New Treatment Functions for - Information Standards Board for ...

DSC Notice: 20/2005Date of Issue: December 2005Sponsor:NHS Health &Social CareInformation CentreSubject:Data Standards:New Treatment Functions for therapyservices and anticoagulant serviceImplementation Date: 1 April 2006DATA SET CHANGE CONTROL PROCEDUREThis paper gives notification of changes to be included in the NHS Data Dictionary and theNHS CDS Manual as appropriate. These will be consolidated into the publications in duecourse.Summary of Changes:Changes to Treatment Function codes in the NHS Data Dictionary. These comprise:• New Treatment Function codes for therapy services and anticoagulant service• Change to definition for 190 Anaesthetics used as a Treatment Functionwhich overrides that given in DSCN 17/2005The NHS Information Standards Board (ISB) is responsible for approvinginformation standards. The ISB output related to the assurance and sign-off ofthis standard can be found at www.isb.nhs.uk 121 Dataset change notices can be found at www.connectingforhealth.nhs.uk/dscn2 The ISB output from the DSCN can be found http://www.isb.nhs.uk/docs/cp763DSCNoutput.doc

Specialty Function CodesSpecialty Function CodesMAIN SPECIALTY AND TREATMENT FUNCTION CODESMAIN SPECIALTY AND TREATMENT FUNCTION CODESTREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activityreturns and in the Commissioning Data Sets (CDS). It is based on specialty, but also includes approved subspecialtiesand treatment specialties used by lead CARE PROFESSIONALS including hospitalCONSULTANTS.The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL egIntermediate Care as the TREATMENT FUNCTION CODE for a Nursing Episode.A full list of TREATMENT FUNCTION CODES (Table 2) follows the MAIN SPECIALTY CODES (Table 1).MAIN SPECIALTY CODES are aligned with the specialties recognised in the European Specialist MedicalQualifications Order 1995 and European Primary and Specialist Dental Qualifications Regulations 1998.Pseudo codes should be used in Commissioning Data Set (CDS) messages for lead CAREPROFESSIONALS other than hospital CONSULTANTS eg Nursing Episode.For further information, contact the NHS Data Model and Dictionary Service; Contact Details.Table 1 Main Specialty codesPage 2 of 8Code Main Specialty TitleSurgical Specialties100 GENERAL SURGERY101 UROLOGY110 TRAUMA & ORTHOPAEDICS120 ENT130 OPHTHALMOLOGY140 ORAL SURGERY141 RESTORATIVE DENTISTRY142 PAEDIATRIC DENTISTRY143 ORTHODONTICS145 ORAL & MAXILLO FACIAL SURGERY146 ENDODONTICS147 PERIODONTICS148 PROSTHODONTICS149 SURGICAL DENTISTRY150 NEUROSURGERY160 PLASTIC SURGERY170 CARDIOTHORACIC SURGERY171 PAEDIATRIC SURGERY180 ACCIDENT & EMERGENCY190 ANAESTHETICS191 no longer in use192 CRITICAL CARE MEDICINEMedical Specialties300 GENERAL MEDICINE301 GASTROENTEROLOGY

302 ENDOCRINOLOGY303 CLINICAL HAEMATOLOGY304 CLINICAL PHYSIOLOGY305 CLINICAL PHARMACOLOGY310 AUDIOLOGICAL MEDICINE311 CLINICAL GENETICS312 CLINICAL CYTOGENETICS and MOLECULAR GENETICS313 CLINICAL IMMUNOLOGY and ALLERGY314 REHABILITATION315 PALLIATIVE MEDICINE320 CARDIOLOGY321 PAEDIATRIC CARDIOLOGY330 DERMATOLOGY340 RESPIRATORY MEDICINE (also known as thoracic medicine)350 INFECTIOUS DISEASES352 TROPICAL MEDICINE360 GENITO-URINARY MEDICINE361 NEPHROLOGY370 MEDICAL ONCOLOGY371 NUCLEAR MEDICINE400 NEUROLOGY401 CLINICAL NEURO-PHYSIOLOGY410 RHEUMATOLOGY420 PAEDIATRICS421 PAEDIATRIC NEUROLOGY430 GERIATRIC MEDICINE450 DENTAL MEDICINE SPECIALTIES460 MEDICAL OPHTHALMOLOGY† 500 OBSTETRICS and GYNAECOLOGY501 OBSTETRICS502 GYNAECOLOGY510 no longer in use520 no longer in use560 MIDWIFE EPISODE600 GENERAL MEDICAL PRACTICE601 GENERAL DENTAL PRACTICE610 no longer in use620 no longer in usePsychiatry700 LEARNING DISABILITY710 ADULT MENTAL ILLNESS711 CHILD and ADOLESCENT PSYCHIATRY712 FORENSIC PSYCHIATRY713 PSYCHOTHERAPY715 OLD AGE PSYCHIATRYRadiology800 CLINICAL ONCOLOGY (previously RADIOTHERAPY)810 RADIOLOGYPathology820 GENERAL PATHOLOGY821 BLOOD TRANSFUSIONPage 3 of 8

822 CHEMICAL PATHOLOGY823 HAEMATOLOGY824 HISTOPATHOLOGY830 IMMUNOPATHOLOGY831 MEDICAL MICROBIOLOGY832 no longer in useOther900 COMMUNITY MEDICINE901 OCCUPATIONAL MEDICINE902 COMMUNITY HEALTH SERVICES DENTAL903 PUBLIC HEALTH MEDICINE904 PUBLIC HEALTH DENTAL950 NURSING EPISODE960 ALLIED HEALTH PROFESSIONAL EPISODE990 no longer in use† Code 500 is not acceptable for Central Returns including HESPseudo Main Specialty codes should be used in CDS messages for lead CARE PROFESSIONALS other thanCONSULTANT medical and dental staff eg 560 and 950.The Main Specialty for GPs is General Medical Practice or General Dental PracticeJoint Consultant Clinic activity should be recorded against the MAIN SPECIALTY CODE of the CONSULTANTmanaging the clinicTable 2 Treatment Function codesCode Treatment Function Title CommentsSurgical Specialties100 GENERAL SURGERY Includes sub-categories not elsewhere listed eg endocrinesurgery.101 UROLOGY102 TRANSPLANTATION SURGERY Includes pre- and post-operative care for major organtransplants except heart and lung (see CardiothoracicTransplantation). Excludes corneal grafts.103 BREAST SURGERY Includes treatment for cancer, suspected neoplasms, cysts andpost-cancer reconstructive surgery. Excludes cosmetic surgery.104 COLORECTAL SURGERY Surgical treatment of disorders of the lower intestine (colon,anus and rectum)105 HEPATOBILIARY & PANCREATICSURGERY106 UPPER GASTROINTESTINALSURGERY107 VASCULAR SURGERY110 TRAUMA & ORTHOPAEDICS120 ENT Ear, nose and throat130 OPHTHALMOLOGY140 ORAL SURGERYIncludes liver surgery, but liver transplantation should berecorded in 102 Transplantation Surgery141 RESTORATIVE DENTISTRY Endodontics, Periodontics and Prosthodontics are all part ofRestorative Dentistry142 PAEDIATRIC DENTISTRY143 ORTHODONTICS144 MAXILLO-FACIAL SURGERY Mouth, jaw and face related surgery.150 NEUROSURGERY160 PLASTIC SURGERY161 BURNS CARE To be used by recognised specialist units and associatedoutreach services only170 CARDIOTHORACIC SURGERY Should only be used where there are no separate services forCardiac Surgery and Thoracic SurgeryPage 4 of 8

171 PAEDIATRIC SURGERY This is paediatric general surgery172 CARDIAC SURGERY173 THORACIC SURGERY174 CARDIOTHORACICTRANSPLANTATION180 ACCIDENT & EMERGENCYTo be used by recognised specialist units and associatedoutreach services only. Includes pre- and post-operativeservices.190 ANAESTHETICS This can be used in out-patients only, and only in clinics forspecific specialist conditions such as screening for plasmacholinase deficiency. Standard preoperative screening isexcluded. Pain Management should be recorded in 191.190 ANAESTHETICS This can be used in out-patients only. Pain Management shouldbe recorded in 191.191 PAIN MANAGEMENT Complex pain disorders requiring diagnosis and treatment by aspecialist multi-professional team192 CRITICAL CARE MEDICINE also known as Intensive Care MedicineChildren's SpecialtiesOther Children's Specialties211 PAEDIATRIC UROLOGY Dedicated services to children with appropriate facilities andsupport staff212 PAEDIATRIC TRANSPLANTATIONSURGERY213 PAEDIATRIC GASTROINTESTINALSURGERY214 PAEDIATRIC TRAUMA ANDORTHOPAEDICS215 PAEDIATRIC EAR NOSE ANDTHROATDedicated services to children with appropriate facilities andsupport staffDedicated services to children with appropriate facilities andsupport staff. Includes Upper Gastrointestinal Surgery andColorectal Surgery.Dedicated services to children with appropriate facilities andsupport staff.Dedicated services to children with appropriate facilities andsupport staff216 PAEDIATRIC OPHTHALMOLOGY Dedicated services to children with appropriate facilities andsupport staff217 PAEDIATRIC MAXILLO-FACIALSURGERYDedicated services to children with appropriate facilities andsupport staff218 PAEDIATRIC NEUROSURGERY Dedicated services to children with appropriate facilities andsupport staff219 PAEDIATRIC PLASTIC SURGERY Dedicated services to children with appropriate facilities andsupport staff220 PAEDIATRIC BURNS CARE Dedicated services to children with appropriate facilities andsupport staff221 PAEDIATRIC CARDIAC SURGERY Dedicated services to children with appropriate facilities andsupport staff222 PAEDIATRIC THORACIC SURGERY Dedicated services to children with appropriate facilities andsupport staff241 PAEDIATRIC PAIN MANAGEMENT Dedicated services to children with appropriate facilities andsupport staff242 PAEDIATRIC INTENSIVE CARE Only to be used by designated Paediatric Intensive Care Units251 PAEDIATRIC GASTROENTEROLOGY Dedicated services to children with appropriate facilities andsupport staff252 PAEDIATRIC ENDOCRINOLOGY Dedicated services to children with appropriate facilities andsupport staff253 PAEDIATRIC CLINICALHAEMATOLOGY254 PAEDIATRIC AUDIOLOGICALMEDICINE255 PAEDIATRIC CLINICALIMMUNOLOGY AND ALLERGY256 PAEDIATRIC INFECTIOUSDISEASESDedicated services to children with appropriate facilities andsupport staffDedicated services to children with appropriate facilities andsupport staffDedicated services to children with appropriate facilities andsupport staffDedicated services to children with appropriate facilities andsupport staff257 PAEDIATRIC DERMATOLOGY Dedicated services to children with appropriate facilities andsupport staff258 PAEDIATRIC RESPIRATORY Dedicated services to children with appropriate facilities andPage 5 of 8

MEDICINEsupport staff259 PAEDIATRIC NEPHROLOGY Dedicated services to children with appropriate facilities andsupport staff260 PAEDIATRIC MEDICAL ONCOLOGY Dedicated services to children with appropriate facilities andsupport staff261 PAEDIATRIC METABOLIC DISEASE Dedicated services to children with appropriate facilities andsupport staff262 PAEDIATRIC RHEUMATOLOGY Dedicated services to children with appropriate facilities andsupport staff280 PAEDIATRIC INTERVENTIONALRADIOLOGYDedicated services to children with appropriate facilities andsupport staff290 COMMUNITY PAEDIATRICS Includes routine health surveillance, health promotion,behavioural paediatrics and looked-after children. ExcludesPaediatric Neuro-Disability.291 PAEDIATRIC NEURO-DISABILITY Dedicated services for children with Cerebral Palsy and nonprogressivehandicapping neurological conditions, with orwithout learning disability.Medical Specialties300 GENERAL MEDICINE Includes sub-categories not elsewhere listed eg metabolicmedicine.301 GASTROENTEROLOGY302 ENDOCRINOLOGY303 CLINICAL HAEMATOLOGY303 CLINICAL HAEMATOLOGY Excludes ANTICOAGULANT SERVICE see 324304 not a Treatment Function305 CLINICAL PHARMACOLOGY306 HEPATOLOGY Also known as liver medicine307 DIABETIC MEDICINE308 BLOOD AND MARROWTRANSPLANTATIONPreviously in Clinical Haematology. Includes haemopoietic stemcell transplantation.309 HAEMOPHILIA Previously in Clinical Haematology310 AUDIOLOGICAL MEDICINE The medical specialty concerned with the investigation,diagnosis and management of patients with disorders ofbalance, hearing, tinnitus and auditory communication.Excludes audiology and hearing tests.311 CLINICAL GENETICS To be used by recognised specialist units and associatedoutreach services only.312 not a Treatment Function313 CLINICAL IMMUNOLOGY andALLERGY314 REHABILITATION315 PALLIATIVE MEDICINE316 CLINICAL IMMUNOLOGYShould only be used where there are no separate services forClinical Immunology and Allergy317 ALLERGY The diagnosis and management of allergic disease (abnormalimmune responses to external substances) and the exclusion ofallergic causes in other conditions.318 INTERMEDIATE CARE Intermediate care encompasses a range of multi-disciplinaryservices designed to safeguard independence by maximisingrehabilitation and recovery after illness or injury319 RESPITE CARE320 CARDIOLOGY321 PAEDIATRIC CARDIOLOGY322 CLINICAL MICROBIOLOGY323 SPINAL INJURIES To be used by recognised specialist units and associatedoutreach services only.324 ANTICOAGULANT SERVICE The monitoring and control of anticoagulant therapy includingthe initiation and/or supervision of oral anticoagulant therapyand the determination of anticoagulant dosage. This can beused in out-patients only.Page 6 of 8

330 DERMATOLOGY340 RESPIRATORY MEDICINE also known as Thoracic Medicine341 SLEEP STUDIES The diagnosis and treatment of sleep disordered breathing,including upper airway resistance syndrome and sleep apnoea.350 INFECTIOUS DISEASES352 TROPICAL MEDICINE360 GENITO-URINARY MEDICINE361 NEPHROLOGY370 MEDICAL ONCOLOGY The diagnosis and treatment, typically with chemotherapy, ofpatients with cancer.371 not a Treatment Function400 NEUROLOGY401 not a Treatment Function410 RHEUMATOLOGY420 PAEDIATRICS421 PAEDIATRIC NEUROLOGY422 NEONATOLOGY Special Care, High Dependency and Intensive Care.424 WELL BABIES Care given by the mother/substitute with medical and neonatalnursing advice if needed430 GERIATRIC MEDICINE450 DENTAL MEDICINE SPECIALTIES Includes oral medicine.460 MEDICAL OPHTHALMOLOGY500 not a Treatment Function501 OBSTETRICS The management of pregnancy and childbirth includingmiscarriages but excluding planned terminations.502 GYNAECOLOGY Disorders of the female reproductive system. Includes plannedterminations.503 GYNAECOLOGICAL ONCOLOGY510 no longer in use Record as Obstetrics, antenatal clinic can be used as a localsub-specialty if required520 no longer in use Record as Obstetrics, postnatal clinic can be used as a localsub-specialty if required560 MIDWIFE EPISODE600 not a Treatment Function610 no longer in use Record as Obstetrics620 no longer in use Use the appropriate function under which the patient is treatedTherapies650 PHYSIOTHERAPY The treatment of human function and movement to help peopleto achieve their full physical potential. The use of physicalapproaches to promote, maintain and restore wellbeing.651 OCCUPATIONAL THERAPY The use of specific activities to limit the effects of disability andpromote independence in all aspects of daily life.652 SPEECH AND LANGUAGE THERAPY The assessment, treatment and help to prevent speech,language and swallowing difficulties.653 PODIATRY Also known as Chiropody. The diagnosis and treatment ofdisorders, diseases and deformities of the feet.654 DIETETICS The application of the science of nutrition to devise eating plansfor patients to treat medical conditions. The promotion of goodhealth by helping to facilitate a positive change in food choicesamongst individuals, groups and communities.655 ORTHOPTICS The diagnosis and treatment of visual problems involving eyemovement and alignment.656 CLINICAL PSYCHOLOGY The diagnosis and treatment of emotional and behaviouraldisorders.Psychiatry700 LEARNING DISABILITY710 ADULT MENTAL ILLNESSPage 7 of 8

711 CHILD and ADOLESCENTPSYCHIATRY712 FORENSIC PSYCHIATRY713 PSYCHOTHERAPY715 OLD AGE PSYCHIATRY720 EATING DISORDERS A specialist psychiatric service for the diagnosis and treatmentof eating disorders including anorexia, bulimia and compulsiveovereating.721 ADDICTION SERVICES The psychiatric prevention and treatment of substance misuseincluding drugs and alcohol722 LIAISON PSYCHIATRY The provision of psychiatric treatment to patients attendinggeneral hospitals including out-patient clinics, accident andemergency departments and admission to wards. Deals withthe interface between physical and psychological health.723 PSYCHIATRIC INTENSIVE CARE The provision of psychiatric services to vulnerable individualswho are admitted to Psychiatric Intensive Care Units from openacute wards and forensic settings.724 PERINATAL PSYCHIATRY A specialist psychiatric service for the diagnosis and treatmentof post-natal psychiatric problems.Radiology800 CLINICAL ONCOLOGY (previouslyRADIOTHERAPY)810 not a Treatment FunctionThe diagnosis and treatment, typically with radiotherapy, ofpatients with cancer.811 INTERVENTIONAL RADIOLOGY Not to be used for diagnostic imaging.Pathology820 not a Treatment Function821 not a Treatment Function822 CHEMICAL PATHOLOGY To be used for clinical management only.823 not a Treatment Function See Clinical Haematology824 not a Treatment Function830 not a Treatment Function see Clinical Immunology831 not a Treatment Function See Clinical Microbiology832 no longer in useOther900 not a Treatment Function901 not a Treatment Function950 not a Treatment Function Use the appropriate function under which the patient is treated960 not a Treatment Function Use the appropriate function under which the patient is treated990 no longer in useTreatment Function Codes should be used for all aggregate central returns unless otherwise stated egWorkforce returns use Main Specialty CodesGP, Nurse and Allied Health Professional activity should be recorded against the Treatment Functionunder which the patient is treatedJoint Consultant Clinic activity should be recorded against the Treatment Function which best describesthe specialised serviceNHS Data Standards - datastandards@cfh.nhs.ukPage 8 of 8