Change Request

NHS Information Authority

Data Standards Programme

Reference: Change Request 291
Version No:1.3
Subject:DSCN 55/2002 - Detained and/or Long Term Psychiatrc Census
Type of Change:Change to NHS data standards
Effective Date:1 January 2003
Reason for Change:Amendment to data standards for completion of Admitted Patient Care Detained and/or Long Term Psychiatric Census in relation to Trust mergers and demergers.

Background:

The NHS Data Dictionary Version.2 is currently organisation-based. As such, it gives specific guidance on Trust mergers and demergers in relation to termination or continuation of the HOSPITAL PROVIDER SPELL. Where the effect is to terminate a HOSPITAL PROVIDER SPELL with the existing organisation and begin a new one under a new organisation, there is a particular impact on data collection for the Admitted Patient Care Detained and/or Long Term Psychiatric Census.

Additional supporting text has been brought in by this DSCN to clarify the requirement to be able to continue to successfully collect the data.

Summary of changes:
 
Data Sets (CDS, CMDS, HES)
ADMITTED PATIENT CARE CDS TYPE - DETAINED AND - OR LONG TERM PSYCHIATRIC CENSUS   Change to table

Name:Michelle Cambridge
Date:24 January 2003
Sponsor:Data Standards Team

Note: Additions shown in highlighted with a blue background. Deletions are shown using strikeout.


ADMITTED PATIENT CARE CDS TYPE - DETAINED AND - OR LONG TERM PSYCHIATRIC CENSUS

Change to Data Set (CDS, CMDS, HES): Change to table

COMMISSIONING DATA SET (CDS)

ADMITTED PATIENT CARE CDS TYPE - DETAINED AND - OR LONG TERM PSYCHIATRIC CENSUS

The Admitted Patient Care Detained and/or Long Term Psychiatric Census Commissioning Data Set Type carries the data for a Detained and/or Long Term Psychiatric Census. This is a snapshot of a general episode, unfinished as at 31 March, for which either the patient is detained or the episode is part of a Hospital Provider Spell which has lasted longer than one year and for which the majority of time has been spent under the care of a consultant in one of the psychiatric specialties.

The column headed Opt (Optionality) shows whether the data element is Mandatory (M) or Optional (O) in the CDS.

The column headed HES indicates whether the data element is extracted from the NWCS database for Hospital Episode Statistics. A filled circle in the column indicates that it is extracted if present, a blank indicates that it is not extracted. Note that HES records contain derived items. The table below indicates the base data from which these items are derived, and the CDS/HES cross reference table will show the derivation.

The Admitted Patient Care Detained and/or Long Term Psychiatric Census Commissioning Data Set Type carries the data for a Detained and/or Long Term Psychiatric Census. This is a snapshot of a general episode, unfinished as at 31 March, for which either the patient is detained or the episode is part of a Hospital Provider Spell which has lasted longer than one year and for which the majority of time has been spent under the care of a consultant in one of the psychiatric specialties.

In the case of Trust mergers and demergers occurring, where the Hospital Provider Spell would have lasted longer than one year except for the merger/demerger, patients should be included. The Organisation Code (Code of Provider) will be that of the organisation in existence as at the 31st March census date.

The column headed Opt (Optionality) shows whether the data element is Mandatory (M) or Optional (O) in the CDS.

The column headed HES indicates whether the data element is extracted from the NWCS database for Hospital Episode Statistics. A filled circle in the column indicates that it is extracted if present, a blank indicates that it is not extracted. Note that HES records contain derived items. The table below indicates the base data from which these items are derived, and the CDS/HES cross reference table will show the derivation.

Opt CDS data element U/A HES
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    
M NHS NUMBER  
M BIRTH DATE  
O CARER SUPPORT INDICATOR  
M LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)  
M LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)  
M ETHNIC CATEGORY  
M MARITAL STATUS  
M NHS NUMBER STATUS INDICATOR  
M SEX  
M DATE DETENTION COMMENCED  
M AGE AT CENSUS  
M DURATION OF CARE TO PSYCHIATRIC CENSUS DATE  
M DURATION OF DETENTION  
M MENTAL CATEGORY  
M STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS  
O NAME FORMAT CODE    
O PATIENT NAME    
O ADDRESS FORMAT CODE    
O PATIENT USUAL ADDRESS    
M POSTCODE OF USUAL ADDRESS  
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) Hospital Provider Spell - Activity Characteristics:

To carry the details of the Spell containing the Consultant Episode on the Psychiatric Census Date. One occurrence of this Group is permitted.
M HOSPITAL PROVIDER SPELL NUMBER  
M ADMINISTRATIVE CATEGORY
(on admission)
 
M PATIENT CLASSIFICATION  
M ADMISSION METHOD (HOSPITAL PROVIDER SPELL)  
M DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)  
M DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)  
M START DATE (HOSPITAL PROVIDER SPELL)  
(HCA) Consultant Episode - Activity Characteristics:

To carry the details of the Consultant Episode on the Psychiatric Census Date. One occurrence of this Group is permitted.
M EPISODE NUMBER  
M PSYCHIATRIC PATIENT STATUS  
M START DATE (CONSULTANT EPISODE)  
(HCA) Consultant Episode - Service Agreement Details:

To carry the details of the Service Agreement for the Consultant Episode on the Psychiatric Census Date.
M COMMISSIONING SERIAL NUMBER  
O NHS SERVICE AGREEMENT LINE NUMBER    
O PROVIDER REFERENCE NUMBER    
M COMMISSIONER REFERENCE NUMBER    
M ORGANISATION CODE (CODE OF PROVIDER)  
M ORGANISATION CODE TYPE    
M ORGANISATION CODE (CODE OF COMMISSIONER)  
M ORGANISATION CODE TYPE    
(HCA) Consultant Episode - Person Group (Consultant):

To carry the details of the responsible Consultant on the Psychiatric Census Date. One occurrence of this Group is permitted.
M CONSULTANT CODE  
M SPECIALTY FUNCTION CODE  
M CONSULTANT SPECIALTY FUNCTION CODE  
(HCA) Consultant Episode - Clinical Information Group (ICD):

To carry the details of the ICD Diagnosis Scheme and the Diagnoses on the Psychiatric Census Date. 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 on the Psychiatric Census Date. 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 - Location Group - Start of Episode:

To carry the details of the Ward Type at the start of the Consultant Episode. One occurrence of this Group is permitted.
M LOCATION CLASS    
M SITE CODE (OF TREATMENT)
(at start 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) Consultant Episode - Location Group - Ward Stay at Psychiatric Census Date:

To carry the details of the Ward Type at Psychiatric Census Date. One occurrence of this Group is permitted.
M LOCATION CLASS    
M SITE CODE (OF TREATMENT)  
M ORGANISATION CODE TYPE    
M INTENDED CLINICAL CARE INTENSITY  
M AGE GROUP INTENDED  
M SEX OF PATIENTS  
M WARD DAY PERIOD AVAILABILITY  
M WARD NIGHT PERIOD AVAILABILITY  
M DETAINED AND/OR LONG TERM PSYCHIATRIC CENSUS DATE  
(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) Referral:

To carry the details of the referrer. One occurrence of this Group is permitted.
M REFERRER CODE  
M REFERRING ORGANISATION CODE  
M ORGANISATION CODE TYPE    
(HCA) Elective Admission List Entry:

To carry the details of the Elective Admission List Entry. One occurrence of this Group is permitted.
M DURATION OF ELECTIVE WAIT  
M INTENDED MANAGEMENT  
M DECIDED TO ADMIT DATE
(for this provider)
 
(HCA) Healthcare Resource Group Activity - Activity Characteristics:

To carry the details of the Healthcare Resource Group where required. If users do not want to send HRGs, the segments may be omitted. Each CDS may contain only a single occurrence of this Group.
O HEALTHCARE RESOURCE GROUP CODE  
O 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. Only one Procedure either OPCS or READ may be specified
O PROCEDURE SCHEME IN USE    
O HRG DOMINANT GROUPING VARIABLE-PROCEDURE  


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Data Standards Team
NHS Information Authority
Aqueous II
Aston Cross
Rocky Lane
Birmingham
B6 5RQ

Tel: 0121 333 0333