NHS Information Authority

Data Standards Programme

Information about the uptake of immunisation among children aged one and two years was originally collected on DH return KC51. Similar information was also collected by CDSC, part of the Public Health Laboratory Service, through their immunisation uptake surveillance system known as COVER. Following a review of this apparent duplication the KC51 return was abolished and the DH commissioned CDSC to provide them with childhood immunisation information obtained through COVER.

The data standards supporting COVER became out of date, and the contents of this DSCN are to reflect the change in information required through COVER and to bring information requirements up to date with current national vaccination schedule.

Rubella vaccination is no longer given to adolescent girls, but given via the MMR vaccine, so RUBELLA IMMUNISATION TARGET is no longer relevant.

IMMUNISATION STATUS INDICATOR was ambiguous as it could be seen as a moving target - as a child gets older their original completed status becomes incomplete as they may require a booster. An indication of whether an immunisation primary or booster course is completed can be derived from the IMMUNISATION COMPLETION DATE, being recorded so IMMUNISATION STATUS INDICATOR was not required.

In addition, following Shifting the Balance of Power, immunisation target information is collected by the responsible primary care trust for a particular population. This is the population registered with the GMPs whose practice forms part of the PCT plus unregistered children resident within the PCT geographical boundary. Immunisation targets can be derived from other entity types so CHILDREN RESIDENT BY AGE GROUP was no longer required.

CHILDREN RESIDENT BY AGE GROUP

IMMUNISATION DISEASE TYPE

IMMUNISATION PROGRAMME

A type of STRUCTURED PROGRAMME.

An IMMUNISATION PROGRAMME aimed at maintaining an adequate level of immunisation in a population against a specific IMMUNISATION DISEASE TYPE by a determined sequence of IMMUNISATION COURSE TYPES. An IMMUNISATION PROGRAMME aimed at maintaining an adequate level of immunisation in a population against a specific IMMUNISATION DISEASE by a determined sequence of IMMUNISATION COURSE TYPES.

Each programme has a recommended number of doses which depend on the IMMUNISATION DISEASE TYPE being targeted. For example, Each programme has a recommended number of doses which depend on the IMMUNISATION DISEASE being targeted. For example (this is not an exclusive list),

	Disease Type	Primary course doses	Reinforcing (booster) course doses
	Disease	Primary course doses	Reinforcing (booster) course doses
a.	Diphtheria	3	1
	Diphtheria	3	2
b.	Tetanus	3	2
	Pertussis	3	1
c.	Pertussis	3	-
d.	Polio	3	2
e.	Measles	1	-
f.	Tuberculosis	1	-
g.	Rubella	1	-
h.	Haemophilus influenzae B	3	1
	Tuberculosis	1

This class is also known by these names:

Context	Alias
plural	IMMUNISATION PROGRAMMES

IMMUNISATION PROGRAMME

Attributes of this Class are:

		IMMUNISATION AGE GROUP
		IMMUNISATION DISEASE
	O	IMMUNISATION PROGRAMME TYPE
		applies to programmes for tuberculosis only
		PRIMARY COURSE DOSE NUMBER
	O	REINFORCING COURSE DOSE NUMBER

IMMUNISATION PROGRAMME

Each IMMUNISATION PROGRAMME

	must be related to one and only one IMMUNISATION DISEASE TYPE
	may be related to one or more RUBELLA IMMUNISATION TARGET

IMMUNISATION PROGRAMME FOR PERSON

Attributes of this Class are:

	O	IMMUNISATION COMPLETION DATE
		IMMUNISATION STATUS INDICATOR
	O	REASON FOR NO START OR COMPLETION
		START DATE

PRIMARY CARE TRUST

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

RUBELLA IMMUNISATION TARGET

TEST OF IMMUNITY

A TEST OF IMMUNITY performed as part of an IMMUNISATION PROGRAMME FOR PERSON for an IMMUNISATION DISEASE TYPE. A TEST OF IMMUNITY performed as part of an IMMUNISATION PROGRAMME FOR PERSON for an IMMUNISATION DISEASE.

This class is also known by these names:

Context	Alias
plural	TESTS OF IMMUNITIES

VACCINATION SERVICE

A type of ITEM OF SERVICE DELIVERY.

A vaccination or immunisation given to a PERSON in accordance with public policy by or on behalf of a GENERAL MEDICAL PRACTITIONER, for which a fee may be claimed.

The applicable payment rate for the VACCINATION SERVICE delivered is determined by the combination of IMMUNISATION DISEASE TYPE and IMMUNISATION COURSE TYPE. The applicable payment rate for the VACCINATION SERVICE delivered is determined by the combination of IMMUNISATION DISEASE and IMMUNISATION COURSE TYPE.

Note that ITEMS OF SERVICE DELIVERY reimbursement cannot be claimed by those GENERAL MEDICAL PRACTITIONERS who hold a Personal Medical Services, as opposed to a General Medical Services, contract.

References:
Statement of Fees and Allowances Payable to General Medical Practitioners in England and Wales.

This class is also known by these names:

Context	Alias
plural	VACCINATION SERVICES

VACCINATION SERVICE

Attributes of this Class are:

		BATCH NUMBER
		IMMUNISATION DISEASE
		NATURE OF RISK AREA CODE
		RATE OF GMP PAYMENT
		VACCINATION REASON INDICATOR

VACCINATION SERVICE

Each VACCINATION SERVICE

K	must be classified by one and only one IMMUNISATION COURSE TYPE
K	must be given to vaccinate for one and only one IMMUNISATION DISEASE TYPE

IMMUNISATION AGE GROUP

The age groups at which the immunisation status of district residents is to be recorded. The age groups at which an IMMUNISATION PROGRAMME is aimed.

Classification:

a.	Age 1 year
a.	Completing primary course up to age 1 year
b.	Age 2 years
b.	Completing primary course up to age 2 years
c.	Age 5 years
c.	Completing primary course or receiving a booster by the age of 5 years
d.	Elderly Adult
e.	Other

This attribute is also known by these names:

Context	Alias
plural	IMMUNISATION AGE GROUPS

IMMUNISATION COMPLETION DATE

The date that a course of immunisation was completed. For example, the date by which all 3 primary course doses have been given for a group C meningococcal disease vaccine.

This attribute is also known by these names:

Context	Alias
plural	IMMUNISATION COMPLETION DATES

IMMUNISATION DISEASE

A classification of IMMUNISATION DISEASE TYPE. A disease, or group of diseases, against which an IMMUNISATION PROGRAMME is directed, or for which a GENERAL MEDICAL PRACTITIONER may deliver a VACCINATION SERVICE, for which a fee may be claimed.

Examples:

a.	Diphtheria
b.	Tetanus
c.	Poliomyelitis
d.	Pertussis
e.	Tuberculosis*
f.	Anthrax
g.	Haemophilus influenzae type b (Hib)*
h.	Measles, Mumps and Rubella (MMR)*
i.	Rabies
j.	Typhoid
k.	Group C meningococcal disease (MenC)*

Note: This list is an example only and may be adjusted to meet local requirements.

*required to enable data to be returned centrally

References:
Statement of Fees and Allowances Payable to General Medical Practitioners in England and Wales.

This attribute is also known by these names:

Context	Alias
plural	IMMUNISATION DISEASES

IMMUNISATION DISEASE DESCRIPTION

IMMUNISATION STATUS INDICATOR

IMMUNITY TEST RESULT

An indicator for the result of an immunity test, showing whether a PERSON is immune or not.

Classification:

a.	Test given and result not known
b.	Test given and result known:
	i.	individual immune. For tuberculosis skin tests of immunity 'found positive' means that the individual is considered to be immune and does not require vaccination and is shown by:
		-	Mantoux test - when raised area of induration is at least 6mm in diameter,
		-	Mantoux test - when raised area of induration is at least 5mm in diameter,
		-	Heaf test grade 2 (with complete ring or induration) or higher, or
		-	Heaf test grade 1 if individual has been previously vaccinated
	ii.	individual not immune. For tuberculosis skin tests of immunity 'found negative' includes Heaf grade 1 if individual has not been previously vaccinated and is considered to indicate that the individual is not immune

This attribute is also known by these names:

Context	Alias
plural	IMMUNITY TEST RESULTS

PRIMARY COURSE DOSE NUMBER

PRIMARY COURSE DOSE NUMBER

The number of recommended doses required to complete a primary course for a particular IMMUNISATION PROGRAMME for an IMMUNISATION DISEASE. For example, for a primary course of immunisation against Diphtheria, it is recommended that 3 doses be given. The number of doses recommended may vary depending on the age of the PERSON. For example, Haemophilus influenzae type b (Hib) primary course consists of 3 doses before thirteen months or one dose thereafter and immunisation against Group C meningococcal disease (MenC) requires 2 or 3 doses before 12 months according to age at vaccination or one dose thereafter.

This attribute is also known by these names:

Context	Alias
plural	PRIMARY COURSE DOSE NUMBER

REINFORCING COURSE DOSE NUMBER

REINFORCING COURSE DOSE NUMBER

The number of doses required to complete a reinforcing or booster course for a particular IMMUNISATION PROGRAMME for an IMMUNISATION DISEASE. For example, for a reinforcing course of immunisation against Diphtheria, it is recommended that 2 doses be given routinely. Further reinforcing doses may be required at 10 yearly intervals for travellers to diphtheria endemic regions but these would be part of a new reinforcing or booster course.

This attribute is also known by these names:

Context	Alias
plural	REINFORCING COURSE DOSE NUMBER

RESIDENT CHILDREN TOTAL

RESIDENT GIRLS TOTAL

RUBELLA AGE GROUP

COVER

Central Return Form Guidance

COVER - Request Parameters for COVER data

Contextual Overview

1. The Department of Health requires annual information on childhood immunisations to support performance indicators and benchmark indicators.

2. The performance indicators and benchmark indicators will be published routinely on the DH web site.

3. Information provided by COVER together with supplementary data collected on KC50 is published annually in the DH statistical bulletin: NHS Immunisation Statistics, England.

Completing the return COVER - Request Parameters for COVER data

4. The return is required from Primary Care Trusts for children in their responsible population, i.e.

- all children registered with a GP whose practice forms part of the Primary Care Trust, regardless of where the child is resident, plus - any children not registered with a GP, who are resident within the Primary Care Trust's statutory geographical boundary.

Children resident within the Primary Care Trust geographical area, who are registered with a GP belonging to another Primary Care Trust, should be returned by the GP's Primary Care Trust.

5. The return is required to be submitted quarterly to the Communicable Disease Surveillance Centre, who then forward annual data to the Department of Health.

6. The information necessary for COVER may be submitted as a computer output page containing the relevant data, which should be returned within two months of the end of the quarter to which it relates.

7. The COVER data provides the immunisation status of three cohorts of children, aged 12 months, 24 months, and 5 years.

Request 1: 12 MONTH COHORT

1. The total number of children for whom the PCT is responsible on yy/yy/yyyy reaching their 1st birthday during the evaluation quarter.

8. This is the total number of children in the 12 month cohort, i.e. the number of children within the PRIMARY CARE TRUST's responsible population at the REPORTING PERIOD END DATE who reached the age of one during the REPORTING PERIOD.

2. Total number included in line 1 completing a primary course at any time up to their 1st birthday for each of the listed diseases.

9. This is a count of the number of IMMUNISATION PROGRAMME FOR PERSON for children in the 12 month cohort, with an IMMUNISATION COMPLETION DATE for an IMMUNISATION COURSE of primary up to the child's first birthday for particular IMMUNISATION DISEASES. The IMMUNISATION DISEASES currently reported are Diphtheria, Pertussis, Tetanus, Polio, Haemophilus influenzae type b (Hib), and Group C meningococcal disease (MenC).

Request 2: 24 MONTH COHORT

3. The total number of children for whom the PCT is responsible on yy/yy/yyyy reaching their 2nd birthday during the evaluation quarter.

10. This is the total number of children in the 24 month cohort, i.e. the number of children within the PRIMARY CARE TRUST's responsible population at the REPORTING PERIOD END DATE who reached the age of two during the REPORTING PERIOD.

4. Total number included in line 3 completing a primary course at any time up to their 2nd birthday for each of the listed diseases.

11. This is a count of the number of IMMUNISATION PROGRAMME FOR PERSON for children in the 24 month cohort, with an IMMUNISATION COMPLETION DATE for an IMMUNISATION COURSE of primary up to the child's second birthday for particular IMMUNISATION DISEASES. The IMMUNISATION DISEASES currently reported are Diphtheria, Pertussis, Tetanus, Polio, Haemophilus influenzae type b (Hib), Group C meningococcal disease (MenC), and MMR.

Request 3: 5 YEAR COHORT

The total number of children for whom the PCT is responsible on yy/yy/yyyy reaching their 5th birthday during the evaluation quarter.

12. This is the total number of children in the 5 year cohort, i.e. the number of children within the PRIMARY CARE TRUST's responsible population at the REPORTING PERIOD END DATE who reached the age of five during the REPORTING PERIOD.

6. Total number included in line 5 completing a primary course at any time up to their 5th birthday and also total number included in line 5 receiving boosters for each of the listed diseases.

13. For primary courses this is a count of the number of IMMUNISATION PROGRAMME FOR PERSON for children in the 5 year cohort, with an IMMUNISATION COMPLETION DATE for an IMMUNISATION COURSE of primary up to the PERSON's fifth birthday for particular IMMUNISATION DISEASES. The IMMUNISATION DISEASES currently reported are Diphtheria, Pertussis, Tetanus, Polio, Haemophilus influenzae type b (Hib), Group C meningococcal disease (MenC), and MMR.

14. For booster courses this is a count of the number of IMMUNISATION PROGRAMME FOR PERSON for children in the 5 year cohort, with an IMMUNISATION COMPLETION DATE for an IMMUNISATION COURSE of booster up to the PERSON's fifth birthday for particular IMMUNISATION DISEASE. The IMMUNISATION DISEASE currently reported are Diphtheria, Pertussis, Tetanus, Polio, and MMR.

Central Return Form Guidance

COVER - Request Parameters for COVER data

Contextual Overview

1. The Department of Health requires annual information on childhood immunisations to support performance indicators and benchmark indicators.

2. The performance indicators and benchmark indicators will be published routinely on the DH web site.

3. Information provided by COVER together with supplementary data collected on KC50 is published annually in the DH statistical bulletin: NHS Immunisation Statistics, England.

Completing the return COVER - Request Parameters for COVER data

4. The return is required from Primary Care Trusts for children in their responsible population, i.e.

- all children registered with a GP whose practice forms part of the Primary Care Trust, regardless of where the child is resident, plus - any children not registered with a GP, who are resident within the Primary Care Trust's statutory geographical boundary.

Children resident within the Primary Care Trust geographical area, who are registered with a GP belonging to another Primary Care Trust, should be returned by the GP's Primary Care Trust.

5. The return is required to be submitted quarterly to the Communicable Disease Surveillance Centre, who then forward annual data to the Department of Health.

6. The information necessary for COVER may be submitted as a computer output page containing the relevant data, which should be returned within two months of the end of the quarter to which it relates.

7. The COVER data provides the immunisation status of three cohorts of children, aged 12 months, 24 months, and 5 years.

Request 1: 12 MONTH COHORT

1. The total number of children for whom the PCT is responsible on yy/yy/yyyy reaching their 1st birthday during the evaluation quarter.

8. This is the total number of children in the 12 month cohort, i.e. the number of children within the PRIMARY CARE TRUST's responsible population at the REPORTING PERIOD END DATE who reached the age of one during the REPORTING PERIOD.

2. Total number included in line 1 completing a primary course at any time up to their 1st birthday for each of the listed diseases.

9. This is a count of the number of IMMUNISATION PROGRAMME FOR PERSON for children in the 12 month cohort, with an IMMUNISATION COMPLETION DATE for an IMMUNISATION COURSE of primary up to the child's first birthday for particular IMMUNISATION DISEASES. The IMMUNISATION DISEASES currently reported are Diphtheria, Pertussis, Tetanus, Polio, Haemophilus influenzae type b (Hib), and Group C meningococcal disease (MenC).

Request 2: 24 MONTH COHORT

3. The total number of children for whom the PCT is responsible on yy/yy/yyyy reaching their 2nd birthday during the evaluation quarter.

10. This is the total number of children in the 24 month cohort, i.e. the number of children within the PRIMARY CARE TRUST's responsible population at the REPORTING PERIOD END DATE who reached the age of two during the REPORTING PERIOD.

4. Total number included in line 3 completing a primary course at any time up to their 2nd birthday for each of the listed diseases.

11. This is a count of the number of IMMUNISATION PROGRAMME FOR PERSON for children in the 24 month cohort, with an IMMUNISATION COMPLETION DATE for an IMMUNISATION COURSE of primary up to the child's second birthday for particular IMMUNISATION DISEASES. The IMMUNISATION DISEASES currently reported are Diphtheria, Pertussis, Tetanus, Polio, Haemophilus influenzae type b (Hib), Group C meningococcal disease (MenC), and MMR.

Request 3: 5 YEAR COHORT

The total number of children for whom the PCT is responsible on yy/yy/yyyy reaching their 5th birthday during the evaluation quarter.

12. This is the total number of children in the 5 year cohort, i.e. the number of children within the PRIMARY CARE TRUST's responsible population at the REPORTING PERIOD END DATE who reached the age of five during the REPORTING PERIOD.

6. Total number included in line 5 completing a primary course at any time up to their 5th birthday and also total number included in line 5 receiving boosters for each of the listed diseases.

13. For primary courses this is a count of the number of IMMUNISATION PROGRAMME FOR PERSON for children in the 5 year cohort, with an IMMUNISATION COMPLETION DATE for an IMMUNISATION COURSE of primary up to the PERSON's fifth birthday for particular IMMUNISATION DISEASES. The IMMUNISATION DISEASES currently reported are Diphtheria, Pertussis, Tetanus, Polio, Haemophilus influenzae type b (Hib), Group C meningococcal disease (MenC), and MMR.

14. For booster courses this is a count of the number of IMMUNISATION PROGRAMME FOR PERSON for children in the 5 year cohort, with an IMMUNISATION COMPLETION DATE for an IMMUNISATION COURSE of booster up to the PERSON's fifth birthday for particular IMMUNISATION DISEASE. The IMMUNISATION DISEASE currently reported are Diphtheria, Pertussis, Tetanus, Polio, and MMR.

KC50 2

Central Return Form Guidance

KC50 - Immunisation Programmes Activity

Part A: Immunisations Given to School Leavers (Ages 13 16)

1. Part A of the return collects information about school leaver booster immunisations together with information on school leaver Measles, Mumps and Rubella (MMR) immunisations.

Age (in years) on Receipt of Booster or Reinforcing Dose (first column)

2. This is derived from the BIRTH DATE of the PERSON. Line 99 requires the total of children in the 13-16 age band in the period covered by the return who are included in one or more IMMUNISATION PROGRAMMES FOR PERSONS.

Number of Booster/Reinforcing Doses given to School Leavers in the year (column 2 - 4)

3. Column 2 requires a count of the number of children in the 13-16 age band with an IMMUNISATION DOSE GIVEN as part of an IMMUNISATION PROGRAMME FOR PERSON where the IMMUNISATION DISEASE which is the target of the IMMUNISATION PROGRAMME is diphtheria and the IMMUNISATION COURSE is for all completed MMR courses. The DOSE GIVEN DATE must fall within the period covered by the return, between 1 April and 31 March.

4. For columns 3 and 4, the IMMUNISATION DISEASES are tetanus and polio respectively; all other requirements are the same as for column 2.

Number of Courses of MMR Completed in the Year for Children Aged 13 16 (column 5)

5. Column 5 requires a count of the number of children in the 13-16 age band with an IMMUNISATION DOSE GIVEN as part of an IMMUNISATION PROGRAMME FOR PERSON where the IMMUNISATION DISEASE which is the target of the IMMUNISATION PROGRAMME is MMR and the IMMUNISATION COURSE is for all completed courses of MMR. The IMMUNISATION STATUS INDICATOR must indicate that the immunisation course is complete, and the IMMUNISATION COMPLETION DATE must fall within the period covered by the return, between 1 April and 31 March.

5. Column 5 requires a count of the number of children in the 13-16 age band with an IMMUNISATION DOSE GIVEN as part of an IMMUNISATION PROGRAMME FOR PERSON where the IMMUNISATION DISEASE which is the target of the IMMUNISATION PROGRAMME is MMR and the IMMUNISATION COURSE is for all completed courses of MMR. The IMMUNISATION COMPLETION DATE must fall within the period covered by the return, between 1 April and 31 March.

Part B: BCG (Tuberculosis)

6. Part B of KC50 requires age-banded data on the number and results of tuberculosis skin tests in the year and the number of BCG vaccinations made both through IMMUNISATION PROGRAMMES and through opportunistic or other screening.

Age (in years) at vaccination (column 6)

7. This is derived from the BIRTH DATE of the PERSON and is the age at the time of vaccination. Line 01 includes all children aged less than one year. Line 02 includes children aged 1 to 9 years, line 03 includes children aged 10 to 13 years and Line 04, children aged 14 and 15 years. Line 05 includes all persons 16 years and over. Line 99 requires the total for all ages.

Number of Skin Tests in the Year (columns 7 & 8)

8. Columns 7 & 8 require a count of the number of people with an IMMUNITY TEST RESULT, with a TEST OF IMMUNITY made as part of an IMMUNISATION PROGRAMME FOR PERSON and where the IMMUNISATION DISEASE which is the target of the IMMUNISATION PROGRAMME is tuberculosis. The count only covers those immunity tests where the result is known. The TEST DATE must fall within the period covered by the return, between 1 April and 31 March.

Found Positive (column 7)

9. Column 7 requires a count of the IMMUNITY TEST RESULTS, Test given and result known: individual immune.

Found Negative (column 8)

10. Column 8 requires a count of the IMMUNITY TEST RESULTS of Test given and result known: individual not immune.

11. Note that in general the number of skin tests found negative is considerably larger than the number found positive. If this is not the case, an explanation should be included on the front sheet of the return.

12. The number of negative skin tests in IMMUNISATION PROGRAMMES FOR PERSONS for school-children (aged less than 16 years) should be approximately the same as the number of vaccinations given. Again, if this is not the case, an explanation should be included on the front sheet of the return.

Number of Vaccinations in the Year (columns 9 & 10)

13. Columns 9 and 10 require a count of IMMUNISATION DOSES GIVEN as part of an IMMUNISATION PROGRAMME FOR PERSON where the IMMUNISATION DISEASE which is the target of the IMMUNISATION PROGRAMME is tuberculosis. The DOSE GIVEN DATE must fall within the period covered by the return, between 1 April and 31 March.

Through Planned Programmes for Neonates and School-children (column 9)

14. Column 9 requires a count of the number of people vaccinated where the IMMUNISATION PROGRAMME TYPE indicates that the IMMUNISATION PROGRAMME against tuberculosis is a Planned programme for neonates and school-children.

Other Programmes and Opportunistic (column 10)

15. Column 10 requires a count of the number of people vaccinated where the IMMUNISATION PROGRAMME TYPE indicates that the IMMUNISATION PROGRAMME against tuberculosis is Other programme. This includes those instances where immunisation, perhaps as the opportunity arises, is by virtue of being a TB contact, new immigrant, at occupational high risk, etc.

CM030 COMMUNITY - CHILD HEALTH AND IMMUNISATION FOR PRIMARY CARE TRUSTS

 CM030 Community - Child Health and Immunisation for Primary Care Trusts 

COVER IMMUNISATION

 COVER Immunisation 

KC50 IMMUNISATION PROGRAMMES - ACTIVITY

 KC50 Immunisation Programmes - Activity 

PC020 GMPS CLAIMS AND PAYMENTS/REIMBURSEMENTS FROM PRIMARY CARE TRUSTS

 PC020 GMPS Claims and Payments/Reimbursements from Primary Care Trusts 

CM030

Model View Diagram - Overview

CM030 - COMMUNITY - CHILD HEALTH AND IMMUNISATION FOR PRIMARY CARE TRUSTS

1. This diagram illustrates a PRIMARY CARE TRUSTS information requirements for two types of HEALTH PROGRAMME, immunisation and screening.

2. An IMMUNISATION PROGRAMME is aimed at a specific group of individuals, often within a pre-defined age band, to maintain an adequate level of immunisation for a particular disease. As an example, an IMMUNISATION PROGRAMME for IMMUNISATION DISEASE TYPE rubella delivers protection against the disease to one or more SURVEILLANCE PROGRAMMES.

2. An IMMUNISATION PROGRAMME is aimed at a specific group of individuals, often within a pre-defined age band, to maintain an adequate level of immunity against a particular disease.

3. For SURVEILLANCE PROGRAMMES, the broad objective is to monitor health and development. This involves an assessment of a selected group of the population by means of practical and uniform observations and measurements which can be applied rapidly.

4. Once a group is selected for surveillance, the type of assessment performed is often related to the age of the SURVEILLANCE AGE GROUP. There may be one or more SURVEILLANCE PROGRAMME STAGES in a SURVEILLANCE PROGRAMME. Each SURVEILLANCE PROGRAMME STAGE relates to a specific age band, SURVEILLANCE AGE GROUP, and to one or more HEALTH CARE PROVIDERS.

5. Because SURVEILLANCE PROGRAMME STAGES cannot be precisely defined to meet the needs of every PRIMARY CARE TRUST, each PRIMARY CARE TRUST will define its SURVEILLANCE PROGRAMMES and such SURVEILLANCE PROGRAMME STAGES that are necessary to monitor the health of its targeted resident population.

6. PRIMARY CARE TRUSTS may contract one or more HEALTH CARE PROVIDERS to provide services within the framework of an IMMUNISATION PROGRAMME or a SURVEILLANCE PROGRAMME STAGE and providers will need to collect relevant information to be able to deliver these SERVICES PROVIDED (see CM040).

PC020

Model View Diagram - Overview

PC020 - GMPS CLAIMS AND PAYMENTS OR REIMBURSEMENTS FROM PRIMARY CARE TRUSTS

1. This diagram shows the classes concerned with the claims for payment which GENERAL MEDICAL PRACTITIONERS make to the PRIMARY CARE TRUST.

2. A GENERAL MEDICAL PRACTITIONER may make a number of GMP CLAIMS FOR PAYMENT OR REIMBURSEMENTS. A GMP CLAIM FOR PAYMENT OR REIMBURSEMENT is either an ITEM OF SERVICE CLAIM or OTHER CLAIM BY GMP which may be in the context of a particular GENERAL MEDICAL PRACTITIONER PRACTICE.

3. An ITEM OF SERVICE DELIVERY is delivered to a PERSON which may be recorded as delivered at a particular ADDRESS and claimed for by a particular ITEM OF SERVICE CLAIM. An ITEM OF SERVICE DELIVERY may be one of a number of subtypes: REGISTRATION HEALTH CHECK, MATERNITY MEDICAL SERVICE, ANAESTHETIC SERVICE, CONTRACEPTIVE SERVICE, EMERGENCY TREATMENT SERVICE, NIGHT CONSULTATION VISIT, DENTAL HAEMORRHAGE SERVICE, MINOR SURGERY PROCEDURE or VACCINATION SERVICE.

4. A HEALTH CARE PROFESSIONAL may undertake a particular role in the ITEM OF SERVICE DELIVERY as ITEM OF SERVICE DELIVERY ROLE such as responsible healthcare professional or healthcare professional taking material for pathology testing.

5. GENERAL MEDICAL PRACTITIONERS are paid via GMP PAYMENTS OR REIMBURSEMENTS for GMP CLAIMS FOR PAYMENT OR REIMBURSEMENTS.

6. The applicable payment for a particular VACCINATION SERVICE is determined by the combination of IMMUNISATION DISEASE TYPE and IMMUNISATION COURSE TYPE.

6. The applicable payment for a particular VACCINATION SERVICE is determined by the combination of IMMUNISATION DISEASE and IMMUNISATION COURSE TYPE.

7. A MATERNITY MEDICAL SERVICE may result in a number of GMP CONSULTATIONS.

Please address enquiries about this DSCN to:-
Data Standards Team
NHS Information Authority
Aqueous II
Aston Cross
Rocky Lane
Birmingham
B6 5RQ

Tel: 0121 333 0333