NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1761
Version No:1.0
Subject:Treatment Function Code and Main Specialty Code Patch
Effective Date:Immediate
Reason for Change:Change to Attribute layout
Publication Date:24 January 2020

Background:

Work on the new version of the dictionary has identified that National Code lists with three columns will not migrate successfully to the new Ontoserver.

This patch updates the following Attributes to remove the third column:

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.

Note: if the web page does not open, please copy the link and paste into the web browser.

Summary of changes:

Attribute Definitions
MAIN SPECIALTY CODE   Changed Description
TREATMENT FUNCTION CODE   Changed Description
 

Date:24 January 2020
Sponsor:Nicholas Oughtibridge, Head of Clinical Data Architecture, 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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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".

National 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)
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)
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)

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

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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 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.

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.

National Codes:

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
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
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
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
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
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.
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
820not a Treatment Function 
821not a Treatment Function 
822CHEMICAL PATHOLOGYTo be used for clinical management only
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
900not a Treatment Function 
901not 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 
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
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
500not a Treatment Function
501OBSTETRICS
502GYNAECOLOGY
503GYNAECOLOGICAL ONCOLOGY
510Retired
520Retired
560MIDWIFERY SERVICE
600not 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)
810not a Treatment Function
811INTERVENTIONAL RADIOLOGY
812DIAGNOSTIC IMAGING
Pathology
820not a Treatment Function
821not a Treatment Function
822CHEMICAL PATHOLOGY
823not a Treatment Function
824not a Treatment Function
830not a Treatment Function
831not a Treatment Function
832Retired
834MEDICAL VIROLOGY
Other
840AUDIOLOGY
900not a Treatment Function
901not a Treatment Function
920DIABETIC EDUCATION SERVICE
950not a Treatment Function
960not a Treatment Function
990Retired

Notes:
Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
 

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