Community Services Data Set

Overview

Introduction

The Community Services Data Set (CSDS) is a PATIENT level, output based, secondary uses data set which delivers robust, comprehensive, nationally consistent and comparable person-centred information for people who are in contact with publicly-funded Community Health Services. As a secondary uses data set it aims to re-use clinical and operational data for purposes other than direct PATIENT care. It defines the data items, definitions and associated value sets to be extracted or derived from local systems.

The data collected in the Community Services Data Set covers all publicly-funded Community Health Services provided by Health Care Providers in England. This includes all SERVICES listed in the SERVICE OR TEAM TYPE REFERRED TO FOR COMMUNITY CARE within the Community Services Data Set. This includes acute and Independent Sector Healthcare Providers that provide publicly-funded Community Health Services.

The Community Services Data Set is used by the Department of Health and Social Care, commissioners and Health Care Providers of Community Health Services and PATIENTS, as the data set provides:

National, comparable, standardised data about Community Health Services that are being delivered, which will support intelligent commissioning decisions and SERVICE provision
Information on the use of resources to improve the operational management of SERVICES
Information on outcomes, to help to address health inequalities
Support for current national outcome indicators for Community Health Services
Traceability and visibility of Community Health Service expenditure, allowing the implementation of new payment approaches for Community Health Services through the development of defined currencies which are underpinned by consistent data
Information to improve reference costs for Community Health Services, to ensure that these are reported consistently
Support for a nationally consistent clinical record for all PATIENTS across England, which can be used to support national research projects
Information for the future development of Community Health Services.

Data Collection

The Community Services Data Set provides the definitions for data to provide timely, pseudonymised PATIENT -based data and information for purposes other than direct clinical care, e.g. planning, commissioning, public health, clinical audit, performance improvement, research, clinical governance.

Data is expected to be collected from various clinical systems, collated and assembled. This standard is intended to facilitate electronic data recording and reporting but it is not intended to create clinical records for Community Health Services or to enable systems used by Community Health Services to interoperate with other clinical systems.

Submission Information

The Community Services Data Set is submitted via the Strategic Data Collection Service in the Cloud (SDCS Cloud) maintained by NHS England using the Community Services Data Set (CSDS) XML Schema.

Format Information

Data for submission is formatted into an XML file as per the Technology Reference Update Distribution (TRUD) page at: NHS Data Model and Dictionary XML Schemas.

For enquiries regarding the XML Schema, please contact NHS England at enquiries@nhsdigital.nhs.uk.

Community Services Data Set (CSDS) submissions are made using the latest MS Access Community Services Data Set Intermediate Database (IDB) which is available for download from the Technology Reference Update Distribution (TRUD) page at: Community Services Data Set Intermediate Database.

For enquiries regarding technical support for the Intermediate Database (IDB) files, please contact the National Service Desk at: ssd.nationalservicedesk@nhs.net

Further Guidance

Further information and implementation guidance has been produced by NHS England and is available at:

Mandation

The Mandation column indicates the recommendation for the inclusion of data.

M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
R = Required: NHS business processes cannot be delivered without this data element
O = Optional: the inclusion of this data element is optional as required for local purposes
P = Pilot: this data element is for piloting use only.

Data Set Constraints

For guidance on the Data Set constraints, see the Community Services Data Set Constraints.

XML Schema

For guidance on downloading the XML Schema, see XML Schema TRUD Download.

Intermediate Database (IDB)

For guidance on downloading the Intermediate Database (IDB), see the NHS England website at: Intermediate Database (IDB) guidance.

Specification


HEADER To carry submission header details.One occurrence of this group is required.
Mandation	Data Elements
M	DATA SET VERSION NUMBER
M	ORGANISATION IDENTIFIER (CODE OF PROVIDER)
M	ORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)
M	PRIMARY DATA COLLECTION SYSTEM IN USE
M	REPORTING PERIOD START DATE
M	REPORTING PERIOD END DATE
M	DATE AND TIME DATA SET CREATED


PATIENT DEMOGRAPHICS
Mandation	Master Patient Index and Risk Indicators To carry the personal details of the patient and the associated mother's NHS number (where applicable).One occurrence of this group is required for each patient.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)
R	ORGANISATION IDENTIFIER (EDUCATIONAL ESTABLISHMENT)
R	NHS NUMBER
R	NHS NUMBER STATUS INDICATOR CODE
R	PERSON BIRTH DATE
R	POSTCODE OF USUAL ADDRESS
R	PERSON STATED GENDER CODE
R	ETHNIC CATEGORY
P	ETHNIC CATEGORY 2021
R	LANGUAGE CODE (PREFERRED)
R	PERSON RELATIONSHIP (MAIN CARER)
R	HEALTH VISITOR FIRST ANTENATAL VISIT DATE
R	LOOKED AFTER CHILD INDICATOR
R	SAFEGUARDING VULNERABILITY FACTORS INDICATOR
R	CONSTANT SUPERVISION AND CARE REQUIRED DUE TO DISABILITY INDICATOR
R	EDUCATIONAL ASSESSMENT OUTCOME
R	PREFERRED DEATH LOCATION DISCUSSED INDICATOR
R	PERSON AT RISK OF UNEXPECTED DEATH INDICATOR
R	DEATH LOCATION TYPE CODE (PREFERRED)
R	PERSON DEATH DATE
R	DEATH LOCATION TYPE CODE (ACTUAL)
R	DEATH NOT AT PREFERRED LOCATION REASON
R	NHS NUMBER (MOTHER)
R	NHS NUMBER STATUS INDICATOR CODE (MOTHER)

Mandation	GP Practice Registration To carry details of the GP Practice Registration of the patient.One occurrence of this group is required for each change of GP Practice Registration.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION)
R	START DATE (GMP PATIENT REGISTRATION)
R	END DATE (GMP PATIENT REGISTRATION)

Mandation	Accommodation Type To carry details of the type of accommodation for the patient.One occurrence of this group is permitted for each accommodation status.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	ACCOMMODATION STATUS CODE
R	ACCOMMODATION STATUS RECORDED DATE

Mandation	Care Plan Type To carry details of Care Plans created for a patient by the organisation.One occurrence of this group is permitted for each Care Plan created for the patient.
M	CARE PLAN IDENTIFIER
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	CARE PLAN TYPE (COMMUNITY CARE)
M	CARE PLAN CREATION DATE
R	CARE PLAN CREATION TIME
R	CARE PLAN LAST UPDATED DATE
R	CARE PLAN LAST UPDATED TIME
R	CARE PLAN IMPLEMENTATION DATE

Mandation	Care Plan Agreement To carry details of any agreements to a Care Plan by a patient, team or organisation.One occurrence of this group is permitted for each agreement of a Care Plan.
M	CARE PLAN IDENTIFIER
M	CARE PLAN CONTENT AGREED BY
R	CARE PLAN CONTENT AGREED DATE
R	CARE PLAN CONTENT AGREED TIME

Mandation	Social and Personal Circumstances To carry details of social and personal circumstances of a patient.One occurrence of this group is permitted for each social and personal circumstance recorded.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	SOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT)
M	SOCIAL AND PERSONAL CIRCUMSTANCE RECORDED DATE

Mandation	Employment Status To carry details of the employment status of the patient.One occurrence of this group is permitted for each employment status.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	EMPLOYMENT STATUS
R	EMPLOYMENT STATUS RECORDED DATE
R	WEEKLY HOURS WORKED

Mandation	Overseas Visitor Charging Category To carry details of the Overseas Visitor Charging Category of the patient.Multiple occurrences of this group are permitted, one for each Overseas Visitor Charging Category recorded for the patient.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	OVERSEAS VISITOR CHARGING CATEGORY
R	OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE FROM DATE
R	OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE END DATE


REFERRALS
Mandation	Service or Team Referral To carry details of the Service or Team referral that the patient is subject to.One occurrence of this group is permitted for each referral.
M	SERVICE REQUEST IDENTIFIER
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
M	REFERRAL REQUEST RECEIVED DATE
R	REFERRAL REQUEST RECEIVED TIME
R	NHS SERVICE AGREEMENT LINE IDENTIFIER
R	SOURCE OF REFERRAL FOR COMMUNITY
R	ORGANISATION IDENTIFIER (REFERRING ORGANISATION)
R	REFERRING CARE PROFESSIONAL STAFF GROUP (COMMUNITY CARE)
R	PRIORITY TYPE CODE
R	PRIMARY REASON FOR REFERRAL (COMMUNITY CARE)
R	SERVICE DISCHARGE DATE
R	DISCHARGE LETTER ISSUED DATE (COMMUNITY CARE)

Mandation	Service or Team Type Referred To To carry details of the Service or Team that the patient has been referred to.One occurrence of this group is permitted for each service or team that a patient has been referred to.
M	SERVICE REQUEST IDENTIFIER
R	CARE PROFESSIONAL TEAM LOCAL IDENTIFIER
M	SERVICE OR TEAM TYPE REFERRED TO (COMMUNITY CARE)
R	REFERRAL CLOSURE DATE
R	REFERRAL REJECTION DATE
R	REFERRAL CLOSURE REASON
R	REFERRAL REJECTION REASON

Mandation	Other Reason for Referral To carry details of additional reasons why a patient has been referred to a specific service.One occurrence of this group is permitted for each additional referral reason.
M	SERVICE REQUEST IDENTIFIER
M	OTHER REASON FOR REFERRAL (COMMUNITY CARE)

Mandation	Referral To Treatment (RTT) To carry Referral to Treatment details for the patient referral.One occurrence of this group is permitted for each change in Referral To Treatment Period Status.
M	SERVICE REQUEST IDENTIFIER
R	UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
R	PATIENT PATHWAY IDENTIFIER
R	ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER)
R	WAITING TIME MEASUREMENT TYPE (COMMUNITY CARE)
R	REFERRAL TO TREATMENT PERIOD START DATE
R	REFERRAL TO TREATMENT PERIOD START TIME
R	REFERRAL TO TREATMENT PERIOD END DATE
R	REFERRAL TO TREATMENT PERIOD END TIME
R	REFERRAL TO TREATMENT PERIOD STATUS

Mandation	Onward Referral To carry details of any onward referral of the patient which has taken place.One occurrence of this group is permitted for each onward referral.
M	SERVICE REQUEST IDENTIFIER
M	ONWARD REFERRAL DATE
R	ONWARD REFERRAL REASON (COMMUNITY CARE)
R	ORGANISATION IDENTIFIER (RECEIVING ORGANISATION)


CARE CONTACT AND ACTIVITIES
Mandation	Care Contact To carry details of any contacts with a patient which have taken place as result of a referral.One occurrence of this group is permitted for each Care Contact.
M	CARE CONTACT IDENTIFIER
M	SERVICE REQUEST IDENTIFIER
R	CARE PROFESSIONAL TEAM LOCAL IDENTIFIER
M	CARE CONTACT DATE
R	CARE CONTACT TIME
R	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
R	ADMINISTRATIVE CATEGORY CODE
R	CLINICAL CONTACT DURATION OF CARE CONTACT
R	CONSULTATION TYPE
R	CARE CONTACT SUBJECT
R	CONSULTATION MECHANISM (COMMUNITY CARE)
R	ACTIVITY LOCATION TYPE CODE
R	ORGANISATION SITE IDENTIFIER (OF TREATMENT)
R	GROUP THERAPY INDICATOR
R	ATTENDANCE STATUS
R	EARLIEST REASONABLE OFFER DATE
R	EARLIEST CLINICALLY APPROPRIATE DATE
R	CARE CONTACT CANCELLATION DATE
R	CARE CONTACT CANCELLATION REASON
R	REPLACEMENT APPOINTMENT DATE OFFERED
R	REPLACEMENT APPOINTMENT BOOKED DATE

Mandation	Care Activity To carry details of any activities which have taken place as part of a contact with a patient.One occurrence of this group is permitted for each Care Activity.
M	CARE ACTIVITY IDENTIFIER
M	CARE CONTACT IDENTIFIER
M	COMMUNITY CARE ACTIVITY TYPE
R	CARE PROFESSIONAL LOCAL IDENTIFIER
R	CLINICAL CONTACT DURATION OF CARE ACTIVITY
R	PROCEDURE SCHEME IN USE (COMMUNITY CARE)
R	CODED PROCEDURE (CLINICAL TERMINOLOGY)
R	FINDING SCHEME IN USE (COMMUNITY CARE)
R	CODED FINDING (CODED CLINICAL ENTRY)
R	OBSERVATION SCHEME IN USE (COMMUNITY CARE)
R	CODED OBSERVATION (CLINICAL TERMINOLOGY)
R	OBSERVATION VALUE
R	UCUM UNIT OF MEASUREMENT


GROUP SESSIONS To carry details of any group sessions which have been provided to a group of people during the reporting period.One occurrence of this group is permitted for each Group Session activity.
Mandation	Data Elements
M	GROUP SESSION IDENTIFIER
M	GROUP SESSION DATE
M	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
R	CLINICAL CONTACT DURATION OF GROUP SESSION
R	GROUP SESSION TYPE (COMMUNITY CARE)
R	NUMBER OF GROUP SESSION PARTICIPANTS
O	ACTIVITY LOCATION TYPE CODE
R	ORGANISATION SITE IDENTIFIER (OF TREATMENT)
R	CARE PROFESSIONAL LOCAL IDENTIFIER
R	NHS SERVICE AGREEMENT LINE IDENTIFIER


SOCIAL CIRCUMSTANCES
Mandation	Special Educational Need Identified To carry details of the child's or young person's Special Educational Need.One occurrence of this group is permitted for each Special Educational Need identified.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	SPECIAL EDUCATIONAL NEED TYPE

Mandation	Safeguarding Vulnerability Factor To carry details when the child or young person is subject to any safeguarding concerns.One occurrence of this group is permitted for each safeguarding concern.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	SAFEGUARDING VULNERABILITY FACTORS TYPE

Mandation	Child Protection Plan To carry details of when the child or young person is subject to a child protection plan.One occurrence of this group is permitted for each child protection plan.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	CHILD PROTECTION PLAN REASON CODE
M	CHILD PROTECTION PLAN START DATE
R	CHILD PROTECTION PLAN END DATE

Mandation	Assistive Technology to Support Disability Type To carry details of when assistive technology is used to help support a disabled patient.One occurrence of this group is permitted for each assistive technology type.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	ASSISTIVE TECHNOLOGY FINDING (SNOMED CT)
R	PRESCRIPTION DATE (ASSISTIVE TECHNOLOGY)


IMMUNISATIONS
Mandation	Coded Immunisation To carry details of coded immunisation activity for a patient.One occurrence of this group is permitted for each coded immunisation activity.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	IMMUNISATION DATE
M	PROCEDURE SCHEME IN USE (COMMUNITY CARE)
M	IMMUNISATION PROCEDURE (CLINICAL TERMINOLOGY)
R	ORGANISATION IDENTIFIER (IMMUNISATION RESPONSIBLE ORGANISATION)

Mandation	Immunisation To carry details of immunisation activity for a child or young person.One occurrence of this group is permitted for each immunisation activity.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	IMMUNISATION DATE
M	CHILDHOOD IMMUNISATION TYPE (CHILDREN AND YOUNG PEOPLE'S HEALTH SERVICES)
R	ORGANISATION IDENTIFIER (IMMUNISATION RESPONSIBLE ORGANISATION)


DIAGNOSES, TESTS AND OBSERVATIONS
Mandation	Medical History (Previous Diagnosis) To carry details of any previous diagnoses for a patient, which are stated by the patient or patient proxy or recorded in medical notes.These do not have to have been diagnosed by the organisation submitting the data.One occurrence of this group is permitted for each previous diagnosis.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	DIAGNOSIS SCHEME IN USE (COMMUNITY CARE)
M	PREVIOUS DIAGNOSIS (CODED CLINICAL ENTRY)
R	DIAGNOSIS DATE

Mandation	Disability Type To carry details of the type of disability affecting a patient, based on their perception or the perception of a patient proxy.One occurrence of this group is permitted for each disability identified.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	DISABILITY CODE
R	DISABILITY IMPACT PERCEPTION

Mandation	Newborn Hearing Screening Audiology Referral To carry details of how concerns following Newborn Hearing Screening are followed up.One occurrence of this group is permitted for each newborn hearing audiology test.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
R	NEWBORN HEARING SCREENING OUTCOME
R	SERVICE REQUEST DATE (NEWBORN HEARING AUDIOLOGY)
R	PROCEDURE DATE (NEWBORN HEARING AUDIOLOGY)
R	NEWBORN HEARING AUDIOLOGY OUTCOME

Mandation	Blood Spot Result To carry details of the results of newborn blood spot tests.One occurrence of this group is permitted for each newborn blood spot test.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
R	BLOOD SPOT CARD COMPLETION DATE
R	NEWBORN BLOOD SPOT TEST RESULT RECEIVED DATE
R	NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (PHENYLKETONURIA)
R	NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (SICKLE CELL DISEASE)
R	NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (CYSTIC FIBROSIS)
R	NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (CONGENITAL HYPOTHYROIDISM)
R	NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (MEDIUM CHAIN ACYL-COA DEHYDROGENASE DEFICIENCY)
R	NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (HOMOCYSTINURIA)
R	NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (MAPLE SYRUP URINE DISEASE)
R	NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (GLUTARIC ACIDURIA TYPE 1)
R	NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE (ISOVALERIC ACIDURIA)

Mandation	Infant Physical Examination (General Medical Practitioner Delivered) To carry details of the Infant Physical Examination carried out by the General Medical Practitioner.One occurrence of this group is permitted for each Infant Physical Examination.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	INFANT PHYSICAL EXAMINATION DATE
R	INFANT PHYSICAL EXAMINATION RESULT (HIPS)
R	INFANT PHYSICAL EXAMINATION RESULT (HEART)
R	INFANT PHYSICAL EXAMINATION RESULT (EYES)
R	INFANT PHYSICAL EXAMINATION RESULT (TESTES)

Mandation	Provisional Diagnosis To carry details of a provisional diagnosis for a patient made by the service that the patient was referred to.One occurrence of this group is permitted for each provisional diagnosis.
M	SERVICE REQUEST IDENTIFIER
M	DIAGNOSIS SCHEME IN USE (COMMUNITY CARE)
M	PROVISIONAL DIAGNOSIS (CODED CLINICAL ENTRY)
R	PROVISIONAL DIAGNOSIS DATE

Mandation	Primary Diagnosis To carry details of the primary diagnosis for a patient made by the service that the patient was referred to.One occurrence of this group is permitted for the primary diagnosis. The primary diagnosis can change during a reporting period.
M	SERVICE REQUEST IDENTIFIER
M	DIAGNOSIS SCHEME IN USE (COMMUNITY CARE)
M	PRIMARY DIAGNOSIS (CODED CLINICAL ENTRY)
R	DIAGNOSIS DATE

Mandation	Secondary Diagnosis To carry details of a secondary diagnosis for a patient made by the service that the patient was referred to.One occurrence of this group is permitted for each secondary diagnosis.
M	SERVICE REQUEST IDENTIFIER
M	DIAGNOSIS SCHEME IN USE (COMMUNITY CARE)
M	SECONDARY DIAGNOSIS (CODED CLINICAL ENTRY)
R	DIAGNOSIS DATE

Mandation	Coded Scored Assessment (Referral) To carry details of scored assessments that are issued and completed as part of a referral period where a specific service or team is responsible for the patient, but do not take place at a specific contact.One occurrence of this group is permitted for each coded scored assessment question or dimension captured outside of a contact.
M	SERVICE REQUEST IDENTIFIER
M	CODED ASSESSMENT TOOL TYPE (SNOMED CT)
M	PERSON SCORE
R	ASSESSMENT TOOL COMPLETION DATE

Mandation	Breastfeeding Status To carry details of a child's breastfeeding status as recorded at a contact.One occurrence of this group is permitted containing the most recently recorded breastfeeding status.
M	CARE ACTIVITY IDENTIFIER
M	BREASTFEEDING STATUS

Mandation	Observation To carry details of observations of a patient which take place at a contact.One occurrence of this group is permitted containing the most recently recorded observation(s).
M	CARE ACTIVITY IDENTIFIER
R	PERSON WEIGHT
R	PERSON HEIGHT IN METRES
R	PERSON LENGTH IN CENTIMETRES

Mandation	Coded Scored Assessment (Contact) To carry details of scored assessments that are issued and completed as part of a specific contact.One occurrence of this group is permitted for each coded scored assessment question or dimension.
M	CARE ACTIVITY IDENTIFIER
M	CODED ASSESSMENT TOOL TYPE (SNOMED CT)
M	PERSON SCORE


ANONYMOUS SELF-ASSESSMENT To carry details of anonymous assessments that are issued by the Community Health Service.One occurrence of this group is permitted when an anonymous self-assessment is received from a patient.
Mandation	Data Elements
M	ASSESSMENT TOOL COMPLETION DATE
M	CODED ASSESSMENT TOOL TYPE (SNOMED CT)
M	PERSON SCORE
R	ACTIVITY LOCATION TYPE CODE
R	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)


STAFF DETAILS To carry details of the staff involved in the treatment of a patient.One occurrence of this group is permitted for each staff member.
Mandation	Data Elements
M	CARE PROFESSIONAL LOCAL IDENTIFIER
R	PROFESSIONAL REGISTRATION BODY CODE
R	PROFESSIONAL REGISTRATION ENTRY IDENTIFIER
R	CARE PROFESSIONAL STAFF GROUP (COMMUNITY CARE)
R	OCCUPATION CODE
R	CARE PROFESSIONAL (JOB ROLE CODE)

Also Known As

This data set is also known by these names:

Context	Alias
Schema	CSDS
Short name	Community Services