A unique identifier for a TREATMENT FUNCTION.
The appropriate TREATMENT FUNCTION CODE should be used to record activity undertaken, irrespective of the type of Healthcare Professional who performs it, even where the name of the TREATMENT FUNCTION CODE suggests it is limited for use by a particular Healthcare Profession.
TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets (CDS). It is based on specialty, but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including hospital CONSULTANTS.
The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL e.g. Intermediate Care as the ACTIVITY TREATMENT FUNCTION CODE for a Nursing Episode.
For further information, contact The NHS Information Centre for health and social care by email at: enquiries@ic.nhs.uk.
National Codes:
| Code | Treatment Function Title | Comments |
|---|---|---|
| Surgical Specialties | ||
| 100 | GENERAL SURGERY | Includes sub-categories not elsewhere listed e.g. endocrine surgery. |
| 101 | UROLOGY | |
| 102 | TRANSPLANTATION SURGERY | Includes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts. |
| 103 | BREAST SURGERY | Includes treatment for cancer, suspected neoplasms, cysts and post-cancer reconstructive surgery. Excludes cosmetic surgery. |
| 104 | COLORECTAL SURGERY | Surgical treatment of disorders of the lower intestine (colon, anus and rectum) |
| 105 | HEPATOBILIARY & PANCREATIC SURGERY | Includes liver surgery, but liver transplantation should be recorded in 102 Transplantation Surgery |
| 106 | UPPER GASTROINTESTINAL SURGERY | |
| 107 | VASCULAR SURGERY | |
| 110 | TRAUMA & ORTHOPAEDICS | |
| 120 | ENT | Ear, nose and throat |
| 130 | OPHTHALMOLOGY | |
| 140 | ORAL SURGERY | |
| 141 | RESTORATIVE DENTISTRY | Endodontics, Periodontics and Prosthodontics are all part of Restorative Dentistry |
| 142 | PAEDIATRIC DENTISTRY | |
| 143 | ORTHODONTICS | |
| 144 | MAXILLO-FACIAL SURGERY | Mouth, jaw and face related surgery. |
| 150 | NEUROSURGERY | |
| 160 | PLASTIC SURGERY | |
| 161 | BURNS CARE | To be used by recognised specialist units and associated outreach services only |
| 170 | CARDIOTHORACIC SURGERY | Should only be used where there are no separate services for Cardiac Surgery and Thoracic Surgery |
| 171 | PAEDIATRIC SURGERY | This is paediatric general surgery |
| 172 | CARDIAC SURGERY | |
| 173 | THORACIC SURGERY | |
| 174 | CARDIOTHORACIC TRANSPLANTATION | To be used by recognised specialist units and associated outreach services only. Includes pre- and post-operative services. |
| 180 | ACCIDENT & EMERGENCY | |
| 191 | PAIN MANAGEMENT | Complex pain disorders requiring diagnosis and treatment by a specialist multi-professional team |
| Other Children's Specialties | ||
| 211 | PAEDIATRIC UROLOGY | Dedicated services to children with appropriate facilities and support staff |
| 212 | PAEDIATRIC TRANSPLANTATION SURGERY | Dedicated services to children with appropriate facilities and support staff |
| 213 | PAEDIATRIC GASTROINTESTINAL SURGERY | Dedicated services to children with appropriate facilities and support staff. Includes Upper Gastrointestinal Surgery and Colorectal Surgery. |
| 214 | PAEDIATRIC TRAUMA AND ORTHOPAEDICS | Dedicated services to children with appropriate facilities and support staff. |
| 215 | PAEDIATRIC EAR NOSE AND THROAT | Dedicated services to children with appropriate facilities and support staff |
| 216 | PAEDIATRIC OPHTHALMOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 217 | PAEDIATRIC MAXILLO-FACIAL SURGERY | Dedicated services to children with appropriate facilities and support staff |
| 218 | PAEDIATRIC NEUROSURGERY | Dedicated services to children with appropriate facilities and support staff |
| 219 | PAEDIATRIC PLASTIC SURGERY | Dedicated services to children with appropriate facilities and support staff |
| 220 | PAEDIATRIC BURNS CARE | Dedicated services to children with appropriate facilities and support staff |
| 221 | PAEDIATRIC CARDIAC SURGERY | Dedicated services to children with appropriate facilities and support staff |
| 222 | PAEDIATRIC THORACIC SURGERY | Dedicated services to children with appropriate facilities and support staff |
| 241 | PAEDIATRIC PAIN MANAGEMENT | Dedicated services to children with appropriate facilities and support staff |
| 242 | PAEDIATRIC INTENSIVE CARE | Only to be used by designated Paediatric Intensive Care Units |
| 251 | PAEDIATRIC GASTROENTEROLOGY | Dedicated services to children with appropriate facilities and support staff |
| 252 | PAEDIATRIC ENDOCRINOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 253 | PAEDIATRIC CLINICAL HAEMATOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 254 | PAEDIATRIC AUDIOLOGICAL MEDICINE | Dedicated services to children with appropriate facilities and support staff |
| 255 | PAEDIATRIC CLINICAL IMMUNOLOGY AND ALLERGY | Dedicated services to children with appropriate facilities and support staff |
| 256 | PAEDIATRIC INFECTIOUS DISEASES | Dedicated services to children with appropriate facilities and support staff |
| 257 | PAEDIATRIC DERMATOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 258 | PAEDIATRIC RESPIRATORY MEDICINE | Dedicated services to children with appropriate facilities and support staff |
| 259 | PAEDIATRIC NEPHROLOGY | Dedicated services to children with appropriate facilities and support staff |
| 260 | PAEDIATRIC MEDICAL ONCOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 261 | PAEDIATRIC METABOLIC DISEASE | Dedicated services to children with appropriate facilities and support staff |
| 262 | PAEDIATRIC RHEUMATOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 263** | PAEDIATRIC DIABETIC MEDICINE | Dedicated services to children with appropriate facilities and support staff |
| 264** | PAEDIATRIC CYSTIC FIBROSIS | Dedicated services to children with appropriate facilities and support staff |
| 280 | PAEDIATRIC INTERVENTIONAL RADIOLOGY | Dedicated services to children with appropriate facilities and support staff |
| 290 | COMMUNITY PAEDIATRICS | Includes routine health surveillance, health promotion, behavioural paediatrics and looked-after children. Excludes Paediatric Neuro-Disability. |
| 291 | PAEDIATRIC NEURO-DISABILITY | Dedicated services for children with Cerebral Palsy and non-progressive handicapping neurological conditions, with or without learning disability. |
| Medical Specialties | ||
| 190 | ANAESTHETICS | This can be used in out-patients only. Pain Management should be recorded in 191. |
| 192 | CRITICAL CARE MEDICINE | also known as Intensive Care Medicine |
| 300 | GENERAL MEDICINE | Includes sub-categories not elsewhere listed e.g. metabolic medicine. |
| 301 | GASTROENTEROLOGY | |
| 302 | ENDOCRINOLOGY | |
| 303 | CLINICAL HAEMATOLOGY | Excludes ANTICOAGULANT SERVICE see 324 |
| 304 | CLINICAL PHYSIOLOGY | Physiological measurement including ECG (e.g. exercise testing, stress testing), gastrointestinal physiology, cardiac physiology, vascular technology, urodynamics, and ophthalmic and vision science. Does not include Clinical Neurophysiology, Audiology or Respiratory Physiology. |
| 305 | CLINICAL PHARMACOLOGY | |
| 306 | HEPATOLOGY | Also known as liver medicine |
| 307 | DIABETIC MEDICINE | |
| 308 | BLOOD AND MARROW TRANSPLANTATION | Previously in Clinical Haematology. Includes haemopoietic stem cell transplantation. |
| 309 | HAEMOPHILIA | Previously in Clinical Haematology |
| 310 | AUDIOLOGICAL MEDICINE | The 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. |
| 311 | CLINICAL GENETICS | To be used by recognised specialist units and associated outreach services only. |
| 312 | not a Treatment Function | |
| 313 | CLINICAL IMMUNOLOGY and ALLERGY | Should only be used where there are no separate services for Clinical Immunology and Allergy |
| 314 | REHABILITATION | |
| 315 | PALLIATIVE MEDICINE | |
| 316 | CLINICAL IMMUNOLOGY | |
| 317 | ALLERGY | The diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions. |
| 318 | INTERMEDIATE CARE | Intermediate care encompasses a range of multi-disciplinary services designed to safeguard independence by maximising rehabilitation and recovery after illness or injury |
| 319 | RESPITE CARE | |
| 320 | CARDIOLOGY | |
| 321 | PAEDIATRIC CARDIOLOGY | |
| 322 | CLINICAL MICROBIOLOGY | |
| 323 | SPINAL INJURIES | To be used by recognised specialist units and associated outreach services only. |
| 324 | ANTICOAGULANT SERVICE | 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. |
| 325** | SPORT AND EXERCISE MEDICINE | The 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. |
| 327** | CARDIAC REHABILITATION | Rehabilitation 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. |
| 328** | STROKE MEDICINE | For stroke services excluding Transient Ischaemic Attack - see TREATMENT FUNCTION CODE 329 |
| 329** | TRANSIENT ISCHAEMIC ATTACK | A 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. |
| 330 | DERMATOLOGY | |
| 340 | RESPIRATORY MEDICINE | Also known as Thoracic Medicine |
| 341 | RESPIRATORY PHYSIOLOGY | Physiological 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). |
| 342** | PROGRAMMED PULMONARY REHABILITATION | A 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. |
| 343** | ADULT CYSTIC FIBROSIS | Specialised, 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. |
| 350 | INFECTIOUS DISEASES | |
| 352 | TROPICAL MEDICINE | |
| 360 | GENITOURINARY MEDICINE | |
| 361 | NEPHROLOGY | |
| 370 | MEDICAL ONCOLOGY | The diagnosis and treatment, typically with chemotherapy, of patients with cancer. |
| 371 | NUCLEAR MEDICINE | |
| 400 | NEUROLOGY | |
| 401 | CLINICAL NEUROPHYSIOLOGY | The study of the central and peripheral nervous systems through the recording of bioelectrical activity. Includes EEG. |
| 410 | RHEUMATOLOGY | |
| 420 | PAEDIATRICS | |
| 421 | PAEDIATRIC NEUROLOGY | |
| 422 | NEONATOLOGY | Special Care, High Dependency and Intensive Care. |
| 424 | WELL BABIES | Care given by the mother/substitute with medical and neonatal nursing advice if needed |
| 430 | GERIATRIC MEDICINE | |
| 450 | DENTAL MEDICINE SPECIALTIES | Includes oral medicine. |
| 460 | MEDICAL OPHTHALMOLOGY | |
| 500 | not a Treatment Function | |
| 501 | OBSTETRICS | The management of pregnancy and childbirth including miscarriages but excluding planned terminations. |
| 502 | GYNAECOLOGY | Disorders of the female reproductive system. Includes planned terminations. |
| 503 | GYNAECOLOGICAL ONCOLOGY | |
| 510 | Retired | Record as Obstetrics, antenatal clinic can be used as a local sub-specialty if required |
| 520 | Retired | Record as Obstetrics, postnatal clinic can be used as a local sub-specialty if required |
| 560 | MIDWIFE EPISODE | |
| 600 | not a Treatment Function | |
| 610 | Retired | Record as Obstetrics |
| 620 | Retired | Use the appropriate function under which the patient is treated |
| Therapies | ||
| 650 | PHYSIOTHERAPY | The 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. |
| 651 | OCCUPATIONAL THERAPY | The use of specific activities to limit the effects of disability and promote 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 of disorders, diseases and deformities of the feet. |
| 654 | DIETETICS | The 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. |
| 655 | ORTHOPTICS | The diagnosis and treatment of visual problems involving eye movement and alignment. |
| 656 | CLINICAL PSYCHOLOGY | The diagnosis and treatment of emotional and behavioural disorders. |
| 657** | PROSTHETICS | The supply of prosthetics for PATIENTS. |
| 658** | ORTHOTICS | The supply of orthoses for PATIENTS. |
| 659** | DRAMATHERAPY | The use of drama and theatre techniques including role play, voice work and storytelling for therapeutic purposes. |
| 660** | ART THERAPY | The use of art techniques including clay, paint and paper for therapeutic purposes and as a means of communication. |
| 661** | MUSIC THERAPY | The use of music and all of its facets to help clients to improve or maintain their health. |
| 662** | OPTOMETRY | The diagnosis and non-surgical treatment of disorders of the eye and vision care. |
| Psychiatry | ||
| 700 | LEARNING DISABILITY | |
| 710 | ADULT MENTAL ILLNESS | |
| 711 | CHILD and ADOLESCENT PSYCHIATRY | |
| 712 | FORENSIC PSYCHIATRY | |
| 713 | PSYCHOTHERAPY | |
| 715 | OLD AGE PSYCHIATRY | |
| 720 | EATING DISORDERS | A specialist psychiatric service for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating. |
| 721 | ADDICTION SERVICES | The psychiatric prevention and treatment of substance misuse including drugs and alcohol |
| 722 | LIAISON PSYCHIATRY | The 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. |
| 723 | PSYCHIATRIC INTENSIVE CARE | The provision of psychiatric services to vulnerable individuals who are admitted to Psychiatric Intensive Care Units from open acute wards and forensic settings. |
| 724 | PERINATAL PSYCHIATRY | A specialist psychiatric service for the diagnosis and treatment of post-natal psychiatric problems. |
| Radiology | ||
| 800 | CLINICAL ONCOLOGY (previously RADIOTHERAPY) | The diagnosis and treatment, typically with radiotherapy, of patients with cancer. |
| 810 | not a Treatment Function | |
| 811 | INTERVENTIONAL RADIOLOGY | Not to be used for diagnostic imaging. |
| 812 | DIAGNOSTIC IMAGING | The production and interpretation of high quality images of the body to diagnose injuries and disease, e.g. x-rays, ultrasound, MRI, PET or CT scans. |
| Pathology | ||
| 820 | not a Treatment Function | |
| 821 | not a Treatment Function | |
| 822 | CHEMICAL PATHOLOGY | To be used for clinical management only. |
| 823 | not a Treatment Function | See Clinical Haematology |
| 824 | not a Treatment Function | |
| 830 | not a Treatment Function | See Clinical Immunology |
| 831 | not a Treatment Function | See Clinical Microbiology |
| 832 | Retired | |
| 834** | MEDICAL VIROLOGY | The 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 newly emerging viruses such as SARS and avian flu. |
| 840 | AUDIOLOGY | Physiological measurement and diagnosis of hearing disorders, and the rehabilitation of patients with hearing loss. |
| Other | ||
| 900 | not a Treatment Function | |
| 901 | not a Treatment Function | |
| 950 | not a Treatment Function | Use the appropriate function under which the patient is treated |
| 960 | not a Treatment Function | Use the appropriate function under which the patient is treated |
| 990 | Retired | |
Notes:
| † | Code 500 is not acceptable for Central Returns including Hospital Episode Statistics |
| ** | These TREATMENT FUNCTION CODES should not be reported nationally until the functionality to do so becomes available in the next release of the Commissioning Data Sets and the associated CDS-XML Schema Release. Prior to this release, these codes may be recorded locally, however they cannot be transmitted in the current versions of the Commissioning Data Sets (6-0 and 6-1). |
| 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 |
This attribute is also known by these names:
| Context | Alias |
|---|---|
| plural | TREATMENT FUNCTION CODES |