Supporting Information: Main Specialty And Treatment Function Codes

Main Specialty and Treatment Function Codes

TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets (CDS). It is based on specialty, but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including hospital CONSULTANTS.

The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL eg Intermediate Care as the TREATMENT FUNCTION CODE for a Nursing Episode.

A full list of TREATMENT FUNCTION CODES (Table 2) follows the MAIN SPECIALTY CODES (Table 1).

MAIN SPECIALTY CODES are aligned with the specialties recognised in the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998. Pseudo codes should be used in Commissioning Data Set (CDS) messages for lead CARE PROFESSIONALS other than hospital CONSULTANTS eg Nursing Episode.

For further information, contact the Health and Social Care Information Centre by email at: enquiries@ic.nhs.uk.

Table 1 Main Specialty codes

	Code	Main Specialty Title
Surgical Specialties
	100	GENERAL SURGERY
	101	UROLOGY
	110	TRAUMA & ORTHOPAEDICS
	120	ENT
	130	OPHTHALMOLOGY
	140	ORAL SURGERY
	141	RESTORATIVE DENTISTRY
	142	PAEDIATRIC DENTISTRY
	143	ORTHODONTICS
	145	ORAL & MAXILLO FACIAL SURGERY
	146	ENDODONTICS
	147	PERIODONTICS
	148	PROSTHODONTICS
	149	SURGICAL DENTISTRY
	150	NEUROSURGERY
	160	PLASTIC SURGERY
	170	CARDIOTHORACIC SURGERY
	171	PAEDIATRIC SURGERY
	180	ACCIDENT & EMERGENCY
	191	Retired
Medical Specialties
	190	ANAESTHETICS
	192	CRITICAL CARE MEDICINE
	300	GENERAL MEDICINE
	301	GASTROENTEROLOGY
	302	ENDOCRINOLOGY
	303	CLINICAL HAEMATOLOGY
	304	CLINICAL PHYSIOLOGY
	305	CLINICAL PHARMACOLOGY
	310	AUDIOLOGICAL MEDICINE
	311	CLINICAL GENETICS
*	312	CLINICAL CYTOGENETICS and MOLECULAR GENETICS (Retired 1 April 2010)
	313	CLINICAL IMMUNOLOGY and ALLERGY
	314	REHABILITATION
	315	PALLIATIVE MEDICINE
	320	CARDIOLOGY
	321	PAEDIATRIC CARDIOLOGY
**	325	SPORTS AND EXERCISE MEDICINE
**	326	ACUTE INTERNAL MEDICINE
	330	DERMATOLOGY
	340	RESPIRATORY MEDICINE (also known as thoracic medicine)
	350	INFECTIOUS DISEASES
	352	TROPICAL MEDICINE
	360	GENITOURINARY MEDICINE
	361	NEPHROLOGY
	370	MEDICAL ONCOLOGY
	371	NUCLEAR MEDICINE
	400	NEUROLOGY
	401	CLINICAL NEURO-PHYSIOLOGY
	410	RHEUMATOLOGY
	420	PAEDIATRICS
	421	PAEDIATRIC NEUROLOGY
	430	GERIATRIC MEDICINE
	450	DENTAL MEDICINE SPECIALTIES
**	451	SPECIAL CARE DENTISTRY
	460	MEDICAL OPHTHALMOLOGY
†	500	OBSTETRICS and GYNAECOLOGY
	501	OBSTETRICS
	502	GYNAECOLOGY
**	504	COMMUNITY SEXUAL AND REPRODUCTIVE HEALTH
	510	Retired
	520	Retired
	560	MIDWIFE EPISODE
	600	GENERAL MEDICAL PRACTICE
	601	GENERAL DENTAL PRACTICE
	610	Retired
	620	Retired
Psychiatry
	700	LEARNING DISABILITY
	710	ADULT MENTAL ILLNESS
	711	CHILD and ADOLESCENT PSYCHIATRY
	712	FORENSIC PSYCHIATRY
	713	PSYCHOTHERAPY
	715	OLD AGE PSYCHIATRY
Radiology
	800	CLINICAL ONCOLOGY (previously RADIOTHERAPY)
	810	RADIOLOGY
Pathology
	820	GENERAL PATHOLOGY
	821	BLOOD TRANSFUSION
	822	CHEMICAL PATHOLOGY
	823	HAEMATOLOGY
	824	HISTOPATHOLOGY
	830	IMMUNOPATHOLOGY
	831	MEDICAL MICROBIOLOGY AND VIROLOGY
	832	Retired
**	833	MEDICAL MICROBIOLOGY (also known as MICROBIOLOGY AND BACTERIOLOGY)
**	834	MEDICAL VIROLOGY
Other
	900	COMMUNITY MEDICINE
	901	OCCUPATIONAL MEDICINE
	902	COMMUNITY HEALTH SERVICES DENTAL
	903	PUBLIC HEALTH MEDICINE
	904	PUBLIC HEALTH DENTAL
	950	NURSING EPISODE
	960	ALLIED HEALTH PROFESSIONAL EPISODE
	990	Retired

Notes:

†	Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
*	Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010.
**	The functionality to report these MAIN SPECIALTY CODES is available in the latest release of the Commissioning Data Sets and the associated CDS-XML Schema Release (6-1-1). These MAIN SPECIALTY CODES cannot be transmitted in XML Schemas for the previous versions of the Commissioning Data Sets (6-0 and 6-1).
	Pseudo MAIN SPECIALTY CODES should be used in Commissioning Data Set messages for lead CARE PROFESSIONALS other than CONSULTANT medical and dental staff eg 560, 950 and 960.
	The MAIN SPECIALTY CODE for GENERAL PRACTITIONERS is General Medical Practice or General Dental Practice
	Joint Consultant Clinic ACTIVITY should be recorded against the MAIN SPECIALTY CODE of the CONSULTANT managing the clinic

Table 2 Treatment Function codes

Code	Treatment Function Title	Comments
Surgical Specialties
100	GENERAL SURGERY	Includes sub-categories not elsewhere listed eg endocrine surgery.
101	UROLOGY
102	TRANSPLANTATION SURGERY	Includes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts.
103	BREAST SURGERY	Includes treatment for cancer, suspected neoplasms, cysts and post-cancer reconstructive surgery. Excludes cosmetic surgery.
104	COLORECTAL SURGERY	Surgical treatment of disorders of the lower intestine (colon, anus and rectum)
105	HEPATOBILIARY & PANCREATIC SURGERY	Includes liver surgery, but liver transplantation should be recorded in 102 Transplantation Surgery
106	UPPER GASTROINTESTINAL SURGERY
107	VASCULAR SURGERY
110	TRAUMA & ORTHOPAEDICS
120	ENT	Ear, nose and throat
130	OPHTHALMOLOGY
140	ORAL SURGERY
141	RESTORATIVE DENTISTRY	Endodontics, Periodontics and Prosthodontics are all part of Restorative Dentistry
142	PAEDIATRIC DENTISTRY
143	ORTHODONTICS
144	MAXILLO-FACIAL SURGERY	Mouth, jaw and face related surgery.
150	NEUROSURGERY
160	PLASTIC SURGERY
161	BURNS CARE	To be used by recognised specialist units and associated outreach services only
170	CARDIOTHORACIC SURGERY	Should only be used where there are no separate services for Cardiac Surgery and Thoracic Surgery
171	PAEDIATRIC SURGERY	This is paediatric general surgery
172	CARDIAC SURGERY
173	THORACIC SURGERY
174	CARDIOTHORACIC TRANSPLANTATION	To be used by recognised specialist units and associated outreach services only. Includes pre- and post-operative services.
180	ACCIDENT & EMERGENCY
191	PAIN MANAGEMENT	Complex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
Other Children's Specialties
211	PAEDIATRIC UROLOGY	Dedicated services to children with appropriate facilities and support staff
212	PAEDIATRIC TRANSPLANTATION SURGERY	Dedicated services to children with appropriate facilities and support staff
213	PAEDIATRIC GASTROINTESTINAL SURGERY	Dedicated services to children with appropriate facilities and support staff. Includes Upper Gastrointestinal Surgery and Colorectal Surgery.
214	PAEDIATRIC TRAUMA AND ORTHOPAEDICS	Dedicated services to children with appropriate facilities and support staff.
215	PAEDIATRIC EAR NOSE AND THROAT	Dedicated services to children with appropriate facilities and support staff
216	PAEDIATRIC OPHTHALMOLOGY	Dedicated services to children with appropriate facilities and support staff
217	PAEDIATRIC MAXILLO-FACIAL SURGERY	Dedicated services to children with appropriate facilities and support staff
218	PAEDIATRIC NEUROSURGERY	Dedicated services to children with appropriate facilities and support staff
219	PAEDIATRIC PLASTIC SURGERY	Dedicated services to children with appropriate facilities and support staff
220	PAEDIATRIC BURNS CARE	Dedicated services to children with appropriate facilities and support staff
221	PAEDIATRIC CARDIAC SURGERY	Dedicated services to children with appropriate facilities and support staff
222	PAEDIATRIC THORACIC SURGERY	Dedicated services to children with appropriate facilities and support staff
241	PAEDIATRIC PAIN MANAGEMENT	Dedicated services to children with appropriate facilities and support staff
242	PAEDIATRIC INTENSIVE CARE	Only to be used by designated Paediatric Intensive Care Units
251	PAEDIATRIC GASTROENTEROLOGY	Dedicated services to children with appropriate facilities and support staff
252	PAEDIATRIC ENDOCRINOLOGY	Dedicated services to children with appropriate facilities and support staff
253	PAEDIATRIC CLINICAL HAEMATOLOGY	Dedicated services to children with appropriate facilities and support staff
254	PAEDIATRIC AUDIOLOGICAL MEDICINE	Dedicated services to children with appropriate facilities and support staff
255	PAEDIATRIC CLINICAL IMMUNOLOGY AND ALLERGY	Dedicated services to children with appropriate facilities and support staff
256	PAEDIATRIC INFECTIOUS DISEASES	Dedicated services to children with appropriate facilities and support staff
257	PAEDIATRIC DERMATOLOGY	Dedicated services to children with appropriate facilities and support staff
258	PAEDIATRIC RESPIRATORY MEDICINE	Dedicated services to children with appropriate facilities and support staff
259	PAEDIATRIC NEPHROLOGY	Dedicated services to children with appropriate facilities and support staff
260	PAEDIATRIC MEDICAL ONCOLOGY	Dedicated services to children with appropriate facilities and support staff
261	PAEDIATRIC METABOLIC DISEASE	Dedicated services to children with appropriate facilities and support staff
262	PAEDIATRIC RHEUMATOLOGY	Dedicated services to children with appropriate facilities and support staff
263**	PAEDIATRIC DIABETIC MEDICINE	Dedicated services to children with appropriate facilities and support staff
264**	PAEDIATRIC CYSTIC FIBROSIS	Dedicated services to children with appropriate facilities and support staff
280	PAEDIATRIC INTERVENTIONAL RADIOLOGY	Dedicated services to children with appropriate facilities and support staff
290	COMMUNITY PAEDIATRICS	Includes routine health surveillance, health promotion, behavioural paediatrics and looked-after children. Excludes Paediatric Neuro-Disability.
291	PAEDIATRIC NEURO-DISABILITY	Dedicated services for children with Cerebral Palsy and non-progressive handicapping neurological conditions, with or without learning disability.
Medical Specialties
190	ANAESTHETICS	This can be used in out-patients only. Pain Management should be recorded in 191.
192	CRITICAL CARE MEDICINE	also known as Intensive Care Medicine
300	GENERAL MEDICINE	Includes sub-categories not elsewhere listed eg metabolic medicine.
301	GASTROENTEROLOGY
302	ENDOCRINOLOGY
303	CLINICAL HAEMATOLOGY	Excludes ANTICOAGULANT SERVICE see 324
304	CLINICAL PHYSIOLOGY	Physiological measurement including ECG (e.g. exercise testing, stress testing), gastrointestinal physiology, cardiac physiology, vascular technology, urodynamics, and ophthalmic and vision science. Does not include Clinical Neurophysiology, Audiology or Respiratory Physiology.
305	CLINICAL PHARMACOLOGY
306	HEPATOLOGY	Also known as liver medicine
307	DIABETIC MEDICINE
308	BLOOD AND MARROW TRANSPLANTATION	Previously in Clinical Haematology. Includes haemopoietic stem cell transplantation.
309	HAEMOPHILIA	Previously in Clinical Haematology
310	AUDIOLOGICAL MEDICINE	The medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests.
311	CLINICAL GENETICS	To be used by recognised specialist units and associated outreach services only.
312	not a Treatment Function
313	CLINICAL IMMUNOLOGY and ALLERGY	Should only be used where there are no separate services for Clinical Immunology and Allergy
314	REHABILITATION
315	PALLIATIVE MEDICINE
316	CLINICAL IMMUNOLOGY
317	ALLERGY	The diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions.
318	INTERMEDIATE CARE	Intermediate care encompasses a range of multi-disciplinary services designed to safeguard independence by maximising rehabilitation and recovery after illness or injury
319	RESPITE CARE
320	CARDIOLOGY
321	PAEDIATRIC CARDIOLOGY
322	CLINICAL MICROBIOLOGY
323	SPINAL INJURIES	To be used by recognised specialist units and associated outreach services only.
324	ANTICOAGULANT SERVICE	The monitoring and control of anticoagulant therapy including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage. This can be used in out-patients only.
325**	SPORT AND EXERCISE MEDICINE	The diagnosis and management of medical problems caused by physical activity, the prevention of related injury and disease and the role of exercise in disease treatment.
327**	CARDIAC REHABILITATION	Rehabilitation service for PATIENTS with or recovering from heart related conditions such as heart attacks or from procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health.
328**	STROKE MEDICINE	For stroke services excluding Transient Ischaemic Attack - see TREATMENT FUNCTION CODE 329
329**	TRANSIENT ISCHAEMIC ATTACK	A multidisciplinary service for rapid diagnosis and treatment of PATIENTS presenting with suspected Transient Ischaemic Attack and mini-strokes to minimise the chance of a full stroke occurring and maximise the chances of independent living after a stroke.
330	DERMATOLOGY
340	RESPIRATORY MEDICINE	Also known as Thoracic Medicine
341	RESPIRATORY PHYSIOLOGY	Physiological measurement of the function of the respiratory system. Includes Sleep Studies (the diagnosis and treatment of sleep disordered breathing, including upper airway resistance syndrome and sleep apnoea).
342**	PROGRAMMED PULMONARY REHABILITATION	A multidisciplinary programme of care for PATIENTS with chronic respiratory impairment that is individually tailored and designed to optimise the individual's physical and social performance and autonomy.
343**	ADULT CYSTIC FIBROSIS	Specialised, multidisciplinary service concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only.
350	INFECTIOUS DISEASES
352	TROPICAL MEDICINE
360	GENITOURINARY MEDICINE
361	NEPHROLOGY
370	MEDICAL ONCOLOGY	The diagnosis and treatment, typically with Chemotherapy, of PATIENTS with cancer.
371	NUCLEAR MEDICINE
400	NEUROLOGY
401	CLINICAL NEUROPHYSIOLOGY	The study of the central and peripheral nervous systems through the recording of bioelectrical activity. Includes EEG.
410	RHEUMATOLOGY
420	PAEDIATRICS
421	PAEDIATRIC NEUROLOGY
422	NEONATOLOGY	Special Care, High Dependency and Intensive Care.
424	WELL BABIES	Care given by the mother/substitute with medical and neonatal nursing advice if needed
430	GERIATRIC MEDICINE
450	DENTAL MEDICINE SPECIALTIES	Includes oral medicine.
460	MEDICAL OPHTHALMOLOGY
500	not a Treatment Function
501	OBSTETRICS	The management of pregnancy and childbirth including miscarriages but excluding planned terminations.
502	GYNAECOLOGY	Disorders of the female reproductive system. Includes planned terminations.
503	GYNAECOLOGICAL ONCOLOGY
510	Retired	Record as Obstetrics, antenatal clinic can be used as a local sub-specialty if required
520	Retired	Record as Obstetrics, postnatal clinic can be used as a local sub-specialty if required
560	MIDWIFE EPISODE
600	not a Treatment Function
610	Retired	Record as Obstetrics
620	Retired	Use the appropriate function under which the patient is treated
Therapies
650	PHYSIOTHERAPY	The treatment of human function and movement to help people to achieve their full physical potential. The use of physical approaches to promote, maintain and restore wellbeing.
651	OCCUPATIONAL THERAPY	The use of specific activities to limit the effects of disability and promote independence in all aspects of daily life.
652	SPEECH AND LANGUAGE THERAPY	The assessment, treatment and help to prevent speech, language and swallowing difficulties.
653	PODIATRY	Also known as Chiropody. The diagnosis and treatment of disorders, diseases and deformities of the feet.
654	DIETETICS	The application of the science of nutrition to devise eating plans for patients to treat medical conditions. The promotion of good health by helping to facilitate a positive change in food choices amongst individuals, groups and communities.
655	ORTHOPTICS	The diagnosis and treatment of visual problems involving eye movement and alignment.
656	CLINICAL PSYCHOLOGY	The diagnosis and treatment of emotional and behavioural disorders.
657**	PROSTHETICS	The supply of prosthetics for PATIENTS.
658**	ORTHOTICS	The supply of orthoses for PATIENTS.
659**	DRAMATHERAPY	The use of drama and theatre techniques including role play, voice work and storytelling for therapeutic purposes.
660**	ART THERAPY	The use of art techniques including clay, paint and paper for therapeutic purposes and as a means of communication.
661**	MUSIC THERAPY	The use of music and all of its facets to help clients to improve or maintain their health.
662**	OPTOMETRY	The diagnosis and non-surgical treatment of disorders of the eye and vision care.
Psychiatry
700	LEARNING DISABILITY
710	ADULT MENTAL ILLNESS
711	CHILD and ADOLESCENT PSYCHIATRY
712	FORENSIC PSYCHIATRY
713	PSYCHOTHERAPY
715	OLD AGE PSYCHIATRY
720	EATING DISORDERS	A specialist psychiatric service for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating.
721	ADDICTION SERVICES	The psychiatric prevention and treatment of substance misuse including drugs and alcohol
722	LIAISON PSYCHIATRY	The provision of psychiatric treatment to patients attending general hospitals including out-patient clinics, accident and emergency departments and admission to wards. Deals with the interface between physical and psychological health.
723	PSYCHIATRIC INTENSIVE CARE	The provision of psychiatric services to vulnerable individuals who are admitted to Psychiatric Intensive Care Units from open acute wards and forensic settings.
724	PERINATAL PSYCHIATRY	A specialist psychiatric service for the diagnosis and treatment of post-natal psychiatric problems.
Radiology
800	CLINICAL ONCOLOGY (previously RADIOTHERAPY)	The diagnosis and treatment, typically with radiotherapy, of patients with cancer.
810	not a Treatment Function
811	INTERVENTIONAL RADIOLOGY	Not to be used for diagnostic imaging.
812	DIAGNOSTIC IMAGING	The production and interpretation of high quality images of the body to diagnose injuries and disease, e.g. x-rays, ultrasound, MRI, PET or CT scans.
Pathology
820	not a Treatment Function
821	not a Treatment Function
822	CHEMICAL PATHOLOGY	To be used for clinical management only.
823	not a Treatment Function	See Clinical Haematology
824	not a Treatment Function
830	not a Treatment Function	See Clinical Immunology
831	not a Treatment Function	See Clinical Microbiology
832	Retired
834**	MEDICAL VIROLOGY	The diagnosis and management and prevention of virus and related infections, in hospital and in the community including HIV/AIDS, other blood-borne infections like hepatitis B and C and newly emerging viruses such as SARS and avian flu.
840	AUDIOLOGY	Physiological measurement and diagnosis of hearing disorders, and the rehabilitation of patients with hearing loss.
Other
900	not a Treatment Function
901	not a Treatment Function
950	not a Treatment Function	Use the appropriate function under which the patient is treated
960	not a Treatment Function	Use the appropriate function under which the patient is treated
990	Retired

Notes:

†	Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
**	The functionality to report these TREATMENT FUNCTION CODES is available in the latest release of the Commissioning Data Sets and the associated CDS-XML Schema Release (6-1-1). These TREATMENT FUNCTION CODES cannot be transmitted in XML Schemas for the previous versions of the Commissioning Data Sets (6-0 and 6-1)
	TREATMENT FUNCTION CODES should be used for all aggregate Central Returns unless otherwise stated eg National Workforce Data Set uses MAIN SPECIALTY CODES
	GENERAL MEDICAL PRACTITIONER, NURSE and Allied Health Professional/ Biomedical Scientist/ Clinical Scientist ACTIVITY should be recorded against the TREATMENT FUNCTION under which the PATIENT is treated
	Joint Consultant Clinic ACTIVITY should be recorded against the TREATMENT FUNCTION which best describes the specialised service