Activity from 1st April 2005
To help determine who has access to Commissioning Data Set data once it has been stored in the Secondary Uses Service, NHS Trusts and Primary Care Trusts need to identify each of those ORGANISATIONS as a CDS COPY RECIPIENT IDENTITY taking all of the following factors into account. Information is required to:
- monitor and manage NHS SERVICE AGREEMENTS;
- develop commissioning plans;
- monitor HEALTH PROGRAMMES;
- underpin clinical governance;
- understand the health needs of the population.
Main commissioners need access to data to monitor Non-Contract Activity as part of the management of their NHS SERVICE AGREEMENTS.
Primary Care Trusts need to monitor in-year referrals to investigate the sources and reasons for Non-Contract Activity.
Independent Sector Treatment Centres are responsible for providing Admitted Patient Care and Out-Patient Attendance Commissioning Data Sets and may submit on their own behalf or via a third party.
Other Independent Sector activity for NHS PATIENTS is the responsibility of the NHS commissioning body for the provision of the appropriate central returns and data sets.
The Department of Health require a complete record of all PATIENTS admitted to or treated as out-patients by NHS hospitals and Primary Care Trusts, including PATIENTS receiving private treatment. The record also includes NHS PATIENTS treated electively in the independent sector and overseas visitors.
A PATIENT / NHS SERVICE AGREEMENT entry has been specifically introduced to identify ACTIVITY commissioned by the National Specialised Commissioning Group (NSCG). The code YDD82 should be used as the ORGANISATION CODE (CODE OF COMMISSIONER) for National Specialised Commissioning Group commissioned activity.
THE CDS ADDRESSING GRID - Activity from 1st April 2005
| CDS COPY RECIPIENT IDENTITY | ||||
ORGANISATION CODE of ORGANISATION to which costs of treatment accrue | ||||
| PATIENT registered with General Medical Practitioner Practice with Primary Care Trust NHS SERVICE AGREEMENT | M | R | ||
| PATIENT not registered with a General Medical Practitioner Practice but resident in an area covered by a Primary Care Trust with a Primary Care Trust NHS SERVICE AGREEMENT | M | R | ||
| PATIENT registered with a General Medical Practitioner Practice treated as a Non-Contract Activity | M | R | R | |
| PATIENT not registered with a General Medical Practitioner Practice treated as a Non-Contract Activity | M | R | R | |
| Overseas visitor exempt from charges and not registered with a General Medical Practitioner Practice | M (TDH00) | R | ||
| Overseas visitor exempt from charges and registered with a General Medical Practitioner Practice | M (TDH00) | R | R | |
| Overseas visitor liable for NHS charges and not registered with a General Medical Practitioner Practice | M (VPP00) | |||
| Overseas visitor liable for NHS charges and registered with a General Medical Practitioner Practice | M (VPP00) | R | ||
| PATIENT registered with General Medical Practitioner Practice with a Specialised Services and Other Commissioning Consortia Service Agreement | M | R | R | |
| PATIENT not registered with General Medical Practitioner Practice with a Specialised Services and Other Commissioning Consortia Service Agreement | M | R | R | |
| Private PATIENT | M | R | | |
| National Specialised Commissioning Group commissioned | M | R | R (YDD82) | |
Key to population codes:
R - Data required for a Commissioning Data Set data flow as part of NHS business rules to meet NHS business requirements.
M - Data is mandatory in the CDS-XML schema and Commissioning Data Set messages will not flow if this data is absent.
Notes:
a) The CDS PRIME RECIPIENT IDENTITY must be allocated on the first creation and submission of a CDS TYPE and must not change even if the ADDRESS or Primary Care Trust of the PATIENT changes during the lifetime of the Commissioning Data Set record otherwise duplicate Commissioning Data Set data may be lodged in the Secondary Uses Service database.
See the supporting information in Commissioning Data Set Submission Protocol for a detailed explanation.
b) Note that if two recipients are identical for example, the ORGANISATION CODE (PCT OF RESIDENCE) may be the same as the ORGANISATION CODE (CODE OF COMMISSIONER), only one entry for that ORGANISATION should be made for that recipient.
c) For further information please refer to Data Set Change Notice 06/2005, Data Set Change Notice 19/2005 and Data Set Change Notice 19/2006.