - Rehabilitation Medicine
 315Palliative MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Palliative Medicine
 317AllergyFor further information, see: Joint Royal Colleges of Physicians Training Board - Allergy
 320CardiologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Cardiology
 321Paediatric CardiologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Paediatric Cardiology
 325Sport and Exercise MedicineFor further information, see: Faculty of Sport and Exercise Medicine
 326Acute Internal MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Acute Internal Medicine
 330DermatologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Dermatology
 340Respiratory MedicineAlso known as Thoracic Medicine.
For further information, see: Joint Royal Colleges of Physicians Training Board - Respiratory Medicine
 350Infectious DiseasesFor further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and Tropical Medicine
 352Tropical MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and tropical Medicine
 360Genitourinary MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Genitourinary Medicine
 361Renal MedicineFormerly known as Nephrology.
For further information, see: Joint Royal Colleges of Physicians Training Board - Renal Medicine
 370Medical OncologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Medical Oncology
 371Nuclear MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Nuclear Medicine
 400NeurologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Neurology
 401Clinical NeurophysiologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Neurophysiology
 410RheumatologyFor further information, see: British Society for Rheumatology
 420PaediatricsFor further information, see: Royal College of Paediatrics and Child Health - General Paediatrics
 421Paediatric NeurologyFor further information, see: Royal College of Paediatrics and Child Health - Neurology
 430Geriatric MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Geriatric Medicine
 450Dental MedicineFormerly known as Dental Medicine Specialties.
For further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
 451Special Care DentistryFor further information, see: Special Care Dentistry Association (SCDA)
 460Medical OphthalmologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Medical Ophthalmology
500Obstetrics and GynaecologyFor further information, see: Royal College of Obstetricians and Gynaecologists
 501ObstetricsFor further information, see: Royal College of Obstetricians and Gynaecologists
 502GynaecologyFor further information, see: Royal College of Obstetricians and Gynaecologists
 504Community Sexual and Reproductive HealthFor further information, see: Faculty of Sexual & Reproductive Healthcare of the Royal College of Obstetricians & Gynaecologists
 510Antenatal Clinic (Retired 1 April 2004) 
 520Postnatal Clinic (Retired 1 April 2004) 
 600General Medical PracticeFor further information, see: Royal College of General Practitioners
 601General Dental PracticeFor further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
 610Maternity Function (Retired 1 April 2004) 
 620Other Than Maternity (Retired 1 April 2004) 
 831Medical Microbiology and VirologyFor further information, see: The Royal College of Pathologists - Medical Microbiology and The Royal College of Pathologists - Virology
 833Medical MicrobiologyAlso known as Microbiology and Bacteriology.
For further information, see: The Royal College of Pathologists - Medical Microbiology
 834Medical VirologyFor further information, See: The Royal College of Pathologists - Medical Virology
Psychiatry
 700Intellectual DisabilityFormerly known as Learning Disability.
For further information, see: Royal College of Psychiatrists - Faculty of the Psychiatry of Intellectual Disability
 710Adult Mental IllnessFor further information, see: NHS England - Adult and older adult mental health
 711Child and Adolescent PsychiatryFor further information, see: Royal College of Psychiatrists - Faculty of Child and Adolescent Psychiatry
 712Forensic PsychiatryFor further information, see: Royal College of Psychiatrists - Faculty of Forensic Psychiatry
 713Medical PsychotherapyFor further information, see: Royal College of Psychiatrists - Faculty of Medical Psychotherapy
 715Old Age PsychiatryFor further information, see: Royal College of Psychiatrists - Faculty of Old Age Psychiatry
Other
 560MidwiferyFormerly known as Midwife Episode.
For further information, see: Royal College of Midwives
 800Clinical OncologyFormerly known as Radiotherapy.
For further information, see: The Royal College of Radiologists - Clinical Oncology
 810RadiologyFor further information, see: The Royal College of Radiologists (RCR)
 820General PathologyFor further information, see: The Royal College of Pathologists
 821Blood TransfusionFor further information, see: The Royal College of Pathologists - Blood Transfusion
 822Chemical PathologyFor further information, see: The Royal College of Pathologists
 823HaematologyFor further information, see: The Royal College of Pathologists - Haematology
 824HistopathologyFor further information, see: The Royal College of Pathologists - Histopathology
 830ImmunopathologyFor further information, see: The Royal College of Pathologists - Immunology
 832Neuropathology (Retired 1 April 2004) 
 900Community MedicineFor further information, see: Faculty of Public Health
 901Occupational MedicineFor further information, see: Royal College of Physicians - Faculty of Occupational Medicine
 902Community Health Services DentalFor further information, see: Faculty of Public Health
 903Public Health MedicineFor further information, see: Faculty of Public Health
 904Public Health DentalFor further information, see: GOV.uk - Oral Health
 950NursingFormerly known as Nursing Episode.
For further information, see: Nursing & Midwifery Council
 960Allied Health ProfessionalFormerly known as Allied Health Professional Episode.
For further information, see: Health and Care Professions Council
 990Joint Consultant Clinics (Retired 1 April 2004) 

Notes:
Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
Code 500 is not acceptable for data sets/collections including Hospital Episode Statistics
*Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010.

Table 2 Treatment Function codes

CodeTreatment Function TitleComments
CodeTreatment Function TitleComments
Surgical Specialties
100GENERAL SURGERYIncludes sub-categories not elsewhere listed e.g. endocrine surgery
101UROLOGYSurgical treatment of disorders of the urinary system and male reproductive system
102TRANSPLANTATION SURGERYIncludes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts
103BREAST SURGERYIncludes treatment for cancer, suspected neoplasms, cysts and post-cancer reconstructive surgery. Excludes cosmetic surgery
104COLORECTAL SURGERYSurgical treatment of disorders of the lower intestine (colon, anus and rectum)
105HEPATOBILIARY & PANCREATIC SURGERYIncludes liver surgery, but liver transplantation should be recorded in 102 Transplantation Surgery
106UPPER GASTROINTESTINAL SURGERYSurgical treatment of disorders of the upper parts of the gastrointestinal tract
107VASCULAR SURGERYSurgical treatment of diseases of the vascular system
108SPINAL SURGERY SERVICESurgery concentrating on specialised and complex treatment of the back and spine. The SERVICE has a significantly different composition and profile from the SERVICE provided in TREATMENT FUNCTION CODE - 110 Trauma & Orthopaedic. Excludes Spinal Injuries - see TREATMENT FUNCTION CODE 323
110TRAUMA & ORTHOPAEDICSSurgery to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
120ENTEar, nose and throat
130OPHTHALMOLOGYThe surgical treatment of disorders and diseases of the eye. Excludes Medical Ophthalmology - see TREATMENT FUNCTION CODE 460
140ORAL SURGERYThe diagnosis and surgical treatment of diseases, injuries and defects involving both the functional and aesthetic aspects of the hard and soft tissues of the head, mouth, teeth, gums, jaws and neck
141RESTORATIVE DENTISTRYEndodontics, Periodontics and Prosthodontics are all part of Restorative Dentistry
142PAEDIATRIC DENTISTRYDentistry SERVICES dedicated to children with appropriate facilities and support staff
143ORTHODONTICSThe treatment of malocclusions (improper bites). Orthodontic treatment can focus on dental displacement only, or can deal with the control and modification of facial growth
144MAXILLO-FACIAL SURGERYMouth, jaw and face related surgery
150NEUROSURGERYThe prevention, diagnosis, treatment, and rehabilitation of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system
160PLASTIC SURGERYSERVICES to correct or restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns
161BURNS CARETo be used by recognised specialist units and associated outreach SERVICES only
170CARDIOTHORACIC SURGERYShould only be used where there are no separate SERVICES for Cardiac Surgery and Thoracic Surgery
171PAEDIATRIC SURGERYThis is paediatric general surgery
172CARDIAC SURGERYSurgical treatment of the heart or great vessels
173THORACIC SURGERYSurgical treatment of diseases affecting organs inside the thorax (the chest). Generally treatment of conditions of the lungs, chest wall, and diaphragm
174CARDIOTHORACIC TRANSPLANTATIONTo be used by recognised specialist units and associated outreach services only. Includes pre- and post-operative services
180ACCIDENT & EMERGENCYSERVICES to care for PATIENTS with urgent problems delivered as part of an Accident and Emergency Attendance or admission at an Accident and Emergency Department
191PAIN MANAGEMENTComplex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
100General Surgery ServiceSERVICES delivering surgical ACTIVITY not covered by other subspecialty areas. The majority of elective procedures, about 80 per cent, fall outside subspecialty areas.
For further information, see: Royal College of Surgeons - Surgical Specialties
101Urology ServiceSurgical SERVICES for the treatment of disorders of the urinary system and male reproductive system. This includes surgery for gender dysphoria.
For further information, see: Royal College of Surgeons - Urology
102Transplant Surgery ServiceSERVICES for pre- and post-operative care for major organ transplants except heart and lung. Excludes Cardiothoracic Transplantation Service - see TREATMENT FUNCTION CODE 174, corneal grafts carried out by Ophthalmology Service - see TREATMENT FUNCTION CODE 130 and Blood and Bone Marrow Transplantation Service - see TREATMENT FUNCTION CODE 308.
For further information, see: Royal College of Surgeons - General Surgery
103Breast Surgery ServiceSERVICES which include surgical treatment for cancer, suspected neoplasms, indeterminate breast lesions, benign breast lumps, disorders of the nipple-areolar complex, cysts and post-cancer reconstructive, revision and symmetrising surgery. Includes breast surgery for gender dysphoria. Excludes cosmetic surgery.
For further information, see: Association of Breast Surgery
104Colorectal Surgery ServiceSERVICES for the surgical treatment of disorders of the lower intestine (colon, anus and rectum)
105Hepatobiliary and Pancreatic Surgery ServiceSpecialist surgical SERVICES for hepatobiliary and pancreatic (HPB) disorders. To be used by recognised specialist units and associated outreach SERVICES only. Excludes Transplant Surgery Service - see TREATMENT FUNCTION CODE 102.
For further information, see: NHS England - A02. Hepatobiliary and Pancreas
106Upper Gastrointestinal Surgery ServiceSERVICES for surgical treatment of disorders of the upper parts of the gastrointestinal tract.
For further information, see: Royal College of Surgeons - General Surgery
107Vascular Surgery ServiceSERVICES for the surgical treatment of diseases of the vascular system.
For further information, see: Royal College of Surgeons - Vascular Surgery
108Spinal Surgery ServiceSurgery concentrating on specialised and complex treatment of issues of the back and spine. To be used by recognised specialist units and associated outreach SERVICES only. Excludes Trauma and Orthopaedic Service - see TREATMENT FUNCTION CODE 110, Orthopaedic Service - see TREATMENT FUNCTION CODE 111, Trauma Surgery Service - see TREATMENT FUNCTION CODE 115 and Spinal Injuries Service - see TREATMENT FUNCTION CODE 323.
For further information, see: British Association of Spine Surgeons
109Bariatric Surgery ServiceSERVICES assessing, managing and treating obesity, and specifically consideration of bariatric (weight loss) surgery. It includes PATIENTS who are obese and have, or are at risk of, other medical conditions. It does not cover preventing a PERSON from becoming overweight or obese, or lifestyle weight management programmes for a PERSON who is overweight or obese.
For further information, see: National Institute for Health and Care Excellence - Obesity
110Trauma and Orthopaedic ServiceSERVICES to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Orthopaedic Surgery Service - TREATMENT FUNCTION CODE 111 and Spinal Surgery Service - see TREATMENT FUNCTION CODE 108. For major trauma centres use Trauma Surgery Service - see TREATMENT FUNCTION CODE 115.
For further information, see: Royal College of Surgeons - Major Trauma Surgery and Royal College of Surgeons - Orthopaedic Surgery
111Orthopaedic ServiceSERVICES for the elective or planned surgical assessment or treatment of the musculoskeletal system. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE 115. Where there is no dedicated Orthopaedic Service use Trauma and Orthopaedic Service - see TREATMENT FUNCTION CODE 110.
For further information, see: Royal College of Surgeons - Orthopaedic Surgery
113Endocrine Surgery ServiceSERVICES for the surgical treatment of diseases of the thyroid and/or other endocrine glands.
For further information, see: Royal College of Surgeons - General Surgery
115Trauma Surgery ServiceMajor trauma specialist SERVICES at a designated unit, with the specific exclusion of Spinal Surgery Service - see TREATMENT FUNCTION CODE 108.
Excludes elective or planned Orthopaedic Surgery Service - see TREATMENT FUNCTION CODE 111. Where there is no major trauma centre use Trauma and Orthopaedics Service - see TREATMENT FUNCTION CODE 110.
For further information, see: Royal College of Surgeons - Major Trauma Surgery
120Ear Nose and Throat ServiceFormerly known as ENT.
Surgical SERVICES for the assessment, diagnosis, management and treatment of ear, nose and/or throat issues. Excludes Audiology Service - see TREATMENT FUNCTION CODE 840.
For further information, see: Royal College of Surgeons - Ear, Nose & Throat (ENT)
130Ophthalmology ServiceThe surgical treatment of disorders and diseases of the eye. Excludes Medical Ophthalmology Service - see TREATMENT FUNCTION CODE 460 and Ophthalmic and Vision Science Service - see TREATMENT FUNCTION CODE 461.
For further information, see: Royal College of Ophthalmologists
140Oral Surgery ServiceRetained for existing SERVICES but professional recommendation is to use Oral and Maxillofacial Surgery Service - see TREATMENT FUNCTION CODE 145
141Restorative Dentistry ServiceSERVICES providing examination and treatment of diseases of the oral cavity, the teeth and their supporting structures. Restorative Dentistry includes the dental specialties of Endodontics, Periodontics and Prosthodontics (including implantology), and its foundation is based upon how these interact in the management of cases requiring multifaceted care.
For further information, see: British Society for Restorative Dentistry
143Orthodontic ServiceSERVICES for the treatment of malocclusions (improper bites). Orthodontic treatment can focus on dental displacement only, or can deal with the control and modification of facial growth.
For further information, see: British Orthodontic Society
144Maxillofacial Surgery ServiceRetained for existing SERVICES but professional recommendation is to use Oral and Maxillofacial Surgery Service - see TREATMENT FUNCTION CODE 145
145Oral and Maxillofacial Surgery ServiceSERVICES for the diagnosis, management and treatment of diseases affecting the mouth, jaws, face and neck.
Formerly categorised as TREATMENT FUNCTION CODE 140 (Oral Surgery) and TREATMENT FUNCTION CODE 144 (Maxillofacial Surgery); however, professional recommendation is to use this TREATMENT FUNCTION CODE.
For further information, see: British Association of Oral & Maxillofacial Surgeons
149not a Treatment Function 
150Neurosurgical ServiceSurgical SERVICES for the treatment of disorders of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system. Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108. For major trauma centres use Trauma Surgery Service – see TREATMENT FUNCTION CODE 115.
For further information, see: Royal College of Surgeons - Neurosurgery
160Plastic Surgery ServiceSERVICES to correct or restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns. For care given within specialist burn services, use Burns Care Service - see TREATMENT FUNCTION CODE 161. Excludes breast surgery for gender dysphoria, use Breast Surgery Service - see TREATMENT FUNCTION CODE 103.
For further information, see: Royal College of Surgeons - Plastic and Reconstructive
161Burns Care ServiceSERVICES for the surgical and non-surgical treatment of burns within recognised specialist burns units and associated outreach SERVICES only. Whilst this does not signify the CRITICAL CARE LEVEL, many PATIENTS will also come within the scope of the Critical Care Minimum Data Set.
For further information, see: British Burn Association
170Cardiothoracic Surgery ServiceSERVICES delivering surgical treatment of diseases affecting the heart and organs inside the thorax (the chest). Should only be used where there are no separate SERVICES for Cardiac Surgery and Thoracic Surgery.
For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
172Cardiac Surgery ServiceSERVICES delivering surgical treatment of diseases affecting the heart. Procedures are often lengthy and complex, requiring support from advanced forms of technology during surgery and CRITICAL CARE LEVEL 2 and 3 for the PATIENT after surgery.
For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
173Thoracic Surgery ServiceSERVICES providing surgical treatment of diseases affecting organs inside the thorax (the chest). Generally, treatment of conditions of the lungs, chest wall, and diaphragm. Predominantly this is surgical treatment of malignant disease or its effects.
For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
174Cardiothoracic Transplantation ServiceSERVICES for pre- and post-operative care for heart and lung transplants. To be used by recognised specialist units and associated outreach services only.
For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
Other Children's Specialist Services - The Paediatric TREATMENT FUNCTION CODES represent CLINICS OR FACILITIES intended to provide dedicated SERVICES to children with appropriate facilities and support staff, i.e. they are designed for children only. If a CLINIC OR FACILITY provides this but also treats adult PATIENTS as part of the SERVICE then a Paediatric TREATMENT FUNCTION CODE may not be appropriate. The age of the PATIENT attending does not initiate a change to the TREATMENT FUNCTION CODE for the ACTIVITY.
211PAEDIATRIC UROLOGYSurgical treatment of disorders of the urinary system and male reproductive system
212PAEDIATRIC TRANSPLANTATION SURGERYIncludes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts
213PAEDIATRIC GASTROINTESTINAL SURGERYSurgical treatment of disorders of the gastrointestinal tract
214PAEDIATRIC TRAUMA AND ORTHOPAEDICSSurgery to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
215PAEDIATRIC EAR NOSE AND THROATEar, nose and throat
216PAEDIATRIC OPHTHALMOLOGYThe surgical treatment of disorders and diseases of the eye.
217PAEDIATRIC MAXILLO-FACIAL SURGERYMouth, jaw and face related surgery
218PAEDIATRIC NEUROSURGERYThe prevention, diagnosis, treatment, and rehabilitation of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system
219PAEDIATRIC PLASTIC SURGERYSERVICES to correct or restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns
220PAEDIATRIC BURNS CARETo be used by recognised specialist units and associated outreach SERVICES only
221PAEDIATRIC CARDIAC SURGERYSurgical treatment of the heart or great vessels
222PAEDIATRIC THORACIC SURGERYSurgical treatment of diseases affecting organs inside the thorax (the chest). Generally treatment of conditions of the lungs, chest wall, and diaphragm
223PAEDIATRIC EPILEPSYDesignated clinic which provides SERVICES to children led by CONSULTANT paediatrician with expertise in epilepsy supported by specialist staff
241PAEDIATRIC PAIN MANAGEMENTComplex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
242PAEDIATRIC INTENSIVE CAREOnly to be used by designated Paediatric Intensive Care Units
251PAEDIATRIC GASTROENTEROLOGYThe treatment of disorders of the digestive system
252PAEDIATRIC ENDOCRINOLOGYThe treatment of disorders of the endocrine system
253PAEDIATRIC CLINICAL HAEMATOLOGYExcludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324
254PAEDIATRIC AUDIOLOGICAL MEDICINEThe medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests
255PAEDIATRIC CLINICAL IMMUNOLOGY AND ALLERGY SERVICEClinical Immunology is the treatment of disorders of the immune system. Allergy Service is the diagnosis  and management of allergic disease
256PAEDIATRIC INFECTIOUS DISEASESSERVICES to diagnose and treat contagious or communicable diseases
257PAEDIATRIC DERMATOLOGYSERVICES for the treatment of diseases of the skin
258PAEDIATRIC RESPIRATORY MEDICINEAlso known as Thoracic Medicine
259PAEDIATRIC NEPHROLOGYSERVICES to treat kidney conditions and abnormalities
260PAEDIATRIC MEDICAL ONCOLOGYThe diagnosis and treatment, typically with Chemotherapy of PATIENTS with cancer
261PAEDIATRIC METABOLIC DISEASEThe diagnosis and management of inherited metabolic conditions
262PAEDIATRIC RHEUMATOLOGYSERVICES to treat rheumatism, arthritis, and other disorders of the joints, muscles and ligaments
263PAEDIATRIC DIABETIC MEDICINESERVICES to diagnose, treat and support PATIENTS with diabetes
264PAEDIATRIC CYSTIC FIBROSISSpecialised, multidisciplinary SERVICE concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only
280PAEDIATRIC INTERVENTIONAL RADIOLOGYDiagnosis and treatment of diseases utilising minimally-invasive image-guided procedures. Not to be used for Diagnostic Imaging - see TREATMENT FUNCTION CODE 812
290COMMUNITY PAEDIATRICSIncludes routine health surveillance, health promotion, behavioural paediatrics and Looked After Children. Excludes Paediatric Neuro-Disability
291PAEDIATRIC NEURO-DISABILITYDedicated SERVICES for children with Cerebral Palsy and non-progressive handicapping neurological conditions, with or without Learning Disability
142Paediatric Dentistry ServiceDedicated children's SERVICES for dentistry with appropriate facilities and support staff.
For further information, see: The British Society of Paediatric Dentistry
171Paediatric Surgery ServiceDedicated children's SERVICES for general surgery.
For further information, see: Royal College of Surgeons - Paediatric Surgery
211Paediatric Urology ServiceDedicated children's SERVICES for surgical treatment of disorders of the urinary system and male reproductive system.
For further information, see: British Association of Paediatric Surgeons - Urology
212Paediatric Transplantation Surgery ServiceDedicated children's SERVICES for pre- and post-operative care for major organ transplants except heart and lung. Excludes Paediatric Cardiac Surgery Service - see TREATMENT FUNCTION CODE 221, Paediatric Thoracic Surgery Service - see TREATMENT FUNCTION CODE 222, corneal grafts carried out by Paediatric Ophthalmology Service - see TREATMENT FUNCTION CODE 216 and Blood and Bone Marrow Transplantation Service - see TREATMENT FUNCTION CODE 308.
For further information, see: Royal College of Surgeons - General Surgery
213Paediatric Gastrointestinal Surgery ServiceDedicated children's SERVICES for surgical treatment of disorders of the gastrointestinal tract.
For further information, see: British Association of Paediatric Surgeons - Gastrointestinal
214Paediatric Trauma and Orthopaedic ServiceDedicated children's SERVICES to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE 115 and Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
For further information, see: British Society for Children's Orthopaedic Surgery (BSCOS)
215Paediatric Ear Nose and Throat ServiceDedicated children's surgical SERVICES for the assessment, diagnosis, management and treatment of ear, nose and/or throat issues. Excludes Audiology Service - see TREATMENT FUNCTION CODE 840.
For further information, see: British Association for Paediatric Otolaryngology
216Paediatric Ophthalmology ServiceDedicated children's SERVICES for the surgical treatment of disorders and diseases of the eye.
For further information, see: British & Irish Paediatric Ophthalmology and Strabismus Association
217Paediatric Oral and Maxillofacial Surgery ServiceDedicated children's SERVICES for the diagnosis, management and treatment of diseases affecting the mouth, jaws, face and neck.
For further information, see: British Association of Oral & Maxillofacial Surgeons
218Paediatric Neurosurgery ServiceDedicated children's SERVICES for the surgical treatment of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system.
For further information, see: Royal College of Surgeons - Neurosurgery
219Paediatric Plastic Surgery ServiceDedicated children's SERVICES for correction or to restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns. For care given within specialist paediatric burn services, use Paediatric Burns Care Service - see TREATMENT FUNCTION CODE 220.
For further information, see: NHS England: E02. Specialised Surgery in Children
220Paediatric Burns Care ServiceDedicated children's SERVICES for the surgical and non-surgical treatment of burns within recognised specialist burns units and associated outreach SERVICES only. Whilst this does not signify the CRITICAL CARE LEVEL, many PATIENTS will also come within the scope of the Critical Care Minimum Data Set.
For further information, see: British Burn Association
221Paediatric Cardiac Surgery ServiceDedicated children's SERVICES for the surgical treatment of the heart or great vessels.
For further information, see: NHS England: E05. Congenital Heart Services
222Paediatric Thoracic Surgery ServiceDedicated children's SERVICES for the surgical treatment of diseases affecting organs inside the thorax (the chest). Generally, treatment of conditions of the lungs, chest wall, and diaphragm.
For further information, see: British Association of Paediatric Surgeons - Thoracic
223Paediatric Epilepsy ServiceDedicated children's SERVICES by CONSULTANT paediatrician with expertise in epilepsy supported by specialist staff.
For further information, see: Royal College of Paediatrics and Child Health - Epilepsy
230Paediatric Clinical Pharmacology ServiceDedicated children's SERVICES providing advice and support locally and nationally regarding the introduction of new medicines, adverse drug reactions, poisoning and toxicity, and prescribing policies.
For further information, see: Royal College of Paediatrics and Child Health - Drugs and medicines
240Paediatric Palliative Medicine ServiceDedicated children's SERVICES improving the quality of life of PATIENTS and their families facing the problems associated with life-limiting illness. Prevention and relief of suffering by means of early identification, assessment and treatment of pain and other problems, physical, psychosocial and spiritual.
For further information, see: Royal College of Paediatrics and Child Health - Palliative care
241Paediatric Pain Management ServiceDedicated children's SERVICES for complex pain disorders requiring diagnosis and treatment by a specialist Multidisciplinary Team.
For further information, see: Royal College of Paediatrics and Child Health - Pain management
242Paediatric Intensive Care ServiceDedicated children's SERVICES only to be used by designated Paediatric Intensive Care Units.
For further information, see: Royal College of Paediatrics and Child Health - Intensive care medicine
250Paediatric Hepatology ServiceDedicated children's SERVICES for the treatment of disease of the liver.
For further information, see: Royal College of Paediatrics and Child Health - Hepatology
251Paediatric Gastroenterology ServiceDedicated children's SERVICES for the treatment of disorders of the digestive system.
For further information, see: Royal College of Paediatrics and Child Health - Gastroenterology
252Paediatric Endocrinology ServiceDedicated children's SERVICES for the treatment of disorders of the endocrine system. Excludes Paediatric Diabetes Service - see TREATMENT FUNCTION CODES 263.
For further information, see: British Society for Paediatric Endocrinology and Diabetes
253Paediatric Clinical Haematology ServiceDedicated children's SERVICES contributing to the diagnosis and management of diseases of the blood and bone marrow. May be consultative in other specialties including intensive care. Excludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324.
For further information, see: NHS England: E03. Paediatric Medicine
254Paediatric Audio Vestibular Medicine ServiceDedicated children's SERVICES for the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes Audiology Service - see TREATMENT FUNCTION CODE 840.
For further information, see: British Association of Paediatricians in Audiology
255Paediatric Clinical Immunology and Allergy ServiceDedicated children's SERVICES for the treatment of disorders of the immune system and allergic disease.
For further information, see: Royal College of Paediatrics and Child Health - Paediatric allergy, immunology and infectious diseases - sub-specialty
256Paediatric Infectious Diseases ServiceDedicated children's SERVICES for the diagnosis and treatment of contagious or communicable diseases.
For further information, see: Royal College of Paediatrics and Child Health - Paediatric allergy, immunology and infectious diseases - sub-specialty
257Paediatric Dermatology ServiceDedicated children's SERVICES for the treatment of diseases of the skin.
For further information, see: The British Society for Paediatric Dermatology (BSPD)
258Paediatric Respiratory Medicine ServiceDedicated children's SERVICES for the diagnosis and treatment of respiratory conditions.
Also known as Thoracic Medicine and Pulmonary Medicine.
For further information, see: Royal College of Paediatrics and Child Health - Paediatric respiratory medicine - sub-specialty
259Paediatric Nephrology ServiceDedicated children's SERVICES for the diagnosis and treatment of kidney conditions and abnormalities.
Also known as Renal Medicine.
For further information, see: Royal College of Paediatrics and Child Health - Nephrology
260Paediatric Medical Oncology ServiceDedicated children's SERVICES for the diagnosis and treatment, typically with Chemotherapy, of PATIENTS with cancer.
For further information, see: Royal College of Paediatrics and Child Health - Oncology
261Paediatric Inherited Metabolic Medicine ServiceFormerly known as Paediatric Metabolic Disease.
Dedicated children's SERVICES for the diagnosis and management of inherited metabolic conditions utilising biochemistry and metabolic characteristics requiring the expertise of both the physician and chemical pathologist.
For further information, see: Royal College of Paediatrics and Child Health - Inherited metabolic medicine
262Paediatric Rheumatology ServiceDedicated children's SERVICES incorporating the investigation, multidisciplinary holistic management and rehabilitation of PATIENTS with a wide spectrum of disorders of the musculoskeletal system encompassing the locomotor apparatus, bone and connective tissues and blood vessels.
For further information, see: Royal College of Paediatrics and Child Health - Rheumatology
263Paediatric Diabetes ServiceFormerly known as Paediatric Diabetes Medicine.
Dedicated children's SERVICES for the diagnosis, treatment and support of PATIENTS with diabetes.
For further information, see: Royal College of Paediatrics and Child Health - Diabetes
264Paediatric Cystic Fibrosis ServiceDedicated multidisciplinary children's SERVICES concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only.
For further information, see: NHS England: A01. Specialised Respiratory
270Paediatric Emergency Medicine ServiceDedicated children's SERVICES to care for PATIENTS with urgent problems delivered as part of an Emergency Care Attendance. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE 115.
For further information, see: Royal College of Paediatrics and Child Health - Emergency Medicine
280Paediatric Interventional Radiology ServiceDedicated children's SERVICES for the diagnosis and treatment of diseases utilising minimally invasive image-guided procedures. Not to be used for Diagnostic Imaging Service - see TREATMENT FUNCTION CODE 812.
For further information, see: British Society of Interventional Radiology - What is Interventional Radiology
290Community Paediatric ServiceSERVICES providing assessment and care to vulnerable children, including those with developmental disorders and disabilities, complex behavioural presentations, and those at risk of abuse or are being abused. Excludes Paediatric Neurodisability Service - see TREATMENT FUNCTION CODE 291.
For further information, see: Royal College of Paediatrics and Child Health - Community child health - sub-specialty
291Paediatric Neurodisability ServiceDedicated children's SERVICES for the diagnosis and treatment of Cerebral Palsy and non-progressive handicapping neurological conditions, with or without Intellectual Disability.
For further information, see: Royal College of Paediatrics and Child Health - Neurodisability
321Paediatric Cardiology ServiceDedicated children's SERVICES for diseases and abnormalities of the heart. Excludes Congenital Heart Disease Service - see TREATMENT FUNCTION CODE 331.
For further information, see: Joint Royal Colleges of Physicians Training Board – Paediatric Cardiology
421Paediatric Neurology ServiceDedicated children's SERVICES for diagnosis, management and medical treatment of conditions and diseases of the central nervous system, with appropriate facilities and support staff. Excludes Paediatric Epilepsy Service - see TREATMENT FUNCTION CODE 223.
For further information, see: Royal College of Paediatrics and Child Health - Neurology
Medical Specialties
190ANAESTHETICSThis can be used in out-patients only. Pain Management should be recorded in 191
192CRITICAL CARE MEDICINEalso known as Intensive Care Medicine
300GENERAL MEDICINEIncludes sub-categories not elsewhere listed e.g. Metabolic Medicine.
301GASTROENTEROLOGYThe treatment of disorders of the digestive system
302ENDOCRINOLOGYThe treatment of disorders of the endocrine system
303CLINICAL HAEMATOLOGYExcludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324
304CLINICAL PHYSIOLOGYPhysiological measurement including ECG (e.g. exercise testing, stress testing), gastrointestinal physiology, cardiac physiology, vascular technology, urodynamics, and ophthalmic and vision science. Excludes Clinical Neurophysiology - see TREATMENT FUNCTION CODE 401, Audiology - see TREATMENT FUNCTION CODE 840 or Respiratory Physiology - see TREATMENT FUNCTION CODE 341
305CLINICAL PHARMACOLOGYSERVICES providing drug information, medication safety and other aspects of pharmacy practice
306HEPATOLOGYAlso known as liver medicine
307DIABETIC MEDICINESERVICES to diagnose, treat and support PATIENTS with diabetes
308BLOOD AND MARROW TRANSPLANTATIONPreviously coded within Clinical Haematology (TREATMENT FUNCTION CODE 303). Includes haemopoietic stem cell transplantation
309HAEMOPHILIA SERVICEPreviously coded within Clinical Haematology (TREATMENT FUNCTION CODE 303).
310AUDIOLOGICAL MEDICINEThe medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests
311CLINICAL GENETICSDiagnosis of disorders caused by genetic mechanisms and counselling SERVICE to PATIENTS and affected family members. To be used by recognised specialist units and associated outreach SERVICES only
180Emergency Medicine ServiceFormerly known as Accident & Emergency.
SERVICES to care for PATIENTS with urgent problems delivered as part of an Emergency Care Attendance. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE 115.
For further information, see: The Royal College of Emergency Medicine
190Anaesthetic ServiceSERVICES for PATIENTS being assessed for anaesthesia, as well as the provision of sedation and anaesthesia for patients undergoing interventional radiology and radiotherapy.
This can be used in out-patients only. Pain Management Service should be recorded in TREATMENT FUNCTION CODE 191. Intensive Care Medicine Service should be recorded in TREATMENT FUNCTION CODE 192.
For further information, see: Royal college of Anaesthetists - Anaesthetists
191Pain Management ServiceSERVICES for complex pain disorders requiring diagnosis and treatment by a specialist Multidisciplinary Team
192Intensive Care Medicine ServiceFormerly known as Critical Care Medicine.
SERVICES using a body of specialist knowledge and practice concerned with the treatment of PATIENTS, with, at risk of, or recovering from potentially life-threatening failure of one or more of the body’s organ systems. It includes the provision of organ system support, the investigation, diagnosis, and treatment of acute illness, systems management and PATIENT safety, ethics, end-of-life care, and the support of families. Typically, this will refer to CRITICAL CARE LEVEL 2 and 3 beds within the scope of the Critical Care Minimum Data Set.
For further information, see: Faculty of Intensive Care Medicine
200Aviation and Space Medicine ServiceAlso known as Aerospace Medicine Services.  
Aviation and Space Medicine SERVICES study all factors affecting the PERSON in flight. This may include pre-flight preparation and checks as well as inflight care to minimise the potentially harmful effects of their abnormal environment.
For further information, see: Royal College of Physicians - Aviation and Space Medicine
300General Internal Medicine ServiceFormerly known as General Medicine.
SERVICES include adults admitted as emergencies with acute medical problems, including multiple disorders. PATIENTS with problems that are not clearly within the remit of a particular medical specialty are referred for the opinion of a general physician.
For further information, see: Joint Royal Colleges of Physicians Training Board - General Internal Medicine (GIM)
301Gastroenterology ServiceScreening, diagnostic and therapeutic endoscopy SERVICES including upper and lower gastrointestinal (GI) endoscopy and hepatobiliary endoscopy. Excludes Hepatology Service - see TREATMENT FUNCTION CODE 306.
302Endocrinology ServiceThe treatment of disorders of the endocrine system, excluding specific Diabetes Services - see TREATMENT FUNCTION CODE 307.
For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus
303Clinical Haematology ServiceSERVICES contributing to the diagnosis and management of diseases of the blood and bone marrow. May be consultative in other specialties including intensive care. Excludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324.
For further information, see: Joint Royal Colleges of Physicians Training Board - Haematology
304Clinical Physiology ServicePhysiological measurement. Excludes Clinical Neurophysiology Service - see TREATMENT FUNCTION CODE 401, Audiology Service - see TREATMENT FUNCTION CODE 840, Respiratory Physiology Service - see TREATMENT FUNCTION CODE 341, Cardiac Physiology Service - see TREATMENT FUNCTION CODE 675, Gastrointestinal Physiology Service - see TREATMENT FUNCTION CODE 677, Urological Physiology Service - see TREATMENT FUNCTION CODE 670, Vascular Physiology Service - see TREATMENT FUNCTION CODE 673 and Ophthalmic and Vision Science - see TREATMENT FUNCTION CODE 461.
For further information, see: The Registration Council for Clinical Physiologists
305Clinical Pharmacology ServiceSERVICES undertaking and interpreting clinical investigations including clinical trials; optimising the therapeutic use of drugs; detection and analysis of adverse drug effects; contribution to medicines evaluation and management of poisoning.
For further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Pharmacology and Therapeutics (CPT)
306Hepatology ServiceMedical SERVICES for the diagnosis and treatment of liver disease. Also known as liver medicine. For hepatobiliary endoscopy, use Gastroenterology Service - see TREATMENT FUNCTION CODE 301
307Diabetes ServiceFormerly known as Diabetes Medicine.
SERVICES to diagnose, treat and support PATIENTS with diabetes.
For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus
308Blood and Marrow Transplantation ServiceSERVICES recognised as specialist units and associated outreach services only. Includes pre- and post-operative specialised services for autologous, allogeneic or syngeneic Blood and Marrow Transplantation.
For further information, see: British Society of Blood and Marrow Transplantation
309Haemophilia ServiceSpecialist SERVICES for the diagnosis, treatment and management of haemophilia.
For further information, see: NHS England - F02. Specialised Blood Disorders
310Audio Vestibular Medicine ServiceFormerly known as Audiological Medicine.
SERVICES concerned with the diagnosis and management of hearing and balance disorders, for example tinnitus, dysacusis and communication disorders. Rehabilitative/habilitative care is delivered by Multidisciplinary Teams and is aimed at improving the well-being and quality of life of the PATIENT concerned.
Excludes Audiology Service - see TREATMENT FUNCTION CODE 840.
For further information, see: Joint Royal College of Physicians Training Board - Audio vestibular Medicine
311Clinical Genetics ServiceSERVICES for the diagnosis and management of genetic disorders affecting individuals and their families.
For further information, see: Clinical Genetics
312not a Treatment Function 
313CLINICAL IMMUNOLOGY and ALLERGY SERVICEShould only be used where there are no separate SERVICES for Clinical Immunology and Allergy
314REHABILITATION SERVICESERVICES to enhance and restore functional ability and quality of life to those with physical impairments or disabilities. Excludes Mental Health Recovery and Rehabilitation Service - see TREATMENT FUNCTION CODE 725
315PALLIATIVE MEDICINEThe treatment for curable illnesses and those living with chronic diseases, as well as PATIENTS who are nearing the end of life
316CLINICAL IMMUNOLOGYThe treatment of disorders of the immune system
317ALLERGY SERVICEThe diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions
318INTERMEDIATE CAREIntermediate care encompasses a range of multi-disciplinary SERVICES designed to safeguard independence by maximising rehabilitation and recovery after illness or injury
319RESPITE CARESERVICES providing temporary care of a dependant person, providing relief for their usual caregivers
320CARDIOLOGYSERVICES treating diseases and abnormalities of the heart
321PAEDIATRIC CARDIOLOGYDedicated SERVICES to children with diseases and abnormalities of the heart, with appropriate facilities and support staff
322CLINICAL MICROBIOLOGYSERVICES to treat diseases caused by bacteria, viruses, fungi and parasites
323SPINAL INJURIESTo be used by recognised specialist units and associated outreach SERVICES only, Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
324ANTICOAGULANT SERVICEThe monitoring and control of anticoagulant therapy including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage. This can be used in out-patients only
325SPORT AND EXERCISE MEDICINEThe diagnosis and management of medical problems caused by physical activity, the prevention of related injury and disease and the role of exercise in disease treatment
327CARDIAC REHABILITATIONRehabilitation SERVICE for PATIENTS with or recovering from heart related conditions such as heart attacks or from procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health
328STROKE MEDICINEFor stroke services excluding Transient Ischaemic Attack - see TREATMENT FUNCTION CODE 329
329TRANSIENT ISCHAEMIC ATTACKA multidisciplinary SERVICE for rapid diagnosis and treatment of PATIENTS presenting with suspected Transient Ischaemic Attack and mini-strokes to minimise the chance of a full stroke occurring and maximise the chances of independent living after a stroke
330DERMATOLOGYSERVICES for the treatment of diseases of the skin
331CONGENITAL HEART DISEASE SERVICEThe management and treatment of congenital heart disease, this includes the ongoing care of children in to adulthood
340RESPIRATORY MEDICINEAlso known as Thoracic Medicine
341RESPIRATORY PHYSIOLOGYPhysiological measurement of the function of the respiratory system. Includes Sleep Studies (the diagnosis and treatment of sleep disordered breathing, including upper airway resistance syndrome and sleep apnoea)
342PROGRAMMED PULMONARY REHABILITATIONA multidisciplinary programme of care for PATIENTS with chronic respiratory impairment that is individually tailored and designed to optimise the individual's physical and social performance and autonomy
343ADULT CYSTIC FIBROSIS SERVICESpecialised, multidisciplinary SERVICE concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only
344COMPLEX SPECIALISED REHABILITATION SERVICEComplex specialised rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 1 service. For further information see the NHS Specialised Services website
345SPECIALIST REHABILITATION SERVICESpecialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2a service. For further information see the NHS Specialised Services website
346LOCAL SPECIALIST REHABILITATION SERVICELocal specialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2b service. For further information see the NHS Specialised Services website
350INFECTIOUS DISEASESSERVICES to diagnose and treat contagious or communicable diseases
352TROPICAL MEDICINESERVICES to diagnose and treat diseases that are found most often in tropical  or sub-tropical regions
360GENITOURINARY MEDICINEPrimarily related to medicine dealing with sexually transmitted diseases
361NEPHROLOGYSERVICES to treat kidney conditions and abnormalities
370MEDICAL ONCOLOGYThe diagnosis and treatment, typically with Chemotherapy, of PATIENTS with cancer
371NUCLEAR MEDICINEThe treatment of PATIENTS through the use of radioactive substances
400NEUROLOGYSERVICES to diagnose and treat conditions and diseases of the central nervous system
401CLINICAL NEUROPHYSIOLOGYThe study of the central and peripheral nervous systems through the recording of bioelectrical activity. Includes Electroencephalogram (EEG)
410RHEUMATOLOGYSERVICES to treat rheumatism, arthritis, and other disorders of the joints, muscles and ligaments
420PAEDIATRICSSERVICES to treat infants, children, and adolescents
421PAEDIATRIC NEUROLOGYDedicated SERVICES to children to diagnose and treat conditions and diseases of the central nervous system, with appropriate facilities and support staff
422NEONATOLOGYSpecial Care, High Dependency and Intensive Care
424WELL BABIESUse when NEONATAL LEVEL OF CARE = 0 - Normal Care: Care given by the mother/substitute with medical and neonatal nursing advice if needed. See Well Baby
430GERIATRIC MEDICINESERVICES to treat diseases and disabilities in older adults. There is no set age at which PATIENTS may be under the care of Geriatric Medicine, this decision should be determined by the individual PATIENT's needs
450DENTAL MEDICINE SPECIALTIESIncludes Oral Medicine.
460MEDICAL OPHTHALMOLOGYSERVICES to diagnose and treat medical conditions affecting the eye, orbits, and visual pathways
313Clinical Immunology and Allergy ServiceSERVICES for the diagnosis and management of PATIENTS with diseases resulting from disordered immunological mechanisms, and allergic disease (abnormal immune responses to external substances). Should only be used where there are no separate SERVICES for Clinical Immunology and Allergy.
For separate services - See Clinical Immunology Service - TREATMENT FUNCTION CODE 316 and Allergy Service - TREATMENT FUNCTION CODE 317.
For further information, see: Welcome to the British Society for Allergy & Clinical Immunology (BSACI)
314Rehabilitation Medicine ServiceFormerley known as Rehabilitation Service.
SERVICES for the prevention, diagnosis, treatment and rehabilitation management of disabling conditions. Rehabilitation medicine is broadly divided into neurological rehabilitation, spinal cord injury, limb loss and prosthetics and/or musculoskeletal rehabilitation.
Excludes Mental Health Recovery and Rehabilitation Service - see TREATMENT FUNCTION CODE 725, Cardiac Rehabilitation Service - see TREATMENT FUNCTION CODE 327, Pulmonary Rehabilitation Service - see TREATMENT FUNCTION CODE 342, Orthotics Service - See TREATMENT FUNCTION CODE 658 or Prosthetics Service - see TREATMENT FUNCTION CODE 657.
For further information, see: Joint Royal Colleges of Physicians Training Board - Rehabilitation medicine
315Palliative Medicine ServiceSERVICES improving the quality of life of PATIENTS and their families facing the problems associated with life-limiting illness and end of life care. Prevention and relief of suffering by means of early identification, assessment and treatment of pain and other physical, psychosocial and spiritual problems.
For further information, see: Joint Royal College of Physicians - Specialty spotlight – palliative medicine
316Clinical Immunology ServiceSERVICES for the diagnosis and management of PATIENTS with diseases resulting from disordered immunological mechanisms, and conditions in which immunological manipulations form an important part of therapy.
Allergy SERVICES should be recorded against Allergy Service - see TREATMENT FUNCTION CODE 317.
For further information, see: Joint Royal College of Physicians Training Board - Immunology
317Allergy ServiceSERVICES for the diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions.
For further information, see: Joint Royal College of Physicians Training Board - Allergy
318Intermediate Care ServiceSERVICES encompassing a range of multidisciplinary approaches, designed to safeguard independence by maximising rehabilitation and recovery after illness or injury.
For further information, see: National Institute for Health and Care Excellence - Understanding intermediate care, including reablement
319Respite Care ServiceSERVICES providing temporary care of a dependant PERSON, providing relief for their usual caregivers
320Cardiology ServiceSERVICES for PATIENTS with heart disease covering a wide range of clinical activities. Management can involve interventional treatment, cardiac imaging, preventative and therapeutic options. This includes both diagnostic and interventional procedures in the cardiac catheterisation laboratory.
For further information, see: Royal College of Physicians - Cardiology
322Clinical Microbiology ServiceSERVICES for the diagnosis, management and treatment of PATIENTS with diseases caused by bacteria, viruses, fungi and parasites.
323Spinal Injuries ServiceSERVICES for non-surgical management of issues of the back and spine. To be used by recognised specialist units and associated outreach SERVICES only.
Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
324Anticoagulant ServiceSERVICES providing the monitoring and control of anticoagulant therapy, including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage.
This can be used in out-patients only
325Sport and Exercise Medicine ServiceSpecific SERVICES providing diagnosis and management of medical problems caused by physical activity, the prevention of related injury and disease and the role of exercise in disease treatment. Excludes Trauma and Orthopaedic Service - see TREATMENT FUNCTION CODE 110, Orthopaedic Surgery Service - see TREATMENT FUNCTION CODE 111, and Trauma Surgery Service - see TREATMENT FUNCTION CODE 115.
For further information, see: Joint Royal Colleges of Physicians Training Board - Sport and Exercise Medicine
326Acute Internal Medicine ServiceSERVICES concerned with the assessment, diagnosis and management of adults presenting to secondary care with acute medical illness.
For further information, see: Acute Internal Medicine
327Cardiac Rehabilitation ServiceSERVICES for PATIENTS recovering from heart-related conditions such as heart attacks or procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health
328Stroke Medicine ServiceSERVICES for diagnosis, investigation, treatment and care of stroke PATIENTS. Excludes out-patients for Transient Ischaemic Attack Service - see TREATMENT FUNCTION CODE 329.
For further information, see: Joint Royal Colleges of Physicians Training Board - Stroke Medicine (sub-specialty)
329Transient Ischaemic Attack ServiceA multidisciplinary out-patient  SERVICE for rapid diagnosis and treatment of PATIENTS presenting with suspected Transient Ischaemic Attack and mini-strokes to minimise the chance of a full stroke occurring and maximise the chances of independent living after a stroke.
For further information, see: National Institute for Health and Care Excellence - Stroke and transient ischaemic attack
330Dermatology ServiceSERVICES for the treatment of diseases of the skin.
For further information, see: Joint Royal Colleges of Physicians Training Board - Dermatology
331Congenital Heart Disease ServiceThe management and treatment of congenital heart disease, including the ongoing care of children into adulthood.
For further information, see: Joint Royal Colleges of Physicians Training Board - Paediatric cardiology
333Rare Disease ServiceSERVICES for rare diseases, many of which are present at birth and are either caused by a genetic problem or deficiencies or exposures to substances around the time of conception or during pregnancy. This TREATMENT FUNCTION CODE should be used by designated specialist centres only.
For further information, see: National Congenital Anomaly and Rare Disease Registration Service
335Inherited Metabolic Medicine ServiceSERVICES for the diagnosis and management of inherited metabolic conditions utilising biochemistry and metabolic characteristics requiring the expertise of both the physician and chemical pathologist.
For further information, see: Joint Royal Colleges of Physicians Training Board - Metabolic Medicine
340Respiratory Medicine ServiceRespiratory Medicine is also known as Thoracic Medicine and Pulmonary Medicine.
SERVICES for the investigation, diagnosis, management and treatment of PATIENTS with respiratory complaints. Excludes acute respiratory failure and adult respiratory distress syndrome (ARDS) - see Intensive Care Medicine Service TREATMENT FUNCTION CODE 192 and Respiratory Physiology Service - see TREATMENT FUNCTION CODE 341.
For further information, see: Joint Royal Colleges of Physicians Training Board - Respiratory Medicine
341Respiratory Physiology ServiceSERVICES for the physiological measurement of the function of the respiratory system. Excludes Sleep Medicine Service - see TREATMENT FUNCTION CODE 347.
For further information, see: Association for Respiratory Technology & Physiology
342Pulmonary Rehabilitation ServiceFormerly known as Programmed Pulmonary Rehabilitation.
A multidisciplinary SERVICE for PATIENTS with chronic respiratory impairment.
For further information, see: NHS England: Pulmonary rehabilitation
343Adult Cystic Fibrosis ServiceMultidisciplinary SERVICE concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by designated specialist centres only.
For further information, see: NHS England: A01. Specialised Respiratory
344Complex Specialised Rehabilitation ServiceThis TREATMENT FUNCTION CODE will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference:

Complex specialised rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 1 service
345Specialist Rehabilitation ServiceThis TREATMENT FUNCTION CODE will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference:

Specialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2a service.
346Local Specialist Rehabilitation ServiceThis TREATMENT FUNCTION CODE will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference:

Local specialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2b service.
347Sleep Medicine ServiceSERVICES providing diagnosis and management of sleep disorders including parasomnias, excessive daytime sleepiness and sleep apnoea.
For further information, see: Royal Society of Medicine - Sleep Medicine Section
350Infectious Diseases ServiceSERVICES for the diagnosis, management and treatment of infectious diseases. Excludes Tropical Medicine Service - see TREATMENT FUNCTION CODE 352.
For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases
352Tropical Medicine ServiceSERVICES for the diagnosis, management and treatment of diseases that are found most often in tropical or sub-tropical regions. This TREATMENT FUNCTION CODE should be used by designated specialist centres only. Excludes Infectious Diseases Service - see TREATMENT FUNCTION CODE 350.
For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and Tropical Medicine
360Genitourinary Medicine ServiceSERVICES for the investigation and management of sexually transmitted infections and HIV.
For further information, see: Joint Royal Colleges of Physicians Training Board - Genitourinary Medicine (GUM)
361Renal Medicine ServiceFormerly known as Nephrology.
SERVICES for PATIENTS with acute renal failure and chronic kidney disease requiring long term care with the help of a Multidisciplinary Team. Most general medical problems in PATIENTS with kidney disease are managed by the Renal Medicine Service.
Excludes acute renal replacement therapy in the critical care setting, see Intensive Care Medicine Service - TREATMENT FUNCTION CODE 192.
For further information, see: Joint Royal Colleges of Physicians Training Board - Renal Medicine
370Medical Oncology ServiceSERVICES for the specialised assessment and management of PATIENTS with cancer using chemotherapy. Includes treatment option discussions with PATIENTS, supervision of therapy and management of any complications of disease and/or treatment that may arise.
For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Oncology
371Nuclear Medicine ServiceSERVICES responsible for administration of unsealed radioactive substances to PATIENTS for the purposes of diagnosis, therapy or research.
For further information, see: Joint Royal Colleges of Physicians Training Board - Nuclear Medicine
400Neurology ServiceSERVICES for the diagnosis, management and medical treatment of neurological conditions. Excludes Stroke Medicine Service - TREATMENT FUNCTION CODE 328, out-patients for Transient Ischaemic Attack Service – see TREATMENT FUNCTION CODE 329.
For further information, see: Joint Royal Colleges of Physicians Training Board - Neurology
401Clinical Neurophysiology ServicePrimarily diagnostic SERVICE concerned with recording electrical activity from the nervous system to aid diagnosis, classification and management of neurological disease. Includes Electroencephalogram (EEG) and Electromyography (EMG).
For further information, see: Joint Royal College of Physicians - Clinical Neurophysiology
410Rheumatology ServiceSERVICES incorporating the investigation, holistic management and rehabilitation of PATIENTS with a wide spectrum of disorders of the musculoskeletal system encompassing the locomotor apparatus, bone and connective tissues and blood vessels.
For further information, see: Joint Royal College of Physicians - Rheumatology
420Paediatric ServiceDedicated children's SERVICES for the treatment of patients typically aged 0 to 18 for medical conditions, however the environments and other members of the multidisciplinary service are likely to care for surgical PATIENTS too.
For further information, see: Royal College of Paediatrics and Child Health - General paediatrics - level 3 training
422Neonatal Critical Care ServiceFormerly known as Neonatology.
SERVICES providing care for all babies that require on-going, enhanced medical care following birth. Neonatal critical care SERVICES are provided in a variety of settings dependent upon the interventions required for the baby and with dedicated transport services to support babies being transferred to and from neonatal care units. Use when NEONATAL LEVEL OF CARE = 1, 2 or 3. Includes Special Care Baby Units (SCBU), Local Neonatal Units (LNU) and Neonatal Intensive Care Units (NICU).
Any readmission would be to Paediatric Service - see TREATMENT FUNCTION CODE 420, or Paediatric Intensive Care Service - see TREATMENT FUNCTION CODE 242.
For further information, see: Royal College of Paediatrics and Child Health - Neonatal medicine - sub-specialty and NHS England - E08. Neonatal Critical Care
424Well Baby ServiceSERVICES for healthy infants born and referenced by the Maternity record who do not require any intervention other than health screening and prophylactic healthcare. General care given by the mother/substitute with healthcare education if needed.
Use when NEONATAL LEVEL OF CARE = 0 - Normal Care.
Excludes Neonatal Critical Care Service - see TREATMENT FUNCTION CODE 422
430Elderly Medicine ServiceFormerly known as Geriatric Medicine.
SERVICES to treat diseases and disabilities in older adults, particularly those with multiple morbidities. There is no set age at which PATIENTS may be under the care of the Elderly Medicine Service, this decision should be determined by the individual PATIENT's needs.
For further information, see: Joint Royal Colleges of Physicians Training Board - Geriatric Medicine
431Orthogeriatric Medicine ServiceMultidisciplinary SERVICES addressing clinical and social needs in the management of PATIENTS with fragility fractures, including hip fractures. The care provided aims to be holistic and to include secondary prevention of fractures as well as acute care.
For further information, see: GM - Orthogeriatrics
450Dental Medicine ServiceSERVICES for dental treatment carried out in a hospital setting. Includes Oral Medicine.
For further information, see: British Dental Association
451Special Care Dentistry ServiceSERVICES concerned with the improvement of the oral health of PATIENTS and groups in society who have a physical, sensory, intellectual, mental, medical, emotional or social impairment or DISABILITY or, more often, a combination of these factors. The specialty focuses on adolescents and adults only and includes the important period of transition as the adolescent moves into adulthood.
For further information, see: Special Care Dentistry Association (SCDA)
460Medical Ophthalmology ServiceMedically-led SERVICES including assessment, investigation, diagnosis and management of inflammatory, vascular and neurological disorders affecting vision. May include public health screening, for example diabetic retinopathy screening.
For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Ophthalmology
461Ophthalmic and Vision Science ServiceSERVICES providing physiological measurement of the function of the eye and vision. Includes diagnostic electrophysiology of vision, imaging and biometry.
For further information, see: NHS Health Education England: Ophthalmic and vision science
500not a Treatment Function 
501OBSTETRICSThe management of pregnancy and childbirth including miscarriages and still births but excluding planned terminations. Excludes Midwifery Service see TREATMENT FUNCTION CODE 560
502GYNAECOLOGYDisorders of the female reproductive system. Includes planned terminations
503GYNAECOLOGICAL ONCOLOGYSERVICES to treat cancers of the female reproductive system
501Obstetrics ServiceSERVICES managing high risk pregnancy and childbirth including miscarriages and stillbirths but specifically excluding planned terminations. Excludes Midwifery Service - see TREATMENT FUNCTION CODE 560.
For further information, see: Royal College of Obstetricians & Gynaecologists - Obstetrics and Gynaecology
502Gynaecology ServiceSERVICES for the diagnosis, management and treatment of disorders of the female reproductive system. Includes planned terminations of pregnancy.
For further information, see: Royal College of Obstetricians & Gynaecologists - Obstetrics and Gynaecology
503Gynaecological Oncology ServiceSERVICES to treat cancers of the female reproductive system, principally involving surgical members of the Multidisciplinary Team.
For further information, see: British Gynaecological Cancer Society
504Community Sexual and Reproductive Health ServiceSERVICES supporting people to have a positive and respectful approach to sexuality and sexual relationships and to have pleasurable and safe sexual experiences, free of infection, coercion, discrimination and violence. The SERVICE also provides access to contraception and signposts Maternity Services to support pregnancy and childbirth.
Excludes Genitourinary Medicine Service - see TREATMENT FUNCTION CODE 360 and Midwifery Service - see TREATMENT FUNCTION CODE 560.
For further information, see: Faculty of Sexual and Reproductive Healthcare (FSRH)
505Fetal Medicine ServiceSERVICES providing specialist care at a designated centre for the fetus or fetuses and mother. This includes assessment of fetal growth and wellbeing; the diagnosis and management of identified fetal disorders (including fetal abnormalities); prenatal fetal intervention and surgery; and counselling and support for parents. Excludes routine maternity screening activities - see Midwifery Service TREATMENT FUNCTION CODE 560.
510RetiredRecord as Obstetrics, antenatal clinic can be used as a local sub-specialty if required
520RetiredRecord as Obstetrics, postnatal clinic can be used as a local sub-specialty if required
560MIDWIFERY SERVICESERVICES provided under the direct care of a MIDWIFE. Excludes Obstetrics see TREATMENT FUNCTION CODE 501
600not a Treatment Function 
610RetiredRecord as Obstetrics
620RetiredUse the appropriate function under which the patient is treated
Therapies
650PHYSIOTHERAPYThe treatment of human function and movement to help people to achieve their full physical potential. The use of physical approaches to promote, maintain and restore wellbeing
651OCCUPATIONAL THERAPYThe use of specific activities to limit the effects of disability and promote independence in all aspects of daily life
652SPEECH AND LANGUAGE THERAPYThe assessment, treatment and help to prevent speech, language and swallowing difficulties
653PODIATRYAlso known as Chiropody. The diagnosis and treatment of disorders, diseases and deformities of the feet. Excludes Podiatric Surgery see TREATMENT FUNCTION CODE 663
654DIETETICSThe application of the science of nutrition to devise eating plans for PATIENTS to treat medical conditions. The promotion of good health by helping to facilitate a positive change in food choices amongst individuals, groups and communities
655ORTHOPTICSThe diagnosis and treatment of visual problems involving eye movement and alignment
656CLINICAL PSYCHOLOGYThe diagnosis and treatment of emotional and behavioural disorders
657PROSTHETICSThe supply of prosthetics for PATIENTS
658ORTHOTICSThe supply of orthoses for PATIENTS
659DRAMA THERAPYThe use of drama and theatre techniques including role play, voice work and storytelling for therapeutic purposes
660ART THERAPYThe use of art techniques including clay, paint and paper for therapeutic purposes and as a means of communication
661MUSIC THERAPYThe use of music and all of its facets to help clients to improve or maintain their health
662OPTOMETRYThe diagnosis and non-surgical treatment of disorders of the eye and vision care
663PODIATRIC SURGERYThe treatment of foot problems, including soft tissue, bone and joint surgery of the foot, ankle and associated structures, excludes Podiatry see TREATMENT FUNCTION CODE - 653
Psychiatry
700LEARNING DISABILITYSERVICES provided to PATIENTS with a Learning Disability
710ADULT MENTAL ILLNESSSERVICES provided to adult PATIENTS for the assessment, diagnosis and treatment of mental illness
711CHILD and ADOLESCENT PSYCHIATRYSERVICES providing diagnosis, treatment, and prevention of psychopathological disorders of children and adolescents
712FORENSIC PSYCHIATRYSERVICES to assess PATIENTS who have committed an offence and are receiving treatment in high, medium and low secure units or prisons
713PSYCHOTHERAPYSERVICES providing therapy used to treat emotional problems and mental health conditions
715OLD AGE PSYCHIATRYSERVICES providing the diagnosis, treatment, and prevention of mental and emotional disorders in older adult PATIENTS
720EATING DISORDERSA specialist SERVICE for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating
721ADDICTION SERVICESThe prevention and treatment of substance misuse including drugs and alcohol. If PATIENTS have both severe mental illness and problematic substance misuse, see TREATMENT FUNCTION CODE 726 Dual Diagnosis Service
722LIAISON PSYCHIATRYThe provision of psychiatric treatment to PATIENTS attending general hospitals including out-patient clinics, Accident and Emergency Departments and admission to wards. Deals with the interface between physical and psychological health.
723PSYCHIATRIC INTENSIVE CAREThe provision of psychiatric SERVICES to vulnerable individuals who are admitted to Psychiatric Intensive Care Units from open acute wards and forensic settings
724PERINATAL PSYCHIATRYA specialist psychiatric SERVICE for the diagnosis and treatment of ante-natal and post-natal psychiatric problems
725MENTAL HEALTH RECOVERY AND REHABILITATION SERVICESERVICES provided to support recovery from mental illness that maximises the PATIENT's quality of life and social inclusion by encouraging their skills, promoting independence and autonomy
726MENTAL HEALTH DUAL DIAGNOSIS SERVICESERVICES to provide support to PATIENTS with both severe mental illness and substance misuse problems. Personality disorder may coexist with psychiatric illness and/or substance misuse
727DEMENTIA ASSESSMENT SERVICESERVICES for the assessment of PATIENTS with dementia, which may complicate care giving and can occur at any stage of the illness. In addition to memory impairment, dementia may include behavioural and psychological problems
Radiology
800CLINICAL ONCOLOGY (previously RADIOTHERAPY)The diagnosis and treatment, typically with Radiotherapy, of PATIENTS with cancer.
834Medical Virology ServiceClinical SERVICES for the diagnosis, management and prevention of blood-borne and/or airborne viral infections. For further information, see: Royal College of Pathologists - MEDICAL VIROLOGY
Mental Health Services
656Clinical Psychology ServiceMental Health Services for the assessment, management and treatment of problems including addiction, anxiety, depression, behavioural difficulties and relationship issues. Methods of assessment include psychometric tests, interviews and direct observation of behaviour. Assessment may lead to advice, counselling or therapy.
For further information, see: The British Psychological Society
700Intellectual Disability ServiceFormerly known as Learning Disability.
Mental Health Services provided to PATIENTS with an Intellectual Disability.
For further information, see: Royal College of Psychiatrists - Faculty of the Psychiatry of Intellectual Disability
710Adult Mental Health ServiceMental Health Services provided to adult PATIENTS for the assessment, diagnosis and treatment of mental illness and maintenance of mental health.
For further information, see: Royal College of Psychiatrists - Faculty of General Adult Psychiatry
711Child and Adolescent Psychiatry ServiceMental Health Services for children and young people with somatisation and complex presentations, behavioural challenges, eating disorders, mood disorders, anxiety, and other mental health presentations. Excludes Paediatric Neurodisability Service - see TREATMENT FUNCTION CODE 291 and specialist Eating Disorders Service - see TREATMENT FUNCTION CODE 720.
For further information, see: Royal College of Psychiatrists - Faculty of Child and Adolescent Psychiatry
712Forensic Psychiatry ServiceMental Health Services for the assessment, management and treatment of PATIENTS who are being held in high, medium and low secure units or prisons. This includes prevention of further harm in the community or to the individual themselves.
For further information, see: Royal College of Psychiatrists - Faculty of Forensic Psychiatry
713Medical Psychotherapy ServiceFormerly known as Psychotherapy.
Multidisciplinary Mental Health Services to assess, manage and treat children and adults with mental health problems using talking therapies and other psychotherapeutic techniques.
For further information, see: Faculty of Medical Psychotherapy
715Old Age Psychiatry ServiceMental Health Services providing the specialised assessment, treatment and continuing care for older adults suffering a range of mental illnesses, including dementia, depression or schizophrenia. Excludes specific Dementia Assessment Service - see TREATMENT FUNCTION CODE 727.
For further information, see: Royal College of Psychiatrists - Faculty of Old Age Psychiatry
720Eating Disorders ServiceA specialist SERVICE for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating. This is usually a multidisciplinary service which needs to consider both physical and mental health aspects of the PATIENT's care.
For further information, see: Royal College of Psychiatrists - Faculty of Eating Disorders Psychiatry
721Addiction ServiceMental Health Services for the treatment of addictive behaviour, including substance misuse, drugs, alcohol, tobacco and gambling. Excludes PATIENTS with both severe mental illness and problematic substance misuse, see Mental Health Dual Diagnosis Service - TREATMENT FUNCTION CODE 726.
For further information, see: Royal College of Psychiatrists - Faculty of Addictions Psychiatry
722Liaison Psychiatry ServiceMental Health Services for the provision of psychiatric treatment to PATIENTS attending acute hospitals including Out-Patient ClinicsEmergency Care Departments and admission to WARDS. Deals with the interface between physical and psychological health.
For further information, see: Royal College of Psychiatrists - Faculty of Liaison Psychiatry
723Psychiatric Intensive Care ServiceMental Health Services provided to vulnerable individuals with severe disturbances who are admitted to Psychiatric Intensive Care Units from mental health acute wards and forensic settings.
For further information, see: Royal College of Psychiatrists - Quality Network for Psychiatric Intensive Care Units
724Perinatal Mental Health ServiceFormerly known as Perinatal Psychiatry.
Specialist Mental Health Services for the assessment, management and treatment of pre-existing or new mental health issues during pregnancy or after delivery.
For further information, see: Royal College of Psychiatrists - Faculty of Perinatal Psychiatry
725Mental Health Recovery and Rehabilitation ServiceMental Health Services provided to support recovery from mental illness that maximises the PATIENTS' quality of life and social inclusion by encouraging their skills, promoting independence and autonomy.
For further information, see: Faculty of Rehabilitation and Social Psychiatry
726Mental Health Dual Diagnosis ServiceMental Health Services to provide support to PATIENTS with both severe mental illness and substance misuse problems.
For further information, see: Mind: Recreational drugs and alcohol
727Dementia Assessment ServiceDesignated Mental Health Services for the assessment of PATIENTS who have or are suspected to have dementia. Dementia complicates care giving and can occur at any stage of the illness and at any age. In addition to memory impairment, dementia may include behavioural and psychological problems. For non-specific Old Age Psychiatry Service - see TREATMENT FUNCTION CODE 715.
For further information, see: Royal College of Psychiatrists - Dementia pathway
730Neuropsychiatry ServiceMental Health Services for brain disorders and integration of psychiatry within clinical neurosciences.
For further information, see: Royal College of Psychiatrists - Faculty of Neuropsychiatry
Other Services
560Midwifery ServiceSERVICES for managing antenatal and perinatal care during pregnancy, and postnatal care following delivery, provided under the direct care of a MIDWIFE. Excludes Obstetrics Service - see TREATMENT FUNCTION CODE 501.
For further information, see: Royal College of Midwives
650Physiotherapy ServiceSERVICES helping PATIENTS affected by injury, illness or DISABILITY through movement and exercise, manual therapy, education and advice to manage pain and prevent disease. To encourage development and facilitate recovery, enabling maintenance of work and independence for as long as possible.
For further information, see: Chartered Society of Physiotherapy (CSP) - Physiotherapy
651Occupational Therapy ServiceSERVICES using specific activities to limit the effects of DISABILITY and promote independence in all aspects of daily life
652Speech and Language Therapy ServiceSERVICES providing assessment, management and treatment of speech, language, communication and swallowing issues in PATIENTS of all ages.
For further information, see: Royal College of Speech & Language Therapists - Speech and language therapy
653Podiatry ServiceAlso known as Chiropody.
SERVICES for the diagnosis and treatment of disorders, diseases and deformities of the feet. Excludes Podiatric Surgery Service - see TREATMENT FUNCTION CODE 663.
For further information, see: The College of Podiatry
654Dietetics ServiceSERVICES applying the science of nutrition to improve health and treat diseases/conditions by educating and giving practical, personalised advice to PATIENTS, Patient Proxies and other members of the Multidisciplinary Team. They advise on and help to maintain nutritional status during dietary interventions such as exclusion diets and to recommend nutritional supplements.
For further information, see: British Dietetic Association
655Orthoptics ServiceSERVICES providing the diagnosis and treatment of visual problems involving eye movement and alignment.
For further information, see: British and Irish Orthoptic Society
657Prosthetics ServiceSERVICES providing gait analysis and engineering solutions to patients with limb loss. They design and provide prostheses that replicate the structural or functional characteristics of the PATIENTS absent limb. They often work autonomously or part of Multidisciplinary Teams working closely with Physiotherapists and Occupational Therapists as part of multidisciplinary amputee rehabilitation teams.
For further information, see: British Association of Prosthetists and Orthotists (BAPO) - Prosthetists
658Orthotics ServiceSERVICES providing gait analysis and engineering solutions to PATIENTS with needs of the neuro, muscular and skeletal systems. They design and provide orthoses that modify the structural or functional characteristics of the PATIENTS neuro-muscular and skeletal systems enabling patients to mobilise, eliminate gait deviations, reduce falls, reduce pain, prevent and facilitate healing of ulcers. They often work autonomously or part of Multidisciplinary Teams such as within the diabetic foot team or neuro-rehabilitation team.
For further information, see: The British Association of Prosthetists and Orthotists (BAPO) - Orthotists
659Dramatherapy ServiceSERVICES providing dramatherapy which is a form of psychological therapy focussing on the use of performance arts within the therapeutic relationship.
For further information, see: British Association of Dramatherapists
660Art Therapy ServiceSERVICES delivering a form of psychotherapy that uses art media as its primary mode of expression and communication. Within this context, art is not used as diagnostic tool but as a medium to address emotional issues which may be confusing and distressing.
For further information, see: British Association of Art Therapists
661Music Therapy ServiceSERVICES delivering a form of psychotherapy that uses music to support psychological, emotional, cognitive, physical, communicative and/or social needs.
For further information, see: British Association for Music Therapy
662Optometry ServiceSERVICES providing the diagnosis and non-surgical treatment of disorders of the eye and vision care
663Podiatric Surgery ServiceSERVICES involved in the complex management of the foot and ankle involving surgery under both local and general anaesthetic. Excludes Podiatry Service - see TREATMENT FUNCTION CODE - 653.
For further information, see: The College of Podiatry
670Urological Physiology ServiceDiagnostic SERVICES for the study of erectile, upper and lower urinary tract function, including urodynamics.
For further information, see: The British Association of Urological Surgeons
673Vascular Physiology ServiceDiagnostic SERVICES for the study of arterial and venous circulation primarily using Doppler ultrasound but including tests such as pressure measurement and plethysmography. Excludes Cardiac Physiology Service - see TREATMENT FUNCTION CODE 675.
For further information, see: The Society for Vascular Technology
675Cardiac Physiology ServiceSERVICES providing physiological measurements of the heart structure/function and response to therapeutic/surgical intervention through the means of a wide spectrum of non-invasive and invasive cardiac diagnostic testing. Examples include echocardiography, cardiac device management.
For further information, see: Society for Cardiological Science and Technology (SCST)
677Gastrointestinal Physiology ServiceSERVICES providing physiological measurement of the gastrointestinal tract. This includes standard catheter based oesophageal pH studies, oesophageal pH impedance, oesophageal manometry, ano-rectal manometry, wireless capsule studies. Excludes Gastroenterology Service - see TREATMENT FUNCTION CODE 301.
For further information, see: Association of Gastro-Intestinal Physiologists (AGIP)
800Clinical Oncology ServiceFormerly known as Radiotherapy.
The diagnosis and treatment, typically with Radiotherapy, of PATIENTS with cancer.
For further information, see: Royal College of Radiologists - Clinical oncology
810not a Treatment Function 
811INTERVENTIONAL RADIOLOGYDiagnosis and treatment of diseases utilising minimally-invasive image-guided procedures. Not to be used for Diagnostic Imaging - see TREATMENT FUNCTION CODE 812
812DIAGNOSTIC IMAGINGThe production and interpretation of high quality images of the body to diagnose injuries and disease, e.g. x-rays, Ultrasound Scan, MRI Scan, PET Scan or CT Scan.
Pathology
811Interventional Radiology ServiceSERVICES delivering a range of techniques using radiological image guidance including X-ray fluoroscopy, ultrasound, Computerised Tomography Scan, or Magnetic Resonance Imaging Scan (MRI) to precisely target therapy. Excludes Interventional Cardiology - see Cardiology Service TREATMENT FUNCTION CODE 320, and Diagnostic Imaging Service - see TREATMENT FUNCTION CODE 812.
For further information, see: British Society of Interventional Radiology - What is Interventional Radiology
812Diagnostic Imaging ServiceSERVICES providing medical imaging, especially X-ray based examinations, Ultrasound scan, MRI Scan, PET Scan or CT Scan. Diagnostic imaging is used to confirm, assess and document diseases, as well as to assess responses to treatment.
For further information, see: WHO: Diagnostic imaging
820not a Treatment Function 
821not a Treatment Function 
822CHEMICAL PATHOLOGYTo be used for clinical management only
822Chemical Pathology ServiceSERVICES interpreting biochemical investigation results to assess, diagnose and treat diseases. To be used for the clinical management of PATIENTS by chemical pathology only.
For further information, see: Royal College of Pathologists - CHEMICAL PATHOLOGY
823not a Treatment FunctionSee Clinical Haematology
824not a Treatment Function 
830not a Treatment FunctionSee Clinical Immunology
831not a Treatment FunctionSee Clinical Microbiology
832Retired 
834MEDICAL VIROLOGYThe diagnosis and management and prevention of virus and related infections, in hospital and in the community including HIV/AIDS, other blood-borne infections like hepatitis B and C and viruses such as SARS and avian flu
Other
840AUDIOLOGYPhysiological measurement and diagnosis of hearing disorders, and the rehabilitation of PATIENTS with hearing loss
840Audiology ServiceSERVICES providing physiological measurement and diagnosis of hearing disorders, and the rehabilitation of PATIENTS with hearing loss. Include hearing services activity, such as hearing tests and the fitting of hearing aids.
For further information, see: British Society of Audiology
900not a Treatment Function 
901not a Treatment Function 
920DIABETIC EDUCATION SERVICESERVICES providing dedicated small group education courses regarding self management for diabetic PATIENTS
901not a Treatment Function 
902not a Treatment Function 
903not a Treatment Function 
904not a Treatment Function 
920Diabetic Education ServiceSERVICES providing dedicated small group education courses regarding self-management for diabetic PATIENTS
950not a Treatment FunctionUse the appropriate function under which the patient is treated
960not a Treatment FunctionUse the appropriate function under which the patient is treated
990Retired 

Notes:

Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
 TREATMENT FUNCTION CODES should be used for all aggregate Central Returns unless otherwise stated eg National Workforce Data Set uses MAIN SPECIALTY CODES
Code 500 is not acceptable for data sets/collections including Hospital Episode Statistics
 TREATMENT FUNCTION CODES should be used for all data sets/collections unless otherwise stated eg National Workforce Data Set uses MAIN SPECIALTY CODES
 GENERAL MEDICAL PRACTITIONER, NURSE and Allied Health Professional/ Biomedical Scientist/ Clinical Scientist ACTIVITY should be recorded against the TREATMENT FUNCTION under which the PATIENT is treated
 Joint Consultant Clinic ACTIVITY should be recorded against the TREATMENT FUNCTION which best describes the specialised service

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NHS ALLIED HEALTH PROFESSIONAL SERVICE (REFERRAL TO TREATMENT MEASUREMENT)

Change to Supporting Information: Changed Description

An NHS Allied Health Professional Service (Referral To Treatment Measurement) is a SERVICE involving the treatment of a PATIENT by one of the following types of Allied Health Professional:

Where the Allied Health Professional works in a Community Health Service, the Department of Health and Social Care requires their Allied Health Professional Referral To Treatment Measurement activity to be reported in the Community Information Data Set

Where the Allied Health Professional activity took place at an Out-Patient Clinic, the Allied Health Professional Referral To Treatment Measurement activity must be reported in the CDS V6-2 Type 020 - Outpatient Commissioning Data Set.  In addition to this, where an Allied Health Professional sees a PATIENT on a WARD but the ACTIVITY is not related to the Hospital Provider Spell the PATIENT is being treated under, this should be regarded as replacing an Out-Patient Appointment Non-Consultant, and a CDS V6-2 Type 020 - Outpatient Commissioning Data Set record should flow.  ACTIVITY LOCATION TYPE CODE may be submitted to allow identification of this Allied Health Professional ACTIVITY.  For example, if a Podiatrist were asked to see a patient who was currently admitted for a condition where the agreed care pathway did not include Podiatry services, then an Out-Patient Appointment Non-Consultant should be recorded, with the ACTIVITY LOCATION TYPE CODE of E02 'WARD', and the relevant Referral To Treatment data items also completed.

Further guidance relating to Allied Health Professional Referral To Treatment initiative can be found on the Department of Health and Social Care part of the gov.uk website at: the Revised guide for referral to treatment for allied health professionals.

 

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MAIN SPECIALTY

Change to Class: Changed Description

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.

MAIN SPECIALTY CODE 960 ALLIED HEALTH PROFESSIONAL EPISODE should be used for recording ACTIVITY by Allied Health Professionals, other Biomedical Scientists and Clinical Scientists.MAIN SPECIALTY CODE 960 ALLIED HEALTH PROFESSIONAL should be used for recording ACTIVITY by Allied Health Professionals, other Biomedical Scientists and Clinical Scientists.

 

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CARE PROFESSIONAL STAFF GROUP FOR COMMUNITY CARE

Change to Attribute: Changed Description

The staff group of a CARE PROFESSIONAL working in a Community Health Service.

Note:

  • The National Codes descriptions of this Attribute have been updated as a result of the work undertaken for the update of DCB0028: Treatment Function and Main Specialty Standard. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

National Codes:

 Allied Health Professionals
A01Art Therapist
A02Clinical Psychologist
A03Dietitian
A04Drama Therapist
A04Dramatherapist
A05Music Therapist
A06Occupational Therapist
A07Orthotist
A08Physiotherapist
A09Podiatrist
A10Prosthetist
A11Psychotherapist
A12Radiographer
A13Speech and Language Therapist
A14Orthoptist
 Medical/Dental
M01Community Dentist
M02CONSULTANT
M03GENERAL MEDICAL PRACTITIONER
M04GENERAL MEDICAL PRACTITIONER with Special Interest
 Nursing, Health Visiting and Midwifery
N01MIDWIFE
N02District NURSE
N03Health Visitor
N04Macmillan NURSE
N05School Nurse
N06Specialist Nursing - Active Case Management (Community Matrons)
N07Specialist Nursing - Arthritis Nursing/Liaison
N08Specialist Nursing - Asthma and Respiratory Nursing/Liaison
N09Specialist Nursing - Breast Care Nursing/Liaison
N10Specialist Nursing - Cancer Related
N11Specialist Nursing - Cardiac Nursing/Liaison
N12Specialist Nursing - Children's Services
N13Specialist Nursing - Community Cystic Fibrosis
N14Specialist Nursing - Continence Services
N15Specialist Nursing - Diabetic Nursing/Liaison
N16Specialist Nursing - Enteral Feeding Nursing Services
N17Specialist Nursing - Haemophilia Nursing Services
N18Specialist Nursing - HIV/AIDS Nursing Services (Retired 01 September 2015)
N19Specialist Nursing - Infectious Diseases
N20Specialist Nursing - Intensive Care Nursing
N21Specialist Nursing - Palliative/Respite Care
N22Specialist Nursing - Parkinson's and Alzheimers Nursing/Liaison
N23Specialist Nursing - Rehabilitation Nursing
N24Specialist Nursing - Stoma Care Services
N25Specialist Nursing - Tissue Viability Nursing/Liaison
N26Specialist Nursing - Transplantation Patients Nursing Service
N27Specialist Nursing - Treatment Room Nursing Services
N28Specialist Nursing - Tuberculosis Specialist Nursing
N29Specialist Nursing - Other Specialist Nursing
N30Specialist Nursing - Safeguarding
N31Practice Nursing (Retired 01 September 2015)
N32Staff NURSE
N33Other Registered NURSE
N34Public Health NURSE
 Other Care Professionals
C01Appliances Technician
C02Audiologist
C03Counsellor
C04Nursery Nurse
C06Play Therapist
C07Social Worker
C08Voluntary Care Worker
C09Screener (in a National Screening Programme)
C10Health Trainer (Non Clinical)
C11Health Trainer (Clinical)
C12Health Care Assistant
C13Health Care Support Worker
C99Other CARE PROFESSIONAL (not listed)
 

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MAIN SPECIALTY CODE

Change to Attribute: Changed 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:

Surgical Specialties
100GENERAL SURGERY
101UROLOGY
110TRAUMA & ORTHOPAEDICS
120ENT
130OPHTHALMOLOGY
140ORAL SURGERY
141RESTORATIVE DENTISTRY
142PAEDIATRIC DENTISTRY
143ORTHODONTICS
145ORAL & MAXILLO FACIAL SURGERY
146ENDODONTICS
147PERIODONTICS
148PROSTHODONTICS
149SURGICAL DENTISTRY
150NEUROSURGERY
160PLASTIC SURGERY
170CARDIOTHORACIC SURGERY
171PAEDIATRIC SURGERY
180ACCIDENT & EMERGENCY
191PAIN MANAGEMENT (Retired 1 April 2004)
Medical Specialties
190ANAESTHETICS
192CRITICAL CARE MEDICINE
300GENERAL MEDICINE
301GASTROENTEROLOGY
302ENDOCRINOLOGY
303CLINICAL HAEMATOLOGY
304CLINICAL PHYSIOLOGY
305CLINICAL PHARMACOLOGY
310AUDIOLOGICAL MEDICINE
311CLINICAL GENETICS
100General Surgery
101Urology
107Vascular Surgery
110Trauma and Orthopaedics
120Ear Nose and Throat
130Ophthalmology
140Oral Surgery
141Restorative Dentistry
142Paediatric Dentistry
143Orthodontics
145Oral and Maxillofacial Surgery
146Endodontics
147Periodontics
148Prosthodontics
149Surgical Dentistry
150Neurosurgery
160Plastic Surgery
170Cardiothoracic Surgery
171Paediatric Surgery
191Pain Management  (Retired 1 April 2004)
180Emergency Medicine
190Anaesthetics
192Intensive Care Medicine
200Aviation and Space Medicine
300General Internal Medicine
301Gastroenterology
302Endocrinology and Diabetes
303Clinical Haematology
304Clinical Physiology
305Clinical Pharmacology
310Audio Vestibular Medicine
311Clinical Genetics
312CLINICAL 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
313CLINICAL IMMUNOLOGY and ALLERGY
314REHABILITATION
315PALLIATIVE MEDICINE
320CARDIOLOGY
321PAEDIATRIC CARDIOLOGY
325SPORT AND EXERCISE MEDICINE
326ACUTE INTERNAL MEDICINE
330DERMATOLOGY
340RESPIRATORY MEDICINE (also known as thoracic medicine)
350INFECTIOUS DISEASES
352TROPICAL MEDICINE
360GENITOURINARY MEDICINE
361NEPHROLOGY
370MEDICAL ONCOLOGY
371NUCLEAR MEDICINE
400NEUROLOGY
401CLINICAL NEURO-PHYSIOLOGY
410RHEUMATOLOGY
420PAEDIATRICS
421PAEDIATRIC NEUROLOGY
430GERIATRIC MEDICINE
450DENTAL MEDICINE SPECIALTIES
451SPECIAL CARE DENTISTRY
460MEDICAL OPHTHALMOLOGY
500OBSTETRICS and GYNAECOLOGY
National Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
501OBSTETRICS
502GYNAECOLOGY
504COMMUNITY SEXUAL AND REPRODUCTIVE HEALTH
510ANTENATAL CLINIC (Retired 1 April 2004)
520POSTNATAL CLINIC (Retired 1 April 2004)
560MIDWIFE EPISODE
600GENERAL MEDICAL PRACTICE
601GENERAL DENTAL PRACTICE
610MATERNITY FUNCTION (Retired 1 April 2004)
620OTHER THAN MATERNITY (Retired 1 April 2004)
Psychiatry
700LEARNING DISABILITY
710ADULT MENTAL ILLNESS
711CHILD and ADOLESCENT PSYCHIATRY
712FORENSIC PSYCHIATRY
713PSYCHOTHERAPY
715OLD AGE PSYCHIATRY
Radiology
800CLINICAL ONCOLOGY (previously RADIOTHERAPY)
810RADIOLOGY
Pathology
820GENERAL PATHOLOGY
821BLOOD TRANSFUSION
822CHEMICAL PATHOLOGY
823HAEMATOLOGY
824HISTOPATHOLOGY
830IMMUNOPATHOLOGY
831MEDICAL MICROBIOLOGY AND VIROLOGY
832NEUROPATHOLOGY (Retired 1 April 2004)
833MEDICAL MICROBIOLOGY (also known as MICROBIOLOGY AND BACTERIOLOGY)
834MEDICAL VIROLOGY
Other
900COMMUNITY MEDICINE
901OCCUPATIONAL MEDICINE
902COMMUNITY HEALTH SERVICES DENTAL
903PUBLIC HEALTH MEDICINE
904PUBLIC HEALTH DENTAL
950NURSING EPISODE
960ALLIED HEALTH PROFESSIONAL EPISODE
990JOINT CONSULTANT CLINICS (Retired 1 April 2004)
313Clinical Immunology
314Rehabilitation Medicine
315Palliative Medicine
317Allergy
320Cardiology
321Paediatric Cardiology
325Sport and Exercise Medicine
326Acute Internal Medicine
330Dermatology
340Respiratory Medicine
350Infectious Diseases
352Tropical Medicine
360Genitourinary Medicine
361Renal Medicine
370Medical Oncology
371Nuclear Medicine
400Neurology
401Clinical Neurophysiology
410Rheumatology
420Paediatrics
421Paediatric Neurology
430Geriatric Medicine
450Dental Medicine
451Special Care Dentistry
460Medical Ophthalmology
500Obstetrics and Gynaecology
National Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
501Obstetrics
502Gynaecology
504Community Sexual and Reproductive Health
510Antenatal Clinic (Retired 1 April 2004)
520Postnatal Clinic (Retired 1 April 2004)
560Midwifery
600General Medical Practice
601General Dental Practice
610Maternity Function (Retired 1 April 2004)
620Other than Maternity (Retired 1 April 2004)
700Intellectual Disability
710Adult Mental Illness
711Child and Adolescent Psychiatry
712Forensic Psychiatry
713Medical Psychotherapy
715Old Age Psychiatry
800Clinical Oncology
810Radiology
820General Pathology
821Blood Transfusion
822Chemical Pathology
823Haematology
824Histopathology
830Immunopathology
831Medical Microbiology and Virology
832Neuropathology (Retired 1 April 2004)
833Medical Microbiology
834Medical Virology
900Community Medicine
901Occupational Medicine
902Community Health Services Dental
903Public Health Medicine
904Public Health Dental
950Nursing
960Allied Health Professional
990Joint Consultant Clinics (Retired 1 April 2004)
 

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REFERRING CARE PROFESSIONAL STAFF GROUP FOR MENTAL HEALTH AND COMMUNITY CARE

Change to Attribute: Changed Description

The staff group of a CARE PROFESSIONAL who referred a PATIENT to a Community Health Service or Mental Health Service.

Notes:

National Codes:

 Allied Health Professionals
A01Art Therapist
A02Clinical Psychologist
A03Dietitian
A04Drama Therapist
A04Dramatherapist
A05Music Therapist
A06Occupational Therapist
A07Orthotist
A08Physiotherapist
A09Podiatrist
A10Prosthetist
A11Psychotherapist
A12Radiographer
A13Speech and Language Therapist
A14Orthoptist
 Medical/Dental
M01Community Dentist
M02CONSULTANT
M03GENERAL MEDICAL PRACTITIONER
M04General Practitioner with an Extended Role (GPwER)
 Nursing, Health Visiting and Midwifery
N01MIDWIFE
N02District NURSE
N03Health Visitor
N04Macmillan NURSE
N05School Nurse
N06Specialist Nursing - Active Case Management (Community Matrons)
N07Specialist Nursing - Arthritis Nursing/Liaison
N08Specialist Nursing - Asthma and Respiratory Nursing/Liaison
N09Specialist Nursing - Breast Care Nursing/Liaison
N10Specialist Nursing - Cancer Related
N11Specialist Nursing - Cardiac Nursing/Liaison
N12Specialist Nursing - Children's Services
N13Specialist Nursing - Community Cystic Fibrosis
N14Specialist Nursing - Continence Services
N15Specialist Nursing - Diabetic Nursing/Liaison
N16Specialist Nursing - Enteral Feeding Nursing Services
N17Specialist Nursing - Haemophilia Nursing Services
N18Specialist Nursing - HIV/AIDS Nursing Services (Retired 01 September 2015)
N19Specialist Nursing - Infectious Diseases
N20Specialist Nursing - Intensive Care Nursing
N21Specialist Nursing - Palliative/Respite Care
N22Specialist Nursing - Parkinson's and Alzheimers Nursing/Liaison
N23Specialist Nursing - Rehabilitation Nursing
N24Specialist Nursing - Stoma Care Services
N25Specialist Nursing - Tissue Viability Nursing/Liaison
N26Specialist Nursing - Transplantation Patients Nursing Services
N27Specialist Nursing - Treatment Room Nursing Services
N28Specialist Nursing - Tuberculosis Specialist Nursing
N29Specialist Nursing - Other Specialist Nursing
N30Specialist Nursing - Safeguarding
N31Practice Nursing
N32Staff NURSE
N33Other Registered NURSE
N34Public Health NURSE
 Other Care Professionals
C01Appliances Technician
C02Audiologist
C03Counsellor
C04Nursery Nurse
C06Play Therapist
C07Social Worker
C08Voluntary Care Worker
C09Screener (in a National Screening Programme)
C10
Health Trainer (Non Clinical)
C11Health Trainer (Clinical)
C12Health Care Assistant
C13Health Care Support Worker
C99Other CARE PROFESSIONAL (not listed)
 

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TREATMENT FUNCTION CODE

Change to Attribute: Changed Description

TREATMENT FUNCTION CODE is a unique identifier for a TREATMENT FUNCTION.

TREATMENT FUNCTION CODE is recorded to report the specialised service within which the PATIENT is treated.

It is based on MAIN SPECIALTY but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including CONSULTANTS.

TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets.

TREATMENT FUNCTION CODES should be used for all aggregate Central Returns unless otherwise stated e.g. National Workforce Data Set uses MAIN SPECIALTY CODES.TREATMENT FUNCTION CODES should be used for all data sets/collections unless otherwise stated e.g. National Workforce Data Set uses MAIN SPECIALTY CODES.

GENERAL MEDICAL PRACTITIONER, NURSE and Allied Health Professional/ Biomedical Scientist/ Clinical Scientist ACTIVITY should be recorded against the TREATMENT FUNCTION under which the PATIENT is treated.

Joint Consultant Clinic ACTIVITY should be recorded against the TREATMENT FUNCTION which best describes the specialised service.

Assigning a Treatment Function Code:

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 scope of each TREATMENT FUNCTION CODE is provided at: Main Specialty and Treatment Function Codes Table.Further information on the groupings and scope of each TREATMENT FUNCTION CODE is provided at: Main Specialty and Treatment Function Codes Table.

Note:

  • New National Codes for TREATMENT FUNCTION 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:

Surgical Specialties
100GENERAL SURGERY
101UROLOGY
102TRANSPLANTATION SURGERY
103BREAST SURGERY
104COLORECTAL SURGERY
105HEPATOBILIARY & PANCREATIC SURGERY
106UPPER GASTROINTESTINAL SURGERY
107VASCULAR SURGERY
108SPINAL SURGERY SERVICE
110TRAUMA & ORTHOPAEDICS
120ENT
130OPHTHALMOLOGY
140ORAL SURGERY
141RESTORATIVE DENTISTRY
142PAEDIATRIC DENTISTRY
143ORTHODONTICS
144MAXILLO-FACIAL SURGERY
150NEUROSURGERY
160PLASTIC SURGERY
161BURNS CARE
170CARDIOTHORACIC SURGERY
171PAEDIATRIC SURGERY
172CARDIAC SURGERY
173THORACIC SURGERY
174CARDIOTHORACIC TRANSPLANTATION
180ACCIDENT & EMERGENCY
191PAIN MANAGEMENT
Other Children's Specialist Services
211PAEDIATRIC UROLOGY
212PAEDIATRIC TRANSPLANTATION SURGERY
213PAEDIATRIC GASTROINTESTINAL SURGERY
214PAEDIATRIC TRAUMA AND ORTHOPAEDICS
215PAEDIATRIC EAR NOSE AND THROAT
216PAEDIATRIC OPHTHALMOLOGY
217PAEDIATRIC MAXILLO-FACIAL SURGERY
218PAEDIATRIC NEUROSURGERY
219PAEDIATRIC PLASTIC SURGERY
220PAEDIATRIC BURNS CARE
221PAEDIATRIC CARDIAC SURGERY
222PAEDIATRIC THORACIC SURGERY
223PAEDIATRIC EPILEPSY
241PAEDIATRIC PAIN MANAGEMENT
242PAEDIATRIC INTENSIVE CARE
251PAEDIATRIC GASTROENTEROLOGY
252PAEDIATRIC ENDOCRINOLOGY
253PAEDIATRIC CLINICAL HAEMATOLOGY
254PAEDIATRIC AUDIOLOGICAL MEDICINE
255PAEDIATRIC CLINICAL IMMUNOLOGY AND ALLERGY SERVICE
256PAEDIATRIC INFECTIOUS DISEASES
257PAEDIATRIC DERMATOLOGY
258PAEDIATRIC RESPIRATORY MEDICINE
259PAEDIATRIC NEPHROLOGY
260PAEDIATRIC MEDICAL ONCOLOGY
261PAEDIATRIC METABOLIC DISEASE
262PAEDIATRIC RHEUMATOLOGY
263PAEDIATRIC DIABETIC MEDICINE
264PAEDIATRIC CYSTIC FIBROSIS
280PAEDIATRIC INTERVENTIONAL RADIOLOGY
290COMMUNITY PAEDIATRICS
291PAEDIATRIC NEURO-DISABILITY
Medical Specialties
190ANAESTHETICS
192CRITICAL CARE MEDICINE
300GENERAL MEDICINE
301GASTROENTEROLOGY
302ENDOCRINOLOGY
303CLINICAL HAEMATOLOGY
304CLINICAL PHYSIOLOGY
305CLINICAL PHARMACOLOGY
306HEPATOLOGY
307DIABETIC MEDICINE
308BLOOD AND MARROW TRANSPLANTATION
309HAEMOPHILIA SERVICE
310AUDIOLOGICAL MEDICINE
311CLINICAL GENETICS
100General Surgery Service
101Urology Service
102Transplant Surgery Service
103Breast Surgery Service
104Colorectal Surgery Service
105Hepatobiliary and Pancreatic Surgery Service
106Upper Gastrointestinal Surgery Service
107Vascular Surgery Service
108Spinal Surgery Service
109Bariatric Surgery Service
110Trauma and Orthopaedic Service
111Orthopaedic Service
113Endocrine Surgery Service
115Trauma Surgery Service
120Ear Nose and Throat Service
130Ophthalmology Service
140Oral Surgery Service
141Restorative Dentistry Service
143Orthodontic Service
144Maxillofacial Surgery Service
145Oral and Maxillofacial Surgery Service
149not a Treatment Function
150Neurosurgical Service
160Plastic Surgery Service
161Burns Care Service
170Cardiothoracic Surgery Service
172Cardiac Surgery Service
173Thoracic Surgery Service
174Cardiothoracic Transplantation Service
191Pain Management Service
142Paediatric Dentistry Service
171Paediatric Surgery Service
211Paediatric Urology Service
212Paediatric Transplantation Surgery Service
213Paediatric Gastrointestinal Surgery Service
214Paediatric Trauma and Orthopaedic Service
215Paediatric Ear Nose and Throat Service
216Paediatric Ophthalmology Service
217Paediatric Oral and Maxillofacial Surgery Service
218Paediatric Neurosurgery Service
219Paediatric Plastic Surgery Service
220Paediatric Burns Care Service
221Paediatric Cardiac Surgery Service
222Paediatric Thoracic Surgery Service
223Paediatric Epilepsy Service
230Paediatric Clinical Pharmacology Service
240Paediatric Palliative Medicine Service
241Paediatric Pain Management Service
242Paediatric Intensive Care Service
250Paediatric Hepatology Service
251Paediatric Gastroenterology Service
252Paediatric Endocrinology Service
253Paediatric Clinical Haematology Service
254Paediatric Audio Vestibular Medicine Service
255Paediatric Clinical Immunology and Allergy Service
256Paediatric Infectious Diseases Service
257Paediatric Dermatology Service
258Paediatric Respiratory Medicine Service
259Paediatric Nephrology Service
260Paediatric Medical Oncology Service
261Paediatric Inherited Metabolic Medicine Service
262Paediatric Rheumatology Service
263Paediatric Diabetes Service
264Paediatric Cystic Fibrosis Service
270Paediatric Emergency Medicine Service
280Paediatric Interventional Radiology Service
290Community Paediatric Service
291Paediatric Neurodisability Service
321Paediatric Cardiology Service
421Paediatric Neurology Service
180Emergency Medicine Service
190Anaesthetic Service
192Intensive Care Medicine Service
200Aviation and Space Medicine Service
300General Internal Medicine Service
301Gastroenterology Service
302Endocrinology Service
303Clinical Haematology Service
304Clinical Physiology Service
305Clinical Pharmacology Service
306Hepatology Service
307Diabetes Service
308Blood and Marrow Transplantation Service
309Haemophilia Service
310Audio Vestibular Medicine Service
311Clinical Genetics Service
312not a Treatment Function
313CLINICAL IMMUNOLOGY and ALLERGY SERVICE
314REHABILITATION SERVICE
315PALLIATIVE MEDICINE
316CLINICAL IMMUNOLOGY
317ALLERGY SERVICE
318INTERMEDIATE CARE
319RESPITE CARE
320CARDIOLOGY
321PAEDIATRIC CARDIOLOGY
322CLINICAL MICROBIOLOGY
323SPINAL INJURIES
324ANTICOAGULANT SERVICE
325SPORT AND EXERCISE MEDICINE
327CARDIAC REHABILITATION
328STROKE MEDICINE
329TRANSIENT ISCHAEMIC ATTACK
330DERMATOLOGY
331CONGENITAL HEART DISEASE SERVICE
340RESPIRATORY MEDICINE
341RESPIRATORY PHYSIOLOGY
342PROGRAMMED PULMONARY REHABILITATION
343ADULT CYSTIC FIBROSIS SERVICE
344COMPLEX SPECIALISED REHABILITATION SERVICE
345SPECIALIST REHABILITATION SERVICE
346LOCAL SPECIALIST REHABILITATION SERVICE
350INFECTIOUS DISEASES
352TROPICAL MEDICINE
360GENITOURINARY MEDICINE
361NEPHROLOGY
370MEDICAL ONCOLOGY
371NUCLEAR MEDICINE
400NEUROLOGY
401CLINICAL NEUROPHYSIOLOGY
410RHEUMATOLOGY
420PAEDIATRICS
421PAEDIATRIC NEUROLOGY
422NEONATOLOGY
424WELL BABIES
430GERIATRIC MEDICINE
450DENTAL MEDICINE SPECIALTIES
460MEDICAL OPHTHALMOLOGY
313Clinical Immunology and Allergy Service
314Rehabilitation Medicine Service
315Palliative Medicine Service
316Clinical Immunology Service
317Allergy Service
318Intermediate Care Service
319Respite Care Service
320Cardiology Service
322Clinical Microbiology Service
323Spinal Injuries Service
324Anticoagulant Service
325Sport and Exercise Medicine Service
326Acute Internal Medicine Service
327Cardiac Rehabilitation Service
328Stroke Medicine Service
329Transient Ischaemic Attack Service
330Dermatology Service
331Congenital Heart Disease Service
333Rare Disease Service
335Inherited Metabolic Medicine Service
340Respiratory Medicine Service
341Respiratory Physiology Service
342Pulmonary Rehabilitation Service
343Adult Cystic Fibrosis Service
344Complex Specialised Rehabilitation Service
345Specialist Rehabilitation Service
346Local Specialist Rehabilitation Service
347Sleep Medicine Service
350Infectious Diseases Service
352Tropical Medicine Service
360Genitourinary Medicine Service
361Renal Medicine Service
370Medical Oncology Service
371Nuclear Medicine Service
400Neurology Service
401Clinical Neurophysiology Service
410Rheumatology Service
420Paediatric Service
422Neonatal Critical Care Service
424Well Baby Service
430Elderly Medicine Service
431Orthogeriatric Medicine Service
450Dental Medicine Service
451Special Care Dentistry Service
460Medical Ophthalmology Service
461Ophthalmic and Vision Science Service
500not a Treatment Function
501OBSTETRICS
502GYNAECOLOGY
503GYNAECOLOGICAL ONCOLOGY
501Obstetrics Service
502Gynaecology Service
503Gynaecological Oncology Service
504Community Sexual and Reproductive Health Service
505Fetal Medicine Service
510Retired
520Retired
560MIDWIFERY SERVICE
560Midwifery Service
600not a Treatment Function
601not a Treatment Function
610Retired
620Retired
Therapies
650PHYSIOTHERAPY
651OCCUPATIONAL THERAPY
652SPEECH AND LANGUAGE THERAPY
653PODIATRY
654DIETETICS
655ORTHOPTICS
656CLINICAL PSYCHOLOGY
657PROSTHETICS
658ORTHOTICS
659DRAMA THERAPY
660ART THERAPY
661MUSIC THERAPY
662OPTOMETRY
663PODIATRIC SURGERY
Psychiatry
700LEARNING DISABILITY
710ADULT MENTAL ILLNESS
711CHILD and ADOLESCENT PSYCHIATRY
712FORENSIC PSYCHIATRY
713PSYCHOTHERAPY
715OLD AGE PSYCHIATRY
720EATING DISORDERS
721ADDICTION SERVICES
722LIAISON PSYCHIATRY
723PSYCHIATRIC INTENSIVE CARE
724PERINATAL PSYCHIATRY
725MENTAL HEALTH RECOVERY AND REHABILITATION SERVICE
726MENTAL HEALTH DUAL DIAGNOSIS SERVICE
727DEMENTIA ASSESSMENT SERVICE
Radiology
800CLINICAL ONCOLOGY (previously RADIOTHERAPY)
656Clinical Psychology Service
700Intellectual Disability Service
710Adult Mental Health Service
711Child and Adolescent Psychiatry Service
712Forensic Psychiatry Service
713Medical Psychotherapy Service
715Old Age Psychiatry Service
720Eating Disorders Service
721Addiction Service
722Liaison Psychiatry Service
723Psychiatric Intensive Care Service
724Perinatal Mental Health Service
725Mental Health Recovery and Rehabilitation Service
726Mental Health Dual Diagnosis Service
727Dementia Assessment Service
730Neuropsychiatry Service
800Clinical Oncology Service
810not a Treatment Function
811INTERVENTIONAL RADIOLOGY
812DIAGNOSTIC IMAGING
Pathology
811Interventional Radiology Service
812Diagnostic Imaging Service
820not a Treatment Function
821not a Treatment Function
822CHEMICAL PATHOLOGY
822Chemical Pathology Service
823not a Treatment Function
824not a Treatment Function
830not a Treatment Function
831not a Treatment Function
832Retired
834MEDICAL VIROLOGY
Other
840AUDIOLOGY
834Medical Virology Service
650Physiotherapy Service
651Occupational Therapy Service
652Speech and Language Therapy Service
653Podiatry Service
654Dietetics Service
655Orthoptics Service
657Prosthetics Service
658Orthotics Service
659Dramatherapy Service
660Art Therapy Service
661Music Therapy Service
662Optometry Service
663Podiatric Surgery Service
670Urological Physiology Service
673Vascular Physiology Service
675Cardiac Physiology Service
677Gastrointestinal Physiology Service
840Audiology Service
900not a Treatment Function
901not a Treatment Function
920DIABETIC EDUCATION SERVICE
902not a Treatment Function
903not a Treatment Function
904not a Treatment Function
920Diabetic Education Service
950not a Treatment Function
960not a Treatment Function
990Retired
 

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CARE PROFESSIONAL MAIN SPECIALTY CODE

Change to Data Element: Changed Description

Format/Length:an3
National Codes:See MAIN SPECIALTY CODE 
Default Codes:199 - Non-UK provider; specialty function not known, treatment mainly surgical
 499 - Non-UK provider; specialty function not known, treatment mainly medical

Notes:
CARE PROFESSIONAL MAIN SPECIALTY CODE is the same as attribute MAIN SPECIALTY CODE.

CARE PROFESSIONAL MAIN SPECIALTY CODE is the specialty in which the CONSULTANT is contracted or recognised. MAIN SPECIALTY classifies clinical work divisions more precisely for a limited number of specialties.

All Non-Consultant Led Activity is identified by a pseudo CARE PROFESSIONAL MAIN SPECIALTY CODE of:

The default codes 199 and 499 are only applicable for overseas providers.

CARE PROFESSIONAL MAIN SPECIALTY CODE is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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MAIN SPECIALTY CODE (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/Length:an3
National Codes: 
Default Codes: 

Notes:
MAIN SPECIALTY CODE (MENTAL HEALTH) is the same as attribute MAIN SPECIALTY CODE.

MAIN SPECIALTY CODE (MENTAL HEALTH) is the MAIN SPECIALTY CODE of the CARE PROFESSIONAL working in a Mental Health Service, who is responsible for the PATIENT within the REPORTING PERIOD.

Note:

  • The National Codes descriptions of this Data Element have been updated as a result of the work undertaken for the update of DCB0028: Treatment Function and Main Specialty Standard. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

Permitted National Codes:

600GENERAL MEDICAL PRACTICE
700LEARNING DISABILITY
710ADULT MENTAL ILLNESS
711CHILD and ADOLESCENT PSYCHIATRY
712FORENSIC PSYCHIATRY
713PSYCHOTHERAPY
715OLD AGE PSYCHIATRY
950NURSING EPISODE
960ALLIED HEALTH PROFESSIONAL EPISODE
600General Medical Practice
700Intellectual Disability
710Adult Mental Illness
711Child and Adolescent Psychiatry
712Forensic Psychiatry
713Medical Psychotherapy
715Old Age Psychiatry
950Nursing
960Allied Health Professional
 

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TREATMENT FUNCTION CODE (MATERNITY)

Change to Data Element: Changed Description

Format/Length:an3
National Codes: 
Default Codes: 

Notes:
TREATMENT FUNCTION CODE (MATERNITY) is the same as attribute TREATMENT FUNCTION CODE.

TREATMENT FUNCTION CODE (MATERNITY) is the TREATMENT FUNCTION CODE for the PATIENT treated by a Maternity Service.

Note:

  • The National Codes descriptions of this Data Element have been updated as a result of the work undertaken for the update of DCB0028: Treatment Function and Main Specialty Standard. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

Permitted National Codes:

501OBSTETRICS
502GYNAECOLOGY
560MIDWIFERY SERVICE
501Obstetrics Service
502Gynaecology Service
560Midwifery Service
 

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TREATMENT FUNCTION CODE (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/Length:an3
National Codes: 
Default Codes: 

Notes:
TREATMENT FUNCTION CODE (MENTAL HEALTH) is the same as attribute TREATMENT FUNCTION CODE.

TREATMENT FUNCTION CODE (MENTAL HEALTH) is the TREATMENT FUNCTION CODE for the PATIENT treated by a Mental Health Service.

Note:

  • The National Codes descriptions of this Data Element have been updated as a result of the work undertaken for the update of DCB0028: Treatment Function and Main Specialty Standard. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

Permitted National Codes:

319RESPITE CARE
700LEARNING DISABILITY
710ADULT MENTAL ILLNESS
711CHILD and ADOLESCENT PSYCHIATRY
712FORENSIC PSYCHIATRY
713PSYCHOTHERAPY
715OLD AGE PSYCHIATRY
720EATING DISORDERS
721ADDICTION SERVICES
722LIAISON PSYCHIATRY
723PSYCHIATRIC INTENSIVE CARE
724PERINATAL PSYCHIATRY
725MENTAL HEALTH RECOVERY AND REHABILITATION SERVICE
726MENTAL HEALTH DUAL DIAGNOSIS SERVICE
727DEMENTIA ASSESSMENT SERVICE
319Respite Care Service
700Intellectual Disability Service
710Adult Mental Health Service
711Child and Adolescent Psychiatry Service
712Forensic Psychiatry Service
713Medical Psychotherapy Service
715Old Age Psychiatry Service
720Eating Disorders Service
721Addiction Service
722Liaison Psychiatry Service
723Psychiatric Intensive Care Service
724Perinatal Mental Health Service
725Mental Health Recovery and Rehabilitation Service
726Mental Health Dual Diagnosis Service
727Dementia Assessment Service
 

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For enquiries about this Change Request, please email information.standards@nhs.net

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