Patient Level Contract Monitoring Data Set
The purpose of the Patient Level Contract Monitoring Data Set ( PLCM ) is to enable the interchange, in a uniform format, of monthly PATIENT level Contract Monitoring data between all purchasers and Health Care Providers .
Overview
Introduction
The purpose of the Patient Level Contract Monitoring Data Set (PLCM) is to enable the interchange, in a uniform format, of monthly PATIENT level Contract Monitoring data between all purchasers and Health Care Providers. This will ensure that Contract Monitoring and reporting is consistent, comparable and fit for purpose across all commissioning ORGANISATIONS.
The Patient Level Contract Monitoring Data Set is a PATIENT level report containing PATIENT identifiers. Its purpose is to substantiate and provide detail to the information contained within the Aggregate Contract Monitoring Data Set (ACM). It will contain details of PATIENT level clinical activities that are not found in flows of standard Commissioning Data Sets (CDS) submitted to the Secondary Uses Service.
Scope
The scope of the Patient Level Contract Monitoring Data Set Information Standard is all NHS-funded acute and community clinical care (excluding drugs and MEDICAL DEVICES not covered by the National Tariff Payment System) provided to PATIENTS, as well as financial adjustments not attributed directly to clinical care, for all commissioners.
This covers:
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All acute and community NHS and secondary care Independent Sector Healthcare Providers, but not primary care, from whom the NHS commissions healthcare
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All NHS commissioners (Integrated Care Boards or their equivalents and NHS England).
Note that the totality of expenditure in the Patient Level Contract Monitoring Data Set must be equivalent to the monetary value (excluding drugs and MEDICAL DEVICES not covered by the National Tariff Payment System) shown in the Aggregate Contract Monitoring Data Set.
Submission
The Patient Level Contract Monitoring Data Set is submitted on a monthly basis to the respective Data Services for Commissioners Regional Office (DSCRO) as nominated by each commissioning function in line with the dates documented in the data submission timetable within Schedule 6 of the NHS Standard Contract.
The completed monthly Patient Level Contract Monitoring Data Set should be transmitted using the NHS England Data Landing Portal (DLP).
For further information on the Patient Level Contract Monitoring Data Set, see the NHS England website at: Directly commissioned services reporting requirements.
Mandation
The Mandation column indicates the recommendation for the inclusion of data.
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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
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R = Required: NHS business processes cannot be delivered without this data element
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O = Optional: the inclusion of this data element is optional as required for local purposes.
Data Set Constraints
For guidance on the Data Set constraints, see the Patient Level Contract Monitoring Data Set Constraints.
Specification
SUBMISSION HEADER
To carry the submission header details.One occurrence of this group is required. |
|
---|---|
Mandation |
Data Elements |
M |
|
M |
|
M |
|
M |
ORGANISATION DETAILS
To carry the Organisation details of the Provider and Commissioner.One occurrence of this group is required. |
|
---|---|
Mandation |
Data Elements |
M |
|
R |
|
M |
|
R |
|
M |
|
M |
DEMOGRAPHICS
To carry the demographic details of the patient.One occurrence of this group is required. |
|
---|---|
Mandation |
Data Elements |
R |
|
R |
|
R |
|
R |
|
R |
|
R |
|
R |
|
R |
CARE ACTIVITY DETAILS
To carry the care activity details.One occurrence of this group is permitted. |
|
---|---|
Mandation |
Data Elements |
R |
|
R |
|
R |
|
O |
|
R |
|
R |
|
R |
|
R |
|
R |
|
R |
|
R |
PACKAGE OF CARE OR YEAR OF CARE START DATE (CONTRACT MONITORING) |
M |
|
R |
|
R |
|
O |
|
O |
SERVICE AGREEMENT AND COMMISSIONING DETAILS
To carry the service agreement and commissioning details.One occurrence of this group is required. |
|
---|---|
Mandation |
Data Elements |
R |
|
R |
|
M |
|
R |
|
M |
|
R |
|
R |
|
O |
|
O |
|
O |
|
O |
|
O |
|
O |
|
O |
COST AND PRICING DETAILS
To carry the activity and costing details.One occurrence of this group is required. |
|
---|---|
Mandation |
Data Elements |
R |
|
M |
|
M |
|
M |
|
M |
Also Known As
This data set is also known by these names:
Context | Alias |
---|---|
Also known as | PLCM |
Short name | Patient Level Contract Monitoring |