NHS Information Authority

Data Standards Programme

The government is radically reforming the NHS and Social Care, in order to make the system more patient-focused as part of its NHS Plan.

The Department of Health is working towards shifting the balance of power away from central government to frontline staff, who have a day-to-day understanding of patients' needs and concerns. As part of this process it is necessary to change the structure of the NHS and Social Care to help empower patients and to help staff and patients have their say on the future.

Local Primary Care Trusts (PCTs) have become the lead NHS organisations in assessing need, planning and securing all health services and improving health in their localities. They will also provide most community services and develop primary care services, including GPs and dentists.

This DSCN updates the NHS Data Dictionary & Manual to reflect the organisation changes for the NHS in England. A review of the use of HEALTH AUTHORITY throughout the NHS Data Dictionary & Manual has been carried out and the appropriate structure required to support the 'Shifting of the Balance of Power' inserted. In doing so the following areas have been addressed:

ASSISTANT GMP CONTRACT

A type of GMP EMPLOYMENT CONTRACT.

An arrangement whereby a GENERAL MEDICAL PRACTITIONER is employed as an Assistant by another GENERAL MEDICAL PRACTITIONER with the consent of a . An arrangement whereby a GENERAL MEDICAL PRACTITIONER is employed as an Assistant by another GENERAL MEDICAL PRACTITIONER with the consent of a PRIMARY CARE TRUST.

This class is also known by these names:

Context	Alias
plural	ASSISTANT GMP CONTRACTS

CARE TRUST

A type of ORGANISATION.

CARE TRUSTSS are NHS bodies which combine either one or more Primary Care Trusts or NHS Trusts with local authority services, using the power to delegate functions under the 1999 Health Act. CARE TRUSTS are NHS bodies which combine either one or more Primary Care Trusts or NHS Trusts with local authority services, using the power to delegate functions under the 1999 Health Act.

CARE TRUSTSS are accountable to local authorities. If Primary Care Trusts are involved they are also accountable to Health Authorities. If NHS Trusts are involved they are also accountable to Regional Offices. CARE TRUSTS are accountable to local authorities. If Primary Care Trusts or NHS Trusts are involved they are also accountable to STRATEGIC HEALTH AUTHORITIES.

References:
Department of Health Publication
Care Trusts - Emerging Framework March 2001

This class is also known by these names:

Context	Alias
plural	CARE TRUSTS

CHILDREN RESIDENT BY AGE GROUP

Each CHILDREN RESIDENT BY AGE GROUP

K	must be related to one and only one HEALTH AUTHORITY
K	must be related to one and only one PRIMARY CARE TRUST

COMMUNITY PHARMACY SITE APPLICATION

An application by a COMMUNITY PHARMACY SITE or an ORGANISATION to a HEALTH AUTHORITY to hold a pharmaceutical contract, including applications made by GP PRACTICES. An application by a COMMUNITY PHARMACY SITE or an ORGANISATION to a PRIMARY CARE TRUST to hold a pharmaceutical contract, including applications made by GP PRACTICES. Also included are applications to change an existing contract, for extension of time or a change of ownership.

This class is also known by these names:

Context	Alias
plural	COMMUNITY PHARMACY SITE APPLICATIONS

COMMUNITY PHARMACY SITE APPLICATION

Each COMMUNITY PHARMACY SITE APPLICATION

K	must be an application to one and only one HEALTH AUTHORITY
K	must be an application to one and only one PRIMARY CARE TRUST
	must be from existing one and only one COMMUNITY PHARMACY SITE
	or must be from one and only one ORGANISATION

DRUG MISUSE AGENCY

An organisation with DRUG MISUSE FACILITIES that provides a service to drug misusers. It encompasses all organisations offering a DRUG MISUSE FACILITY, both NHS and non-NHS located within the Health Authority boundary. It encompasses all organisations offering a DRUG MISUSE FACILITY, both NHS and non-NHS located within the PRIMARY CARE TRUST boundary.

Note: This does not correspond to an 'Agency' defined in the Drug Misuse Database which relates to a DRUG MISUSE FACILITY.

This class is also known by these names:

Context	Alias
plural	DRUG MISUSE AGENCIES

DRUG MISUSE AGENCY

Each DRUG MISUSE AGENCY

K	must be within geographical boundary of one and only one HEALTH AUTHORITY
K	must be within geographical boundary of one and only one PRIMARY CARE TRUST
	must be if non-NHS agency for one and only one ORGANISATION
	or must be if NHS agency for one and only one SERVICE POINT
	must be with an agency address of one and only one ADDRESS ASSOCIATION
	may be related to one or more DRUG MISUSE FACILITY
	may be the maintainer of a database containing one or more DRUG MISUSER

DRUG MISUSER

Each DRUG MISUSER

K	must be on a database maintained by one and only one DRUG MISUSE AGENCY
	may be subject of one or more DRUG MISUSE EPISODE
	may be responsible for one or more DRUG MISUSER DEPENDENT CHILD
	may be if not living alone, related to one or more DRUG MISUSER LIVING WITH
	may be resident in the geographical area of one and only one HEALTH AUTHORITY
	may be resident in the geographical area of one and only one PRIMARY CARE TRUST

FINANCIAL PERIOD

Each FINANCIAL PERIOD

	may be related to one or more DENTAL STAFF MEMBER IN PERIOD
	may be related to one or more DENTAL STAFF MEMBER IN PROG IN PERIOD
	may be related to one or more GENITO-URINARY CLINIC BY PERIOD
	may be related to one or more HEALTH AUTHORITY PROGRAMME STATEMENT
	may be related to one or more HEALTH PROGRAMME STATEMENT
	may be related to one or more ORGANISATION FINANCIAL PERIOD

GENERAL MEDICAL PRACTITIONER PRACTICE

A type of GP PRACTICE.

An organisation acting as HEALTH CARE PROVIDER and constituted for the delivery of General Medical Services. A GENERAL MEDICAL PRACTITIONER PRACTICE comprises a set of POSTS IN GMP PRACTICES approved for the delivery of services in a specified GEOGRAPHIC AREA. The posts are of three types. Principal GENERAL MEDICAL PRACTITIONER PRACTICE posts are approved by the Medical Practices Committee. That committee also approves the practice area. Principal GENERAL MEDICAL PRACTITIONER PRACTICE posts are approved by the PRIMARY CARE TRUST who also approves the practice area. GENERAL MEDICAL PRACTITIONER REGISTRARS are approved by the local Postgraduate Education Committee. Other posts in the practice are approved by the HEALTH AUTHORITY. Other posts in the practice are approved by the PRIMARY CARE TRUST.

Individuals are contracted to fill these posts.

A GENERAL MEDICAL PRACTITIONER PRACTICE will survive changes in personnel or the removal or addition of approved posts.

This class is also known by these names:

Context	Alias
plural	GENERAL MEDICAL PRACTITIONER PRACTICES

GENERAL MEDICAL SERVICES CONTRACT

A type of GMP CONTRACT.

A contract between the Secretary of State for Health and a GENERAL MEDICAL PRACTITIONER within a specific GENERAL MEDICAL PRACTITIONER PRACTICE. The contract is held and maintained on behalf of the Secretary of State by the HEALTH AUTHORITY. The contract is held and maintained on behalf of the Secretary of State by the PRIMARY CARE TRUST. The contract commits the practitioner to provide specified services in a particular area, from particular premises, and at specified times.

When this contract is awarded, a GENERAL MEDICAL PRACTITIONER is entered as a Principal GENERAL MEDICAL PRACTITIONER on the Medical List of the HEALTH AUTHORITY. When this contract is awarded, a GENERAL MEDICAL PRACTITIONER is entered as a Principal GENERAL MEDICAL PRACTITIONER on the Medical List of the PRIMARY CARE TRUST.

This class is also known by these names:

Context	Alias
plural	GENERAL MEDICAL SERVICES CONTRACTS

GENERAL MEDICAL SERVICES PREMISES

A type of LOCATION.

A part of a postal address which is recognised by the HEALTH AUTHORITY at which General Medical services are provided, i.e. more than one premises can exist at an address. A part of a postal address which is recognised by the PRIMARY CARE TRUST at which General Medical services are provided, i.e. more than one set of premises can exist at an address.

This class is also known by these names:

Context	Alias
plural	GENERAL MEDICAL SERVICES PREMISES

GEOGRAPHIC AREA

An area with definable boundaries (eg. 'Hillsborough Electoral Ward', 'Sheffield Health Authority'). An area with definable or notional boundaries (eg. 'Hillsborough Electoral Ward', 'Sheffield West PCT').

Note: GEOGRAPHIC AREA CODES and GEOGRAPHIC AREA NAMES are compatible with the use of the NHS Postcode Directory (NHS PD).

This class is also known by these names:

Context	Alias
plural	GEOGRAPHIC AREAS

GEOGRAPHIC AREA

Each GEOGRAPHIC AREA

	may be for one or more ADDRESS IN GEOGRAPHIC AREA
	may be the associate for one or more GEOGRAPHIC AREA ASSOCIATION
	may be from one or more GEOGRAPHIC AREA RELATIONSHIP
	may be to one or more GEOGRAPHIC AREA RELATIONSHIP
	may be the residential area for one and only one HEALTH AUTHORITY
	may be from one or more GEOGRAPHIC AREA RELATIONSHIP
	may be from one or more POSTCODE IN GEOGRAPHIC AREA
	may be the residential area for one and only one PRIMARY CARE TRUST

GMP CLAIM FOR PAYMENT OR REIMBURSEMENT

A claim made by a GENERAL MEDICAL PRACTITIONER to a HEALTH AUTHORITY for payment or reimbursement. A claim made by a GENERAL MEDICAL PRACTITIONER to a PRIMARY CARE TRUST for payment or reimbursement. The claim can be made in the context of ITEMS OF SERVICE DELIVERIES, or for other reasons, for example the child health surveillance fees, temporary resident fees and maintenance and improvement of GENERAL MEDICAL SERVICES PREMISES.

This class is also known by these names:

Context	Alias
plural	GMP CLAIMS FOR PAYMENT OR REIMBURSEMENTS

GMP CLAIM FOR PAYMENT OR REIMBURSEMENT

Each GMP CLAIM FOR PAYMENT OR REIMBURSEMENT

K	must be made by one and only one GENERAL MEDICAL PRACTITIONER
K	must be submitted to one and only one HEALTH AUTHORITY
K	must be submitted to one and only one PRIMARY CARE TRUST
	may be approved for one or more GMP PAYMENT OR REIMBURSEMENT

GMP CONTRACT

A contract approved by a HEALTH AUTHORITY and held by a GENERAL MEDICAL PRACTITIONER. A contract approved by a PRIMARY CARE TRUST and held by a GENERAL MEDICAL PRACTITIONER. This is either a GMP EMPLOYMENT CONTRACT, a LOCUM GMP CONTRACT or a GENERAL MEDICAL SERVICES CONTRACT.

This class is also known by these names:

Context	Alias
plural	GMP CONTRACTS

GMP CONTRACT

Each GMP CONTRACT

K	must be held by one and only one GENERAL MEDICAL PRACTITIONER
K	must be approved by one and only one HEALTH AUTHORITY
K	must be approved by one and only one PRIMARY CARE TRUST

GMP PAYMENT OR REIMBURSEMENT

A transfer of money from a HEALTH AUTHORITY to a GENERAL MEDICAL PRACTITIONER which may be in response to a GMP CLAIM FOR PAYMENT OR REIMBURSEMENT or may be an automatic payment for services provided. A transfer of money from a PRIMARY CARE TRUST to a GENERAL MEDICAL PRACTITIONER which may be in response to a GMP CLAIM FOR PAYMENT OR REIMBURSEMENT or may be an automatic payment for services provided.

This class is also known by these names:

Context	Alias
plural	GMP PAYMENTS OR REIMBURSEMENTS

GMP PAYMENT OR REIMBURSEMENT

Each GMP PAYMENT OR REIMBURSEMENT

K	must be made to one and only one GENERAL MEDICAL PRACTITIONER
K	must be made by one and only one HEALTH AUTHORITY
K	must be made by one and only one PRIMARY CARE TRUST
	may be made in the context of one and only one GMP CLAIM FOR PAYMENT OR REIMBURSEMENT

GMP TRAINING CONTRACT

An arrangement under which a GENERAL MEDICAL PRACTITIONER REGISTRAR is trained in general medical practice by a GENERAL MEDICAL PRACTITIONER TRAINER. The arrangement is approved by a HEALTH AUTHORITY on behalf of the Secretary of State. The arrangement is approved by a PRIMARY CARE TRUST on behalf of the Secretary of State.

This class is also known by these names:

Context	Alias
plural	GMP TRAINING CONTRACTS

GMP TRAINING CONTRACT

Each GMP TRAINING CONTRACT

K	must be for the provision of training to one and only one GENERAL MEDICAL PRACTITIONER REGISTRAR
K	must be for the provision of training by one and only one GENERAL MEDICAL PRACTITIONER TRAINER
K	must be approved by one and only one HEALTH AUTHORITY
K	must be approved by one and only one PRIMARY CARE TRUST

HEALTH AUTHORITY

A type of ORGANISATION.

A body corporate established by parliament, and responsible for the provision of comprehensive health care for residents in a specific geographic area or to fulfil other specific objectives as a Special Health Authority. A body corporate established by parliament, and responsible for the provision of comprehensive health care for residents in Wales or to fulfil other specific objectives as a Special Health Authority.

This class is also known by these names:

Context	Alias
plural	HEALTH AUTHORITIES

HEALTH AUTHORITY

Each HEALTH AUTHORITY
This class has no relationships.

	may be related to one or more CHILDREN RESIDENT BY AGE GROUP
	may be the receiver of one or more COMMUNITY PHARMACY SITE APPLICATION
	may be related to one or more DRUG MISUSE AGENCY
	may be related to one or more DRUG MISUSER
	may be related to one or more GEOGRAPHIC AREA
	may be in receipt of one or more GMP CLAIM FOR PAYMENT OR REIMBURSEMENT
	may be approver of one or more GMP CONTRACT
	may be the maker of one or more GMP PAYMENT OR REIMBURSEMENT
	may be the approver of one or more GMP TRAINING CONTRACT
	may be related to one or more HEALTH AUTHORITY PROGRAMME
	may be the sender of one or more PRIOR NOTIFICATION LIST FOR CYTOLOGY
	may be the coordinator of one or more SMOKING CESSATION SERVICE

HEALTH AUTHORITY PROGRAMME

HEALTH AUTHORITY PROGRAMME

HEALTH PROGRAMME

HEALTH AUTHORITY PROGRAMME

This is a programme run by a HEALTH AUTHORITY to provide general preventive or advisory services to groups of the population, or specific services to PATIENTS with identified needs or conditions.

HEALTH AUTHORITY PROGRAMMES are hierarchically structured to meet, at least, the mandatory accounting requirements defined by PROGRAMME HEADING CODES and other HEALTH AUTHORITY PROGRAMMES about which data are required centrally. HEALTH PROGRAMMES are hierarchically structured to meet, at least, the mandatory accounting requirements defined by PROGRAMME HEADING CODES and other HEALTH PROGRAMMES about which data are required centrally.

Each HEALTH AUTHORITY PROGRAMME has a sub-type of SERVICE TO THE COMMUNITY PROGRAMME or NURSING IN THE COMMUNITY PROGRAMME. Each HEALTH PROGRAMME has a sub-type of SERVICE TO THE COMMUNITY PROGRAMME or NURSING IN THE COMMUNITY PROGRAMME.

This class is also known by these names:

Context	Alias
plural	HEALTH AUTHORITY PROGRAMMES

HEALTH AUTHORITY PROGRAMME

Each HEALTH AUTHORITY PROGRAMME Each HEALTH PROGRAMME

K	must be related to one and only one HEALTH AUTHORITY
	may be subdivided into one or more HEALTH AUTHORITY PROGRAMME
	may be a subdivision of one or more HEALTH AUTHORITY PROGRAMME
	may be related to one or more HEALTH AUTHORITY PROGRAMME STATEMENT
K	must be led by one and only one PRIMARY CARE TRUST
	may be subdivided into one or more HEALTH PROGRAMME
	may be a subdivision of one or more HEALTH PROGRAMME
	may be related to one or more HEALTH PROGRAMME STATEMENT
	may be related to one or more SERVICE PROVIDED

HEALTH AUTHORITY PROGRAMME STATEMENT

HEALTH AUTHORITY PROGRAMME STATEMENT

HEALTH PROGRAMME STATEMENT

HEALTH AUTHORITY PROGRAMME STATEMENT

A statement, made each FINANCIAL PERIOD, which establishes and reviews local policies and objectives and sets targets for a HEALTH AUTHORITY PROGRAMME. A statement, made each FINANCIAL PERIOD, which establishes and reviews local policies and objectives and sets targets for a HEALTH PROGRAMME.

This class is also known by these names:

Context	Alias
plural	HEALTH AUTHORITY PROGRAMME STATEMENTS
plural	HEALTH PROGRAMME STATEMENTS

HEALTH AUTHORITY PROGRAMME STATEMENT

Each HEALTH AUTHORITY PROGRAMME STATEMENT Each HEALTH PROGRAMME STATEMENT

K	must be related to one and only one FINANCIAL PERIOD
K	must be related to one and only one HEALTH AUTHORITY PROGRAMME
K	must be related to one and only one HEALTH PROGRAMME

HEALTH CARE PROVIDER

An ORGANISATION acting as a direct provider of health care services. A HEALTH CARE PROVIDER is a legal entity, or a sub-set of a legal entity, which may provide health care under NHS SERVICE AGREEMENTS; it may operate on one or more sites within and outside hospitals.

This definition covers a Local Authority Social Services Department working in cooperation with an NHS HEALTH CARE PROVIDER on nationally targeted and prioritised care as delivered within CARE SPELLS. Lead responsibility for such care may be solely led by one HEALTH CARE PROVIDER or jointly shared by two or more HEALTH CARE PROVIDERS each of which must share equal responsibility.

The following types of ORGANISATION may act as HEALTH CARE PROVIDERS:

a.	GP Practice
b.	NHS Trust
c.	Registered non-NHS Provider
d.	Unregistered non-NHS Provider
e.	Health Authority
e.	Primary Care Trust
f.	Local Authority Social Services
f.	Care Trust
g.	Other agencies
g.	Local Authority Social Services
h.	Other agencies

This class is also known by these names:

Context	Alias
plural	HEALTH CARE PROVIDERS

JOINT INVESTMENT PLAN

An agreed local joint investment plan between a HEALTH AUTHORITY and other ORGANISATIONS. An agreed local joint investment plan between a PRIMARY CARE TRUST and other ORGANISATIONS. These plans focus on those services and individual needs which are to be jointly planned and delivered by the NHS and Local Authorities.

For each JOINT INVESTMENT PLAN, the FUNCTIONAL GROUP classifies the service being planned and delivered by the HEALTH AUTHORITY whilst JOINT INVESTMENT PLAN ASSOCIATIONS identify the other ORGANISATIONS party to the plan. For each JOINT INVESTMENT PLAN, the FUNCTIONAL GROUP classifies the service being planned and delivered by the PRIMARY CARE TRUST whilst JOINT INVESTMENT PLAN ASSOCIATIONS identify the other ORGANISATIONS party to the plan.

This class is also known by these names:

Context	Alias
plural	JOINT INVESTMENT PLANS

JOINT INVESTMENT PLAN ASSOCIATION

An association which identifies the other ORGANISATIONS party to an agreed local joint investment plan with a HEALTH AUTHORITY. An association which identifies the other ORGANISATIONS party to an agreed local joint investment plan with a PRIMARY CARE TRUST.

This class is also known by these names:

Context	Alias
plural	JOINT INVESTMENT PLAN ASSOCIATIONS

LOCUM GMP CONTRACT

A type of GMP CONTRACT.

A contract between a HEALTH AUTHORITY and a GENERAL MEDICAL PRACTITIONER. A contract between a PRIMARY CARE TRUST and a GENERAL MEDICAL PRACTITIONER. In the contract the GENERAL MEDICAL PRACTITIONER agrees to fulfil the duties of the holder of a GENERAL MEDICAL SERVICES CONTRACT who is temporarily absent.

The contract is made in the expectation that the other GENERAL MEDICAL PRACTITIONER will return and resume tenure of his or her post.

This class is also known by these names:

Context	Alias
plural	LOCUM GMP CONTRACTS

NHS TRUST

A type of ORGANISATION.

An NHS TRUSTS is a legal entity, set up by order of the Secretary of State under section 5 of 'The National Health Service and Community Care Act 1990'. An NHS TRUST is a legal entity, set up by order of the Secretary of State under section 5 of 'The National Health Service and Community Care Act 1990' and performance managed by a STRATEGIC HEALTH AUTHORITY.

NHS TRUSTSS may act as HEALTH CARE PROVIDERS and provide hospital services, community services and/or other aspects of patient care, such as patient transport facilities. NHS TRUSTS may act as HEALTH CARE PROVIDERS and provide hospital services, community services and/or other aspects of patient care, such as patient transport facilities. They may also act as commissioners when sub-contracting patient care services to other providers of health care.

An NHS TRUSTS may be approved to provide high security psychiatric services in high security accommodation for PATIENTS liable to be detained in hospital under provisions of the Mental Health Act 1983, who require treatment under conditions of special security on account of their dangerous, violent or criminal propensities. The services will be provided at one or more HOSPITAL SITES of the NHS TRUSTS.

To provide such services, the NHS TRUSTS must be approved by the Secretary of State under paragraph 10(2) and (3) of Schedule 2 to the National Health Service and Community Care Act 1990. To provide such services, the NHS TRUSTS must be approved by the Secretary of State under paragraph 10(2) and (3) of Schedule 2 to the "National Health Service and Community Care Act 1990".

References:
Statutory Instrument 2000 No. 267; The National Health Service (Functions of Health Authorities and Administration Arrangements) Amendment Regulations 2000

This class is also known by these names:

Context	Alias
plural	NHS TRUSTS

NURSING HOME

A type of ORGANISATION SITE.

A facility staffed by NURSES or MIDWIVES 24 hours a day, providing services for client/patients requiring residential nursing care. Medical care continues to be the responsibility of the client/ patient's GENERAL PRACTITIONER.

The premises may be used for nursing people suffering from sickness, injury or infirmity; pregnant women or women after childbirth; provision for certain services such as endoscopy or a premises used for nursing or treatment for mentally disordered patients (mental NURSING HOME).

Exceptionally some PATIENTS may remain under the care of a CONSULTANT, ie CONSULTANT EPISODES (HOSPITAL PROVIDER) may occur in NURSING HOMES. This is likely to be where the complexity or intensity of their clinical care (whether medical, nursing or other), or the need for frequent not easily predictable interventions, requires the regular supervision of a CONSULTANT.

A non NHS run NURSING HOME must be registered with a HEALTH AUTHORITY under Section 23 Part II of the Registered Homes Act 1984. A NURSING HOME must be registered with the National Care Standards Commission.

References:
HSG 95(8) NHS Responsibilities for meeting Continuing Health Care needs.

This class is also known by these names:

Context	Alias
plural	NURSING HOMES

NURSING IN THE COMMUNITY PROGRAMME

A type of HEALTH AUTHORITY PROGRAMME. A type of HEALTH PROGRAMME.

A programme of care delivered by a group of nurses (COMMUNITY NURSE STAFF GROUP) or ancillary staff working in the community to PATIENTS with an identified physical or mental illness or disability. HEALTH AUTHORITY PROGRAMMES are classified by COMMUNITY NURSE STAFF GROUP. HEALTH PROGRAMMES are classified by COMMUNITY NURSE STAFF GROUP.

It should be noted that work done by ancillary staff should be credited to the nursing programme to which they belong.

This class is also known by these names:

Context	Alias
plural	NURSING IN THE COMMUNITY PROGRAMMES

OTHER CLAIM BY GMP

A type of GMP CLAIM FOR PAYMENT OR REIMBURSEMENT.

A claim made by a GENERAL MEDICAL PRACTITIONER to a HEALTH AUTHORITY for payment or reimbursement, other than for ITEMS OF SERVICE DELIVERIES. A claim made by a GENERAL MEDICAL PRACTITIONER to a PRIMARY CARE TRUST for payment or reimbursement, other than for ITEMS OF SERVICE DELIVERIES. These claims include the maintenance and improvement of GENERAL MEDICAL SERVICES PREMISES.

Note that OTHER CLAIMS BY GMPS cannot be made by those GENERAL MEDICAL PRACTITIONERS who hold a Personal Medical Services, as opposed to a General Medical Services, contract.

This class is also known by these names:

Context	Alias
plural	OTHER CLAIMS BY GMPS

PRIMARY CARE GROUP

Attributes of this Class are:

PRIMARY CARE GROUP LEVEL

This class has no attributes.

PRIMARY CARE TRUST

A type of ORGANISATION.

A PRIMARY CARE TRUSTS is a legal entity, set up by order of the Secretary of State. It is a free-standing NHS body separate from, but accountable to, a HEALTH AUTHORITY. It is a free-standing NHS body, performanced managed by a STRATEGIC HEALTH AUTHORITY.

The overall function of a Primary Care Trust is to improve the health of the community; develop primary and community health services; and commission secondary care services. A Primary Care Trust will, if it so wishes and is capable of doing so, be able to directly provide a range of community health services, creating new opportunities to integrate primary and community health services as well as health and social care provision.

Primary Care Trusts can operate at level 3 or level 4. A level 3 Primary Care Trust will be able to commission services but not provide them. A Level 4 Primary Care Trust will bring together commissioning and primary care development with the provision of community health services. With "Shifting the Balance of Power", Primary Care Trust's will be the leading NHS organisation for partnership with Local Authorities and a range of other partners, including NHS Trusts Strategic Health Authorities and a range of other Primary Care Trusts and local communities to improve health and deliver wider objectives for social and economic regeneration.

PRIMARY CARE TRUSTS provide some services themselves and others through agreement with other organisations. Several PRIMARY CARE TRUSTS may decide to work together to provide certain services. In this case a lead Primary Care Trust will be identified for the group.

There may be occasions when relationships are formed on a larger scale. For example the provision of a highly specialised service, such as specialist cancer or spinal injury services, may be done collaboratively across a population larger even than strategic health authority.

References:
NHS Executive Booklet "Primary Care Trusts: Establishing Better Services" (Ref. Department of Health Booklet "Primary Care Trusts: Establishing Better Services" (Ref. PCT1), issued April 1999. Shifting the Balance of Power publications.

This class is also known by these names:

Context	Alias
plural	PRIMARY CARE TRUSTS

PRIMARY CARE TRUST

This class has no relationships. Each PRIMARY CARE TRUST

	may be related to one or more CHILDREN RESIDENT BY AGE GROUP
	may be the receiver of one or more COMMUNITY PHARMACY SITE APPLICATION
	may be related to one or more DRUG MISUSE AGENCY
	may be related to one or more DRUG MISUSER
	may be related to one or more GEOGRAPHIC AREA
	may be in receipt of one or more GMP CLAIM FOR PAYMENT OR REIMBURSEMENT
	may be approver of one or more GMP CONTRACT
	may be the maker of one or more GMP PAYMENT OR REIMBURSEMENT
	may be the approver of one or more GMP TRAINING CONTRACT
	may be the lead PCT for one or more HEALTH PROGRAMME
	may be the sender of one or more PRIOR NOTIFICATION LIST FOR CYTOLOGY
	may be the lead PCT coordinator of one or more SMOKING CESSATION SERVICE

PRIOR NOTIFICATION LIST FOR CYTOLOGY

Each PRIOR NOTIFICATION LIST FOR CYTOLOGY

K	must be received from one and only one HEALTH AUTHORITY
K	must be received from one and only one PRIMARY CARE TRUST
	must be sent to one and only one GENERAL MEDICAL PRACTITIONER
	may be related to one or more PRIOR NOTIFICATION LIST ENTRY

REGISTERED SITE INSPECTION

An inspection of a registered/chartered ORGANISATION SITE by a HEALTH AUTHORITY Registration and Inspection Unit. An inspection of a registered/chartered ORGANISATION SITE by the National Care Standards Commission.

This class is also known by these names:

Context	Alias
plural	REGISTERED SITE INSPECTIONS

RUBELLA IMMUNISATION TARGET

Statistics of the number of girls resident within the boundaries of the HEALTH AUTHORITY at a given date. Statistics of the number of girls resident within the boundaries of the PRIMARY CARE TRUST at a given date. The population statistics are by age group set by RUBELLA AGE GROUP.

This class is also known by these names:

Context	Alias
plural	RUBELLA IMMUNISATION TARGETS

SCREENING POPULATION

The population within a particular age group that is of interest to a SCREENING PROGRAMME at a given date.

For breast cancer screening, this is the number of eligible women resident in the HEALTH AUTHORITY on 31st March within the target population. SCREENING PROGRAMMES need to serve larger populations than those of individual PRIMARY CARE TRUSTS; in some cases these populations will be larger than STRATEGIC HEALTH AUTHORITIES. Effective population sizes will vary with individual screening programmes. Approximate population sizes for securing and delivering any given screening programme will be determined at a national level.

For cervical cytology, this is the population of women for whom the HEALTH AUTHORITY and its constituent PRIMARY CARE GROUPS are responsible. It includes those women registered with GENERAL MEDICAL PRACTITIONERS with practices within a PRIMARY CARE GROUP accountable to the HEALTH AUTHORITY, some of whom may not be resident within the HEALTH AUTHORITY area. It also includes those women resident within the HEALTH AUTHORITY's boundary who are not registered with a GMP. It excludes women who are resident in the area but registered with a GMP within a PRIMARY CARE GROUP accountable to another HEALTH AUTHORITY. The populations responsibilities of a PRIMARY CARE TRUST are for patients on the lists of the GPs in the PRIMARY CARE TRUST and for the unregistered population who live in the geographical area for which the PRIMARY CARE TRUST is responsible.

This class is also known by these names:

Context	Alias
plural	SCREENING POPULATIONS

SCREENING TEST

Attributes of this Class are:

K		TEST NUMBER
	O	BREAST CANCER SCREENING TEST OUTCOME
		breast screening only
	O	CYTOLOGY RESULT TYPE
	O	CYTOLOGY SCREENING ACTION TYPE
		LOCATION TYPE
	O	NON ROUTINE RECALL INTERVAL
		OPPORTUNISTIC SCREENING INDICATOR
		cervical screening only
	O	PATHOLOGY RESULT REPORTED DATE
	O	RESULT SENT DIRECT
		cervical cytology only
		SCREENED WHILE SUSPENDED INDICATOR
		cervical screening only
	O	SCREENING RESULT DATE
	O	SCREENING RESULT SENT DATE
		cervical cytology result sent by HEALTH AUTHORITY
		cervical cytology result sent by PRIMARY CARE TRUST
		SCREENING TEST DATE
	O	SCREENING TEST RESULT

SERVICE PROVIDED

Each SERVICE PROVIDED

K	must be a treatment or service provided by one and only one HEALTH CARE PROVIDER
	may be part of one and only one HEALTH AUTHORITY PROGRAMME
	or may be related to one and only one SURVEILLANCE PROGRAMME STAGE
	may be related to one and only one SURVEILLANCE PROGRAMME STAGE
	may be related to one or more GROUP SESSION
	or may be related to one or more HEALTH PROMOTION OTHER ACTIVITY
	or may be related to one or more PERSON IN A CONTACT TRACING PROGRAMME
	or may be related to one or more PERSON IN A SCREENING PROGRAMME
	may be related to one or more ACCIDENT AND EMERGENCY DEPARTMENT
	may be related to one or more ACCIDENT AND EMERGENCY EPISODE
	may be related to one or more ADMINISTRATIVE CATEGORY IN EPISODE
	may be related to one or more ADMINISTRATIVE CATEGORY IN SPELL
	may be related to one or more AMBULANCE SERVICE
	may be provided as one or more ANTI-CANCER DRUG PROGRAMME
	may be related to one or more AUDIOLOGY ATTENDANCE
	may be provided within one and only one CARE PLAN
	may be provided as one or more CARE PROGRAMME APPROACH EPISODE
	may be for care responsibility part of one and only one CARE SPELL
	may be related to one or more CLINICAL INTERVENTION
	may be related to one or more CLINIC ATTENDANCE NON-CONSULTANT
	may be related to one or more COMMUNITY EPISODE
	may be provided as one or more CONSULTANT EPISODE (ACUTE HOME-BASED)
	may be related to one or more CONSULTANT EPISODE (HOSPITAL PROVIDER)
	may be provided as one or more CONSULTANT OUT-PATIENT EPISODE
	may be related to one or more DENTAL EPISODE
	may be related to one or more DENTAL STAFF MEMBER IN PROGRAMME
	may be related to one or more DOMICILIARY CONSULTATION
	may be related to one or more DRUG MISUSE EPISODE
	may be related to one or more ELECTIVE ADMISSION LIST ENTRY
	may be related to one or more FACE TO FACE CONTACT OPTICAL
	may be provided as one or more FACE TO FACE CONTACT SOCIAL WORKER
	may be related to one or more FAMILY PLANNING DOMICILIARY VISIT
	may be part of one and only one HEALTH PROGRAMME
	may be related to one or more HEALTH PROMOTION ACTIVITY HIV AND AIDS
	may be related to one or more HEALTHY PERSON STAY
	may be related to one or more HOME ASSESSMENT VISIT
	may be related to one or more HOME DIALYSIS EPISODE
	may be provided as one or more HOME HELP VISIT
	may be related to one or more IMMUNISATION PROGRAMME FOR PERSON
	may be related to one or more LABOUR AND DELIVERY
	may be related to one or more LITHOTRIPSY COURSE ATTENDANCE
	may be provided in one and only one LOCATION
	may be related to one or more MATERNITY DOMICILIARY VISIT
	may be related to one or more MIDWIFE EPISODE
	may be related to one or more NHS SERVICE AGREEMENT CHANGE
	may be related to one or more NURSE OR MIDWIFE CONTACT
	may be related to one or more NURSING EPISODE
	may be provided as one or more NURSING HOME STAY (CONSULTANT CARE)
	may be related to one or more NURSING HOME STAY (NURSING CARE)
	may be related to one or more OUT-PATIENT CLINIC
	may be related to one or more OVERSEAS VISITOR STATUS
	may be provided as one or more PALLIATIVE CARE EPISODE
	may be related to one or more PATIENT JOURNEY
	may be related to one or more PERSON IN ADVICE AND SUPPORT PROGRAMME
	may be related to one or more PERSON IN A SURVEILLANCE STAGE
	may be related to one or more PERSON OBSERVATION
	may be providing one or more PERSON SMOKING CESSATION EPISODE
	may be related to one or more POST MORTEM
	may be related to one or more PROFESSIONAL STAFF GROUP EPISODE
	may be related to one or more PROFESSIONAL STAFF GROUP SERVICE
	may be related to one or more RADIOTHERAPY TREATMENT COURSE
	may be initiated by one and only one REFERRAL REQUEST
	may be provided as one or more REGULAR ATTENDER EPISODE
	may be related to one or more REQUEST FOR DIAGNOSTIC TEST
	may be provided as one or more RESIDENTIAL CARE OR GROUP HOME STAY
	may be subdivided into one or more SERVICE PROVIDED
	may be a subdivision of one or more SERVICE PROVIDED
	may be related to one or more SERVICE PROVIDED UNDER AGREEMENT
	may be provided at one or more SERVICE PROVISION POINT
	may be related to one or more SERVICE REPORTED
	may be reported by one and only one SERVICE REPORT HEADER
	may be provided as one or more SHELTERED WORK ATTENDANCE
	may be part of one and only one SMOKING CESSATION SERVICE
	may be provided as one or more SOCIAL SERVICES STATUTORY ASSESSMENT
	may be related to one or more VASECTOMY PERFORMED
	may be related to one or more WARD ATTENDANCE
	may be related to one or more WARD STAY

SERVICE TO THE COMMUNITY PROGRAMME

A type of HEALTH AUTHORITY PROGRAMME. A type of HEALTH PROGRAMME.

A SERVICE TO THE COMMUNITY PROGRAMMES is a grouping of services of prevention or intervention which are provided as a matter of public policy rather than individual demands for treatment or care.

This class is also known by these names:

Context	Alias
plural	SERVICE TO THE COMMUNITY PROGRAMMES

SINGLE SEX ACCOMMODATION TARGET

A target for monitoring the implementation of standards for the provision of acceptable segregated hospital accommodation. The objective target may be

-	ensuring that the appropriate organisational arrangements, for example procedures, are in place to secure good standards of privacy and dignity for hospital patients,
-	segregated washing and toilet facilities or
-	providing single sex safe facilities for people who are mentally ill in hospital which protect their privacy and dignity.

A SINGLE SEX TARGET DATE for achieving the target is agreed between the HEALTH AUTHORITY and the NHS Executive Regional Office. A revision to this date, the SINGLE SEX TARGET REVISED DATE, may be agreed with the NHS Executive Regional Office if the original target date cannot be met. A SINGLE SEX TARGET DATE for achieving the target is agreed between the PRIMARY CARE TRUST and the STRATEGIC HEALTH AUTHORITY. A revision to this date, the SINGLE SEX TARGET REVISED DATE, may be agreed with the STRATEGIC HEALTH AUTHORITY if the original target date cannot be met.

This class is also known by these names:

Context	Alias
plural	SINGLE SEX ACCOMMODATION TARGETS

SMOKING CESSATION SERVICE

A service set up by a HEALTH AUTHORITY to help people give up smoking and to monitor the service. A service set up by a PRIMARY CARE TRUST to help people give up smoking and to monitor the service.

To be designated as an NHS SMOKING CESSATION SERVICE requires that minimum quality standards should be met. To meet these minimum quality standards all advisers should:

-	have received appropriate training for their role,
-	carry out the 4 week follow-up promptly, in accordance with the current guidance,
-	complete the minimum data set (the individual client data monitoring forms) for each client, fully and accurately, and return the information required to the coordinator in good time,
-	offer weekly support for at least the first four weeks of a quit attempt,
-	attempt to confirm smoking status of all clients self-reporting as having quit at 4 week follow-up by use of a CO monitor, except where follow-up is carried out by telephone.

The majority of services will operate broadly on the 'Maudsley' model of a clinic providing intensive support, usually on a group therapy basis, to the most dependent smokers. The service should also continue to be supplemented by a range of services in various settings in primary care, secondary care and the community.

Central monitoring of data regarding 52 week follow-up is no longer required however, follow-up at 52 week stage is still recommended as good practice to establish long-term success rates and this information should still be collected locally.

References:
HSC 1999/087 New NHS Smoking Cessation Services, April 1999
Department of Health Monitoring Return: Smoking Cessation Services, April 2001

This class is also known by these names:

Context	Alias
plural	SMOKING CESSATION SERVICES

SMOKING CESSATION SERVICE

Each SMOKING CESSATION SERVICE

K	must be coordinated by one and only one HEALTH AUTHORITY
K	must be coordinated as lead PCT by one and only one PRIMARY CARE TRUST
	may be supporting one or more PERSON SMOKING CESSATION EPISODE
	may be providing one or more SERVICE PROVIDED

STRATEGIC HEALTH AUTHORITY

STRATEGIC HEALTH AUTHORITY

A type of ORGANISATION.

An NHS organisation established to lead the strategic development of the local health service and manage Primary Care Trusts and NHS Trusts on the basis of local accountability agreements.

The main responsibilities of STRATEGIC HEALTH AUTHORITIES are:

References:
Shifting the Balance of Power publications

This class is also known by these names:

Context	Alias
plural	STRATEGIC HEALTH AUTHORITIES

This class has no attributes.

This class has no relationships.

ACTUAL EXPENDITURE

This records the estimated actual expenditure for a HEALTH AUTHORITY PROGRAMME. This records the estimated actual expenditure for a HEALTH PROGRAMME.

Expenditure on community health programmes will be produced using estimates of staff time devoted to each HEALTH AUTHORITY PROGRAMME. Expenditure on community health programmes will be produced using estimates of staff time devoted to each HEALTH PROGRAMME. For national purposes, expenditure by type of programme only will be required.

This attribute is also known by these names:

Context	Alias
plural	ACTUAL EXPENDITURES

COMPLAINT FHS SUBJECT

The subject of a WRITTEN COMPLAINT ON FHS.

Classification:

a.	Communication/Attitude
b.	Premises
c.	Practice/Surgery management
d.	Health authority FHS administration
d.	FHS administration
e.	Clinical
f.	Other

This attribute is also known by these names:

Context	Alias
plural	COMPLAINT FHS SUBJECTS

COMPLAINT HCHS SUBJECT

The subject of a WRITTEN COMPLAINT ON HCHS.

Classification:
For all organisations:

a.	Admission, discharge and transfer arrangements
b.	Aids and appliances, equipment, premises (including access)
c.	Appointments, delay/cancellation (out-patients)
d.	Appointments, delay/cancellation (in-patients)
e.	Attitude of staff
f.	All aspects of clinical treatment
g.	Communication/information to patients (written and oral)
h.	Consent to treatment
i.	Complaints handling
j.	Patients' privacy and dignity
k.	Patients' property and expenses
l.	Independent sector services commissioned by Health Authorities
l.	Independent sector services commissioned by Primary Care Trusts
m.	Personal records (including medical and/or complaints)
n.	Failure to follow agreed procedures
o.	Patients' status, discrimination (e.g. racial, gender, age)
p.	Mortuary and post mortem arrangements
q.	Transport (ambulances and other)
r.	Code of openness - complaints
s.	Hotel services (including food)
t.	Other

For Health Authorities and NHS Trusts only: For NHS Trusts only:

u.	Length of time waiting for a response, or to be seen: NHS Direct
v.	Length of time waiting for a response, or to be seen: Walk in centres
w.	HA / PRIMARY CARE GROUP commissioning (including waiting lists)
w.	PRIMARY CARE TRUST commissioning (including waiting lists)
x.	Independent sector services commissioned by NHS Trusts
y.	Policy and commercial decisions of NHS Trusts

References:
KO41(A) HCHS Complaints

This attribute is also known by these names:

Context	Alias
plural	COMPLAINT HCHS SUBJECTS

CONTRACEPTIVE LIST ENTRY

An indication of whether or not a GENERAL MEDICAL PRACTITIONER is on a HEALTH AUTHORITY's Contraceptive Services List, and can therefore provide such services. An indication of whether or not a GENERAL MEDICAL PRACTITIONER is on a PRIMARY CARE TRUSTS Contraceptive Services List, and can therefore provide such services.

Those GENERAL MEDICAL PRACTITIONERS who hold a General Medical Services contract, as opposed to a Personal Medical Services contract, may claim fees for the delivery of these services.

Classification:

a.	Yes
b.	No

This attribute is also known by these names:

Context	Alias
plural	CONTRACEPTIVE LIST ENTRIES

COVERAGE ACHIEVED

This is recorded for services to the community only and measures the extent to which the HEALTH AUTHORITY PROGRAMME is reaching its target population. This is recorded for services to the community only and measures the extent to which the HEALTH PROGRAMME is reaching its target population. This is normally measured as a percentage of the target population.

This attribute is also known by these names:

Context	Alias
plural	COVERAGE ACHIEVED

CYTOLOGY SCREENING ACTION TYPE

The action recommended as a consequence of a Cytology SCREENING TEST.

Classification:

a.	Standard Health Authority recall interval (Normal) (A)
a.	Standard Primary Care Trust recall interval (Normal) (A)
b.	Repeat at interval specified (R)
c.	Refer for medical assessment or under medical treatment (Suspend) (S)
d.	Make no change to recall date (H)

References:
GP - Health Authority Information Flows 1996.
DH Form KC53 Adult Screening Programmes: Cervical Screening

This attribute is also known by these names:

Context	Alias
plural	CYTOLOGY SCREENING ACTION TYPES

CYTOLOGY SCREENING PLAN NUMBER

A unique identifier created by the HEALTH AUTHORITY for a PRIOR NOTIFICATION LIST FOR CYTOLOGY. A unique identifier created by the PRIMARY CARE TRUST for a PRIOR NOTIFICATION LIST FOR CYTOLOGY.

References:
GP - Health Authority Information Flows 1996.

This attribute is also known by these names:

Context	Alias
plural	CYTOLOGY SCREENING PLAN NUMBERS

DRUG MISUSE AGENCY CODE

A unique identifier of a DRUG MISUSE AGENCY within a Health Authority boundary. A unique identifier of a DRUG MISUSE AGENCY within a PRIMARY CARE TRUST boundary.

This attribute is also known by these names:

Context	Alias
plural	DRUG MISUSE AGENCY CODES

GENERAL OR PERSONAL MEDICAL SERVICES

An indication of whether the GENERAL MEDICAL PRACTITIONERS within the GENERAL MEDICAL PRACTITIONER PRACTICE have a contract for General Medical Services or Personal Medical Services.

The General Medical Services (GMS) provided by a GENERAL MEDICAL PRACTITIONER are normally provided under a standard national contract between GENERAL MEDICAL PRACTITIONERS and the Secretary of State for Health. A Personal Medical Services contract allows GENERAL MEDICAL PRACTITIONERS and other NHS staff or organisations to contract for such services under an alternative arrangement with their HEALTH AUTHORITY or PRIMARY CARE TRUST. A Personal Medical Services contract allows GENERAL MEDICAL PRACTITIONERS and other NHS staff or organisations to contract for such services under an alternative arrangement with their PRIMARY CARE TRUST.

Although these contracts are with individual GENERAL MEDICAL PRACTITIONERS, all the GENERAL MEDICAL PRACTITIONERS within a particular GENERAL MEDICAL PRACTITIONER PRACTICE should have the same type of contract.

Classification:

a.	General Medical Services contracts
b.	Personal Medical Services contracts

This attribute is also known by these names:

Context	Alias
plural	GENERAL OR PERSONAL MEDICAL SERVICES

GMP PAYMENT NUMBER

The identifier allocated to a GMP PAYMENT OR REIMBURSEMENT by the HEALTH AUTHORITY. The identifier allocated to a GMP PAYMENT OR REIMBURSEMENT by the PRIMARY CARE TRUST.

This attribute is also known by these names:

Context	Alias
plural	GMP PAYMENT NUMBERS

LEVEL OF SERVICE PROVIDED

The level of service provided which is recorded in a HEALTH AUTHORITY PROGRAMME STATEMENT. The level of service provided which is recorded in a HEALTH PROGRAMME STATEMENT. It is the level of care that has been provided to a given target population, expressed as a percentage of the target level of care.

This attribute is also known by these names:

Context	Alias
plural	LEVEL OF SERVICE PROVIDED
plural	LEVELS OF SERVICE PROVIDED

MATERNITY NOTES POLICY

MINOR SURGERY LIST ENTRY

An indication of whether or not a GENERAL MEDICAL PRACTITIONER is on a HEALTH AUTHORITY's Minor Surgery Services List, and can therefore provide and claim fees for the delivery of such services. An indication of whether or not a GENERAL MEDICAL PRACTITIONER is on a PRIMARY CARE TRUST's Minor Surgery Services List, and can therefore provide and claim fees for the delivery of such services.

Classification:

a.	Yes
b.	No

This attribute is also known by these names:

Context	Alias
plural	MINOR SURGERY LIST ENTRIES

NIGHT VISIT LIST ENTRY

An indication of whether or not a GENERAL MEDICAL PRACTITIONER is on a HEALTH AUTHORITY's Out of Hours (Night Visit) Services List, and can therefore make night visits. An indication of whether or not a GENERAL MEDICAL PRACTITIONER is on a PRIMARY CARE TRUST's Out of Hours (Night Visit) Services List, and can therefore make night visits.

Those GENERAL MEDICAL PRACTITIONERS who hold a General Medical Services contract, as opposed to a Personal Medical Services contract, may claim fees for these visits.

Classification:

a.	Yes
b.	No

This attribute is also known by these names:

Context	Alias
plural	NIGHT VISIT LIST ENTRIES

OBSTETRICS LIST ENTRY

An indication of whether or not a GENERAL MEDICAL PRACTITIONER is on a HEALTH AUTHORITY's Obstetrics List. An indication of whether or not a GENERAL MEDICAL PRACTITIONER is on a PRIMARY CARE TRUST's Obstetrics List.

Classification:

a.	GMP is on Obstetrics List
b.	GMP is not on Obstetrics List

This attribute is also known by these names:

Context	Alias
plural	OBSTETRICS LIST ENTRIES

ORGANISATION TYPE

A classification of ORGANISATIONS according to the nature of the ORGANISATION (eg. 'NHS Trust', 'Health Authority'). 'NHS Trust', 'Strategic Health Authority').

Classification:

a.	Health Authority A body corporate with succession and common seal established by the HA Bill and responsible for the provision of comprehensive health for the residents of the Authority, in England.
a.	Strategic Health Authority A body corporate with succession and common seal established by the National Health Service Reform and Health Care Professions Bill 2002.
b.	Regional Office The regional outposts of the NHS Executive tasked with monitoring Health Care performance.
b.	Director of Health and Social Care The regional outposts of the Department of Health tasked with monitoring performance - managing strategic health authorities.
c.	NHS Trust A legal entity set up by order of the Secretary of State under Section 5 of the 'The National Health Service and Community Care Act 1990'. NHS Trusts may act as HEALTH CARE PROVIDERS and provide hospital services, community services and/or other aspects of patient care, such as patient transport facilities. They may also act as commissioner when sub-contracting patient care to other providers of health care.
d.	GP Practice A single GP practising otherwise than in a partnership or two or more GPs practising in partnership. Includes all Practices in England and Wales.
e.	Other NHS Organisation
f.	Armed Forces
g.	MOD Hospital A Hospital run and maintained by the MOD for use by Service personnel and their relatives.
h.	IM&T Service
i.	Special Trustee
j.	University A University involved in Medical Training.
k.	Other Statutory Authority An Authority set up within the NHS to provide specific health care related services and support to the NHS.
l.	NHS Administration Unit Any NHS Administration Section that needs to be recognised and coded
m.	Breast Screening Unit An NHS Clinic or mobile facility that provides Breast Screening Services
n.	Pathology Laboratory A Pathology Laboratory that provides Cervical Screening services to the NHS.
o.	Department of Health
p.	Other Government Department
q.	Registered non-NHS Provider A facility staffed by nurses 24 hours a day providing services for client/patients requiring residential nursing care. Medical care continues to be the responsibility of the clients GENERAL MEDICAL PRACTITIONER. It is located on a privately owned site registered under section 23 of the Registered Homes Act. Registered non-NHS Providers may act as HEALTH CARE PROVIDERS and provide health care under NHS SERVICE AGREEMENTS
r.	Unregistered non-NHS Provider (except Local Authority) An organisation contracting with individual NHS organisations for the provision of health care services. Unregistered non-NHS Providers may act as HEALTH CARE PROVIDERS and provide health care under NHS SERVICE AGREEMENTS
s.	Non-NHS Commissioner (except Local Authority) A non-NHS organisation that commissions health care from the NHS.
t.	Local Authority
u.	Pharmacy A non-NHS dispensing contractor identified by the Prescription Pricing Authority
v.	Appliance Contractor A non-NHS dispensing contractor identified by the Prescription Pricing Authority
v.	Appliance Contractor A non-NHS dispensing contractor identified by the Prescription Pricing Authority
w.	Specialised Services Commissioning Consortium.
w.	PRIMARY CARE GROUP
x.	Specialised Services Commissioning Consortium.
y.	PRIMARY CARE TRUST

This attribute is also known by these names:

Context	Alias
plural	ORGANISATION TYPES

PRACTITIONER APPLICATION DATE

The date that a GENERAL MEDICAL PRACTITIONER applied to a HEALTH AUTHORITY for a GENERAL MEDICAL SERVICES CONTRACT. The date that a GENERAL MEDICAL PRACTITIONER applied to a PRIMARY CARE TRUST for a GENERAL MEDICAL SERVICES CONTRACT.

This attribute is also known by these names:

Context	Alias
plural	PRACTITIONER APPLICATION DATES

PRIMARY CARE GROUP LEVEL

PROGRAMME

A unique identifier for each HEALTH AUTHORITY PROGRAMME. A unique identifier for each HEALTH PROGRAMME.

This attribute is also known by these names:

Context	Alias
plural	PROGRAMMES

PROGRAMME DESCRIPTION

A description of a HEALTH AUTHORITY PROGRAMME. A description of a HEALTH PROGRAMME.

This attribute is also known by these names:

Context	Alias
plural	PROGRAMME DESCRIPTIONS

PROGRAMME HEADING CODE

A classification of HEALTH AUTHORITY PROGRAMME or other services in the community for financial accounting purposes to which costs and workload are attributed by health care professionals when providing general preventative or advisory services to groups of the population, or specific services to people with identified needs or conditions. A classification of HEALTH PROGRAMME or other services in the community for financial accounting purposes to which costs and workload are attributed by health care professionals when providing general preventative or advisory services to groups of the population, or specific services to people with identified needs or conditions.

Classification:

a.	Paediatric Community Services - Assessment and Development
b.	Paediatric Community Services - Vaccination & Immunisation
c.	Paediatric Community Services - Dental
d.	Paediatric Community Services - Other Professional Advice & Support
e.	Mental Illness
f.	Learning Disabilities
g.	General - Professional Advice & Support
h.	General - Nursing
i.	General - Chiropody
j.	General - Other PROFESSIONAL STAFF GROUP
k.	General - Screening
l.	General - Home Dialysis
m.	General - Family Planning
n.	Maternity Services
o.	Services to GPs under open access
p.	Services for Local Authorities
q.	Health Education and Promotion
r.	Other services

This attribute is also known by these names:

Context	Alias
plural	PROGRAMME HEADING CODES

PROJECTED EXPENDITURE

This records the estimated projected expenditure for the HEALTH AUTHORITY PROGRAMME. This records the estimated projected expenditure for the HEALTH PROGRAMME.

This attribute is also known by these names:

Context	Alias
plural	PROJECTED EXPENDITURES

REGULATION OPENING DATE

The date the COMMUNITY PHARMACY SITE is required by regulation to be open by. The regulation time period is 6 months from the date a COMMUNITY PHARMACY SITE APPLICATION is granted. This time period can be extended by a further period of 18 months at the discretion of the HEALTH AUTHORITY. This time period can be extended by a further period of 18 months at the discretion of the PRIMARY CARE TRUST.

This attribute is also known by these names:

Context	Alias
plural	REGULATION OPENING DATES

REQUEST CATEGORY

A classification of REQUEST FOR DIAGNOSTIC TEST including the category of PATIENT (NHS or private) and the type of location from which the request was sent.

Classification:

a.	Request in respect of a NHS patient, including amenity patients and overseas visitors charged under section 121 of the NHS Act 1977 as amended by Section 7(12) and (14) of the Health and Medicine Act 1988:
	i.	from NHS facilities of another provider
	ii.	being treated in a non-NHS institution
	iii.	being treated in other than i or ii
b.	Request in respect of a private patient using accommodation or services authorised under Section 65 or 66 of the NHS Act 1977 (Section 7(10) of the Health and Medicine Act 1988 refers) as amended by Section 26 of the National Health Service and Community Care Act 1990
c.	Request in respect of a private patient in a non-NHS institution under a contractual arrangement when a Health Authority or NHS Trust is providing a service to the institution in accord with Section 58 of the NHS Act 1977
c.	Request in respect of a private patient in a non-NHS institution under a contractual arrangement when a Primary Care Trust or NHS Trust is providing a service to the institution in accord with Section 58 of the NHS Act 1977
d.	Category II request; those received as a result of work undertaken by hospital doctors within the scope of category II of the Schedule to paragraph 37 of the Terms and Conditions of Hospital Medical and Dental Staff. For example, requests may arise from examinations and reports on prospective emigrants for insurance and legal purposes and on behalf of the Employment Medical Advisory Service
e.	Request in respect of other human sources:
	i.	from a NHS facility or
	ii.	from a non-NHS institution under a contractual arrangement as specified at (c)
f.	Request in respect of a non-human source from any non-NHS organisation
g.	Request in respect of a non-human source from a NHS organisation

It should be noted that for pathology requests category a. is subdivided into:

	i.	those from NHS labs
	ii.	those from PHLS labs

This attribute is also known by these names:

Context	Alias
plural	REQUEST CATEGORIES

RESIDENT CHILDREN TOTAL

On a CENSUS DATE, the number of children resident in a HEALTH AUTHORITY in an IMMUNISATION AGE GROUP. On a CENSUS DATE, the number of children resident in a PRIMARY CARE TRUST in an IMMUNISATION AGE GROUP.

This attribute is also known by these names:

Context	Alias
plural	RESIDENT CHILDREN TOTALS

RUBELLA AGE GROUP

The age groups of girls resident within the boundaries of the HEALTH AUTHORITY whose immunisation status as at 31st March against Rubella is to be recorded. The age groups of girls resident within the boundaries of the PRIMARY CARE TRUST whose immunisation status as at 31st March against Rubella is to be recorded.

Classification:

a.	Age up to 14 years
b.	Reached age 14 within previous 12 months
c.	Age older than (b.)

This attribute is also known by these names:

Context	Alias
plural	RUBELLA AGE GROUPS

SCREENING PROGRAMME TOTAL WOMEN

The total number of eligible women in a SCREENING PROGRAMME on a census date or the total number of women for whom the HEALTH AUTHORITY is responsible on a census date. The total number of eligible women in a SCREENING PROGRAMME on a census date or the total number of women for whom the PRIMARY CARE TRUST is responsible on a census date.

This attribute is also known by these names:

Context	Alias
plural	SCREENING PROGRAMME TOTAL WOMENS
plural	SCREENING PROGRAMME TOTALS WOMEN

SCREENING RESULT SENT DATE

The date on which the result of a cervical smear is sent from the HEALTH AUTHORITY. The date on which the result of a cervical smear is sent from the PRIMARY CARE TRUST.

This attribute is also known by these names:

Context	Alias
plural	SCREENING RESULT SENT DATES

SINGLE SEX TARGET DATE

The original target date agreed by the ORGANISATION with the Regional Office for achieving the SINGLE SEX TARGET OBJECTIVE. The original target date agreed by the ORGANISATION with the Strategic Health Authority for achieving the SINGLE SEX TARGET OBJECTIVE.

This attribute is also known by these names:

Context	Alias
plural	SINGLE SEX TARGET DATES

SINGLE SEX TARGET REVISED DATE

The revised target date agreed by the ORGANISATION with the Regional Office for achieving the SINGLE SEX TARGET OBJECTIVE. The revised target date agreed by the ORGANISATION with the Strategic Health Authority for achieving the SINGLE SEX TARGET OBJECTIVE.

This attribute is also known by these names:

Context	Alias
plural	SINGLE SEX TARGET REVISED DATES

STAFF GROUP CODE

A unique identifier for a STAFF GROUP.

Classification:

a.	Medical and Dental
b.	Nursing and Midwifery
	i.	Enrolled Nurses and District Enrolled Nurses
	ii.	Registered Nurses and District Nurses
	iii.	Health Visitors
	iv.	Registered Midwives
	v.	Tutorial Nurse
c.	PAMS
	i.	Physiotherapists
	ii.	Occupational Therapists
	iii.	Chiropodists
	iv.	Radiographers
	v.	Orthoptists
	vi.	Dietitians
	vii.	Art, Music and Drama Therapists
	viii.	Hearing Therapists
d.	Scientific and Professional
	i.	Pharmacists
	ii.	Clinical Psychologists
	iii.	Speech Therapists
	iv.	Scientists
e.	Managers
	i.	NHS Trust managers
	ii.	Health Authority managers
	ii.	Primary Care Trust managers
	iii.	Other managers
f.	Admin and Clerical
g.	Ancillary (excluding Nursing auxiliaries)
h.	Ambulance
	i.	ambulancemen and women
	ii.	ambulance officers and control assistants
i.	Works
j.	Maintenance
k.	Other (including Health Care Assistants and Nursing Auxiliaries)

This attribute is also known by these names:

Context	Alias
plural	STAFF GROUP CODES

TARGET COVERAGE

This is recorded as part of the statement for a HEALTH AUTHORITY PROGRAMME identifying the target level of coverage. This is recorded as part of the statement for a HEALTH PROGRAMME identifying the target level of coverage.

This attribute is also known by these names:

Context	Alias
plural	TARGET COVERAGES

GMP (CODE OF REGISTERED OR REFERRING GMP)

Format/length:	an8
HES item:	REGGMP
National Codes:
Default Codes:	G9999998 - GP code is unknown
	G9999981 - No registered GP
	R9999981 - Referrer other than GMP, GDP or Consultant
	Other GP Codes
	A9999998 - MOD doctor refers
	P9999981 - Prison doctor

Notes:
This is the code of either the GENERAL MEDICAL PRACTITIONER (GMP) with whom the PATIENT is registered, or for the GP Referral Letters CMDS only it is also the GMP referring the PATIENT. Please note that for HES purposes, the referring GMP is recorded as REFERRER CODE.

A doctor receives a GMC number on qualification. If he/she then chooses to enter general practice, a further number is allocated - the GMP code - by the Department of Health (STATS(W)). This number is passed to the HEALTH AUTHORITY (HA) requesting the number who then liaise with the Prescription Pricing Authority (PPA) on the issue of prescription pads etc. The code of the GMP linked to his/her main practice is included on the Organisation Codes Service (OCS) CD-ROM. This number is passed to the PRIMARY CARE TRUST (PCT) requesting the number who then liaise with the Prescription Pricing Authority (PPA) on the issue of prescription pads etc. The code of the GMP linked to his/her main practice is included on the Organisation Codes Service (OCS) CD-ROM.

The GMP code is an eight character alphanumeric code, see NHS Administrative Codes - Practitioner Codes, PERSON IDENTIFIER and PERSON IDENTIFIER TYPES.

When a locum refers, use the code of the GP for whom the locum is acting. See PERSON IDENTIFIER TYPE classification 'Code of General Practitioner - PPA Code'.

For GPs working in hospitals, the following codes should be used:

-	if the GP is working as an assistant, use the code of the responsible consultant;
-	if the GP is working as a consultant, use the GP's GMC code.

Whilst both MOD and prison doctors provide general medical services to their communities, they are not GMPs and should not be recorded as Registered GMPs. They can refer (Referrer code).

This data element is also known by these names:

Context	Alias
plural	GMP (CODE OF REGISTERED OR REFERRING GMP)

HA OF RESIDENCE

HA OF RESIDENCE

ORGANISATION CODE (PCT OF RESIDENCE)

HA OF RESIDENCE

Format/length:	an3
HES item:	HAR
National Codes:
Default Codes:

Notes:
This is the ORGANISATION CODE normally derived by a computer process from the PATIENT's POSTCODE, see NHS Postcode Directory. It identifies the HEALTH AUTHORITY where the PATIENT is resident, so that the authority can receive information about the care given to its residents. In certain circumstances, the HA OF RESIDENCES is not applicable. In certain circumstances, the ORGANISATION CODES (PCT OF RESIDENCE) is not applicable. In these cases, such as overseas visitors, including those from the Channel Islands, the default code is X98.

This data element is also known by these names:

Context	Alias
plural	HA OF RESIDENCES

HRG DOMINANT GROUPING VARIABLE-PROCEDURE

Format/length:	annn
HES item:
National Codes:
Default Codes:

Notes:
The National Schedule of Reference Costs, developed by the NHS Executive, uses Healthcare Resource Groups (HRGs) as the basis for costing in-patient and day case services. The National Schedule of Reference Costs, developed by the Department of Health, uses Healthcare Resource Groups (HRGs) as the basis for costing in-patient and day case services. Healthcare Resource Groups (HRGs) are derived from existing CDS data items using an algorithm and a software package developed by the NHS Information Authority (Casemix Programme).

HRG DOMINANT GROUPING VARIABLE-PROCEDURES (DGVP) is a field derived by the HRG Acute Inpatient Grouper. It represents the procedure that the HRG grouping algorithm has identified as having the greatest effect upon the resources consumed by a PATIENT. It is required for the production of the National Schedule of Reference Costs reports.

The DGVP has the same data format, rules and attributes as OPCS-4 codes for PATIENT PROCEDURE, see also PROCEDURE CODING.

DSCN 08/2000 includes HRG DOMINANT GROUPING VARIABLE-PROCEDURES in the core CDS to standardise the handling of this data item within the CDS, the NHSCDS EDIFACT message and the NWCS database. It is mandatory from 01/10/2001

This data element is also known by these names:

Context	Alias
plural	HRG DOMINANT GROUPING VARIABLE-PROCEDURES

NHS SERVICE AGREEMENT

Format/length:
HES item:
National Codes:
Default Codes:

Notes:
Services may be commissioned in four ways :

*	Nationally, arranged through the National Specialist Commissioning Advisory Group (NSCAG);
*	Health Authorities acting collectively through Regional or sub-Regional arrangements for Specialised Services;
*	Primary Care Trusts acting collectively through Regional or sub-Regional arrangements for Specialised Services;
*	At Health Authority level for Out of Area Treatments, for certain limited services commissioned directly by the Health Authority (e.g. screening services) and for Primary Care Groups/Primary Care Trusts acting collectively;
*	At Primary Care Trust level for Out of Area Treatments, for certain limited services commissioned directly by the Primary Care Trust (e.g. screening services) and for Primary Care Trusts acting collectively;
*	By Primary Care Groups/Primary Care Trusts, acting individually or as part of a commissioning consortia.
*	By Primary Care Trusts, acting individually or as part of a commissioning consortia.

The costs of a Service Agreement accrue to the organisation responsible for commissioning the treatment. For OUT OF AREA TREATMENTS, costs accrue to the NHS Trust’s main commissioner (normally the HA with the highest value of Service Agreements with the NHS Trust). For OUT OF AREA TREATMENTS, costs accrue to the NHS Trust's main commissioner (normally the PCT with the highest value of Service Agreements with the NHS Trust).

This data element is also known by these names:

Context	Alias
plural	NHS SERVICE AGREEMENTS

ORGANISATION CODE (CODE OF COMMISSIONER)

Format/length:	an5
HES item:	PURCODE
National Codes:
Default Codes:

Notes:
This is the ORGANISATION CODE of the ORGANISATION commissioning health care. However, when the HEALTH AUTHORITY commissions treatment/care on behalf of a PRIMARY CARE GROUP or PRIMARY CARE TRUST, the organisation code of the PCG or PCT should be recorded in the ORGANISATION CODES (CODE OF COMMISSIONER) field. The organisation code of the PRIMARY CARE TRUST should be recorded in the ORGANISATION CODES (CODE OF COMMISSIONER) field. Organisations may wish to use a component of the COMMISSIONING SERIAL NUMBER in the CDS to identify the actual commissioner of the Service Agreement.

The ORGANISATION CODES of the PRIMARY CARE GROUPS or PRIMARY CARE TRUST should be used as described above when the PRIMARY CARE GROUPS or PRIMARY CARE TRUST is itself the commissioner. The ORGANISATION CODES of the PRIMARY CARE TRUST which is the NHS Trust's main commissioner (normally the PRIMARY CARE TRUST with the highest value of Service Agreements with the NHS Trust) is recorded for OUT OF AREA TREATMENTS. For Specialised Services, the ORGANISATION CODES required would be that of the commissioning consortium. The code may be the ORGANISATION CODES of the 'lead' commissioner.

The ORGANISATION CODES of the HEALTH AUTHORITY which is the NHS Trust’s main commissioner (normally the HEALTH AUTHORITY with the highest value of Service Agreements with the NHS Trust) is recorded for OUT OF AREA TREATMENTS. For Specialised Services, the ORGANISATION CODES required would be that of the commissioning consortium. The code may be the ORGANISATION CODES of the ‘lead’ commissioner. Commissioning responsibility for individual patients rests with the Primary Care Trust (PCT) with whom the patient is registered. This means that patients registered with a GP in one PCT area may reside in a neighbouring or other area but remain the responsibility of the PCT with whom their GP of registration is associated. PCTs are also responsible for non-registered patients who are resident within their boundaries.

See NHS Administrative Codesfor a description of ORGANISATION CODESS.

This data element is also known by these names:

Context	Alias
plural	ORGANISATION CODES (CODE OF COMMISSIONER)

OUT OF AREA TREATMENT

Format/length:
HES item:
National Codes:
Default Codes:

Notes:
OUT OF AREA TREATMENTS are covered by NHS SERVICE AGREEMENTS between a 'main commissioner' and the Trust providing treatment. They cover:

*	Patients registered with a GP or resident in an English Primary Care Group or Primary Care Trust with which the NHS Trust has no Service Agreement for that treatment or for that service;
*	Patients registered with a GP or resident in an English Primary Care Trust with which the NHS Trust has no Service Agreement for that treatment or for that service;
*	Patients registered with a GP or resident in Wales, Scotland or Northern Ireland who are not covered by a Service Agreement with the NHS Trust;
*	Overseas visitors

This data element is also known by these names:

Context	Alias
plural	OUT OF AREA TREATMENTS

PCG OR PCT OF RESIDENCE

PCG OR PCT OF RESIDENCE

PCT OF RESIDENCE

PCG OR PCT OF RESIDENCE

Format/length:
HES item:
National Codes:
Default Codes:

Notes:
See PRIMARY CARE GROUP (PCG) and PRIMARY CARE TRUST (PCT) for the definitions of these ORGANISATIONS. See PRIMARY CARE TRUST (PCT) for the definitions of this ORGANISATION.

Patients not registered with a GP but resident in the geographical area covered by a PRIMARY CARE GROUP or PRIMARY CARE TRUST are the responsibility of that PRIMARY CARE GROUP's or PRIMARY CARE TRUST's HEALTH AUTHORITY. Patients not registered with a GP but resident in the geographical area covered by a PRIMARY CARE TRUST are the responsibility of that PRIMARY CARE TRUST. The Organisation Codes Service provides postcode files which link postcodes to PCG OR PCT OF RESIDENCES. See NHS Postcode Directory.

This data element is also known by these names:

Context	Alias
plural	PCG OR PCT OF RESIDENCES
plural	PCT OF RESIDENCES

ACCIDENT AND EMERGENCY ATTENDANCE CDS TYPE

COMMISSIONING DATA SET (CDS)

ACCIDENT AND EMERGENCY ATTENDANCE CDS TYPE

The Accident and Emergency Commissioning Data Set Type carries the data for an Accident and Emergency Attendance Episode. The column headed Opt (Optionality) shows whether the Data item is Mandatory M, Optional O or Must Not Be Used *.
Opt	CDS Data Item	U/A
Person Group (Patient): To carry the personal details of the Patient. One occurrence of this Group is permitted.
M	LOCAL PATIENT IDENTIFIER
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)
M	ORGANISATION CODE TYPE
O	NHS NUMBER
M	BIRTH DATE
O	CARER SUPPORT INDICATOR
*	ETHNIC CATEGORY
*	MARITAL STATUS (psychiatric patients only)
M	NHS NUMBER STATUS INDICATOR
M	SEX
O	NAME FORMAT CODE
O	PATIENT NAME
O	ADDRESS FORMAT CODE
O	PATIENT USUAL ADDRESS
M	POSTCODE OF USUAL ADDRESS
M	HA OF RESIDENCE
M	ORGANISATION CODE (PCT OF RESIDENCE)
M	ORGANISATION CODE TYPE

Note: For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present.

(HCA) GP Registration: To carry the details of the Patient's Registered GMP. One occurrence of this Group is permitted.
M	GMP (CODE OF REGISTERED OR REFERRING GMP)
O	CODE OF GP PRACTICE (REGISTERED GMP)
O	ORGANISATION CODE TYPE
(HCA) Attendance Occurrence Activity Characteristics: To carry the details of the Accident and Emergency attendance.
M	A+E ATTENDANCE NUMBER
M	A+E ARRIVAL MODE
M	A+E ATTENDANCE CATEGORY
M	A+E ATTENDANCE DISPOSAL
M	A+E INCIDENT LOCATION TYPE
M	A+E PATIENT GROUP
M	SOURCE OF REFERRAL FOR A+E
M	ARRIVAL DATE
M	A+E ATTENDANCE CONCLUSION TIME
M	A+E DEPARTURE TIME
M	A+E INITIAL ASSESSMENT TIME
M	A+E TIME SEEN FOR TREATMENT
M	ARRIVAL TIME
(HCA) Attendance Occurrence - Service Agreement Details: To carry the details of the Service Agreement for the Accident and Emergency Attendance.
M	COMMISSIONING SERIAL NUMBER
O	NHS SERVICE AGREEMENT LINE NUMBER
O	PROVIDER REFERENCE NUMBER
O	COMMISSIONER REFERENCE NUMBER
M	ORGANISATION CODE (CODE OF PROVIDER)
M	ORGANISATION CODE TYPE
M	ORGANISATION CODE (CODE OF COMMISSIONER)
M	ORGANISATION CODE TYPE
(HCA) Attendance Occurrence Person Group (Consultant): To carry the details of the responsible Clinician. One occurrence of this Group is permitted.
M	A+E STAFF MEMBER CODE
(HCA) Attendance Occurrence - Clinical Information Group (Diagnosis Occurrence): To carry the details of the coded Diagnosis Scheme and the Diagnoses. Up to 2 occurrences of this Group are permitted.
M	DIAGNOSIS SCHEME IN USE
M	ACCIDENT AND EMERGENCY DIAGNOSIS - FIRST
M	ACCIDENT AND EMERGENCY DIAGNOSIS - SECOND
(HCA) Attendance Occurrence - Clinical Information Group (Investigation Occurrence): To carry the details of the coded Investigation Activities undertaken. Up to 2 occurrences of this Group are permitted.
M	INVESTIGATION SCHEME IN USE
M	ACCIDENT AND EMERGENCY INVESTIGATION - FIRST
M	ACCIDENT AND EMERGENCY INVESTIGATION - SECOND
(HCA) Attendance Occurrence - Clinical Information Group (Treatment Occurrence): To carry the details of the coded Treatment Activities undertaken. Up to 2 occurrences of this Group are permitted.
M	PROCEDURE SCHEME IN USE
M	ACCIDENT AND EMERGENCY TREATMENT - FIRST
M	ACCIDENT AND EMERGENCY TREATMENT - SECOND
(HCA) Healthcare Resource Group Activity - Activity Characteristics: To carry the details of the Healthcare Resource Group and will be mandatory from 01/10/2001. Each CDS may contain only a single occurrence of this Group.
M	HEALTHCARE RESOURCE GROUP CODE
M	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER

	Note: In addition, Accident and Emergency reference costs are mandated and collected via a direct, non-NWCS data flow between Providers and the NHS Executive Headquarters.
	Note: In addition, Accident and Emergency reference costs are mandated and collected via a direct, non-NWCS data flow between Providers and the Department of Health.

(HCA) Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted. Only one Procedure either OPCS or READ may be specified
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE

ADMITTED PATIENT CARE CDS TYPE - BIRTH EPISODE

COMMISSIONING DATA SET (CDS)

ADMITTED PATIENT CARE CDS TYPE - BIRTH EPISODE

The Admitted Patient Care Birth Episode Commissioning Data Set Type carries the data for a finished or unfinished Birth Episode. The column headed Opt (Optionality) shows whether the Data item is Mandatory M or Optional O. The column headed U/A (Unfinished Episode / Annual Census) indicates whether the Data Item is required to be recorded on an unfinished Birth Episode record and on an End of Year Census record. An R in the U/A column idicates that it is required to be present, a blank indicates that it is not required to be present.
Opt	CDS Data Item	U/A
Person Group (Patient): To carry the personal details of the Patient (the baby). One occurrence of this Group is permitted.
M	LOCAL PATIENT IDENTIFIER	R
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)	R
M	ORGANISATION CODE TYPE	R
O	NHS NUMBERS	R
M	BIRTH DATES	R
M	BIRTH WEIGHTS	R
M	LIVE OR STILL BIRTHS	R
O	ETHNIC CATEGORIES	R
M	NHS NUMBER STATUS INDICATOR	R
M	SEX	R
O	NAME FORMAT CODES	R
O	PATIENT NAMES	R

Note: For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present. Birth Episodes do not carry address details for a baby. By local agreement, it may be assumed that the baby's address details are identical to that of the mother whose details may be carried in the Person Group (Mother) of the Birth Occurrence Group.

(HCA) Hospital Provider Spell - Activity Characteristics: To carry the details of the Spell containing the Birth Episode. One occurrence of this Group is permitted.
M	HOSPITAL PROVIDER SPELL NUMBERS	R
M	ADMINISTRATIVE CATEGORIES (on admission)	R
M	PATIENT CLASSIFICATIONS	R
M	ADMISSION METHOD (HOSPITAL PROVIDER SPELL)	R
M	DISCHARGE DESTINATIONS (HOSPITAL PROVIDER SPELL)
M	DISCHARGE METHODS (HOSPITAL PROVIDER SPELL)
M	SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)	R
M	START DATES (HOSPITAL PROVIDER SPELL)	R
M	DISCHARGE DATES (HOSPITAL PROVIDER SPELL)
(HCA) Consultant Episode - Activity Characteristics: To carry the details of the Birth Episode undergone by the Patient. One occurrence of this Group is permitted.
M	EPISODE NUMBERS	R
M	LAST EPISODE IN SPELL INDICATORS	R
M	NEONATAL LEVEL OF CARE	R
M	OPERATION STATUS (per episode)	R
M	NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODES	R
M	START DATES (EPISODE)	R
M	END DATES (EPISODE)
(HCA) Consultant Episode - Service Agreement Details: To carry the details of the Service Agreement for the Birth Episode.
M	COMMISSIONING SERIAL NUMBERS	R
O	NHS SERVICE AGREEMENT LINE NUMBERS	R
O	PROVIDER REFERENCE NUMBERS
M	COMMISSIONER REFERENCE NUMBERS	R
M	ORGANISATION CODES (CODE OF PROVIDER)	R
M	ORGANISATION CODE TYPE
M	ORGANISATION CODES (CODE OF COMMISSIONER)	R
M	ORGANISATION CODE TYPE
(HCA) Consultant Episode - Person Group (Consultant): To carry the details of the responsible Consultant, Midwife or Nurse. One occurrence of this Group is permitted.
M	CONSULTANT CODES	R
M	SPECIALTY FUNCTION CODES	R
M	CONSULTANT SPECIALTY FUNCTION CODES	R
(HCA) Consultant Episode - Clinical Information Group (ICD): To carry the details of the ICD Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
M	DIAGNOSIS SCHEME IN USE	R
M	PRIMARY DIAGNOSIS (ICD)	R
M	SECONDARY DIAGNOSIS (ICD) (1st to 12th, there may be up to 12 repetitions)	R
(HCA) Consultant Episode - Clinical Information Group (READ): To carry the details of the READ Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (READ)
O	SECONDARY DIAGNOSIS (READ) (1st to 12th, there may be up to 12 repetitions)
(HCA) Consultant Episode - Clinical Activity Group (OPCS): To carry the details of the OPCS coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
M	PROCEDURE SCHEME IN USES
M	PRIMARY PROCEDURE (OPCS)
M	PROCEDURE DATES
M	PROCEDURE (OPCS) (2nd to 12th, there may be up to 11 repetitions)
M	PROCEDURE DATE (2nd to 12th, there may be up to 11 repetitions)
(HCA) Consultant Episode - Clinical Activity Group (READ): To carry the details of the READ coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
O	PROCEDURE SCHEME IN USES
O	PRIMARY PROCEDURE (READ)
O	PROCEDURE DATE
O	PROCEDURE (READ) (2nd to 12th, there may be up to 11 repetitions)
O	PROCEDURE DATE (2nd to 12th, there may be up to 11 repetitions)
(HCA) Consultant Episode - Location Group - Start of Episode: To carry the details of the location at the start of the Consultant/ Midwife/ Nurse Episode (eg the ward). One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M	LOCATION CLASS	R
M	SITE CODE (OF TREATMENT) (at start of episode)	R
M	ORGANISATION CODE TYPE
O	INTENDED CLINICAL CARE INTENSITY	R
O	AGE GROUP INTENDED	R
O	SEX OF PATIENTS	R
O	WARD DAY PERIOD AVAILABILITY	R
O	WARD NIGHT PERIOD AVAILABILITY	R
(HCA) Consultant Episode - Location Group - Ward Stay: To carry the details of one or more Ward Stays. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M	LOCATION CLASS
M	SITE CODE (OF TREATMENT)
M	ORGANISATION CODE TYPE
O	INTENDED CLINICAL CARE INTENSITY
O	AGE GROUP INTENDED
O	SEX OF PATIENTS
O	WARD DAY PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY
O	START DATE (at start of stay)
O	END DATE (at end of stay)
(HCA) Consultant Episode - Location Group - End of Episode: To carry the details of the location at the end of the Consultant/ Midwife/ Nurse Episode (eg the ward). One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M	LOCATION CLASS
M	SITE CODE (OF TREATMENT) (at end of episode)
M	ORGANISATION CODE TYPE
O	INTENDED CLINICAL CARE INTENSITY
O	AGE GROUP INTENDED
O	SEX OF PATIENTS
O	WARD DAY PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY
(HCA) Augmented Care Period: To carry the details of the Augmented Care undergone by the Patient. Up to the 9 most recent Augmented Care Periods that occur during a Consultant/ Midwife/ Nurse Episode may be included.
M	AUGMENTED CARE PERIOD NUMBERS	R
O	AUGMENTED CARE PERIOD LOCAL IDENTIFIER	R
M	START DATES (AUGMENTED CARE PERIOD)	R
M	AUGMENTED CARE PERIOD SOURCES	R
M	INTENSIVE CARE LEVEL DAYS	R
M	HIGH DEPENDENCY CARE LEVEL DAYS	R
M	NUMBER OF ORGAN SYSTEMS SUPPORTED for intensive care level only)	R
M	AUGMENTED CARE PLANNED INDICATORS	R
M	AUGMENTED CARE OUTCOME INDICATORS
M	AUGMENTED CARE PERIOD DISPOSALS
M	END DATES (AUGMENTED CARE PERIOD)
M	SPECIALTY FUNCTION CODES (AUGMENTED CARE PERIOD)	R
M	LOCATION CLASS	R
M	AUGMENTED CARE LOCATIONS	R
(HCA) GP Registration: To carry the details of the baby's mother's Registered GMP. One occurrence of this Group is permitted.
M	GMP (CODE OF REGISTERED OR REFERRING GMP)	R
O	CODE OF GP PRACTICE (REGISTERED GMP)	R
O	ORGANISATION CODE TYPE
(HCA) Referral: To carry the details of the referrer. This will be the referral that led to the mother's Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted.
M	REFERRER CODES	R
M	REFERRING ORGANISATION CODES	R
M	ORGANISATION CODE TYPE
(HCA) Pregnancy Activity Characteristics: To carry the number of babies resulting from this pregnancy. One occurrence of this Group is permitted.
M	NUMBER OF BABIES	R
(HCA) Antenatal Care Activity Characteristics: To carry details of the start of the antenatal care. One occurrence of this Group is permitted.
M	FIRST ANTENATAL ASSESSMENT DATES	R
(HCA) Antenatal Care Person Group (Responsible Clinician): To carry details of the responsible clinician. One occurrence of this Group is permitted.
M	GMP (CODE OF GMP RESPONSIBLE FOR ANTENATAL CARE)	R
O	CODE OF GP PRACTICE (REGISTERED GMP - ANTENATAL CARE)	R
O	ORGANISATION CODE TYPE
(HCA) Antenatal Care Location Group (Delivery Place Intended): To carry details of the intended delivery place. One occurrence of this Group is permitted.
M	LOCATION CLASS	R
M	DELIVERY PLACE CHANGE REASONS	R
M	DELIVERY PLACE TYPE (INTENDED)	R
(HCA) Hospital Labour/Delivery Activity Characteristics: To carry details of the Labour/Delivery. One occurrence of this Group is permitted.
M	ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY	R
M	ANAESTHETIC GIVEN POST LABOUR OR DELIVERY	R
O	GESTATION LENGTH (LABOUR ONSET)	R
M	LABOUR OR DELIVERY ONSET METHODS	R
M	DELIVERY DATES	R
(HCA) Birth Occurrence Activity Characteristics: To carry details of the birth occurrence. One occurrence of this Group is permitted.
M	BIRTH ORDERS	R
M	DELIVERY METHODS	R
M	GESTATION LENGTH (ASSESSMENT)	R
M	RESUSCITATION METHODS	R
M	STATUS OF PERSON CONDUCTING DELIVERIES	R
(HCA) Birth Occurrence Person Group (Mother): To carry the personal details of the baby's mother. One occurrence of this Group is permitted.
O	LOCAL PATIENT IDENTIFIER (MOTHER)	R
O	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER))	R
O	ORGANISATION CODE TYPE (MOTHER)
O	NHS NUMBER (MOTHER)	R
O	NHS NUMBER STATUS INDICATOR (MOTHER)	R
M	BIRTH DATE (MOTHER)	R
O	ADDRESS FORMAT CODE (MOTHER)
O	PATIENT USUAL ADDRESS (MOTHER)
M	POSTCODE OF USUAL ADDRESS	R
M	HA OF RESIDENCES	R
M	ORGANISATION CODE (PCT OF RESIDENCE)	R
M	ORGANISATION CODE TYPE
(HCA) Birth Occurrence Location - Delivery Place Actual: To carry the type of place where delivery actually occurred. One occurrence of this Group within each Birth Group is permitted.
M	LOCATION CLASS
M	DELIVERY PLACE TYPE (ACTUAL)	R
(HCA) Healthcare Resource Group Activity - Activity Characteristics: To carry the details of the Healthcare Resource Group and will be mandatory from 01/10/2001. Each CDS may contain only a single occurrence of this Group.
M	HEALTHCARE RESOURCE GROUP CODE
M	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER
(HCA) Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted. Only one Procedure either OPCS or READ may be specified
O	PROCEDURE SCHEME IN USES
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE

ADMITTED PATIENT CARE CDS TYPE - DELIVERY EPISODE

COMMISSIONING DATA SET (CDS)

ADMITTED PATIENT CARE CDS TYPE - DELIVERY EPISODE

The Admitted Patient Care Delivery Episode Commissioning Data Set Type carries the data for a finished or unfinished General Consultant/ Midwife/ Nurse Delivery Episode. The column headed Opt (Optionality) shows whether the Data item is Mandatory M or Optional O. The column headed U/A (Unfinished Episode / Annual Census) indicates whether the Data Item is required to be recorded on an unfinished Consultant/ Midwife/ Nurse Delivery Episode record and on an End of Year Census record. An R in the U/A column idicates that it is required to be present, a blank indicates that it is not required to be present.
Opt	CDS Data Item	U/A
Person Group (Patient): To carry the personal details of the Patient. One occurrence of this Group is permitted.
M	LOCAL PATIENT IDENTIFIER	R
M	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)	R
M	ORGANISATION CODE TYPE
M	NHS NUMBER	R
M	BIRTH DATE	R
O	CARER SUPPORT INDICATORS	R
M	LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION) (psychiatric patients only)	R
M	ETHNIC CATEGORY	R
M	MARITAL STATUS (psychiatric patients only)	R
M	NHS NUMBER STATUS INDICATOR	R
M	SEX	R
M	PREGNANCY TOTAL PREVIOUS PREGNANCIES
O	NAME FORMAT CODE	R
O	PATIENT NAME	R
O	ADDRESS FORMAT CODE
O	PATIENT USUAL ADDRESS	R
M	POSTCODE OF USUAL ADDRESS	R
M	HA OF RESIDENCE	R
M	ORGANISATION CODE (PCT OF RESIDENCE)	R
M	ORGANISATION CODE TYPE	R

Note: For reasons of confidentiality, the patient's preferred name and address (not including POSTCODE OF USUAL ADDRESS) must not be carried where a valid NHS Number is present.

(HCA) Hospital Provider Spell - Activity Characteristics: To carry the details of the Spell containing the Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted.
M	HOSPITAL PROVIDER SPELL NUMBERS	R
M	ADMINISTRATIVE CATEGORY (on admission)	R
M	PATIENT CLASSIFICATIONS	R
M	ADMISSION METHOD (HOSPITAL PROVIDER SPELL)	R
M	DISCHARGE DESTINATIONS (HOSPITAL PROVIDER SPELL)
M	DISCHARGE METHODS (HOSPITAL PROVIDER SPELL)
M	SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)	R
M	START DATES (HOSPITAL PROVIDER SPELL)	R
M	DISCHARGE DATES (HOSPITAL PROVIDER SPELL)
(HCA) Consultant Episode - Activity Characteristics: To carry the details of the Consultant/ Midwife/ Nurse Episode undergone by the Patient. One occurrence of this Group is permitted.
M	EPISODE NUMBER	R
M	LAST EPISODE IN SPELL INDICATORS	R
M	OPERATION STATUS (per episode)	R
M	PSYCHIATRIC PATIENT STATUS	R
M	NUMBER OF AUGMENTED CARE PERIODS WITHIN EPISODES	R
M	START DATES (EPISODE)	R
M	END DATES (EPISODE)
(HCA) Consultant Episode - Service Agreement Details: To carry the details of the Service Agreement for the Consultant/ Midwife/ Nurse Episode.
M	COMMISSIONING SERIAL NUMBERS	R
O	NHS SERVICE AGREEMENT LINE NUMBERS	R
O	PROVIDER REFERENCE NUMBER
M	COMMISSIONER REFERENCE NUMBERS	R
M	ORGANISATION CODES (CODE OF PROVIDER)	R
M	ORGANISATION CODE TYPE
M	ORGANISATION CODES (CODE OF COMMISSIONER)	R
M	ORGANISATION CODE TYPE
(HCA) Consultant Episode - Person Group (Consultant): To carry the details of the responsible Consultant, Midwife or Nurse. One occurrence of this Group is permitted.
M	CONSULTANT CODE	R
M	SPECIALTY FUNCTION CODES	R
M	CONSULTANT SPECIALTY FUNCTION CODES	R
(HCA) Consultant Episode - Clinical Information Group (ICD): To carry the details of the ICD Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
M	DIAGNOSIS SCHEME IN USE
M	PRIMARY DIAGNOSIS (ICD)
M	SECONDARY DIAGNOSIS (ICD) (1st to 12th, there may be up to 12 repetitions)
(HCA) Consultant Episode - Clinical Information Group (READ): To carry the details of the READ Diagnosis Scheme and the Diagnoses. Up to 13 occurrences of this Group are permitted.
O	DIAGNOSIS SCHEME IN USE
O	PRIMARY DIAGNOSIS (READ)
O	SECONDARY DIAGNOSIS (READ) (1st to 12th, there may be up to 12 repetitions)
(HCA) Consultant Episode - Clinical Activity Group (OPCS): To carry the details of the OPCS coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
M	PROCEDURE SCHEME IN USE
M	PRIMARY PROCEDURE (OPCS)
M	PROCEDURE DATES
M	PROCEDURE (OPCS) (2nd to 12th, there may be up to 11 repetitions)
M	PROCEDURE DATE (2nd to 12th, there may be up to 11 repetitions)
(HCA) Consultant Episode - Clinical Activity Group (READ): To carry the details of the READ coded Clinical Activities undertaken. Up to 12 occurrences of this Group are permitted.
O	PROCEDURE SCHEME IN USE
O	PRIMARY PROCEDURE (READ)
O	PROCEDURE DATE
O	PROCEDURE (READ) (2nd to 12th, there may be up to 11 repetitions)
O	PROCEDURE DATE (2nd to 12th, there may be up to 11 repetitions)
(HCA) Consultant Episode - Location Group - Start of Episode: To carry the details of the location at the start of the Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
M	LOCATION CLASS	R
M	SITE CODE (OF TREATMENT) (at start of episode)	R
M	ORGANISATION CODE TYPE	R
O	INTENDED CLINICAL CARE INTENSITY	R
O	AGE GROUP INTENDED	R
O	SEX OF PATIENTS	R
O	WARD DAY PERIOD AVAILABILITY	R
O	WARD NIGHT PERIOD AVAILABILITY	R
(HCA) Consultant Episode - Location Group - Ward Stay: To carry the details of one or more Ward Stays. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
O	LOCATION CLASS
O	SITE CODE (OF TREATMENT)
O	ORGANISATION CODE TYPE
O	INTENDED CLINICAL CARE INTENSITY
O	AGE GROUP INTENDED
O	SEX OF PATIENTS
O	WARD DAY PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY
O	START DATE (at start of stay)
O	END DATE (at end of stay)
(HCA) Consultant Episode - Location Group - End of Episode: To carry the details of the location at the end of the Consultant/ Midwife/ Nurse Episode. One occurrence of this Group is permitted. Up to 99 occurrences of Location Groups (in total - all types) are permitted.
O	LOCATION CLASS
O	SITE CODE (OF TREATMENT) (at end of episode)
O	ORGANISATION CODE TYPE
O	INTENDED CLINICAL CARE INTENSITY
O	AGE GROUP INTENDED
O	SEX OF PATIENTS
O	WARD DAY PERIOD AVAILABILITY
O	WARD NIGHT PERIOD AVAILABILITY
(HCA) Augmented Care Period: To carry the details of the Augmented Care undergone by the Patient. Up to the 9 most recent Augmented Care Periods that occur during a Consultant/ Midwife/ Nurse Episode may be included.
M	AUGMENTED CARE PERIOD NUMBERS	R
O	AUGMENTED CARE PERIOD LOCAL IDENTIFIER	R
M	START DATE (AUGMENTED CARE PERIOD)	R
M	AUGMENTED CARE PERIOD SOURCE	R
M	INTENSIVE CARE LEVEL DAYS	R
M	HIGH DEPENDENCY CARE LEVEL DAYS	R
M	NUMBER OF ORGAN SYSTEMS SUPPORTED for intensive care level only)	R
M	AUGMENTED CARE PLANNED INDICATOR	R
M	AUGMENTED CARE OUTCOME INDICATOR
M	AUGMENTED CARE PERIOD DISPOSAL
M	END DATE (AUGMENTED CARE PERIOD)
M	SPECIALTY FUNCTION CODES (AUGMENTED CARE PERIOD)	R
M	LOCATION CLASS	R
M	AUGMENTED CARE LOCATION	R
(HCA) GP Registration: To carry the details of the Patient's Registered GMP. One occurrence of this Group is permitted.
M	GMP (CODE OF REGISTERED OR REFERRING GMP)	R
O	CODE OF GP PRACTICE (REGISTERED GMP)	R
O	ORGANISATION CODE TYPE
(HCA) Referral: To carry the details of the referrer. One occurrence of this Group is permitted.
M	REFERRER CODE	R
M	REFERRING ORGANISATION CODE	R
M	ORGANISATION CODE TYPE
(HCA) Pregnancy Activity Characteristics: To carry the number of babies resulting from this pregnancy. One occurrence of this Group is permitted.
M	NUMBER OF BABIES	R
(HCA) Antenatal Care Activity Characteristics: To carry details of the start of the antenatal care. One occurrence of this Group is permitted.
M	FIRST ANTENATAL ASSESSMENT DATE	R
(HCA) Antenatal Care Person Group (Responsible Clinician): To carry details of the responsible clinician. One occurrence of this Group is permitted.
M	GMP (CODE OF GMP RESPONSIBLE FOR ANTENATAL CARE)	R
O	CODE OF GP PRACTICE (REGISTERED GMP - ANTENATAL CARE)
O	ORGANISATION CODE TYPE
(HCA) Antenatal Care Location Group (Delivery Place Intended): To carry details of the intended delivery place. One occurrence of this Group is permitted.
M	LOCATION CLASS	R
M	DELIVERY PLACE CHANGE REASON	R
M	DELIVERY PLACE TYPE (INTENDED)	R
(HCA) Hospital Labour/Delivery Activity Characteristics: To carry details of the Labour/Delivery. One occurrence of this Group is permitted.
M	ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY	R
M	ANAESTHETIC GIVEN POST LABOUR OR DELIVERY	R
O	GESTATION LENGTH (LABOUR ONSET)	R
M	LABOUR OR DELIVERY ONSET METHOD	R
M	DELIVERY DATE	R
(HCA) Birth Occurrence Activity Characteristics: To carry details of the birth occurrence(s). Up to nine occurrences of the Birth Group are permitted.
M	BIRTH ORDER	R
M	DELIVERY METHOD	R
M	GESTATION LENGTH (ASSESSMENT)	R
M	RESUSCITATION METHOD	R
M	STATUS OF PERSON CONDUCTING DELIVERY	R
(HCA) Birth Occurrence Person Group (Baby): To carry the personal details of the birth occurrence(s). One occurrence of this Group within each Birth Group is permitted.
O	LOCAL PATIENT IDENTIFIER (BABY)	R
O	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY))	R
O	ORGANISATION CODE TYPE (BABY)
O	NHS NUMBER (BABY)	R
O	NHS NUMBER STATUS INDICATOR (BABY)	R
M	BIRTH DATE (BABY)	R
M	BIRTH WEIGHT	R
M	LIVE OR STILL BIRTH	R
M	SEX (BABY)	R
(HCA) Birth Occurrence Location - Delivery Place Actual: To carry the type of place where delivery actually occurred. One occurrence of this Group within each Birth Group is permitted.
M	LOCATION CLASS	R
M	DELIVERY PLACE TYPE (ACTUAL)	R
(HCA) Healthcare Resource Group Activity - Activity Characteristics: To carry the details of the Healthcare Resource Group and will be mandatory from 01/10/2001. Each CDS may contain only a single occurrence of this Group.
M	HEALTHCARE RESOURCE GROUP CODE
M	HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER
(HCA) Healthcare Resource Group Activity - Clinical Activity Group: To carry the details of the HRG Dominant Grouping Variable - Procedure. Note that this will not apply when no operation was carried out. In this case, the segment referring to HRG Dominant Grouping Variable - Procedure should be omitted. Only one Procedure either OPCS or READ may be specified
O	PROCEDURE SCHEME IN USE
O	HRG DOMINANT GROUPING VARIABLE-PROCEDURE