Change Request

NHS Information Authority

Data Standards Programme

Reference: Change Request 304
Version No:1.20
Subject:DSCN 29/2002 - Mental Health Minimum Data Set
Type of Change:Revision of NHS data standards
Effective Date:1 April 2003
Reason for Change:Implementation of the collection of the Mental Health Minimum Data Set via the NHS-wide Clearing Service

Background:

National implementation of the Mental Health Minimum Data Set, followed the ratification of the Mental Health Minimum Data Set (MHMDS) by CRIR in September 1999 and is still continuing. The MHMDS is to be electronically collected from NHS Trusts via the NHS-wide Clearing Service for storage in a database from which the Department of Health will produce routine reports. Please note this collection of the MHMDS does not replace any other collection of mental health data such as the Admitted Patient Care CDS Type - Detained and /or Long Term Psychiatric Census, which should continue to be collected.

The first quarterly collection of the MHMDS via the NWCS is scheduled for the end of Quarter 1 - 2003 (end of June). In order to implement the electronic data flow, the data item notes which comprise the MHMDS itself have been specified and incorporated within the NHS Data Dictionary & Manual. In addition, a number of changes to existing data standards have also been made in order to fully support the MHMDS data item notes. This DSCN identifies changes to the NHS Data Dictionary & Manual to specify and incorporate the data item notes; and changes to previously existing data standards to support derivation of the data item notes.

Summary of changes:
 
Class Definitions
ACUTE HOME-BASED CONTACT   Change to description
ACUTE HOME-BASED CONTACT   Change to relationships
CARE PROGRAMME APPROACH EPISODE   Change to description
CARE PROGRAMME APPROACH EPISODE   Change to relationships
CARE PROGRAMME APPROACH REVIEW   Change to description
CARE PROGRAMME APPROACH REVIEW   Change to attributes
CLINIC ATTENDANCE NON-CONSULTANT   Change to description
CONSULTANT EPISODE (ACUTE HOME-BASED)   Change to description
CPA KEY WORKER ALLOCATION   Change to name
CPA KEY WORKER ALLOCATION   Change to aliases
CPA KEY WORKER ALLOCATION   Change to relationships
DAY CARE ATTENDANCE   Change to description
FACE TO FACE CONTACT COMMUNITY CARE   Change to description
FACE TO FACE CONTACT COMMUNITY CARE   Change to relationships
FACE TO FACE CONTACT CPA KEY WORKER   Change to name
FACE TO FACE CONTACT CPA KEY WORKER   Change to description
FACE TO FACE CONTACT CPA KEY WORKER   Change to relationships
FACE TO FACE CONTACT SOCIAL WORKER   Change to description
FACE TO FACE CONTACT SOCIAL WORKER   Change to relationships
FINANCIAL PERIOD   Change to description
FINANCIAL PERIOD   Change to attributes
FINANCIAL PERIOD   Change to relationships
LEGAL STATUS CLASSIFICATION   Change to attributes
MENTAL HEALTH CARE SPELL   Change to description
MENTAL HEALTH CARE SPELL   Change to relationships
MENTAL HEALTH CARE TEAM   Change to relationships
MENTAL HEALTH CARE TEAM MEMBER   Change to relationships
ORGANISATION   Change to relationships
ORGANISATION FINANCIAL PERIOD   Change to name
ORGANISATION FINANCIAL PERIOD   Change to description
ORGANISATION FINANCIAL PERIOD   Change to relationships
OUT-PATIENT ATTENDANCE CONSULTANT   Change to description
PATIENT   Change to relationships
PROFESSIONAL STAFF GROUP CONTACT   Change to description
PROFESSIONAL STAFF GROUP CONTACT   Change to relationships
REPORTING PERIOD   New Class
RESPONSIBLE MENTAL HEALTH CARE TEAM   New Class
SERVICE POINT IN PERIOD   Change to description
SERVICE POINT IN PERIOD   Change to relationships
SHELTERED WORK ATTENDANCE   Change to description
TELEPHONE CONTACT NHS DIRECT (MENTAL HEALTH)   New Class
WARD ATTENDANCE   Change to description
 
Attribute Definitions
CLINICAL CARE INTENSITY   Change to description
CPA LEVEL   Change to description
LEGAL STATUS CLASSIFICATION CODE   Change to description
LEGAL STATUS RESTRICTIVENESS   New Attribute
MEDICAL TEAM MEMBER GRADE   Change to description
MENTAL HEALTH CARE SPELL END CODE   Change to description
MHCS SUSPENSION REASON   Change to description
PERIOD   Change to description
SOCIAL WORKER CONTACT   Change to name
SOCIAL WORKER CONTACT   Change to aliases
SOURCE OF REFERRAL FOR MENTAL HEALTH   Change to description
 
Data Elements
ADMISSIONS (MENTAL HEALTH)   New DataElement
BED DAYS (MENTAL HEALTH)   New DataElement
BED DAYS (MENTAL HEALTH INTENSIVE)   New DataElement
BED DAYS (MENTAL HEALTH MEDIUM SECURE)   New DataElement
BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE)   New DataElement
CARE DAYS (ACUTE HOME-BASED)   New DataElement
CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD)   New DataElement
CARE SPELL IDENTIFIER (MENTAL HEALTH)   New DataElement
CARE SPELL NUMBER IN REPORTING PERIOD   New DataElement
COMMUNITY SURVIVAL TIMES LIST (MENTAL HEALTH)   New DataElement
CONTACTS (CLINICAL PSYCHOLOGIST)   New DataElement
CONTACTS (COMMUNITY PSYCHIATRIC NURSE)   New DataElement
CONTACTS (CONSULTANT PSYCHOTHERAPY)   New DataElement
CONTACTS (NHS DIRECT MENTAL HEALTH)   New DataElement
CONTACTS (OCCUPATIONAL THERAPIST)   New DataElement
CONTACTS (PHYSIOTHERAPIST)   New DataElement
CONTACTS (SOCIAL WORKER)   New DataElement
CPA ENHANCED DAYS   New DataElement
CPA LEVEL (AT END OF REPORTING PERIOD)   New DataElement
CPA STANDARD DAYS   New DataElement
DATE LAST SEEN (CPA CARE COORDINATOR)   New DataElement
DAY CARE ATTENDANCE (MENTAL HEALTH NHS SITE)   New DataElement
DAY CARE ATTENDANCE MH NON-NHS SITE INDICATOR   New DataElement
DAY CARE DID NOT ATTENDS (MENTAL HEALTH NHS SITE)   New DataElement
DAYS LIABLE FOR DETENTION   New DataElement
DAYS OF SUPERVISED DISCHARGE   New DataElement
DIAGNOSIS (ICD EIGHTH MOST RECENT)   New DataElement
DIAGNOSIS (ICD ELEVENTH MOST RECENT)   New DataElement
DIAGNOSIS (ICD FIFTH MOST RECENT)   New DataElement
DIAGNOSIS (ICD FIRST MOST RECENT)   New DataElement
DIAGNOSIS (ICD FOURTH MOST RECENT)   New DataElement
DIAGNOSIS (ICD NINTH MOST RECENT)   New DataElement
DIAGNOSIS (ICD SECOND MOST RECENT)   New DataElement
DIAGNOSIS (ICD SEVENTH MOST RECENT)   New DataElement
DIAGNOSIS (ICD SIXTH MOST RECENT)   New DataElement
DIAGNOSIS (ICD TENTH MOST RECENT)   New DataElement
DIAGNOSIS (ICD THIRD MOST RECENT)   New DataElement
DIAGNOSIS (ICD TWELFTH MOST RECENT)   New DataElement
DISCHARGES (MENTAL HEALTH)   New DataElement
ELECTORAL WARD OF USUAL ADDRESS   New DataElement
END DATE (MENTAL HEALTH CARE SPELL)   New DataElement
FIRST CONTACT TIMES LIST (MENTAL HEALTH)   New DataElement
HOME HELP VISIT INDICATOR   New DataElement
HONOS RATING (BEST IN LAST TWELVE MONTHS)   New DataElement
HONOS RATING (FIRST IN MHCS)   New DataElement
HONOS RATING (MOST RECENT IN MHCS)   New DataElement
HONOS RATING (WORST EVER RECORDED)   New DataElement
HONOS SCORE DATE (BEST IN LAST TWELVE MONTHS)   New DataElement
HONOS SCORE DATE (FIRST IN MHCS)   New DataElement
HONOS SCORE DATE (MOST RECENT IN MHCS)   New DataElement
HONOS SCORE DATE (WORST EVER RECORDED)   New DataElement
HOSPITAL STAYS LIST (MENTAL HEALTH)   New DataElement
LEGAL STATUS CLASSIFICATION CODE (AT END OF REPORTING PERIOD)   New DataElement
LEGAL STATUS RESTRICTIVENESS (HIGHEST IN REPORTING PERIOD)   New DataElement
MENTAL HEALTH CARE AND LEGAL STATUS HISTORY   New DataElement
MENTAL HEALTH CARE SPELL END CODE   New DataElement
MENTAL HEALTH CARE TEAM TYPE (AT END OF REPORTING PERIOD)   New DataElement
MHCS SUSPENSION REASON (AT END OF REPORTING PERIOD)   New DataElement
MHC WITHOUT PATIENT CONSENT IN REPORTING PERIOD   New DataElement
OCCUPATION (CPA CARE COORDINATOR)   New DataElement
ORGANISATION CODE (PCT OF GP PRACTICE)   New DataElement
OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH)   New DataElement
OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH)   New DataElement
PROCEDURE (ECT TREATMENTS ADMINISTERED)   New DataElement
PROCEDURE (READ EIGHTH MOST RECENT)   New DataElement
PROCEDURE (READ ELEVENTH MOST RECENT)   New DataElement
PROCEDURE (READ FIFTH MOST RECENT)   New DataElement
PROCEDURE (READ FIRST MOST RECENT)   New DataElement
PROCEDURE (READ FOURTH MOST RECENT)   New DataElement
PROCEDURE (READ NINTH MOST RECENT)   New DataElement
PROCEDURE (READ SECOND MOST RECENT)   New DataElement
PROCEDURE (READ SEVENTH MOST RECENT)   New DataElement
PROCEDURE (READ SIXTH MOST RECENT)   New DataElement
PROCEDURE (READ TENTH MOST RECENT)   New DataElement
PROCEDURE (READ THIRD MOST RECENT)   New DataElement
PROCEDURE (READ TWELFTH MOST RECENT)   New DataElement
REPORTING PERIOD (MENTAL HEALTH)   New DataElement
RESIDENTIAL MH NON-NHS COMMUNITY CARE INDICATOR   New DataElement
SHELTERED WORK ATTENDANCE INDICATOR   New DataElement
SOCIAL SERVICES CLIENT IDENTIFIER   New DataElement
SOCIAL WORKER INVOLVEMENT   New DataElement
SOURCE OF REFERRAL FOR MENTAL HEALTH   New DataElement
SPECIALTY FUNCTION CODE (MENTAL HEALTH)   New DataElement
SPELL DAYS IN REPORTING PERIOD   New DataElement
SPELL DEFINITION TYPE (ASSEMBLER MHCS)   New DataElement
SSSA (NUMBER FOR COMMUNITY CARE)   New DataElement
SSSA (NUMBER FOR DETENTION)   New DataElement
START DATE (MENTAL HEALTH CARE SPELL)   New DataElement
SUSPENDED DAYS IN REPORTING PERIOD   New DataElement
YEAR OF FIRST KNOWN PSYCHIATRIC CARE   New DataElement
 
Data Sets (CDS, CMDS, HES)
MENTAL HEALTH MINIMUM DATA SET   New LegacyMessage
 
Diagrams
GN010 SERVICE POINTS   Change to diagram contents
MH020 MENTAL HEALTH CARE SPELL   Change to diagram contents
MH030 CARE PROGRAMME APPROACH EPISODE   Change to diagram contents
MHMDS1 MENTAL HEALTH MINIMUM DATA SET   New Diagram
 
Supporting Information
MH020   Change to supporting information
MENTAL HEALTH MINIMUM DATA SET DIAGRAM CLASS DEFINITIONS   New WebPage
MH030   Change to supporting information

Name:Barbara Fogarty
Date:5 March 2003
Sponsor:Data Standards Team

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


ACUTE HOME-BASED CONTACT

Change to Class: change to description

A contact made with a PATIENT for delivery of acute home-based care within a CONSULTANT EPISODE (ACUTE HOME-BASED). The contact, whether face to face or via telephone, will be made with the PATIENT at their normal place of residence.

Telephone contact should only be made where it is determined that the PATIENT is either approaching readiness for ending the period of care or is in a period of trial withdrawal from acute home-based care.

When the MENTAL HEALTH CARE TEAM MEMBER is also the allocated Care Programme Approach key worker for the PATIENT and the contact is face to face, then a FACE TO FACE CONTACT CPA KEY WORKER should also be recorded. When the MENTAL HEALTH CARE TEAM MEMBER is also the allocated Care Programme Approach care coordinator for the PATIENT and the contact is face to face, then a FACE TO FACE CONTACT CPA CARE COORDINATOR should also be recorded.



This class is also known by these names:
ContextAlias
pluralACUTE HOME-BASED CONTACTS


top

ACUTE HOME-BASED CONTACT

Change to Class: change to relationships

Each ACUTE HOME-BASED CONTACT
Kmust be a contact within one and only one CONSULTANT EPISODE (ACUTE HOME-BASED)
must be a contact made by one and only one MENTAL HEALTH CARE TEAM MEMBER
may be for the contact by one and only one CPA KEY WORKER ALLOCATION
may be for the contact by one and only one CPA CARE COORDINATOR ALLOCATION


top

CARE PROGRAMME APPROACH EPISODE

Change to Class: change to description

A period of care provided as part of the Care Programme Approach for an adult (including elderly) PATIENT. The CARE PROGRAMME APPROACH EPISODE forms part of a MENTAL HEALTH CARE SPELL.

The first CARE PROGRAMME APPROACH EPISODE starts when the MENTAL HEALTH CARE SPELL initial assessment of the PATIENT determines that a plan of care or treatment is required which will be delivered under the Care Programme Approach.

The CARE PROGRAMME APPROACH EPISODE ends when one of the following occurs:

- a review determines that no further care need be provided
- a different level of Care Programme Approach is required
- a PATIENT transfers to another HEALTH CARE PROVIDER with main responsibility for provision of mental health care also being transferred
- death of the PATIENT

A Care Programme Approach must involve all of the following key elements:

a. An assessment of the PATIENT's health and social care needs
b. A written care plan to meet the assessed needs, the PATIENT being involved in drawing up the care plan
c. Regular reviews of the PATIENT's care plan
d. A named mental health worker, called a key worker, who is responsible for the PATIENT care under the Care Programme Approach
d. A named mental health worker, called a care coordinator, who is responsible for the PATIENT care under the Care Programme Approach

There are two levels of Care Programme Approach; simple and complex. There are two levels of Care Programme Approach; standard and enhanced.

References:
HC(90)23, LSSL(90)11 'Caring for People', The Care Programme Approach for People with Mental illness referred to the Specialist Psychiatric Services. (Renewed September 1995)
The Health of the Nation Key Area Handbook: Mental Illness, 2nd Edition, HMSO 1994, Appendix 9.3
H51/011 1406 1P January 97 The Patient's Charter - Mental Health Services
"Effective Care Co-ordination in Mental Health Services", Modernising the Care Programme Approach, a Policy Booklet, catalogue number 16736, October 1999.



This class is also known by these names:
ContextAlias
pluralCARE PROGRAMME APPROACH EPISODES


top

CARE PROGRAMME APPROACH EPISODE

Change to Class: change to relationships

Each CARE PROGRAMME APPROACH EPISODE
must be subject to one or more CARE PROGRAMME APPROACH REVIEW
must be associated with one or more CPA KEY WORKER ALLOCATION
must be associated with one or more CPA CARE COORDINATOR ALLOCATION
must be for care programme approach within one and only one SERVICE PROVIDED
may be associated with one or more SUPERVISED DISCHARGE EPISODE
may be associated with one or more SUPERVISION REGISTER EPISODE


top

CARE PROGRAMME APPROACH REVIEW

Change to Class: change to description

A clinical review of the health and social needs of a PATIENT who is the subject of a CARE PROGRAMME APPROACH EPISODE. The review may take the form of a single meeting of interested parties, usually including the allocated key worker and the PATIENT or it may comprise a series of meetings and discussions over a number of days. The review may take the form of a single meeting of interested parties, usually including the allocated care coordinator and the PATIENT or it may comprise a series of meetings and discussions over a number of days. The CARE PROGRAMME APPROACH REVIEW ends when a definite outcome is established and recorded. The date when this is recorded will be taken as the CPA REVIEW DATE. The outcome will determine whether the CARE PROGRAMME APPROACH EPISODE continues or is ended.

The review will also include the assessment and recording of the HoNOS score and the assessment or re-assessment of the need for a SUPERVISION REGISTER EPISODE.



This class is also known by these names:
ContextAlias
pluralCARE PROGRAMME APPROACH REVIEWS


top

CARE PROGRAMME APPROACH REVIEW

Change to Class: change to attributes

Attributes of this Class are:
KCPA REVIEW DATE
CPA REVIEW OUTCOME
OHOME HELP USE
   if HOME HELP VISITS planned
ONON-NHS COMMUNITY BED USE
   if stay in non-NHS residential facilities planned
ONON-NHS DAY CARE FACILITY USE
   if attendance at non-NHS DAY CARE FACILITIES planned
PATIENT INFORMED OF OUTCOME DATE
OSHELTERED WORK FACILITY USE
   if attendance at SHELTERED WORK FACILITIES planned
OSOCIAL WORKER CONTACT
   if face to face contacts with social worker planned
SOCIAL WORKER INVOLVEMENT
   if involvement or face to face contacts with social worker planned


top

CLINIC ATTENDANCE NON-CONSULTANT

Change to Class: change to description

An attendance at a NURSE CLINIC, MIDWIFE CLINIC or FAMILY PLANNING CLINIC. This may have been as a result of an OUT-PATIENT APPOINTMENT NON-CONSULTANT.

If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and the nurse they are in contact with during the attendance is their allocated Care Programme Approach key worker then a FACE TO FACE CONTACT CPA KEY WORKER should also be recorded. If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and the nurse they are in contact with during the attendance is their allocated Care Programme Approach care coordinator then a FACE TO FACE CONTACT CPA CARE COORDINATOR should also be recorded.

Note: Attendances at clinics run by Paramedics are PROFESSIONAL STAFF GROUP CONTACTS.



This class is also known by these names:
ContextAlias
pluralCLINIC ATTENDANCES NON-CONSULTANT


top

CONSULTANT EPISODE (ACUTE HOME-BASED)

Change to Class: change to description

The time a PATIENT who is subject to a MENTAL HEALTH CARE SPELL, spends in the continuous care of one CONSULTANT using the PATIENT's normal place of residence instead of admission to an acute hospital bed. A CONSULTANT EPISODE (ACUTE HOME-BASED) must satisfy the following criteria:

- there should be a specified start date for the episode
- the PATIENT should be judged by the CONSULTANT to be sufficiently ill to warrant admission to an acute hospital bed but that it is deemed more beneficial for the PATIENT for care to occur at their normal place of residence
- nursing and medical staff should be available to the PATIENT 24 hours a day
- there should be face to face contact with nursing or medical staff at least once in every nursing shift unless;
  i. the patient is approaching readiness for ending period of care, in which case at night, contact may be via telephone, or
  ii. the patient is in a period of trial withdrawal comparable to LEAVE OF ABSENCE within a CONSULTANT EPISODE (HOSPITAL PROVIDER)
- there should be a unit operational policy governing the maximum capacity which implies a staff to patient ratio of not less than 1 to 1

A PATIENT may not have concurrent CONSULTANT EPISODES (ACUTE HOME- BASED) or CONSULTANT EPISODES (HOSPITAL PROVIDER) but can have CONSULTANT OUT-PATIENT EPISODES overlapping with a CONSULTANT EPISODE (ACUTE HOME-BASED).

The start of a CONSULTANT EPISODE (ACUTE HOME-BASED) will initiate a series of contacts at the PATIENT's normal place of residence to deliver care, each of which will be recorded as an ACUTE HOME-BASED CONTACT. Where face to face contact occurs with the allocated key worker, a FACE TO FACE CONTACT CPA KEY WORKER will also be recorded. In circumstances of the PATIENT approaching readiness for ending the period of care or are in a period of trial withdrawal, contact may be by telephone.

The CONSULTANT EPISODE (ACUTE HOME-BASED) will be ended when the CONSULTANT determines no further acute home-based care is required.

When responsibility for a PATIENT transfers from one CONSULTANT to another, then one CONSULTANT EPISODE (ACUTE HOME-BASED) will be ended and another one will be started.



This class is also known by these names:
ContextAlias

A PATIENT may not have concurrent CONSULTANT EPISODES (ACUTE HOME- BASED) or CONSULTANT EPISODES (HOSPITAL PROVIDER) but can have CONSULTANT OUT-PATIENT EPISODES overlapping with a CONSULTANT EPISODE (ACUTE HOME-BASED).

The start of a CONSULTANT EPISODE (ACUTE HOME-BASED) will initiate a series of contacts at the PATIENT's normal place of residence to deliver care, each of which will be recorded as an ACUTE HOME-BASED CONTACT. Where face to face contact occurs with the allocated care coordinator, a FACE TO FACE CONTACT CPA CARE COORDINATOR will also be recorded. In circumstances of the PATIENT approaching readiness for ending the period of care or are in a period of trial withdrawal, contact may be by telephone.

The CONSULTANT EPISODE (ACUTE HOME-BASED) will be ended when the CONSULTANT determines no further acute home-based care is required.

When responsibility for a PATIENT transfers from one CONSULTANT to another, then one CONSULTANT EPISODE (ACUTE HOME-BASED) will be ended and another one will be started.



This class is also known by these names:
ContextAlias
pluralCONSULTANT EPISODES (ACUTE HOME-BASED)


top

CPA KEY WORKER ALLOCATION

Change to Class: change to name

CPA KEY WORKER ALLOCATION
CPA CARE COORDINATOR ALLOCATION


top

CPA KEY WORKER ALLOCATION

Change to Class: change to aliases

An association of a MENTAL HEALTH CARE TEAM MEMBER and a CARE PROGRAMME APPROACH EPISODE for the purpose of allocating a named key worker. An association of a MENTAL HEALTH CARE TEAM MEMBER and a CARE PROGRAMME APPROACH EPISODE for the purpose of allocating a named care coordinator.

A key worker is a professional member of staff working in specialist mental health services, who has been named and allocated as a key worker to a PATIENT currently the subject of a CARE PROGRAMME APPROACH EPISODE. A care coordinator is a professional member of staff working in specialist mental health services, who has been named and allocated as a care coordinator to a PATIENT currently the subject of a CARE PROGRAMME APPROACH EPISODE.

In most cases, there will be only one key worker allocated to a PATIENT at any one time. However, assertive community treatment teams may assign two key workers at the same time. In most cases, there will be only one care coordinator allocated to a PATIENT at any one time.



This class is also known by these names:
ContextAlias
pluralCPA KEY WORKER ALLOCATIONS
pluralCPA CARE COORDINATOR ALLOCATIONS


top

CPA KEY WORKER ALLOCATION

Change to Class: change to relationships

Each CPA KEY WORKER ALLOCATION Each CPA CARE COORDINATOR ALLOCATION
Kmust be for the allocation to one and only one CARE PROGRAMME APPROACH EPISODE
Kmust be for the allocation of one and only one MENTAL HEALTH CARE TEAM MEMBER
may be the contact for one or more ACUTE HOME-BASED CONTACT
may be the contact for one or more FACE TO FACE CONTACT COMMUNITY CARE
may be the contact for one or more FACE TO FACE CONTACT CPA KEY WORKER
may be the contact for one or more FACE TO FACE CONTACT CPA CARE COORDINATOR
may be the contact for one or more FACE TO FACE CONTACT SOCIAL WORKER
may be the contact for one or more PROFESSIONAL STAFF GROUP CONTACT


top

DAY CARE ATTENDANCE

Change to Class: change to description

One attendance, or expected attendance, by a PATIENT at a particular DAY CARE SESSION. This will either be by a regular attender or by a PATIENT currently using a hospital bed (including HOME LEAVE and LEAVE OF ABSENCE for a period of 28 days or less).

If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and during attendance at the facility is in contact with the HEALTH CARE PROFESSIONAL who is their allocated Care Programme Approach key worker then a FACE TO FACE CONTACT CPA KEY WORKER should also be recorded. If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and during attendance at the facility is in contact with the HEALTH CARE PROFESSIONAL who is their allocated Care Programme Approach care coordinator then a FACE TO FACE CONTACT CPA CARE COORDINATOR should also be recorded.



This class is also known by these names:
ContextAlias
pluralDAY CARE ATTENDANCES


top

FACE TO FACE CONTACT COMMUNITY CARE

Change to Class: change to description

A contact which is made by one or more nurses or community support workers (nursing) with a PATIENT or his/her proxy during a COMMUNITY EPISODE. The contact occurs when a PATIENT or their proxy attends a clinic or when the nurse or community support worker (nursing) makes a domiciliary visit to see the PATIENT.

A proxy contact is a single occasion involving contact between a proxy and one or more members of a COMMUNITY NURSE STAFF GROUP within a NURSING IN THE COMMUNITY PROGRAMME. Contacts with proxies only count if the contact is in lieu of the contact with the PATIENT, and the proxy is able more effectively than the PATIENT to ensure that the specified advice/treatment devised for the PATIENT is followed. This is most likely to be the case where the PATIENT is unable to communicate effectively say for an infant, or for a person who is mentally ill or has learning disabilities.

One or more nurses or community support workers (nursing) in the same or different NURSING IN THE COMMUNITY PROGRAMMESS may be in contact with a PATIENT at the same time.

Contacts should be recorded as follows:

a. If one or more nurses or community support workers (nursing) from the same programme are in contact with one patient at the same time, this should be recorded as one face-to-face contact
b. If one or more nurses or community support workers (nursing) from different programmes are in contact with one patient at the same time, this should be recorded as one contact for each programme involved
c. For contacts at a DAY CARE FACILITY, where repeated contacts may occur during the course of a day, this should be recorded as one contact for each programme involved
d. If two nurses of different disciplines but both classed in the COMMUNITY NURSE STAFF GROUP Other Community Nurses, such as stomatherapist and a continuing care nurse, are in contact with one patient at the same time, this should be recorded as two face-to-face contacts, one for each discipline

Group activity, where, for example, general advice is given to several patients at the same time should not be recorded as NURSE OR MIDWIFE CONTACTS.

A FACE TO FACE CONTACT COMMUNITY CARE may involve activities attributable to a STRUCTURED PROGRAMME, such as the following:

a. SCREENING TEST
b. GROUP SESSION
c. HEALTH PROMOTION OTHER ACTIVITY
d. EDUCATIONAL ASSESSMENT
e. TEST OF IMMUNITY
f. IMMUNISATION DOSE GIVEN
g. FACE TO FACE CONTACT SURVEILLANCE

For such activities they must be recorded as part of the respective STRUCTURED PROGRAMMES as well as attributed to the NURSING IN THE COMMUNITY PROGRAMMES.

If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and the contact nurse is also their allocated Care Programme Approach key worker then a FACE TO FACE CONTACT CPA KEY WORKER should also be recorded. If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and the contact nurse is also their allocated Care Programme Approach care coordinator then a FACE TO FACE CONTACT CPA CARE COORDINATOR should also be recorded.



This class is also known by these names:
ContextAlias
pluralFACE TO FACE CONTACTS COMMUNITY CARES


top

FACE TO FACE CONTACT COMMUNITY CARE

Change to Class: change to relationships

Each FACE TO FACE CONTACT COMMUNITY CARE
Kmust be related to one and only one COMMUNITY EPISODE
must be related to one and only one NURSE OR MIDWIFE CONTACT
may be for the contact by one and only one CPA KEY WORKER ALLOCATION
may be for the contact by one and only one CPA CARE COORDINATOR ALLOCATION


top

FACE TO FACE CONTACT CPA KEY WORKER

Change to Class: change to name

FACE TO FACE CONTACT CPA KEY WORKER
FACE TO FACE CONTACT CPA CARE COORDINATOR


top

FACE TO FACE CONTACT CPA KEY WORKER

Change to Class: change to description

A face to face contact between a PATIENT subject to a CARE PROGRAMME APPROACH EPISODE, and their currently allocated Care Programme Approach key worker. If more than one key worker has been allocated, and the contact involves the presence of more than one key worker at the same time, then it is still considered as a single occurrence of a face to face contact. A face to face contact between a PATIENT subject to a CARE PROGRAMME APPROACH EPISODE, and their currently allocated Care Programme Approach care coordinator

In cases where contact arises due to:

- a PROFESSIONAL STAFF GROUP CONTACT
- or a FACE TO FACE CONTACT COMMUNITY CARE
- or a WARD ATTENDANCE
- or a CLINIC ATTENDANCE NON-CONSULTANT
- or a DAY CARE ATTENDANCE
- or a SHELTERED WORK ATTENDANCE
- or a face to face ACUTE HOME-BASED CONTACT
- or an OUT-PATIENT ATTENDANCE CONSULTANT

both the FACE TO FACE CONTACT CPA KEY WORKER and the other contact or attendance should be recorded.



This class is also known by these names:
ContextAlias
pluralFACE TO FACE CONTACTS CPA KEY WORKERS
pluralFACE TO FACE CONTACTS CPA CARE COORDINATOR


top

FACE TO FACE CONTACT CPA KEY WORKER

Change to Class: change to relationships

Each FACE TO FACE CONTACT CPA KEY WORKER Each FACE TO FACE CONTACT CPA CARE COORDINATOR
Kmust be for the contact by one and only one CPA KEY WORKER ALLOCATION
Kmust be for the contact by one and only one CPA CARE COORDINATOR ALLOCATION


top

FACE TO FACE CONTACT SOCIAL WORKER

Change to Class: change to description

A face to face contact between a PATIENT subject to a MENTAL HEALTH CARE SPELL and a Local Authority Social Services Social Worker. The Social Worker may be a MENTAL HEALTH CARE TEAM MEMBER. When the contact involves the presence of more than one Social Worker at the same time, then it is still considered as a single occurrence of a face to face contact.

In the case of contact arising due to a SOCIAL SERVICES STATUTORY ASSESSMENT then both the FACE TO FACE CONTACT SOCIAL WORKER and the SOCIAL SERVICES STATUTORY ASSESSMENT will be recorded.

When the Social Worker is also the allocated Care Programme Approach key worker for the PATIENT then a FACE TO FACE CONTACT CPA KEY WORKER should also be recorded. When the Social Worker is also the allocated Care Programme Approach care coordinator for the PATIENT then a FACE TO FACE CONTACT CPA CARE COORDINATOR should also be recorded.



This class is also known by these names:
ContextAlias
pluralFACE TO FACE CONTACTS SOCIAL WORKER


top

FACE TO FACE CONTACT SOCIAL WORKER

Change to Class: change to relationships

Each FACE TO FACE CONTACT SOCIAL WORKER
Kmust be for contact within one and only one MENTAL HEALTH CARE SPELL
must be a contact made by one and only one MENTAL HEALTH CARE TEAM MEMBER
must be for contact within one and only one SERVICE PROVIDED
may be for the contact by one and only one CPA KEY WORKER ALLOCATION
may be for the contact by one and only one CPA CARE COORDINATOR ALLOCATION


top

FINANCIAL PERIOD

Change to Class: change to description

A type of REPORTING PERIOD.

A period of time, defined within a particular financial year.



This class is also known by these names:
ContextAlias
pluralFINANCIAL PERIODS


top

FINANCIAL PERIOD

Change to Class: change to attributes

Attributes of this Class are:
KPERIOD
END DATE
PERIOD TYPE


top

FINANCIAL PERIOD

Change to Class: change to relationships

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 PROGRAMME STATEMENT
may be related to one or more ORGANISATION FINANCIAL PERIOD


top

LEGAL STATUS CLASSIFICATION

Change to Class: change to attributes

Attributes of this Class are:
KLEGAL STATUS CLASSIFICATION CODE
LEGAL STATUS RESTRICTIVENESS


top

MENTAL HEALTH CARE SPELL

Change to Class: change to description

A type of CARE SPELL.

A continuous period of care or assessment for an adult (including elderly) PATIENT provided by a HEALTH CARE PROVIDER's specialist mental health services. This includes the care or assessment of adult and elderly PATIENTS with drug or alcohol dependence but excludes child and adolescent psychiatry PATIENTS and PATIENTS with learning disabilities. This includes the care or assessment of adult and elderly PATIENTS with drug or alcohol dependence but excludes child and adolescent psychiatry PATIENTS and PATIENTS whose only mental disorder is a learning disability. The specialist mental health services are delivered by mental health professionals, some of whom may receive referrals directly. Examples of mental health professionals would include consultants, clinical psychologists, community psychiatric nurses and mental health social workers any of whom could be nominated and allocated as the key worker to the PATIENT. Examples of mental health professionals would include consultants, clinical psychologists, community psychiatric nurses and mental health social workers any of whom could be nominated and allocated as the care coordinator to the PATIENT.

A MENTAL HEALTH CARE SPELL is initiated by a referral, or the temporary or permanent transfer of main responsibility for provision of mental health care for the PATIENT from another HEALTH CARE PROVIDER.

For referrals, the MENTAL HEALTH CARE SPELL commences with an initial assessment which will determine whether treatment or care by the HEALTH CARE PROVIDER's specialist mental health services is appropriate. If not appropriate, then the MENTAL HEALTH CARE SPELL will end. If treatment or care is required then this will usually be provided as part of the Care Programme Approach. Treatment or care provided as part of the Care Programme Approach will involve one or more CARE PROGRAMME APPROACH EPISODES each with one or more CARE PROGRAMME APPROACH REVIEWS.

The MENTAL HEALTH CARE SPELL addresses the mental health care of the PATIENT and as such may comprise a series of episodes, attendances, contacts or stays each of which will be recorded, for example CONSULTANT OUT-PATIENT EPISODES, CONSULTANT EPISODES (HOSPITAL PROVIDER), COMMUNITY EPISODES, NURSING HOME STAY (NURSING CARE) and FACE TO FACE CONTACTS COMMUNITY CARES etc. These are recorded in addition to CARE PROGRAMME APPROACH EPISODES.

Treatment requiring the temporary transfer of the PATIENT to another HEALTH CARE PROVIDER with the main responsibility for provision of mental health care also being transferred, will end the current CARE PROGRAMME APPROACH EPISODE and initiate a MENTAL HEALTH CARE SPELL SUSPENSION. In cases of temporary transfer to another HEALTH CARE PROVIDER for physical care without the main responsibility for mental health care being transferred, both the current CARE PROGRAMME APPROACH EPISODE and the MENTAL HEALTH CARE SPELL will continue and the MENTAL HEALTH CARE SPELL will not be suspended.

Treatment requiring the permanent transfer of the PATIENT to another HEALTH CARE PROVIDER will initiate the ending of the current CARE PROGRAMME APPROACH EPISODE and the MENTAL HEALTH CARE SPELL.

The MENTAL HEALTH CARE SPELL ends when all associated episodes, attendances or days are explicitly closed or ended by default where a PATIENT has received in-patient care terminated other than by transfer or death or had a current period of ABSENCE WITHOUT LEAVE (but still liable to detention), within the preceding 3 months.



This class is also known by these names:
ContextAlias
pluralMENTAL HEALTH CARE SPELLS


top

MENTAL HEALTH CARE SPELL

Change to Class: change to relationships

Each MENTAL HEALTH CARE SPELL
must be provided by one and only one MENTAL HEALTH CARE TEAM
must be for the care or assessment of one and only one PATIENT
may be associated with one or more ABSENCE WITHOUT LEAVE
may be associated with contact by one or more FACE TO FACE CONTACT SOCIAL WORKER
may be initiated by transfer from another one and only one HEALTH CARE PROVIDER
may be associated with one or more LEAVE OF ABSENCE
may be suspended by one or more MENTAL HEALTH CARE SPELL SUSPENSION
may be associated for the main specialty with one or more MHCS SPECIALTY ASSOCIATION
may be associated with one or more MHC WITHOUT PATIENT CONSENT
may be provided by one or more RESPONSIBLE MENTAL HEALTH CARE TEAM
may be associated with contact by one or more TELEPHONE CONTACT NHS DIRECT (MENTAL HEALTH)


top

MENTAL HEALTH CARE TEAM

Change to Class: change to relationships

Each MENTAL HEALTH CARE TEAM
must be a team within one and only one FUNCTIONAL GROUP
may be responsible for one or more MENTAL HEALTH CARE SPELL
may be comprised of one or more MENTAL HEALTH CARE TEAM MEMBER
may be responsible for one or more RESPONSIBLE MENTAL HEALTH CARE TEAM


top

MENTAL HEALTH CARE TEAM MEMBER

Change to Class: change to relationships

Each MENTAL HEALTH CARE TEAM MEMBER
Kmust be within one and only one MENTAL HEALTH CARE TEAM
Kmust be a membership of one and only one PERSON
may be the contact for one or more ACUTE HOME-BASED CONTACT
may be the named key worker for one or more CPA KEY WORKER ALLOCATION
may be the named care coordinator for one or more CPA CARE COORDINATOR ALLOCATION
may be the contact for one or more FACE TO FACE CONTACT SOCIAL WORKER
may be the evaluator of one or more HONOS SCORE FOR PERSON


top

ORGANISATION

Change to Class: change to relationships

Each ORGANISATION
may be located at one or more ADDRESS ASSOCIATION
may be related to one or more CLINICAL INVESTIGATION SERVICE PROVIDER
may be the subject 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 EMPLOYEE CONTRACT
may be providing services classified by one or more FUNCTIONAL GROUP
may be associated with one or more GEOGRAPHIC AREA ASSOCIATION
may be acting as one or more HEALTH CARE PROVIDER
may be planning or operating one or more JOINT INVESTMENT PLAN
may be jointly associated with one or more JOINT INVESTMENT PLAN ASSOCIATION
may be related to one or more LOCATION
may be related to one or more MEDICAL AND DENTAL POST
may be the commissioner within one or more NHS SERVICE AGREEMENT
may be related to one or more NON MEDICAL AND DENTAL POST
may be related to one or more ORGANISATION FINANCIAL PERIOD
may be identified by one or more ORGANISATION IDENTIFIER
may be the allocator of one or more ORGANISATION IDENTIFIER
may be related to one or more ORGANISATION REPORTING PERIOD
may be the operator or manager of one or more ORGANISATION SITE
may be related from one or more ORGANISATION STRUCTURE
may be related to one or more ORGANISATION STRUCTURE
may be related from one or more ORGANISATION STRUCTURE
may be the allocator of one or more PERSON IDENTIFIER
may be connected with one or more PERSON ROLE IN ORGANISATION
may be the place of treatment for one or more PRIOR NOTIFICATION LIST ENTRY
may be undertaking one or more RECRUITMENT
may be the originator of one or more REFERRAL REQUEST
may be related as provider to one or more REQUEST FOR DIAGNOSTIC TEST
may be related as requester of one or more REQUEST FOR DIAGNOSTIC TEST
may be experiencing one or more RETENTION DIFFICULTY
may be the recipient of one or more SERVICE REPORT COPY
may be the requester of services for one or more SERVICE REPORT HEADER
may be the issuer of one or more SERVICE REPORT HEADER
may be subject to one or more SINGLE SEX ACCOMMODATION TARGET
may be contacted by one or more TELE-COMMUNICATION CONTACT STRING
may be related to one or more WRITTEN COMPLAINT


top

ORGANISATION FINANCIAL PERIOD

Change to Class: change to name

ORGANISATION FINANCIAL PERIOD
ORGANISATION REPORTING PERIOD


top

ORGANISATION FINANCIAL PERIOD

Change to Class: change to description

The link between an ORGANISATION and a FINANCIAL PERIOD for which centrally returned information has been recorded. The link between an ORGANISATION and a REPORTING PERIOD for which centrally returned information has been recorded.



This class is also known by these names:
ContextAlias
pluralORGANISATION FINANCIAL PERIODS
pluralORGANISATION REPORTING PERIODS


top

ORGANISATION FINANCIAL PERIOD

Change to Class: change to relationships

Each ORGANISATION FINANCIAL PERIOD Each ORGANISATION REPORTING PERIOD
Kmust be related to one and only one FINANCIAL PERIOD
Kmust be related to one and only one ORGANISATION
Kmust be related to one and only one REPORTING PERIOD
may be related to one or more SERVICE POINT IN PERIOD


top

OUT-PATIENT ATTENDANCE CONSULTANT

Change to Class: change to description

An attendance at which a PATIENT is seen by a CONSULTANT, in respect of one referral, that is not a visit to the home of a PATIENT for which a fee is payable under paragraph 140 of the Terms and Conditions of Service. For the purposes of this definition 'CONSULTANT' includes a member of the CONSULTANT's firm or locum for such a member.

If a PATIENT is seen by a CONSULTANT at a CONSULTANT CLINIC then this will be a CLINIC ATTENDANCE CONSULTANT. An attendance may involve more than one person (e.g. a family). The number of attendances to be recorded should be the number of PATIENTS for whom the particular CONSULTANT has identifiable individual records and which will be maintained as a result of the attendance.

A visit to the home of a PATIENT made at the instance of a hospital or specialist to review the urgency of a proposed admission to hospital, or to continue to supervise treatment initiated or prescribed at a hospital or clinic is covered by this definition.

OUT-PATIENT ATTENDANCE CONSULTANT also includes a PATIENT being seen by a CONSULTANT from a different SPECIALTY during a CONSULTANT EPISODE (HOSPITAL PROVIDER) in circumstances where there is no transfer of responsibility for the care of the PATIENT.

If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and the consultant they are in contact with during attendance is their allocated Care Programme Approach key worker then a FACE TO FACE CONTACT CPA KEY WORKER should also be recorded. If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and the consultant they are in contact with during attendance is their allocated Care Programme Approach care coordinator then a FACE TO FACE CONTACT CPA CARE COORDINATOR should also be recorded.



This class is also known by these names:
ContextAlias
pluralOUT-PATIENT ATTENDANCES CONSULTANT


top

PATIENT

Change to Class: change to relationships

Each PATIENT
may be absent for one or more ABSENCE WITHOUT LEAVE
may be related to one or more ACCIDENT AND EMERGENCY EPISODE
may be the subject of one or more CANCER CARE SPELL
may be associated with one or more CLINICAL INTERVENTION
may be related to one or more COMMUNITY EPISODE
may be the subject of one or more CONSULTANT EPISODE (ACUTE HOME-BASED)
may be related to one or more CONSULTANT OUT-PATIENT EPISODE
may be related to one or more DECISION TO ADMIT
may be related to one or more DENTAL EPISODE
may be related to one DISABLEMENT APPLIANCE
may be related to one or more DISABLEMENT APPLIANCE REPAIR
may be in receipt of one or more DISPENSED ITEM
may be related to one or more DOMICILIARY CONSULTATION
may be related to one or more ELECTIVE ADMISSION LIST ENTRY
may be related to one or more EMERGENCY DENTAL ATTENDANCE
may be related to one or more FACE TO FACE CONTACT DENTAL
may be the subject of one or more FACE TO FACE CONTACT OPTICAL
may be related to one or more GENITO-URINARY EPISODE
may be related to one or more HOME DIALYSIS EPISODE
may be related to one or more HOME LEAVE
may be the subject of one or more HONOS SCORE FOR PERSON
may be related to one or more HOSPITAL PROVIDER SPELL
may be granted leave for one or more LEAVE OF ABSENCE
may be related to one or more LEGAL STATUS
may be related to one or more LITHOTRIPSY COURSE ATTENDANCE
may be related to one or more MATERNITY DOMICILIARY VISIT
may be subject to one or more MENTAL HEALTH CARE SPELL
may be related to one or more MIDWIFE EPISODE
may be related to one or more NURSING EPISODE
may be related to one or more NURSING HOME STAY (MIDWIFE CARE)
may be related to one or more NURSING HOME STAY (NURSING CARE)
may be in receipt of health care services under one or more OUT OF AREA TREATMENT
may be related to one or more OUT-PATIENT APPOINTMENT
may be related to one or more PATIENT JOURNEY
may be issued with one or more POWERED WHEELCHAIR
may be related to one or more PREGNANCY EPISODE
may be in receipt of one or more PRESCRIPTION
may be related to one or more PROFESSIONAL STAFF GROUP EPISODE
may be related to one or more RADIOTHERAPY TREATMENT COURSE
may be related to one or more REFERRAL FOR BIOPSY
may be related to one or more REFERRAL FOR BREAST ASSESSMENT
may be related to one or more REFERRAL FOR BREAST TREATMENT
may be related to one or more REFERRAL FOR SCREENING TEST
may be related to one or more REFERRAL REQUEST
may be related to one or more REGULAR ATTENDER EPISODE
may be related to one or more REQUEST FOR DIAGNOSTIC TEST
may be related to one or more RESIDENTIAL CARE OR GROUP HOME STAY
may be the subject of one or more ROAD TRAFFIC ACCIDENT TREATMENT
may be identified as needing one or more SECURE ACCOMMODATION REQUIREMENT
may be related to one or more SERVICE REPORT HEADER
may be have one or more TELEPHONE CONTACT NHS DIRECT (MENTAL HEALTH)
may be related to one or more THEATRE CASE
may be associated with one or more TOBACCO USAGE
may be related to one or more WARD ATTENDANCE
may be issued with one or more WHEELCHAIR SERVICES VOUCHER


top

PROFESSIONAL STAFF GROUP CONTACT

Change to Class: change to description

A single occasion involving contact between a PATIENT or his/her proxy and one or more members of a professional staff group discipline, including paid support staff working for a professional staff group discipline.

A proxy contact is a single occasion involving contact between a client/patient or his/her proxy, and one or more members of a professional staff group discipline or relevant staff group for community service. Contacts with proxies count as face-to-face contacts only if the contact is in lieu of the contact with the client, and the proxy is able more effectively than the client to ensure that specific professional advice devised for the client is followed. This is most likely to be the case where the client is unable to communicate effectively say for an infant, or for a person who is mentally ill or learning disabilities.

For PROFESSIONAL STAFF GROUP SERVICES, face to face contacts comprise both:

a. Attendances lasting from the arrival to the departure of the patient
b. Visits lasting from the arrival to the departure of professional staff group staff

One or more members of the professional staff group discipline may be in contact with one or more PATIENTS at the same time and PATIENTS may be seen in association with staff from other disciplines. Contacts should be recorded as follows:

a. If one or more staff of the same discipline are in contact with one patient at the same time, this should be recorded as one face to face contact
b. If staff see a patient with staff of other disciplines, this should be recorded as one face to face contact for each discipline involved
c. If one or more staff of one discipline are in contact with a group of patients at the same time, each patient should be recorded as one face to face contact
d. If staff from different disciplines are in contact with a group of patients at the same time, each patient should be recorded as one face to face contact for each discipline involved

For physiotherapy, it may not be practical to collect data about all face-to-face contacts; however as a minimum, INITIAL CONTACTS and FIRST CONTACTS IN FINANCIAL YEARS should be recorded.

If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and the member of the professional staff group discipline in contact is also their allocated Care Programme Approach key worker then a FACE TO FACE CONTACT CPA KEY WORKER should also be recorded. If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and the member of the professional staff group discipline in contact is also their allocated Care Programme Approach care coordinator then a FACE TO FACE CONTACT CPA CARE COORDINATOR should also be recorded.

Note: When face-to-face contacts are used for attributing professional staff group costs to SPECIALTIES , it will be necessary to distinguish between those contacts by PATIENTS using a hospital bed, attenders at CONSULTANT CLINICS and attenders at DAY CARE FACILITIES .



This class is also known by these names:
ContextAlias
pluralPROFESSIONAL STAFF GROUP CONTACTS


top

PROFESSIONAL STAFF GROUP CONTACT

Change to Class: change to relationships

Each PROFESSIONAL STAFF GROUP CONTACT
Kmust be by staff provided by one and only one PROFESSIONAL STAFF GROUP DEPARTMENT
must be related to one and only one PROFESSIONAL STAFF GROUP EPISODE
may be for the contact for one and only one CPA KEY WORKER ALLOCATION
may be for the contact for one and only one CPA CARE COORDINATOR ALLOCATION
may be if contact away from department on one and only one ORGANISATION SITE
may be as a result of one and only one OUT-PATIENT APPOINTMENT NON-CONSULTANT


top

REPORTING PERIOD

Change to Class: New Class

REPORTING PERIOD

A period of time within an ORGANISATION in which data or information applicable to the period is reported or collected.

FINANCIAL PERIOD is a subtype of REPORTING PERIOD.



This class is also known by these names:
ContextAlias
pluralREPORTING PERIODS

Attributes of this Class are:
KPERIOD
KSTART DATE
END DATE

Each REPORTING PERIOD
may be related to one or more ORGANISATION REPORTING PERIOD


top

RESPONSIBLE MENTAL HEALTH CARE TEAM

Change to Class: New Class

RESPONSIBLE MENTAL HEALTH CARE TEAM

An assignment of responsibility of a MENTAL HEALTH CARE TEAM to a MENTAL HEALTH CARE SPELL for a period of time.

There may be one or more MENTAL HEALTH CARE TEAMS involved with a PATIENT at any one time but only one MENTAL HEALTH CARE TEAM has responsibility at any one time. The assignments of responsibility may change during the course of a MENTAL HEALTH CARE SPELL, though not necessarily at the time of a CARE PROGRAMME APPROACH REVIEW.



This class is also known by these names:
ContextAlias
pluralRESPONSIBLE MENTAL HEALTH CARE TEAMS

Attributes of this Class are:
KSTART DATE
KSTART TIME
OEND DATE
OEND TIME

Each RESPONSIBLE MENTAL HEALTH CARE TEAM
Kmust be an assignment of one and only one MENTAL HEALTH CARE TEAM
must be an assignment within one and only one MENTAL HEALTH CARE SPELL


top

SERVICE POINT IN PERIOD

Change to Class: change to description

A SERVICE POINT identified in a FINANCIAL PERIOD for statistical data collection. A SERVICE POINT identified in a REPORTING PERIOD for statistical data collection.



This class is also known by these names:
ContextAlias
pluralSERVICE POINTS IN PERIODS


top

SERVICE POINT IN PERIOD

Change to Class: change to relationships

Each SERVICE POINT IN PERIOD
Kmust be related to one and only one ORGANISATION FINANCIAL PERIOD
Kmust be related to one and only one ORGANISATION REPORTING PERIOD
Kmust be related to one and only one SERVICE POINT


top

SHELTERED WORK ATTENDANCE

Change to Class: change to description

One attendance of a PATIENT at a particular SHELTERED WORK SESSION.

If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and during attendance at the facility are in contact with their allocated Care Programme Approach key worker then a FACE TO FACE CONTACT CPA KEY WORKER should also be recorded. If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and during attendance at the facility are in contact with their allocated Care Programme Approach care coordinator then a FACE TO FACE CONTACT CPA CARE COORDINATOR should also be recorded.



This class is also known by these names:
ContextAlias
pluralSHELTERED WORK ATTENDANCES


top

TELEPHONE CONTACT NHS DIRECT (MENTAL HEALTH)

Change to Class: New Class

TELEPHONE CONTACT NHS DIRECT (MENTAL HEALTH)

A telephone contact between a PATIENT subject to a MENTAL HEALTH CARE SPELL and NHS Direct which is related to the PATIENT's mental illness. This refers to any contacts that are required to be shared between NHS Direct and a Mental Health NHS Trust according to local and nationally agreed protocols on information sharing.

Each contact should be recorded by NHS Direct and the details of the contact made known to the specialist mental health service responsible for the PATIENT.



This class is also known by these names:
ContextAlias
pluralTELEPHONE CONTACTS NHS DIRECT (MENTAL HEALTH)

Attributes of this Class are:
KCONTACT NUMBER
CONTACT DATE

Each TELEPHONE CONTACT NHS DIRECT (MENTAL HEALTH)
Kmust be for contact within one and only one MENTAL HEALTH CARE SPELL
must be contact with one and only one PATIENT


top

WARD ATTENDANCE

Change to Class: change to description

An attendance at a WARD by a PATIENT for nursing care, where the patient is not currently admitted to that HEALTH CARE PROVIDER. If the attendance is primarily for the purpose of examination or treatment by a doctor it is an OUT-PATIENT ATTENDANCE CONSULTANT and not a WARD ATTENDANCE. The care is for the prevention, cure, relief or investigation because of a disease, injury, health problem or other factor affecting their health status. This includes:-

a. Disease (physical or mental) confirmed or suspected - inclusive of undiagnosed signs or symptoms.
b. Injury - inclusive of poisoning - confirmed or suspected.
c. Health problem e.g. prostheses or graft in situ
d. Other factors influencing the health status of non-sick persons e.g
i. pregnancy
ii. family planning
iii. potential donor (organ or tissue)
iv. potential problem requiring prophylactic (preventative) care
v. bereavement or other problem requiring health professional counselling
vi. cosmetic surgery
vii. other

If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and during attendance is in contact with the nurse who is their allocatedCare Programme Approach key worker then a FACE TO FACE CONTACTS CPA KEY WORKERS should also be recorded. If the PATIENT is currently subject to a MENTAL HEALTH CARE SPELL and during attendance is in contact with the nurse who is their allocated Care Programme Approach care coordinator then a FACE TO FACE CONTACTS CPA CARE COORDINATOR should also be recorded.



This class is also known by these names:
ContextAlias
pluralWARD ATTENDANCES


top

CLINICAL CARE INTENSITY

Change to Attribute: change to description

The level of resources and intensity of care which it is intended to provide or is provided in a particular WARD.

National Codes:

For patients with mental illness
51 for intensive care: a designated or interim secure unit
51 for intensive care: specially designated ward for patients needing containment and more intensive management. This is not to be confused with intensive nursing where a patient may require one to one nursing while on a standard ward
52 for short stay: patients intended to stay less than a year
53 for long stay: patients intended to stay a year or more

For patients with learning disabilities
61 designated or interim secure unit
62 patients intending to stay less than a year
63 patients intending to stay a year or more

For maternity patients
41 only for patients looked after by consultants
43 only for patients looked after by GMP
42 for joint use by consultants & GMPs

For neonates
33 maternity: associated with the maternity ward in that cots are in the maternity ward nursery or in the ward itself
32 non-maternity: not associated with the maternity ward and without designated cots for intensive care
31 not associated with the maternity ward and in which there are some designated cots for intensive care

For the younger physically disabled
21 spinal units, only those units which are nationally recognised
22 other units

For terminally ill/palliative care
81 terminally ill/palliative care

For general patients
11 for intensive therapy, including high dependency care
12 for normal therapy: where resources permit the admission of patients who might need all but intensive or high dependency therapy
13 for limited therapy: where nursing care rather than continuous medical care is provided. Such wards can be used only for patients carefully selected and restricted to a narrow range in terms of the extent and nature of disease

Note: The classification has been listed in logical sequence rather than alphanumeric order.



This attribute is also known by these names:
ContextAlias
pluralCLINICAL CARE INTENSITIES


top

CPA LEVEL

Change to Attribute: change to description

The level of Care Programme Approach which has been determined as applicable for a PATIENT's CARE PROGRAMME APPROACH EPISODE. HEALTH CARE PROVIDERS may develop expanded local classifications to meet local requirements. However, local classifications must map back to the national classifications and only national classifications should be used for central reporting. However, local classifications must map back to the national classifications and only National Codes should be used for central reporting.

Classification: National Codes:
a. Simple, only one mental health care team member involved
1 Standard, requires the support or intervention of one agency or discipline; or requires only low key support from more than one agency
b. Complex, more than one mental health care team member involved
2 Enhanced, multiple needs, including housing, employment etc, which requires inter-agency coordination



This attribute is also known by these names:
ContextAlias
pluralCPA LEVELS


top

LEGAL STATUS CLASSIFICATION CODE

Change to Attribute: change to description

A classification of LEGAL STATUS CLASSIFICATION. The classification 'informal' is used for those PATIENTS who are not formally detained or not receiving supervised aftercare.

National Codes:
01 Informal
02 Formally detained under Mental Health Act Section 2
03 Formally detained under Mental Health Act Section 3
04 Formally detained under Mental Health Act Section 4
05 Formally detained under Mental Health Act Section 5(2)
06 Formally detained under Mental Health Act Section 5(4)
07 Formally detained under Mental Health Act Section 35
08 Formally detained under Mental Health Act Section 36
09 Formally detained under Mental Health Act Section 37 with section 41 restrictions
10 Formally detained under Mental Health Act Section 37 excluding section 37(4)
10 Formally detained under Mental Health Act Section 37
11 Formally detained under Mental Health Act Section 37(4)
12 Formally detained under Mental Health Act Section 38
13 Formally detained under Mental Health Act Section 44
14 Formally detained under Mental Health Act Section 46
15 Formally detained under Mental Health Act Section 47 with section 49 restrictions
16 Formally detained under Mental Health Act Section 47
17 Formally detained under Mental Health Act Section 48 with section 49 restrictions
18 Formally detained under Mental Health Act Section 48
19 Formally detained under Mental Health Act Section 135
20 Formally detained under Mental Health Act Section 136
30 Formally detained under previous legislation (fifth schedule)
31 Formally detained under Criminal Procedure(Insanity) Act 1964 as amended by the Criminal Procedures (Insanity and Unfitness to Plead) Act 1991
32 Formally detained under other acts
33 Supervised Discharge (Mental Health (Patients in the Community) Act 1995)
34 Formally detained under Mental Health Act Section 45A
35 Subject to guardianship under Mental Health Act Section 7
36 Subject to guardianship under Mental Health Act Section 37



This attribute is also known by these names:
ContextAlias
pluralLEGAL STATUS CLASSIFICATION CODES


top

LEGAL STATUS RESTRICTIVENESS

Change to Attribute: New Attribute

LEGAL STATUS RESTRICTIVENESS

A scoring which identifies the restrictiveness of a LEGAL STATUS CLASSIFICATION CODE in ascending score of restrictiveness. The first column is the restrictiveness score starting at 00.0 for the lowest level of restrictiveness. The second column is the National Code for each LEGAL STATUS CLASSIFICATION CODE followed by its description. It is possible for different LEGAL STATUS CLASSIFICATION CODES to have the same score of restrictiveness.

National Codes:
00.0 01 Informal
01.0 06 Formally detained under Mental Health Act Section 5(4)
02.0 05 Formally detained under Mental Health Act Section 5(2)
03.0 19 Formally detained under Mental Health Act Section 135
04.0 20 Formally detained under Mental Health Act Section 136
05.0 04 Formally detained under Mental Health Act Section 4
06.0 02 Formally detained under Mental Health Act Section 2
06.5 35 Subject to guardianship under Mental Health Act Section 7
07.0 33 Supervised Discharge (Mental Health (Patients in the Community) Act 1995
08.0 03 Formally detained under Mental Health Act Section 3
15.0 32 Formally detained under other acts
20.0 07 Formally detained under Mental Health Act Section 35
21.0 08 Formally detained under Mental Health Act Section 36
21.5 36 Subject to guardianship under Mental Health Act Section 37
22.0 12 Formally detained under Mental Health Act Section 38
23.0 10 Formally detained under Mental Health Act Section 37
23.0 31 Formally detained under Criminal Procedure (Insanity) Act 1964 as amended by the Criminal Procedures (Insanity and Unfitness to Pleasd) Act 1991
24.0 18 Formally detained under Mental Health Act Section 48
25.0 16 Formally detained under Mental Health Act Section 47
26.0 13 Formally detained under Mental Health Act Section 44
27.0 14 Formally detained under Mental Health Act Section 46
28.0 09 Formally detained under Mental Health Act Section 37 with section 41 restrictions
29.0 17 Formally detained under Mental Health Act Section 48 with section 49 restrictions
30.0 15 Formally detained under Mental Health Act Section 47 with section 49 restrictions
31.0 34 Formally detained under Mental Health Act Section 45A



This attribute is also known by these names:
ContextAlias
pluralLEGAL STATUS RESTRICTIVENESS


top

MEDICAL TEAM MEMBER GRADE

Change to Attribute: change to description

The grade of medical staff acting as a MENTAL HEALTH CARE TEAM MEMBER who is the named key worker in a CARE PROGRAMME APPROACH EPISODE. The grade of medical staff acting as a MENTAL HEALTH CARE TEAM MEMBER who is the named care coordinator in a CARE PROGRAMME APPROACH EPISODE.

Classification:
a. Consultant
b. Locum
c. Medical Director
d. Senior Registrar
e. Registrar or SHO
f. Clinical assistant / Staff grade doctor



This attribute is also known by these names:
ContextAlias
pluralMEDICAL TEAM MEMBER GRADES


top

MENTAL HEALTH CARE SPELL END CODE

Change to Attribute: change to description

A classification which identifies the reason for the ending of a MENTAL HEALTH CARE SPELL.

Classification: National Codes:
a. Care or treatment finished in accord with professional advice
00 Finished on professional advice
b. Care or treatment ended against professional advice
01 Finished against professional advice
c. Care or treatment ended due to patient non-attendance
02 Finished by patient's non-attendance
d. Patient death
03 Patient died
e. Care or treatment transferred permanently to a medium secure Health Care Provider
21 Transfer to medium secure
23 Transfer to high secure
f. Care or treatment transferred permanently to a high security Health Care Provider
g. Care or treatment transferred permanently to another Health Care Provider
25 Transfer to other health provider



This attribute is also known by these names:
ContextAlias
pluralMENTAL HEALTH CARE SPELL END CODES


top

MHCS SUSPENSION REASON

Change to Attribute: change to description

A classification which identifies the reason for suspending a MENTAL HEALTH CARE SPELL.

Classification: National Codes:
a. Care or treatment transferred temporarily to a medium secure Health Care Provider
1 Unavailability of bed
b. Care or treatment transferred temporarily to a high security Health Care Provider
2 Specialist care available in another NHS Trust
c. Care or treatment transferred temporarily to another Health Care Provider
3 Patient temporarily resident elsewhere



This attribute is also known by these names:
ContextAlias
pluralMHCS SUSPENSION REASONS


top

PERIOD

Change to Attribute: change to description

A unique identifier of a FINANCIAL PERIOD. A unique identifier of a REPORTING PERIOD.



This attribute is also known by these names:
ContextAlias
pluralPERIODS


top

SOCIAL WORKER CONTACT

Change to Attribute: change to name

SOCIAL WORKER CONTACT
SOCIAL WORKER INVOLVEMENT


top

SOCIAL WORKER CONTACT

Change to Attribute: change to aliases

An indication of whether or not a patient's care plan, established during a CARE PROGRAMME APPROACH REVIEW, includes face to face contacts with local authority social services social workers. An indication of whether or not a patient's care plan, established during a CARE PROGRAMME APPROACH REVIEW, includes face to face contacts or involvement with local authority social services social workers.

Classification: National Codes:
a. Yes
0 no involvement of social worker
b. No
1 involvement of social worker



This attribute is also known by these names:
ContextAlias
pluralSOCIAL WORKER CONTACTS
pluralSOCIAL WORKER INVOLVEMENTS


top

SOURCE OF REFERRAL FOR MENTAL HEALTH

Change to Attribute: change to description

A classification which identifies the source of referral of a MENTAL HEALTH CARE SPELL.

Classification: National Codes:
a. General Medical Practitioner
00 General Medical Practitioner
b. A&E department
01 Self
c. Other specialist clinical department
02 Local Authority Social Services
d. Social Services
03 A&E Department
e. Education Service
04 Employer
f. Self
05 Education Service
g. Carer
06 Police
h. Police
07 Other clinical specialty
i. Criminal Justice System, e.g. prison, remand centres, etc..
08 Carer
j.High security psychiatric accommodation of an NHS trust approved to provide high security psychiatric services, England
09 Courts
k. High Security Psychiatric Hospital, Scotland
10 Probation Service
l. Medium Secure Services
11 High security
m. Graduation for relating child and adolescent mental health services
12 Medium security
n. Transferred temporarily from another Health Care Provider
13 Other
o. Transferred permanently from another Health Care Provider, other than graduating from relating child and adolescent mental health services
20 Temporary transfer from mental health unit
p. Housing Service
21 Permanent transfer from mental health unit
q. Voluntary or Private Agency
r. Other
22 Transfer by graduation from local child and adolescent mental health services



This attribute is also known by these names:
ContextAlias
pluralSOURCE OF REFERRAL FOR MENTAL HEALTHS


top

ADMISSIONS (MENTAL HEALTH)

Change to Data Element: New DataElement

ADMISSIONS (MENTAL HEALTH)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
ADMISSIONS (MENTAL HEALTH) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record. It should only be present if:

a. one or more HOSPITAL PROVIDER SPELL within the MENTAL HEALTH CARE SPELL has a START DATE within the REPORTING PERIOD
and
b. where the HOSPITAL PROVIDER SPELL contains at least one CONSULTANT EPISODE (HOSPITAL PROVIDER) and/or NURSING HOME STAY (CONSULTANT CARE) where the main CONSULTANT SPECIALTY FUNCTION of the CONSULTANT is for an adult or mental illness SPECIALTY FUNCTION. The adult or mental illness SPECIALTY FUNCTIONS being 700, 710,712, 713 and 715.

It is the total number of such HOSPITAL PROVIDER SPELLS started within the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralADMISSIONS (MENTAL HEALTH)


top

BED DAYS (MENTAL HEALTH)

Change to Data Element: New DataElement

BED DAYS (MENTAL HEALTH)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
BED DAYS (MENTAL HEALTH) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record. It should only be present if:

a. one or more CONSULTANT EPISODE (HOSPITAL PROVIDER) and/or NURSING HOME STAY (CONSULTANT CARE) within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
and
b. where the main CONSULTANT SPECIALTY FUNCTION of the CONSULTANT is for an adult or mental illness SPECIALTY FUNCTION. The adult or mental illness SPECIALTY FUNCTION being 700, 710,712, 713 and 715.

It is the total number of bed days within the REPORTING PERIOD. Each period of bed days is recorded by a CONSULTANT EPISODE (HOSPITAL PROVIDER) or NURSING HOME STAY (CONSULTANT CARE) within a HOSPITAL PROVIDER SPELL and there may be more than one such episode or stay during the course of a MENTAL HEALTH CARE SPELL. This excludes any admissions to HOSPITAL PROVIDER SPELL where the PATIENT CLASSIFICATION is National Code 2 'Day case admission'.

There is a START DATE and END DATE for each CONSULTANT EPISODE (HOSPITAL PROVIDER) or NURSING HOME STAY (CONSULTANT CARE) and the calculation is based upon those bed days which have occurred during the REPORTING PERIOD adjusted for where periods of bed days overlap the START DATE and/or END DATE of the REPORTING PERIOD (this includes where the period of bed days has not yet ended). Where such overlaps occur the START DATE and/or END DATE of the REPORTING PERIOD should be used instead of that of the CONSULTANT EPISODE (HOSPITAL PROVIDER) or NURSING HOME STAY (CONSULTANT CARE).

BED DAYS (MENTAL HEALTH) is the sum of the calculated periods of bed days and should be recorded left justified with leading zeros. The calculation should be adjusted for any periods of LEAVE OF ABSENCE or ABSENCE WITHOUT LEAVE of 28 days or less.

A PATIENT going on HOME LEAVE, or LEAVE OF ABSENCE for 28 days or less, or who has a current period of ABSENCE WITHOUT LEAVE of 28 days or less, does not interrupt the CONSULTANT EPISODE (HOSPITAL PROVIDER) or NURSING HOME STAY (CONSULTANT CARE) but are not using a bed during their period of absence.



This data element is also known by these names:
ContextAlias
pluralBED DAYS (MENTAL HEALTH)


top

BED DAYS (MENTAL HEALTH INTENSIVE)

Change to Data Element: New DataElement

BED DAYS (MENTAL HEALTH INTENSIVE)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
BED DAYS (MENTAL HEALTH INTENSIVE) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record. It should only be present if:

a. one or more CONSULTANT EPISODES (HOSPITAL PROVIDER) and/or NURSING HOME STAYS (CONSULTANT CARE) within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
and
b. where the main CONSULTANT SPECIALTY FUNCTION of the CONSULTANT is for an adult or mental illness SPECIALTY FUNCTION. The adult or mental illness SPECIALTY FUNCTIONS being 700, 710,712, 713 and 715.
and
c. where the PATIENT was admitted to a bed in a WARD with a CLINICAL CARE INTENSITY National Code 51'Specially designated ward for patients needing containment and more intensive management. This is not to be confused with intensive nursing where a patient may require one to one nursing while on a standard ward'.

It is the total number of bed days within the REPORTING PERIOD. Each period of bed days is recorded by a CONSULTANT EPISODE (HOSPITAL PROVIDER) or NURSING HOME STAY (CONSULTANT CARE) within a HOSPITAL PROVIDER SPELL and there may be more than one such episode or stay during the course of a MENTAL HEALTH CARE SPELL. This excludes any admissions to HOSPITAL PROVIDER SPELLS where the PATIENT CLASSIFICATION is National Code 2 'Day case admission'.

There is a START DATE and END DATE for each CONSULTANT EPISODE (HOSPITAL PROVIDER) or NURSING HOME STAY (CONSULTANT CARE) and the calculation is based upon those bed days which have occurred during the REPORTING PERIOD adjusted for where periods of bed days overlap the START DATE and/or END DATE of the REPORTING PERIOD (this includes where the period of bed days has not yet ended). Where such overlaps occur the START DATE and/or END DATE of the REPORTING PERIOD should be used instead of that of the CONSULTANT EPISODE (HOSPITAL PROVIDER) or NURSING HOME STAY (CONSULTANT CARE).

BED DAYS (MENTAL HEALTH INTENSIVE) is the sum of the calculated periods of bed days and should be recorded left justified with leading zeros. The calculation should be adjusted for any periods of LEAVE OF ABSENCE or ABSENCE WITHOUT LEAVE of 28 days or less.

A PATIENT going on HOME LEAVE, or LEAVE OF ABSENCE for 28 days or less, or who has a current period of ABSENCE WITHOUT LEAVE of 28 days or less, does not interrupt the CONSULTANT EPISODE (HOSPITAL PROVIDER) or NURSING HOME STAY (CONSULTANT CARE) but are not using a bed during their period of absence.



This data element is also known by these names:
ContextAlias
pluralBED DAYS (MENTAL HEALTH INTENSIVE)


top

BED DAYS (MENTAL HEALTH MEDIUM SECURE)

Change to Data Element: New DataElement

BED DAYS (MENTAL HEALTH MEDIUM SECURE)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
BED DAYS (MENTAL HEALTH MEDIUM SECURE) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record. It should only be present if:

a. one or more CONSULTANT EPISODE (HOSPITAL PROVIDER) and/or NURSING HOME STAY (CONSULTANT CARE) within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
and
b. where the main CONSULTANT SPECIALTY FUNCTION of the CONSULTANT is for an adult or mental illness SPECIALTY FUNCTION. The adult or mental illness SPECIALTY FUNCTIONS being 700, 710,712, 713 and 715.
and
c. where the PATIENT was admitted to an ORGANISATION SITE, SERVICE POINT or WARD with a SECURE ACCOMMODATION TYPE classification b. 'Medium secure accommodation, a secure facility providing care at a regional level under the care of a forensic psychiatrist. This excludes high security accommodation in HOSPITAL SITE approved to provide high security psychiatric services'.

It is the total number of bed days within the REPORTING PERIOD. Each period of bed days is recorded by a CONSULTANT EPISODE (HOSPITAL PROVIDER) or NURSING HOME STAY (CONSULTANT CARE) within a HOSPITAL PROVIDER SPELL and there may be more than one such episode or stay during the course of a MENTAL HEALTH CARE SPELL. This excludes any admissions to HOSPITAL PROVIDER SPELLS where the PATIENT CLASSIFICATION is National Code 2 'Day case admission'.

There is a START DATE and END DATE for each CONSULTANT EPISODE (HOSPITAL PROVIDER) or NURSING HOME STAY (CONSULTANT CARE) and the calculation is based upon those bed days which have occurred during the REPORTING PERIOD adjusted for where periods of bed days overlap the START DATE and/or END DATE of the REPORTING PERIOD (this includes where the period of bed days has not yet ended). Where such overlaps occur the START DATE and/or END DATE of the REPORTING PERIOD should be used instead of that of the CONSULTANT EPISODE (HOSPITAL PROVIDER) or NURSING HOME STAY (CONSULTANT CARE).

BED DAYS (MENTAL HEALTH MEDIUM SECURE) is the sum of the calculated periods of bed days and should be recorded left justified with leading zeros. The calculation should be adjusted for any periods of LEAVE OF ABSENCE or ABSENCE WITHOUT LEAVE of 28 days or less.

A PATIENT going on HOME LEAVE, or LEAVE OF ABSENCE for 28 days or less, or who has a current period of ABSENCE WITHOUT LEAVE of 28 days or less, does not interrupt the CONSULTANT EPISODE (HOSPITAL PROVIDER) or NURSING HOME STAY (CONSULTANT CARE) but are not using a bed during their period of absence.



This data element is also known by these names:
ContextAlias
pluralBED DAYS (MENTAL HEALTH MEDIUM SECURE)


top

BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE)

Change to Data Element: New DataElement

BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record. It should only be present if:

a. one or more NURSING HOME STAY (NURSING CARE) and/or RESIDENTIAL CARE OR GROUP HOME STAY within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
and
b. where the BROAD PATIENT GROUP is National Code 5 'Patients with mental illness'
and
c. where the NURSING HOME, RESIDENTIAL CARE or GROUP HOME operated and managed by an NHS ORGANISATION as classified by ORGANISATION TYPE

It is the total number of bed days within the REPORTING PERIOD. Each period of bed days is recorded by a NURSING HOME STAY (NURSING CARE) or RESIDENTIAL CARE OR GROUP HOME STAY and there may be more than one such stay during the course of a MENTAL HEALTH CARE SPELL.

There is a START DATE and END DATE for each NURSING HOME STAY (NURSING CARE) or RESIDENTIAL CARE OR GROUP HOME STAY and the calculation is based upon those bed days which have occurred during the REPORTING PERIOD adjusted for where periods of bed days overlap the START DATE and/or END DATE of the REPORTING PERIOD (this includes where the period of bed days has not yet ended). Where such overlaps occur the START DATE and/or END DATE of the REPORTING PERIOD should be used instead of that of the NURSING HOME STAY (NURSING CARE) or RESIDENTIAL CARE OR GROUP HOME STAY.

BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE) is the sum of the calculated periods of bed days and should be recorded left justified with leading zeros. The calculation should be adjusted for any periods of LEAVE OF ABSENCE or LEAVE OF ABSENCE of 28 days or less.

A PATIENT going on HOME LEAVE, or LEAVE OF ABSENCE for 28 days or less, or who has a current period of ABSENCE WITHOUT LEAVE of 28 days or less, does not interrupt the CONSULTANT or NURSING HOME STAY (CONSULTANT CARE) but are not using a bed during their period of absence.



This data element is also known by these names:
ContextAlias
pluralBED DAYS (MENTAL HEALTH NHS COMMUNITY CARE)


top

CARE DAYS (ACUTE HOME-BASED)

Change to Data Element: New DataElement

CARE DAYS (ACUTE HOME-BASED)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
CARE DAYS (ACUTE HOME-BASED) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record. It should only be present if one or more CONSULTANT EPISODE (ACUTE HOME-BASED) within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD.

It is the total number of care days within the REPORTING PERIOD. Each period of care days is recorded by a CONSULTANT EPISODE (ACUTE HOME-BASED) and there may be more than one such episode during the course of a MENTAL HEALTH CARE SPELL.

There is a START DATE and END DATE for each CONSULTANT EPISODE (ACUTE HOME-BASED) and the calculation is based upon those care days which have occurred during the REPORTING PERIOD adjusted for where periods of care days overlap the START DATE and/or END DATE of the REPORTING PERIOD (this includes where the period of care days has not yet ended). Where such overlaps occur the START DATE and/or END DATE of the REPORTING PERIOD should be used instead of that of the CONSULTANT EPISODE (ACUTE HOME-BASED).

CARE DAYS (ACUTE HOME-BASED) is the sum of the calculated periods of care days and should be recorded left justified with leading zeros.



This data element is also known by these names:
ContextAlias
pluralCARE DAYS (ACUTE HOME-BASED)


top

CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD)

Change to Data Element: New DataElement

CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD) is the same as entity type CARE PROGRAMME APPROACH REVIEW.

CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if one or more CARE PROGRAMME APPROACH REVIEW within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD.

It is the total number of such reviews within the MENTAL HEALTH CARE SPELL which have occurred within the REPORTING PERIOD. Each such review is recorded by a CARE PROGRAMME APPROACH REVIEW and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a CPA REVIEW DATE for each CARE PROGRAMME APPROACH REVIEW and the calculation is based upon those reviews which have occurred during the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralCARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD)S


top

CARE SPELL IDENTIFIER (MENTAL HEALTH)

Change to Data Element: New DataElement

CARE SPELL IDENTIFIER (MENTAL HEALTH)

Format/length: an12
HES item:
National Codes:
Default Codes:  

Notes:
The unique identifier of a MENTAL HEALTH CARE SPELL recorded when a MENTAL HEALTH CARE SPELL is initiated by a referral, or the temporary or permanent transfer of main responsibility for provision of mental health care for the PATIENT from another HEALTH CARE PROVIDER.

This is the CARE SPELL IDENTIFIER of a CARE SPELL with the MENTAL HEALTH CARE SPELL being a subtype of the CARE SPELL.

For purposes of the Mental Health Minimum Data Set (MHMDS) collection, a MHMDS record will be assembled for each MENTAL HEALTH CARE SPELL of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a HEALTH CARE PROVIDER's specialist mental health services within the REPORTING PERIOD. Each MHMDS record will be separately identified, see CARE SPELL NUMBER IN REPORTING PERIOD for further details.

CARE SPELL IDENTIFIER (MENTAL HEALTH) is an optional data item note in the MHMDS record and should only be recorded where the HEALTH CARE PROVIDER can initiate and maintain MENTAL HEALTH CARE SPELL.



This data element is also known by these names:
ContextAlias
pluralCARE SPELL IDENTIFIERS (MENTAL HEALTH)


top

CARE SPELL NUMBER IN REPORTING PERIOD

Change to Data Element: New DataElement

CARE SPELL NUMBER IN REPORTING PERIOD

Format/length: n2
HES item:
National Codes:
Default Codes:  

Notes:
For purposes of the Mental Health Minimum Data Set (MHMDS) collection, a MHMDS record will be assembled for each MENTAL HEALTH CARE SPELL of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a HEALTH CARE PROVIDER's specialist mental health services within the REPORTING PERIOD.

CARE SPELL NUMBER IN REPORTING PERIOD is the sequence number for the assembled MENTAL HEALTH CARE SPELL MHMDS record among the set of assembled MENTAL HEALTH CARE SPELL MHMDS records for the same PATIENT within the REPORTING PERIOD. The CARE SPELL NUMBER IN REPORTING PERIOD for the first assembled record based on earliest MENTAL HEALTH subsequent assembled CARE SPELL in the REPORTING PERIOD will be recorded as 01 with it being incremented by 1 for each subsequent assembled record. For example if there are 3 assembled MENTAL HEALTH CARE SPELL for the PATIENT within the REPORTING PERIOD then the first would be recorded as 01, the second as 02 and the third as 03.

Use of CARE SPELL NUMBER IN REPORTING PERIOD is an interim measure as not all HEALTH CARE PROVIDER can initiate and maintain MENTAL HEALTH CARE SPELL and thus create and record unique CARE SPELL IDENTIFIER.



This data element is also known by these names:
ContextAlias
pluralCARE SPELL NUMBERS IN REPORTING PERIOD


top

COMMUNITY SURVIVAL TIMES LIST (MENTAL HEALTH)

Change to Data Element: New DataElement

COMMUNITY SURVIVAL TIMES LIST (MENTAL HEALTH)

Format/length: an50
HES item:
National Codes:
Default Codes:  

Notes:
COMMUNITY SURVIVAL TIMES LIST (MENTAL HEALTH) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record. It should only be present if:

a. one or more periods of no HOSPITAL PROVIDER SPELL within the MENTAL HEALTH CARE SPELL has occurred within the REPORTING PERIOD
and
b. where one or more HOSPITAL PROVIDER SPELL has occurred within the MENTAL HEALTH CARE SPELL, containing at least one CONSULTANT EPISODE (HOSPITAL PROVIDER) and/or NURSING HOME STAY (CONSULTANT CARE) where the main CONSULTANT SPECIALTY FUNCTION of the CONSULTANT is for an adult or mental illness SPECIALTY FUNCTION. The adult or mental illness SPECIALTY FUNCTION being 700, 710,712, 713 and 715.

For the list, the length in days between each HOSPITAL PROVIDER SPELL is calculated from the DISCHARGE DATE of one spell and either the START DATE of the next HOSPITAL PROVIDER SPELL which follows it, if one is recorded, or the end of the REPORTING PERIOD if not.

Where there is no HOSPITAL PROVIDER SPELL in being at the START DATE of the REPORTING PERIOD then use the DISCHARGE DATE of the last HOSPITAL PROVIDER SPELL in the MENTAL HEALTH CARE SPELL before the START DATE of the REPORTING PERIOD if any exists. Otherwise no entry in the list should be made in respect of days before the first HOSPITAL PROVIDER SPELL.

Where there is no HOSPITAL PROVIDER SPELL in being at the END DATE of the REPORTING PERIOD the END DATE of the REPORTING PERIOD should be used.

A suffix is attached to each calculated period length, the suffixes are:

c - where the PATIENT has still not been readmitted to hospital by the end of the REPORTING PERIOD but the MENTAL HEALTH CARE SPELL is continuing
e - where the PATIENT has still not been readmitted to hospital by the end of the REPORTING PERIOD but the MENTAL HEALTH CARE SPELL has finished before the end of the REPORTING PERIOD
p - where the discharge date initiating the survival times is within the MENTAL HEALTH CARE SPELL but before the start of the REPORTING PERIOD
blank where an admission terminates the survival period within the MENTAL HEALTH CARE SPELL and within the REPORTING PERIOD

The calculated length of days (plus their suffix) are recorded within the COMMUNITY SURVIVAL TIMES LIST (MENTAL HEALTH) in ascending DISCHARGE DATE of the previous HOSPITAL PROVIDER SPELL sequence.



This data element is also known by these names:
ContextAlias
pluralCOMMUNITY SURVIVAL TIMES LISTS (MENTAL HEALTH)


top

CONTACTS (CLINICAL PSYCHOLOGIST)

Change to Data Element: New DataElement

CONTACTS (CLINICAL PSYCHOLOGIST)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
CONTACTS (CLINICAL PSYCHOLOGIST) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if:

a. one or more PROFESSIONAL STAFF GROUP CONTACT within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
and
b. where the PROFESSIONAL STAFF GROUP TYPE classification is b. 'Clinical Psychology'

It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a PROFESSIONAL STAFF GROUP CONTACT and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a CONTACT DATE for each PROFESSIONAL STAFF GROUP CONTACT and the calculation is based upon those contacts which have occurred during the REPORTING PERIOD. Where the member of the professional staff group discipline is also the allocated Care Programme Approach care coordinator for the PATIENT then a FACE TO FACE CONTACT CPA CARE should also be recorded.



This data element is also known by these names:
ContextAlias
pluralCONTACTS (CLINICAL PSYCHOLOGISTS)


top

CONTACTS (COMMUNITY PSYCHIATRIC NURSE)

Change to Data Element: New DataElement

CONTACTS (COMMUNITY PSYCHIATRIC NURSE)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
CONTACTS (COMMUNITY PSYCHIATRIC NURSE) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if:

a. one or more FACE TO FACE CONTACT COMMUNITY CARE within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
and
b. where the COMMUNITY NURSE STAFF GROUP classification is b. 'Community Psychiatric Nurses - providing mental illness services'

It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a FACE TO FACE CONTACT COMMUNITY CARE and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a CONTACT DATE for each FACE TO FACE CONTACT COMMUNITY CARE and the calculation is based upon those contacts which have occurred during the REPORTING PERIOD. Where the contact nurse is also the allocated Care Programme Approach care coordinator for the PATIENT then a FACE TO FACE CONTACT CPA CARE COORDINATOR should also be recorded.



This data element is also known by these names:
ContextAlias
pluralCONTACTS (COMMUNITY PSYCHIATRIC NURSES)


top

CONTACTS (CONSULTANT PSYCHOTHERAPY)

Change to Data Element: New DataElement

CONTACTS (CONSULTANT PSYCHOTHERAPY)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
CONTACTS (PHYSIOTHERAPIST) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if:

a. one or more OUT-PATIENT ATTENDANCE CONSULTANT within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
and
b. where the main CONSULTANT SPECIALTY FUNCTION for the CONSULTANT is 713 'PSYCHOTHERAPY'

It is the total number of such attendances within the REPORTING PERIOD. Each such attendance is recorded by an OUT-PATIENT ATTENDANCE CONSULTANT and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a ATTENDANCE DATE for each OUT-PATIENT ATTENDANCE CONSULTANT and the calculation is based upon those attendances which have occurred during the REPORTING PERIOD. Where the CONSULTANT is also the allocated Care Programme Approach care coordinator for the PATIENT then a FACE TO FACE CONTACT CPA CARE COORDINATOR should also be recorded.



This data element is also known by these names:
ContextAlias
pluralCONTACTS (CONSULTANT PSYCHOTHERAPISTS)


top

CONTACTS (NHS DIRECT MENTAL HEALTH)

Change to Data Element: New DataElement

CONTACTS (NHS DIRECT MENTAL HEALTH)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
CONTACTS (NHS DIRECT MENTAL HEALTH) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if one or more TELEPHONE CONTACT NHS DIRECT (MENTAL HEALTH) within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD. This refers to any contacts that are required to be shared between NHS Direct and a Mental Health NHS Trust according to local and nationally agreed protocols on information sharing.

It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a TELEPHONE CONTACT NHS DIRECT (MENTAL HEALTH) and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a CONTACT DATE for each TELEPHONE CONTACT NHS DIRECT (MENTAL HEALTH) and the calculation is based upon those contacts which are required for reporting between NHS Direct and a Mental Health NHS Trust during the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralCONTACTS (NHS DIRECT MENTAL HEALTH)


top

CONTACTS (OCCUPATIONAL THERAPIST)

Change to Data Element: New DataElement

CONTACTS (OCCUPATIONAL THERAPIST)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
CONTACTS (OCCUPATIONAL THERAPIST) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if:

a. one or more PROFESSIONAL STAFF GROUP CONTACT within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
and
b. where the PROFESSIONAL STAFF GROUP TYPE classification is b. 'Occupational Therapy'

It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a PROFESSIONAL STAFF GROUP CONTACT and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a CONTACT DATE for each PROFESSIONAL STAFF GROUP CONTACT and the calculation is based upon those contacts which have occurred during the REPORTING PERIOD. Where the member of the professional staff group discipline is also the allocated Care Programme Approach care coordinator for the PATIENT then a FACE TO FACE CONTACT CPA CARE COORDINATOR should also be recorded.



This data element is also known by these names:
ContextAlias
pluralCONTACTS (OCCUPATIONAL THERAPISTS)


top

CONTACTS (PHYSIOTHERAPIST)

Change to Data Element: New DataElement

CONTACTS (PHYSIOTHERAPIST)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
CONTACTS (PHYSIOTHERAPIST) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if:

a. one or more PROFESSIONAL STAFF GROUP CONTACT within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
and
b. where the PROFESSIONAL STAFF GROUP TYPE classification is b. 'Physiotherapy'

It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a PROFESSIONAL STAFF GROUP CONTACT and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a CONTACT DATE for each PROFESSIONAL STAFF GROUP CONTACT and the calculation is based upon those contacts which have occurred during the REPORTING PERIOD. Where the member of the professional staff group discipline is also the allocated Care Programme Approach care coordinator for the PATIENT then a FACE TO FACE CONTACT CPA CARE COORDINATOR should also be recorded.



This data element is also known by these names:
ContextAlias
pluralCONTACTS (PHYSIOTHERAPISTS)


top

CONTACTS (SOCIAL WORKER)

Change to Data Element: New DataElement

CONTACTS (SOCIAL WORKER)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
CONTACTS (SOCIAL WORKER) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if one or more FACE TO FACE CONTACT SOCIAL WORKER within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD.

It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a FACE TO FACE CONTACT SOCIAL WORKER and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a CONTACT DATE for each FACE TO FACE CONTACT SOCIAL WORKER and the calculation is based upon those contacts which have occurred during the REPORTING PERIOD. Where the contact social worker is also the allocated Care Programme Approach care coordinator for the PATIENT then a FACE TO FACE CONTACT CPA CARE COORDINATOR should also be recorded.



This data element is also known by these names:
ContextAlias
pluralCONTACTS (SOCIAL WORKERS)


top

CPA ENHANCED DAYS

Change to Data Element: New DataElement

CPA ENHANCED DAYS

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
CPA ENHANCED DAYS is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if one or more CARE PROGRAMME EPISODES with CPA LEVEL National Code 2 'Enhanced, multiple needs, including housing, employment etc, which requires inter-agency coordination' has occurred during the REPORTING PERIOD.

It is the total number of CPA enhanced days within the MENTAL HEALTH CARE SPELL within the REPORTING PERIOD. Each period of CPA enhanced days is recorded by a CARE PROGRAMME APPROACH EPISODE and there may be more than one such episode during the course of a MENTAL HEALTH CARE SPELL.

There is a START DATE and END DATE for each CARE PROGRAMME APPROACH EPISODE and the calculation is based upon those CPA enhanced days which have occurred during the REPORTING PERIOD adjusted for where periods of CPA enhanced days overlap the START DATE and/or END DATE of the REPORTING PERIOD (this includes where the period of CPA enhanced days has not yet ended). Where such overlaps occur the START DATE and/or END DATE of the REPORTING PERIOD should be used instead of that of the CARE PROGRAMME APPROACH EPISODE.

CPA ENHANCED DAYS is the sum of the calculated periods of CPA enhanced days and should be recorded left justified with leading zeros.

Please note that although bothCPA ENHANCED DAYS and CPA STANDARD DAYS are classed as optional data item notes at least one of them should be present within the MHMDS collection record as Care Programme Approach is mandatory. A PATIENT subject to a MENTAL HEALTH CARE SPELL therefore should always have recorded CPA days with only the CPA LEVEL varying during the period of the MENTAL HEALTH CARE SPELL.



This data element is also known by these names:
ContextAlias
pluralCPA ENHANCED DAYS


top

CPA LEVEL (AT END OF REPORTING PERIOD)

Change to Data Element: New DataElement

CPA LEVEL (AT END OF REPORTING PERIOD)

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

Notes:
CPA LEVEL (AT END OF REPORTING PERIOD) is the same as attribute CPA LEVEL.

This is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if the latest CARE PROGRAMME APPROACH EPISODE was not ended before the END DATE of the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralCPA LEVELS (AT END OF REPORTING PERIOD)


top

CPA STANDARD DAYS

Change to Data Element: New DataElement

CPA STANDARD DAYS

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
CPA STANDARD DAYS is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if one or more CARE PROGRAMME EPISODES with CPA LEVEL National Code 1 'Standard, requires the support or intervention of one agency or discipline; or requires only low key support from more one agency' have occurred during the REPORTING PERIOD.

It is the total number of CPA standard days within the MENTAL HEALTH CARE SPELL within the REPORTING PERIOD. Each period of CPA standard days is recorded by a CARE PROGRAMME APPROACH EPISODE and there may be more than one such episode during the course of a MENTAL HEALTH CARE SPELL.

There is a START DATE and END DATE for each CARE PROGRAMME APPROACH EPISODE and the calculation is based upon those CPA standard days which have occurred during the REPORTING PERIOD adjusted for where periods of CPA standard days overlap the START DATE and/or END DATE of the REPORTING PERIOD (this includes where the period of CPA standard days has not yet ended). Where such overlaps occur the START DATE and/or END DATE of the REPORTING PERIOD should be used instead of that of the CARE PROGRAMME APPROACH EPISODE.

CPA ENHANCED DAYS is the sum of the calculated periods of CPA standard days and should be recorded left justified with leading zeros.

Please note that although both CPA ENHANCED DAYS and CPA STANDARD DAYS are classed as optional data item notes at least one of them should be present within the MHMDS collection record as Care Programme Approach is mandatory. A PATIENT subject to a MENTAL HEALTH CARE SPELL therefore should always have recorded CPA days with only the CPA LEVELvarying during the period of the MENTAL HEALTH CARE SPELL.



This data element is also known by these names:
ContextAlias
pluralCPA STANDARD DAYS


top

DATE LAST SEEN (CPA CARE COORDINATOR)

Change to Data Element: New DataElement

DATE LAST SEEN (CPA CARE COORDINATOR)

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

Notes:
The CONTACT DATE of last recorded FACE TO FACE CONTACT CPA CARE COORDINATOR within the MENTAL HEALTH CARE SPELL.



This data element is also known by these names:
ContextAlias
pluralDATE LAST SEEN (CPA CARE COORDINATORS)


top

DAY CARE ATTENDANCE (MENTAL HEALTH NHS SITE)

Change to Data Element: New DataElement

DAY CARE ATTENDANCE (MENTAL HEALTH NHS SITE)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
DAY CARE ATTENDANCE (MENTAL HEALTH NHS SITE) is the same as entity type DAY CARE ATTENDANCE.

DAY CARE ATTENDANCE (MENTAL HEALTH NHS SITE) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if:

a. one or more DAY CARE ATTENDANCE at DAY CARE SESSION within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
and
b. where the ATTENDED OR DID NOT ATTEND is National Code 5 'Attended on time or, if late, before the relevant health care professional was ready to see the patient' or 6 'Arrived late, after the relevant health care professional was ready to see the patient, but was seen
and
c. where the DAY CARE FUNCTION classification is e. 'Mental illness'
and
d. where the DAY CARE FACILITY TYPE of the DAY CARE FACILITY is a. 'Facilities financed, planned and run solely by NHS organisations. Staffing is solely by NHS employees' or b. 'Facilities financed, planned and run jointly by NHS organisations and non-NHS organisations. Staffing is a mixture of NHS and non-NHS employees'.

It is the total number of such attendances within the REPORTING PERIOD. Each such attendance is recorded by a DAY CARE ATTENDANCE and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a SESSION DATE for each DAY CARE SESSION and the calculation is based upon those attendances for sessions which have occurred during the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralDAY CARE ATTENDANCES (MENTAL HEALTH NHS SITE)


top

DAY CARE ATTENDANCE MH NON-NHS SITE INDICATOR

Change to Data Element: New DataElement

DAY CARE ATTENDANCE MH NON-NHS SITE INDICATOR

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

Notes:
DAY CARE ATTENDANCE MH NON-NHS SITE INDICATOR is an indicator of whether or not:

a. one or more DAY CARE ATTENDANCE at DAY CARE SESSION within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
and
b. where the ATTENDED OR DID NOT ATTEND is National Code 5 'Attended on time or, if late, before the relevant health care professional was ready to see the patient' or 6 'Arrived late, after the relevant health care professional was ready to see the patient, but was seen
and
c. where the DAY CARE FUNCTION classification is e. 'Mental illness'
and
d. where the DAY CARE FACILITY TYPE of the DAY CARE FACILITY is c. 'Facilities financed, planned and run solely by non-NHS organisations. Staffing is solely by non-NHS employees.

Recorded as:

0 no attendance at a Non-NHS DAY CARE FACILITY occurred during the REPORTING PERIOD
1 one or more attendances at a Non-NHS DAY CARE FACILITY occurred during the REPORTING PERIOD



This data element is also known by these names:
ContextAlias
pluralDAY CARE ATTENDANCES MH NON-NHS SITE INDICATOR


top

DAY CARE DID NOT ATTENDS (MENTAL HEALTH NHS SITE)

Change to Data Element: New DataElement

DAY CARE DID NOT ATTENDS (MENTAL HEALTH NHS SITE)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
DAY CARE DID NOT ATTENDS (MENTAL HEALTH NHS SITE) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if:

a. one or more DAY CARE ATTENDANCE at DAY CARE SESSION within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
and
b. where the ATTENDED OR DID NOT ATTEND is National Code 3 'Did not attend - no advance warning given'
and
c. where the DAY CARE FUNCTION classification is e. 'Mental illness'
and
d. where the DAY CARE FACILITY TYPE of the DAY CARE FACILITY is a. 'Facilities financed, planned and run solely by NHS organisations. Staffing is solely by NHS employees' or b. 'Facilities financed, planned and run jointly by NHS organisations and non-NHS organisations. Staffing is a mixture of NHS and non-NHS employees.

It is the total number of such did not attends within the REPORTING PERIOD. Each such did not attendance is recorded by a DAY CARE ATTENDANCE and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a SESSION DATE for each DAY CARE SESSION and the calculation is based upon those did not attends for sessions which have occurred during the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralDAY CARE DID NOT ATTENDS (MENTAL HEALTH NHS SITES)


top

DAYS LIABLE FOR DETENTION

Change to Data Element: New DataElement

DAYS LIABLE FOR DETENTION

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
DAYS LIABLE FOR DETENTION is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if one or more LEGAL STATUS within the MENTAL HEALTH CARE SPELL have occurred during the REPORTING PERIOD.

It is the total number of days detained or liable to be detained within the MENTAL HEALTH CARE SPELL within the REPORTING PERIOD. Each period of such days is recorded by a LEGAL STATUS and there may be more than one recorded during the course of a MENTAL HEALTH CARE SPELL.

There is a START DATE and END DATE for each LEGAL STATUS and the calculation is based upon those detained or liable to be detained days which have occurred during the REPORTING PERIOD adjusted for where periods of LEGAL STATUS overlap the START DATE and/or END DATE of the REPORTING PERIOD (this includes where the period of END DATE has not yet ended). Where such overlaps occur the START DATE and/or END DATE of the REPORTING PERIOD should be used instead of that of the LEGAL STATUS.

DAYS LIABLE FOR DETENTION is the sum of the calculated periods of LEGAL STATUS days and should be recorded left justified with leading zeros.



This data element is also known by these names:
ContextAlias
pluralDAYS LIABLE FOR DETENTIONS


top

DAYS OF SUPERVISED DISCHARGE

Change to Data Element: New DataElement

DAYS OF SUPERVISED DISCHARGE

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
DAYS OF SUPERVISED DISCHARGE is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if one or more SUPERVISED DISCHARGE EPISODE within the MENTAL HEALTH CARE SPELL have occurred during the REPORTING PERIOD.

It is the total number of supervised aftercare days within the MENTAL HEALTH CARE SPELL within the REPORTING PERIOD. Each period of supervised aftercare days is recorded by a SUPERVISED DISCHARGE EPISODE and there may be more than one such episode during the course of a MENTAL HEALTH CARE SPELL.

There is a START DATE and END DATE for each SUPERVISED DISCHARGE EPISODE and the calculation is based upon those supervised aftercare days which have occurred during the REPORTING PERIOD adjusted for where periods of supervised aftercare days overlap the START DATE and/or END DATE of the REPORTING PERIOD (this includes where the period of supervised aftercare days has not yet ended). Where such overlaps occur the START DATE and/or END DATE of the REPORTING PERIOD should be used instead of that of the SUPERVISED DISCHARGE EPISODE.

DAYS OF SUPERVISED DISCHARGE is the sum of the calculated periods of supervised aftercare days and should be recorded left justified with leading zeros.



This data element is also known by these names:
ContextAlias
pluralDAYS OF SUPERVISED DISCHARGES


top

DIAGNOSIS (ICD EIGHTH MOST RECENT)

Change to Data Element: New DataElement

DIAGNOSIS (ICD EIGHTH MOST RECENT)

Format/length: annnaa for ICD - 10
HES item:
National Codes:
Default Codes:  

Notes:
The eighth most recent PATIENT DIAGNOSIS recorded, see DIAGNOSIS (ICD FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralDIAGNOSES (ICD EIGHTH MOST RECENT)


top

DIAGNOSIS (ICD ELEVENTH MOST RECENT)

Change to Data Element: New DataElement

DIAGNOSIS (ICD ELEVENTH MOST RECENT)

Format/length: annnaa ICD - 10
HES item:
National Codes:
Default Codes:  

Notes:
The eleventh most recent PATIENT DIAGNOSIS recorded, see DIAGNOSIS (ICD FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralDIAGNOSES (ICD ELEVENTH MOST RECENT)


top

DIAGNOSIS (ICD FIFTH MOST RECENT)

Change to Data Element: New DataElement

DIAGNOSIS (ICD FIFTH MOST RECENT)

Format/length: annnaa for ICD - 10
HES item:
National Codes:
Default Codes:  

Notes:
The fifth most recent PATIENT DIAGNOSIS recorded, see DIAGNOSIS (ICD FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralDIAGNOSES (ICD FIFTH MOST RECENT)


top

DIAGNOSIS (ICD FIRST MOST RECENT)

Change to Data Element: New DataElement

DIAGNOSIS (ICD FIRST MOST RECENT)

Format/length: annnaa for ICD - 10
HES item:
National Codes:
Default Codes:  

Notes:
At each CARE PROGRAMME APPROACH REVIEW of CARE PROGRAMME APPROACH EPISODE within a MENTAL HEALTH CARE SPELL, up to twelve PATIENT DIAGNOSIS may be recorded. Each CARE PROGRAMME APPROACH REVIEW has a CPA REVIEW DATE and the required DIAGNOSTIC CODING is ICD-10.

For purposes of the Mental Health Minimum Data Set (MHMDS) collection, the twelve most recent PATIENT DIAGNOSIS in chronological ascending sequence are required and these may have been recorded in one or more CARE PROGRAMME APPROACH REVIEW.

For example if the latest CARE PROGRAMME APPROACH REVIEW within a MENTAL HEALTH CARE SPELL recorded 7 PATIENT DIAGNOSIS and the previous CARE PROGRAMME APPROACH REVIEW recorded 8 PATIENT DIAGNOSIS then:

DIAGNOSIS (ICD FIRST MOST RECENT) would be the first of the 7 latest recorded DIAGNOSIS (ICD SECOND MOST RECENT) would be the second of the 7 latest recorded DIAGNOSIS (ICD THIRD MOST RECENT) would be the third of the 7 latest recorded
DIAGNOSIS (ICD FOURTH MOST RECENT) would be the fourth of the 7 latest recorded
DIAGNOSIS (ICD FIFTH MOST RECENT) would be the fifth of the 7 latest recorded
DIAGNOSIS (ICD SIXTH MOST RECENT) would be the sixth of the 7 latest recorded
DIAGNOSIS (ICD SEVENTH MOST RECENT) would be the seventh of the 7 latest recorded
DIAGNOSIS (ICD EIGHTH MOST RECENT) would be the first of the 8 previously recorded
DIAGNOSIS (ICD NINTH MOST RECENT) would be the second of the 8 previously recorded
DIAGNOSIS (ICD TENTH MOST RECENT) would be the third of the 8 previously recorded
DIAGNOSIS (ICD ELEVENTH MOST RECENT) would be the fourth of the 8 previously recorded
DIAGNOSIS (ICD TWELFTH MOST RECENT) would be the fifth of the 8 previously recorded

Please refer to the following publications for guidance on diagnostic coding:
i. The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines (1992b). Geneva, World Health Organisation.
ii. Mental disorders in primary care, a concise guide to the management of 22 disorders in adults.



This data element is also known by these names:
ContextAlias
pluralDIAGNOSES (ICD FIRST MOST RECENT)


top

DIAGNOSIS (ICD FOURTH MOST RECENT)

Change to Data Element: New DataElement

DIAGNOSIS (ICD FOURTH MOST RECENT)

Format/length: annnaa for ICD - 10
HES item:
National Codes:
Default Codes:  

Notes:
The fourth most recent PATIENT DIAGNOSIS recorded, see DIAGNOSIS (ICD FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralDIAGNOSES (ICD FOURTH MOST RECENT)


top

DIAGNOSIS (ICD NINTH MOST RECENT)

Change to Data Element: New DataElement

DIAGNOSIS (ICD NINTH MOST RECENT)

Format/length: annnaa for ICD - 10
HES item:
National Codes:
Default Codes:  

Notes:
The ninth most recent PATIENT DIAGNOSIS recorded, see DIAGNOSIS (ICD FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralDIAGNOSES (ICD NINTH MOST RECENT)


top

DIAGNOSIS (ICD SECOND MOST RECENT)

Change to Data Element: New DataElement

DIAGNOSIS (ICD SECOND MOST RECENT)

Format/length: annnaa for ICD - 10
HES item:
National Codes:
Default Codes:  

Notes:
The second most recent PATIENT DIAGNOSIS recorded, see DIAGNOSIS (ICD FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralDIAGNOSES (ICD SECOND MOST RECENT)


top

DIAGNOSIS (ICD SEVENTH MOST RECENT)

Change to Data Element: New DataElement

DIAGNOSIS (ICD SEVENTH MOST RECENT)

Format/length: annnaa for ICD - 10
HES item:
National Codes:
Default Codes:  

Notes:
The seventh most recent PATIENT DIAGNOSIS recorded, see DIAGNOSIS (ICD FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralDIAGNOSES (ICD SEVENTH MOST RECENT)


top

DIAGNOSIS (ICD SIXTH MOST RECENT)

Change to Data Element: New DataElement

DIAGNOSIS (ICD SIXTH MOST RECENT)

Format/length: annnaa for ICD -10
HES item:
National Codes:
Default Codes:  

Notes:
The sixth most recent PATIENT DIAGNOSIS recorded, see DIAGNOSIS (ICD FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralDIAGNOSES (ICD SIXTH MOST RECENT)


top

DIAGNOSIS (ICD TENTH MOST RECENT)

Change to Data Element: New DataElement

DIAGNOSIS (ICD TENTH MOST RECENT)

Format/length: annnaa for ICD -10
HES item:
National Codes:
Default Codes:  

Notes:
The tenth most recent PATIENT DIAGNOSIS recorded, see DIAGNOSIS (ICD FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralDIAGNOSES (ICD TENTH MOST RECENT)


top

DIAGNOSIS (ICD THIRD MOST RECENT)

Change to Data Element: New DataElement

DIAGNOSIS (ICD THIRD MOST RECENT)

Format/length: annnaa for ICD - 10
HES item:
National Codes:
Default Codes:  

Notes:
The third most recent PATIENT DIAGNOSIS recorded, see DIAGNOSIS (ICD FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralDIAGNOSES (ICD THIRD MOST RECENT)


top

DIAGNOSIS (ICD TWELFTH MOST RECENT)

Change to Data Element: New DataElement

DIAGNOSIS (ICD TWELFTH MOST RECENT)

Format/length: annnaa for ICD - 10
HES item:
National Codes:
Default Codes:  

Notes:
The twelfth most recent PATIENT DIAGNOSIS recorded, see DIAGNOSIS (ICD FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralDIAGNOSES (ICD TWELFTH MOST RECENT)


top

DISCHARGES (MENTAL HEALTH)

Change to Data Element: New DataElement

DISCHARGES (MENTAL HEALTH)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
DISCHARGES (MENTAL HEALTH) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record. It should only be present if:

a. one or more HOSPITAL PROVIDER SPELL within the MENTAL HEALTH CARE SPELL has a DISCHARGE DATE within the REPORTING PERIOD
and
b. where the HOSPITAL PROVIDER SPELL contains at least one CONSULTANT EPISODE (HOSPITAL PROVIDER) and/or NURSING HOME STAY (CONSULTANT CARE) where the main CONSULTANT SPECIALTY FUNCTION of the CONSULTANT is for an adult or mental illness SPECIALTY FUNCTION. The adult or mental illness SPECIALTY FUNCTION being 700, 710,712, 713 and 715.

It is the total number of such discharges from HOSPITAL PROVIDER SPELL within the REPORTING PERIOD.


top

ELECTORAL WARD OF USUAL ADDRESS

Change to Data Element: New DataElement

ELECTORAL WARD OF USUAL ADDRESS

Format/length: an6
HES item:
National Codes:
Default Codes:  

Notes:
The Electoral Ward of the ADDRESS nominated by the PATIENT with ADDRESS ASSOCIATION TYPE 'Main Permanent Residence' or 'Other Permanent Residence'.

The Electoral Ward is derived from the GEOGRAPHIC AREA CODE of GEOGRAPHIC AREA where GEOGRAPHIC AREA TYPE is 'Electoral Ward'. ADDRESS IN GEOGRAPHIC AREA provides the relationship between ADDRESS and GEOGRAPHIC AREA.

See NHS Postcode Directory, Related Products.



This data element is also known by these names:
ContextAlias
pluralELECTORAL WARDS OF USUAL ADDRESSES


top

END DATE (MENTAL HEALTH CARE SPELL)

Change to Data Element: New DataElement

END DATE (MENTAL HEALTH CARE SPELL)

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

Notes:
END DATE (MENTAL HEALTH CARE SPELL) is the same as attribute END DATE and is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if the MENTAL HEALTH CARE SPELL has ended.

The MENTAL HEALTH CARE SPELL ends when all associated episodes, attendances or days are explicitly closed or ended by default where a PATIENT has received in-patient care terminated other than by transfer or death or had a current period of ABSENCE WITHOUT LEAVE (but still liable to detention), within the preceding 3 months.

For Mental Health Minimum Data Set purposes where the HEALTH CARE PROVIDER cannot initiate and maintain MENTAL HEALTH CARE SPELL it is the function of the assembler process itself to determine whether the assembled MENTAL HEALTH CARE SPELL has ended or not, and provide the appropriate date to be used for the END DATE (MENTAL HEALTH CARE SPELL).



This data element is also known by these names:
ContextAlias
pluralEND DATES (MENTAL HEALTH CARE SPELLS)


top

FIRST CONTACT TIMES LIST (MENTAL HEALTH)

Change to Data Element: New DataElement

FIRST CONTACT TIMES LIST (MENTAL HEALTH)

Format/length: an50
HES item:
National Codes:
Default Codes:  

Notes:
FIRST CONTACT TIMES LIST (MENTAL HEALTH) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record. It should only be present if one or more HOSPITAL PROVIDER SPELL within the MENTAL HEALTH CARE SPELL has ended within the REPORTING PERIOD.

One entry should be made in the list for each HOSPITAL PROVIDER SPELL within the MENTAL HEALTH CARE SPELL ending within the REPORTING PERIOD. The entry is the number of days elapsing from the DISCHARGE DATE of the HOSPITAL PROVIDER SPELL to the first subsequent clinical contact or to the end of the MENTAL HEALTH CARE SPELL or to the end of the REPORTING PERIOD whichever is the soonest. Clinical contacts may be any of the following:

a. a PROFESSIONAL STAFF GROUP CONTACT with PROFESSIONAL STAFF GROUP TYPE classification of b. ‘Clinical Psychology’, d. ‘Occupational Therapy’ or e. ‘Physiotherapy’
or
b. an OUT-PATIENT ATTENDANCE CONSULTANT with a CONSULTANT with a main CONSULTANT SPECIALTY FUNCTION of 713 ‘Psychotherapy’
or
c. a FACE TO FACE CONTACT COMMUNITY CARE with COMMUNITY NURSE STAFF GROUP classification of b. ‘Community Psychiatric Nurses - providing mental illness services’
or
d. a FACE TO FACE CONTACT SOCIAL WORKER
or
e. a DAY CARE ATTENDANCE with DAY CARE FUNCTION classification e. Mental Illness
or
f. a CONSULTANT EPISODE (HOSPITAL PROVIDER) where the main CONSULTANT SPECIALTY FUNCTION of the CONSULTANT is for an adult or mental illness SPECIALTY FUNCTION. The adult or mental illness SPECIALTY FUNCTION being 700, 710,712, 713 and 715.
or
g. a NURSING HOME STAY (CONSULTANT CARE) where the main CONSULTANT SPECIALTY FUNCTION of the CONSULTANT is for an adult or mental illness SPECIALTY FUNCTION. The adult or mental illness SPECIALTY FUNCTION being 700, 710,712, 713 and 715.

A suffix is attached to each calculated period length, the suffixes are:

D - where a following contact occurs before the end of the REPORTING PERIOD
W where no contact has occurred between the DISCHARGE DATE and the end of the REPORTING PERIOD or the end of the MENTAL HEALTH CARE SPELL whichever is the sooner. .

The calculated length of days (plus their suffix) are recorded within the FIRST CONTACT TIMES LIST (MENTAL HEALTH) in ascending contact date sequence.



This data element is also known by these names:
ContextAlias
pluralFIRST CONTACT TIMES LISTS (MENTAL HEALTH)


top

HOME HELP VISIT INDICATOR

Change to Data Element: New DataElement

HOME HELP VISIT INDICATOR

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

Notes:
HOME HELP VISIT INDICATOR is an indicator of whether or not one or more HOME HELP VISIT within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD.

Recorded as:
0 no HOME HELP VISIT occurred during the REPORTING PERIOD
1 one or more HOME HELP VISITS occurred during the REPORTING PERIOD



This data element is also known by these names:
ContextAlias
pluralHOME HELP VISIT INDICATORS


top

HONOS RATING (BEST IN LAST TWELVE MONTHS)

Change to Data Element: New DataElement

HONOS RATING (BEST IN LAST TWELVE MONTHS)

Format/length: an13
HES item:
National Codes:
Default Codes:  

Notes:
HONOS RATING (BEST IN LAST TWELVE MONTHS) is the same as entity type HONOS RATING.

At each CARE PROGRAMME APPROACH REVIEW of a CARE PROGRAMME APPROACH REVIEW within a MENTAL HEALTH CARE SPELL, an HONOS SCORE FOR PERSON should be recorded.

For purposes of the Mental Health Minimum Data Set (MHMDS) collection record, HONOS RATING (BEST IN LAST TWELVE MONTHS) is the best HONOS RATING of all the HONOS SCORE FOR PERSON recorded in the period of the last twelve months for the PATIENT regardless of which MENTAL HEALTH CARE SPELL it was recorded within. Where more than one HONOS SCORE FOR PERSON has the same best HONOS RATING, then the first recorded one should be used. The twelve month period should be calculated from the END DATE of the REPORTING PERIOD.

This is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if an HONOS SCORE FOR PERSON has been recorded during the calculated twelve month period.



This data element is also known by these names:
ContextAlias
pluralHONOS RATINGS (BEST IN LAST TWELVE MONTHS)


top

HONOS RATING (FIRST IN MHCS)

Change to Data Element: New DataElement

HONOS RATING (FIRST IN MHCS)

Format/length: an13
HES item:
National Codes:
Default Codes:  

Notes:
HONOS RATING (FIRST IN MHCS) is the same as entity type HONOS RATING.

At each CARE PROGRAMME APPROACH REVIEW of a CARE PROGRAMME APPROACH EPISODE within a MENTAL HEALTH CARE SPELL, an HONOS SCORE FOR PERSON should be recorded.

For purposes of the Mental Health Minimum Data Set (MHMDS) collection record, HONOS RATING (FIRST IN MHCS) is the HONOS RATING of the HONOS SCORE FOR PERSON with the earliest HONOS SCORE DATE within the MENTAL HEALTH CARE SPELL whether or not the HONOS SCORE DATE is within the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralHONOS RATINGS (FIRST IN MHCS)


top

HONOS RATING (MOST RECENT IN MHCS)

Change to Data Element: New DataElement

HONOS RATING (MOST RECENT IN MHCS)

Format/length: an13
HES item:
National Codes:
Default Codes:  

Notes:
HONOS RATING (MOST RECENT IN MHCS) is the same as entity type HONOS RATING.

At each CARE PROGRAMME APPROACH REVIEW of a CARE PROGRAMME APPROACH EPISODE within a MENTAL HEALTH CARE SPELL, an HONOS SCORE FOR PERSON should be recorded.

For purposes of the Mental Health Minimum Data Set (MHMDS) collection record, HONOS SCORE DATE (MOST RECENT IN MHCS) is the HONOS RATING of the HONOS SCORE FOR PERSON with the latest HONOS SCORE DATE within the MENTAL HEALTH CARE SPELL whether or not the HONOS SCORE DATE is within the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralHONOS RATINGS (MOST RECENT IN MHCS)


top

HONOS RATING (WORST EVER RECORDED)

Change to Data Element: New DataElement

HONOS RATING (WORST EVER RECORDED)

Format/length: an13
HES item:
National Codes:
Default Codes:  

Notes:
HONOS RATING (WORST EVER RECORDED) is the same as entity type HONOS RATING.

At each CARE PROGRAMME APPROACH REVIEW of a CARE PROGRAMME APPROACH EPISODE within a MENTAL HEALTH CARE SPELL, an HONOS SCORE FOR PERSON should be recorded.

For purposes of the Mental Health Minimum Data Set (MHMDS) collection record, HONOS RATING (WORST EVER RECORDED) is the worst HONOS RATING of all the HONOS SCORE FOR PERSON ever recorded for the PATIENT regardless of which MENTAL HEALTH CARE SPELL it was recorded within. Where more than one HONOS SCORE FOR PERSON has the same worst HONOS RATING, then the first recorded one should be used.



This data element is also known by these names:
ContextAlias
pluralHONOS RATINGS (WORST EVER RECORDED)


top

HONOS SCORE DATE (BEST IN LAST TWELVE MONTHS)

Change to Data Element: New DataElement

HONOS SCORE DATE (BEST IN LAST TWELVE MONTHS)

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

Notes:
HONOS SCORE DATE (BEST IN LAST TWELVE MONTHS) is the same as attribute HONOS SCORE DATE.

The date of an HONOS SCORE DATE (BEST IN LAST TWELVE MONTHS) and is the date of the best HONOS SCORE FOR PERSON recorded in the period of the last twelve months for the. Where more than one HONOS SCORE FOR PERSON has the same best HONOS RATING within the period, then the date of the first recorded one should be used.

This is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if an HONOS SCORE FOR PERSON has been recorded during the calculated twelve month period.



This data element is also known by these names:
ContextAlias
pluralHONOS SCORE DATES (BEST IN LAST TWELVE MONTHS)


top

HONOS SCORE DATE (FIRST IN MHCS)

Change to Data Element: New DataElement

HONOS SCORE DATE (FIRST IN MHCS)

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

Notes:
HONOS SCORE DATE (FIRST IN MHCS) is the same as attribute HONOS SCORE DATE.

The date of an HONOS SCORE DATE (FIRST IN MHCS) and is the date of the first HONOS SCORE FOR PERSON recorded within the MENTAL HEALTH CARE SPELL whether or not the HONOS SCORE DATE is within the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralHONOS SCORE DATES (FIRST IN MHCS)


top

HONOS SCORE DATE (MOST RECENT IN MHCS)

Change to Data Element: New DataElement

HONOS SCORE DATE (MOST RECENT IN MHCS)

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

Notes:
HONOS SCORE DATE (MOST RECENT IN MHCS) is the same as attribute HONOS SCORE DATE.

The date of an HONOS SCORE DATE (MOST RECENT IN MHCS) and is the date of the latest HONOS SCORE FOR PERSON recorded within the MENTAL HEALTH CARE SPELL whether or not the HONOS SCORE DATE is within the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralHONOS SCORE DATES (MOST RECENT IN MHCS)


top

HONOS SCORE DATE (WORST EVER RECORDED)

Change to Data Element: New DataElement

HONOS SCORE DATE (WORST EVER RECORDED)

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

Notes:
HONOS SCORE DATE (WORST EVER RECORDED) is the same as attribute HONOS SCORE DATE.

The date of an HONOS SCORE DATE (WORST EVER RECORDED) and is the date of the worst HONOS SCORE FOR PERSON ever recorded for the PATIENT. Where more than one HONOS SCORE FOR PERSON has the same worst HONOS RATING, then the date of the first recorded one should be used.



This data element is also known by these names:
ContextAlias
pluralHONOS SCORE DATES (WORST EVER RECORDED)


top

HOSPITAL STAYS LIST (MENTAL HEALTH)

Change to Data Element: New DataElement

HOSPITAL STAYS LIST (MENTAL HEALTH)

Format/length: an50
HES item:
National Codes:
Default Codes:  

Notes:
HOSPITAL STAYS LIST (MENTAL HEALTH) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record. It should only be present if:

a. one or more HOSPITAL PROVIDER SPELL within the MENTAL HEALTH CARE SPELL has occurred wholly or partly within the REPORTING PERIOD
and
b. where the HOSPITAL PROVIDER SPELL contains at least one CONSULTANT EPISODE (HOSPITAL PROVIDER) and/or NURSING HOME STAY (CONSULTANT CARE) where the main CONSULTANT SPECIALTY FUNCTION of the CONSULTANT is for an adult or mental illness SPECIALTY FUNCTION. The adult or mental illness SPECIALTY FUNCTIONS being 700, 710,712, 713 and 715.

For the list, the length in days of each HOSPITAL PROVIDER SPELL is calculated from the START DATE and DISCHARGE DATE of the HOSPITAL PROVIDER SPELL. Where there is no DISCHARGE DATE the END DATE of the REPORTING PERIOD should be used. A suffix is attached to each calculated stay length, the suffixes are:

B where the START DATE of the HOSPITAL PROVIDER SPELL is before the START DATE of the REPORTING PERIOD
C where the DISCHARGE DATE of the HOSPITAL PROVIDER SPELL is after the END DATE of the REPORTING PERIOD
blank where START DATE and DISCHARGE DATE of the HOSPITAL PROVIDER SPELL are within the START DATE and END DATE of the REPORTING PERIOD.

The calculated length of days (plus their suffix) are recorded within the HOSPITAL STAYS LIST (MENTAL HEALTH) in ascending START DATE of HOSPITAL PROVIDER SPELL sequence.



This data element is also known by these names:
ContextAlias
pluralHOSPITAL STAYS LISTS (MENTAL HEALTH)


top

LEGAL STATUS CLASSIFICATION CODE (AT END OF REPORTING PERIOD)

Change to Data Element: New DataElement

LEGAL STATUS CLASSIFICATION CODE (AT END OF REPORTING PERIOD)

Format/length: n2
HES item:
National Codes:
Default Codes:  

Notes:
LEGAL STATUS CLASSIFICATION CODE (AT END OF REPORTING PERIOD) is the same as attribute LEGAL STATUS CLASSIFICATION CODE

This is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if a LEGAL STATUS was not ended within the MENTAL HEALTH CARE SPELL before the END DATE of the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralLEGAL STATUS CLASSIFICATION CODES (AT END OF REPORTING PERIOD)


top

LEGAL STATUS RESTRICTIVENESS (HIGHEST IN REPORTING PERIOD)

Change to Data Element: New DataElement

LEGAL STATUS RESTRICTIVENESS (HIGHEST IN REPORTING PERIOD)

Format/length: nn.n
HES item:
National Codes:
Default Codes:  

Notes:
LEGAL STATUS RESTRICTIVENESS (HIGHEST IN REPORTING PERIOD) is the same as attribute LEGAL STATUS RESTRICTIVENESS.

This is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be recorded if one or more LEGAL STATUS were present during or overlap with the REPORTING PERIOD. It is the highest scored LEGAL STATUS RESTRICTIVENESS of all the LEGAL STATUS for the PATIENT within the MENTAL HEALTH CARE SPELL during the REPORTING PERIOD.

If the PATIENT has more than one MENTAL HEALTH CARE SPELL during the same REPORTING PERIOD and therefore more than one MHMDS collection record, then the same highest restrictive LEGAL STATUS CLASSIFICATION CODE will apply for all the MHMDS collection records for the PATIENT within the same REPORTING PERIOD.

Where more than one LEGAL STATUS has the same LEGAL STATUS RESTRICTIVENESS, then the first recorded one should be used.



This data element is also known by these names:
ContextAlias
pluralLEGAL STATUS RESTRICTIVENESS (HIGHEST IN REPORTING PERIODS)


top

MENTAL HEALTH CARE AND LEGAL STATUS HISTORY

Change to Data Element: New DataElement

MENTAL HEALTH CARE AND LEGAL STATUS HISTORY

Format/length: an3312
HES item:
National Codes:
Default Codes:  

Notes:
The mental health care provided to a PATIENT and their LEGAL STATUS on each day of the REPORTING PERIOD. This data is recorded within the Mental Health Minimum Data Set (MHMDS) record as a bit pattern string assembled from relevant daily activity, LEGAL STATUS and MENTAL CATEGORY data.

Each day is represented by 9 bytes with each bit set on if appropriate as follows:

Byte Bit Content if bit set on
1 1 LEGAL STATUS CLASSIFICATION : Informal
1 2 LEGAL STATUS CLASSIFICATION : Section 2
1 3 LEGAL STATUS CLASSIFICATION : Section 3
1 4 LEGAL STATUS CLASSIFICATION : Section 4
1 5 LEGAL STATUS CLASSIFICATION : Section 5(2)
1 6 not used
1 7 LEGAL STATUS CLASSIFICATION : Section5(4)
1 8 LEGAL STATUS CLASSIFICATION : Section 35
2 1 LEGAL STATUS CLASSIFICATION : Section 36
2 2 LEGAL STATUS CLASSIFICATION : Section 37 with section 41
2 3 LEGAL STATUS CLASSIFICATION : Section 37
2 4 LEGAL STATUS CLASSIFICATION : Section 38
2 5 LEGAL STATUS CLASSIFICATION : Section 44
2 6 not used
2 7 LEGAL STATUS CLASSIFICATION : Section 46
2 8 LEGAL STATUS CLASSIFICATION : Section 47 with section 49 restrictions
3 1 LEGAL STATUS CLASSIFICATION : Section 47
3 2 LEGAL STATUS CLASSIFICATION : Section 48 with section 49
3 3 LEGAL STATUS CLASSIFICATION : Section 48
3 4 LEGAL STATUS CLASSIFICATION : Section 135
3 5 LEGAL STATUS CLASSIFICATION : Section 136
3 6 not used
3 7 LEGAL STATUS CLASSIFICATION : Supervised discharge
3 8 LEGAL STATUS CLASSIFICATION : Criminal Procedures (Insanity) Act
4 1 LEGAL STATUS CLASSIFICATION : Formally detained under other acts
4 2 LEGAL STATUS CLASSIFICATION : Subject to Guardianship Section 7
4 3 LEGAL STATUS CLASSIFICATION : Subject to Guardianship Section 37
4 4 LEGAL STATUS CLASSIFICATION : Section 45A
4 5 not used
4 6 not used
4 7 not used
4 8 not used
5 1 MENTAL CATEGORY : Mental Illness
5 2 MENTAL CATEGORY : Mental Impairment
5 3 MENTAL CATEGORY : Severe mental impairment
5 4 MENTAL CATEGORY : Psycopathic disorder
5 5 MENTAL CATEGORY : Not specified
5 6 not used
5 7 Mental Category not applicable
5 8 Mental Category not known
6 1 Care contact: OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH)
6 2 Care contact: CONTACTS (COMMUNITY PSYCHIATRIC NURSE)
6 3 Care contact: CONTACTS (CLINICAL PSYCHOLOGIST)
6 4 Care contact: CONTACTS (OCCUPATIONAL THERAPIST)
6 5 Care contact: CONTACTS (SOCIAL WORKER)
6 6 not used
6 7 Care contact: OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH)
6 8 Care contact: CONTACTS (CONSULTANT PSYCHOTHERAPY)
7 1 Care contact: DAY CARE ATTENDANCE (MENTAL HEALTH NHS SITE)
7 2 Care contact: CONTACTS (NHS DIRECT MENTAL HEALTH)
7 3 Care contact: not used
7 4 Care contact: CONTACTS (PHYSIOTHERAPIST)
7 5 Care contact: CARE DAYS (ACUTE HOME-BASED)
7 6 not used
7 7 Care contact: DAY CARE DID NOT ATTENDS (MENTAL HEALTH NHS SITE)
7 8 Care contact: PROCEDURE (ECT TREATMENTS ADMINISTERED)
8 1 Care stay: BED DAYS (MENTAL HEALTH)
8 2 Care stay: BED DAYS (MENTAL HEALTH INTENSIVE)
8 3 Care stay: BED DAYS (MENTAL HEALTH MEDIUM SECURE)
8 4 MENTAL HEALTH CARE TEAM TYPE: General Adult Psychiatry
8 5 MENTAL HEALTH CARE TEAM TYPE: Psychiatry of old age
8 6 not used
8 7 MENTAL HEALTH CARE TEAM TYPE: Substance of Misuse Team
8 8 MENTAL HEALTH CARE TEAM TYPE: Home Treatment/Crisis Resolution
9 1 MENTAL HEALTH CARE SPELL: In being
9 2 CPA LEVEL: Standard
9 3 CPA LEVEL: Enhanced
9 4 CARE PROGRAMME APPROACH REVIEW: Held
9 5 MENTAL HEALTH CARE TEAM TYPE: Early Intervention in Psychosis
9 6 not used
9 7 MENTAL HEALTH CARE TEAM TYPE: Assertive Outreach Team
9 8 MENTAL HEALTH CARE TEAM TYPE: Other Teams



This data element is also known by these names:
ContextAlias
pluralMENTAL HEALTH CARE AND LEGAL STATUS HISTORIES


top

MENTAL HEALTH CARE SPELL END CODE

Change to Data Element: New DataElement

MENTAL HEALTH CARE SPELL END CODE

Format/length: an2
HES item:
National Codes:
Default Codes:  

Notes:
This is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if the MENTAL HEALTH CARE SPELL ended before the END DATE of the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralMENTAL HEALTH CARE SPELL END CODES


top

MENTAL HEALTH CARE TEAM TYPE (AT END OF REPORTING PERIOD)

Change to Data Element: New DataElement

MENTAL HEALTH CARE TEAM TYPE (AT END OF REPORTING PERIOD)

Format/length: n2
HES item:
National Codes:
Default Codes:  

Notes:
MENTAL HEALTH CARE TEAM TYPE (AT END OF REPORTING PERIOD) is the same as attribute MENTAL HEALTH CARE TEAM TYPE.

This is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if the MENTAL HEALTH CARE SPELL has not ended before the END DATE of the REPORTING PERIOD.

This is the classification of the type of team with assigned responsibility for the care of the PATIENT. It is derived from the START DATE and END DATE of the RESPONSIBLE MENTAL HEALTH CARE TEAM which will identify the MENTAL HEALTH CARE TEAM with assigned responsibility as at the END DATE of the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralMENTAL HEALTH CARE TEAM TYPES (AT END OF REPORTING PERIOD)


top

MHCS SUSPENSION REASON (AT END OF REPORTING PERIOD)

Change to Data Element: New DataElement

MHCS SUSPENSION REASON (AT END OF REPORTING PERIOD)

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

Notes:
MHCS SUSPENSION REASON (AT END OF REPORTING PERIOD) is the same as attribute MHCS SUSPENSION REASON.

This is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if a MENTAL HEALTH CARE SPELL SUSPENSION was not ended before the END DATE of the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralMHCS SUSPENSION REASONS (AT END OF REPORTING PERIOD)


top

MHC WITHOUT PATIENT CONSENT IN REPORTING PERIOD

Change to Data Element: New DataElement

MHC WITHOUT PATIENT CONSENT IN REPORTING PERIOD

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

Notes:
MHC WITHOUT PATIENT CONSENT IN REPORTING PERIOD is an indicator of whether or not one or more MHC WITHOUT PATIENT CONSENT were present during or overlap with the REPORTING PERIOD.
Recorded as:

0 no MHC WITHOUT PATIENT CONSENT were present during the REPORTING PERIOD
1 one or more MHC WITHOUT PATIENT CONSENT were present during the REPORTING PERIOD

If the PATIENT has more than one MENTAL HEALTH CARE SPELL during the same REPORTING PERIOD and therefore more than one Mental Health Minimum Data Set (MHMDS) collection record, then the same MHC WITHOUT PATIENT CONSENT will apply for all the MHMDS collection records for the PATIENT within the same REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralMHC WITHOUT PATIENTS CONSENT IN REPORTING PERIOD


top

OCCUPATION (CPA CARE COORDINATOR)

Change to Data Element: New DataElement

OCCUPATION (CPA CARE COORDINATOR)

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

Notes:
For purposes of the Mental Health Minimum Data Set (MHMDS) collection, OCCUPATION (CPA CARE COORDINATOR) is the NHS OCCUPATION or NON-NHS OCCUPATION of the MENTAL HEALTH CARE TEAM MEMBER allocated as the named CPA care coordinator at the end of the REPORTING PERIOD.

This is derived from the START DATE and END DATE of CPA CARE COORDINATOR ALLOCATION with the MENTAL HEALTH CARE TEAM MEMBER TYPE classifying whether the CPA care coordinator is an NHS or Non-NHS employee.



This data element is also known by these names:
ContextAlias
pluralOCCUPATION (CPA CARE COORDINATORS)


top

ORGANISATION CODE (PCT OF GP PRACTICE)

Change to Data Element: New DataElement

ORGANISATION CODE (PCT OF GP PRACTICE)

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

Notes:
This is the ORGANISATION CODE of the PRIMARY CARE TRUST of the GP PRACTICE of the PATIENT's registered GMP.

The Primary Care Trust may or may not be the same as that of ORGANISATION CODE (PCT OF RESIDENCE). 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.

See NHS Administrative Codes, NHS Organisation Codes for a description of ORGANISATION CODES.



This data element is also known by these names:
ContextAlias
pluralORGANISATION CODE (PCT OF GP PRACTICES)


top

OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH)

Change to Data Element: New DataElement

OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH) is the same as entity type OUT-PATIENT ATTENDANCE CONSULTANT.

OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if:

a. one or more OUT-PATIENT ATTENDANCE CONSULTANT within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
and
b. where the main CONSULTANT SPECIALTY FUNCTION of the CONSULTANT is for an adult or mental illness SPECIALTY FUNCTION. The adult or mental illness SPECIALTY FUNCTIONS being 700, 710,712, 713 and 715.

It is the total number of such attendances within the REPORTING PERIOD. Each such attendance is recorded by an OUT-PATIENT ATTENDANCE CONSULTANT and there may be more than one recorded during the course of a REPORTING PERIOD.

There is an ATTENDANCE DATE for each OUT-PATIENT ATTENDANCE CONSULTANT and the calculation is based upon those attendances which have occurred during the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralOUT-PATIENT ATTENDANCE CONSULTANTS (MENTAL HEALTH)


top

OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH)

Change to Data Element: New DataElement

OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if:

a. one or more OUT-PATIENT APPOINTMENT within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
and
b. where the ATTENDED OR DID NOT ATTEND classification of the OUT-PATIENT APPOINTMENT is National Code 3 'Did not attend - no advance warning given

It is the total number of such did not attends within the REPORTING PERIOD. Each such did not attend is recorded by OUT-PATIENT APPOINTMENT and there may be more than one recorded during the course of a REPORTING PERIOD.

There is an APPOINTMENT DATE for each OUT-PATIENT APPOINTMENT and the calculation is based upon those did not attends which have occurred during the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralOUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH)


top

PROCEDURE (ECT TREATMENTS ADMINISTERED)

Change to Data Element: New DataElement

PROCEDURE (ECT TREATMENTS ADMINISTERED)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
PROCEDURE (ECT TREATMENTS ADMINISTERED) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if one or more Electro-Convulsive Therapy (ECT) PATIENT PROCEDURES within the MENTAL HEALTH CARE SPELL has been administered during the REPORTING PERIOD.

It is the total number of such ECT administrations within the REPORTING PERIOD. Each such administration is recorded by a PATIENT PROCEDURE and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a CLINICAL INTERVENTION DATE for each PATIENT PROCEDURE and the calculation is based upon those ECT procedures which have been administered during the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralPROCEDURES (ECT TREATMENTS ADMINISTERED)


top

PROCEDURE (READ EIGHTH MOST RECENT)

Change to Data Element: New DataElement

PROCEDURE (READ EIGHTH MOST RECENT)

Format/length: an7 for READ
HES item:
National Codes:
Default Codes:  

Notes:
The eighth most recent PATIENT PROCEDURE recorded, see PROCEDURE (READ FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralPROCEDURES (READ EIGHTH MOST RECENT)


top

PROCEDURE (READ ELEVENTH MOST RECENT)

Change to Data Element: New DataElement

PROCEDURE (READ ELEVENTH MOST RECENT)

Format/length: an7 for READ
HES item:
National Codes:
Default Codes:  

Notes:
The eleventh most recent PATIENT PROCEDURE recorded, see PROCEDURE (READ FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralPROCEDURES (READ ELEVENTH MOST RECENT)


top

PROCEDURE (READ FIFTH MOST RECENT)

Change to Data Element: New DataElement

PROCEDURE (READ FIFTH MOST RECENT)

Format/length: an7 for READ
HES item:
National Codes:
Default Codes:  

Notes:
The fifth most recent PATIENT PROCEDURE recorded, see PROCEDURE (READ FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralPROCEDURES (READ FIFTH MOST RECENT)


top

PROCEDURE (READ FIRST MOST RECENT)

Change to Data Element: New DataElement

PROCEDURE (READ FIRST MOST RECENT)

Format/length: an7 for READ
HES item:
National Codes:
Default Codes:  

Notes:
At each CARE PROGRAMME APPROACH REVIEW of CARE PROGRAMME APPROACH EPISODES within a MENTAL HEALTH CARE SPELL, up to twelve PATIENT PROCEDURES may be recorded. Each CARE PROGRAMME APPROACH REVIEW has a CPA REVIEW DATE and the required PROCEDURE CODING is READ.

For purposes of the Mental Health Minimum Data Set (MHMDS) collection, the twelve most recent PATIENT PROCEDURES in chronological ascending sequence are required and these may have been recorded in one or more CARE PROGRAMME APPROACH REVIEWS.

For example if the latest CARE PROGRAMME APPROACH REVIEW within a MENTAL HEALTH CARE SPELL recorded 7 PATIENT PROCEDURES and the previous CARE PROGRAMME APPROACH REVIEW recorded 8 PATIENT PROCEDURES then:

PROCEDURE (READ FIRST MOST RECENT) would be the first of the 7 latest recorded
PROCEDURE (READ SECOND MOST RECENT) would be the second of the 7 latest recorded
PROCEDURE (READ THIRD MOST RECENT) would be the third of the 7 latest recorded
PROCEDURE (READ FOURTH MOST RECENT) would be the fourth of the 7 latest recorded
PROCEDURE (READ FIFTH MOST RECENT) would be the fifth of the 7 latest recorded
PROCEDURE (READ SIXTH MOST RECENT) would be the sixth of the 7 latest recorded
PROCEDURE (READ SEVENTH MOST RECENT) would be the seventh of the 7 latest recorded
PROCEDURE (READ EIGHTH MOST RECENT) would be the first of the 8 previously recorded
PROCEDURE (READ NINTH MOST RECENT) would be the first of the 8 previously recorded
PROCEDURE (READ TENTH MOST RECENT) would be the first of the 8 previously recorded
PROCEDURE (READ ELEVENTH MOST RECENT) would be the first of the 8 previously recorded
PROCEDURE (READ TWELFTH MOST RECENT) would be the first of the 8 previously recorded



This data element is also known by these names:
ContextAlias
pluralPROCEDURES (READ FIRST MOST RECENT)


top

PROCEDURE (READ FOURTH MOST RECENT)

Change to Data Element: New DataElement

PROCEDURE (READ FOURTH MOST RECENT)

Format/length: an7 for READ
HES item:
National Codes:
Default Codes:  

Notes:
The fourth most recent PATIENT PROCEDURE recorded, see PROCEDURE (READ FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralPROCEDURES (READ FOURTH MOST RECENT)


top

PROCEDURE (READ NINTH MOST RECENT)

Change to Data Element: New DataElement

PROCEDURE (READ NINTH MOST RECENT)

Format/length: an7 for READ
HES item:
National Codes:
Default Codes:  

Notes:
The ninth most recent PATIENT PROCEDURE recorded, see PROCEDURE (READ FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralPROCEDURES (READ NINTH MOST RECENT)


top

PROCEDURE (READ SECOND MOST RECENT)

Change to Data Element: New DataElement

PROCEDURE (READ SECOND MOST RECENT)

Format/length: an7 for READ
HES item:
National Codes:
Default Codes:  

Notes:
The second most recent PATIENT PROCEDURE recorded, see PROCEDURE (READ FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralPROCEDURES (READ SECOND MOST RECENT)


top

PROCEDURE (READ SEVENTH MOST RECENT)

Change to Data Element: New DataElement

PROCEDURE (READ SEVENTH MOST RECENT)

Format/length: an7 for READ
HES item:
National Codes:
Default Codes:  

Notes:
The seventh most recent PATIENT PROCEDURE recorded, see PROCEDURE (READ FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralPROCEDURES (READ SEVENTH MOST RECENT)


top

PROCEDURE (READ SIXTH MOST RECENT)

Change to Data Element: New DataElement

PROCEDURE (READ SIXTH MOST RECENT)

Format/length: an7 for READ
HES item:
National Codes:
Default Codes:  

Notes:
The sixth most recent PATIENT PROCEDURE recorded, see PROCEDURE (READ FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralPROCEDURES (READ SIXTH MOST RECENT)


top

PROCEDURE (READ TENTH MOST RECENT)

Change to Data Element: New DataElement

PROCEDURE (READ TENTH MOST RECENT)

Format/length: an7 for READ
HES item:
National Codes:
Default Codes:  

Notes:
The tenth most recent PATIENT PROCEDURE recorded, see PROCEDURE (READ FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralPROCEDURES (READ TENTH MOST RECENT)


top

PROCEDURE (READ THIRD MOST RECENT)

Change to Data Element: New DataElement

PROCEDURE (READ THIRD MOST RECENT)

Format/length: an7 for READ
HES item:
National Codes:
Default Codes:  

Notes:
The third most recent PATIENT PROCEDURE recorded, see PROCEDURE (READ FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralPROCEDURES (READ THIRD MOST RECENT)


top

PROCEDURE (READ TWELFTH MOST RECENT)

Change to Data Element: New DataElement

PROCEDURE (READ TWELFTH MOST RECENT)

Format/length: an7 for READ
HES item:
National Codes:
Default Codes:  

Notes:
The twelfth most recent PATIENT PROCEDURE recorded, see PROCEDURE (READ FIRST MOST RECENT) for details.



This data element is also known by these names:
ContextAlias
pluralPROCEDURES (READ TWELFTH MOST RECENT)


top

REPORTING PERIOD (MENTAL HEALTH)

Change to Data Element: New DataElement

REPORTING PERIOD (MENTAL HEALTH)

Format/length: ccyy/mm/dd-ccyy/mm/dd
HES item:
National Codes:
Default Codes:  

Notes:
REPORTING PERIOD (MENTAL HEALTH) is the same as attribute PERIOD.

The defined period of time for a Mental Health Minimum Data Set (MHMDS) collection. A MHMDS record will contain assembled data for each MENTAL HEALTH CARE SPELL of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a HEALTH CARE PROVIDER's specialist mental health services within the REPORTING PERIOD.

A patient may have one or more MENTAL HEALTH CARE SPELLS occurring within the defined period of time each of which will have a separate MHMDS record assembled for it; or a MENTAL HEALTH CARE SPELL can start before the start date of the defined period of time; or continue after the end date of the defined period of time.

The defined PERIOD of time is in the format of ccyy/mm/dd-ccyy/mm/dd which correspond to START DATE and END DATE of the REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralREPORTING PERIODS (MENTAL HEALTH)


top

RESIDENTIAL MH NON-NHS COMMUNITY CARE INDICATOR

Change to Data Element: New DataElement

RESIDENTIAL MH NON-NHS COMMUNITY CARE INDICATOR

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

Notes:RESIDENTIAL MH NON-NHS COMMUNITY CARE INDICATOR is an indicator of whether or not:

a. one or more NURSING HOME STAY (CONSULTANT CARE) and/or RESIDENTIAL CARE OR GROUP HOME STAY within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
and
b. where the BROAD PATIENT GROUP is National Code 5 'Patients with mental illness'
and
c. where the NURSING HOME, RESIDENTIAL CARE or GROUP HOME is operated and managed by a Non-NHS ORGANISATION as classified by ORGANISATION TYPE.

Recorded as:

0 no stays in a Non-NHS NURSING HOME, RESIDENTIAL CARE or GROUP HOME occurred during the REPORTING PERIOD
1 one or more stays in a Non-NHS NURSING HOME, RESIDENTIAL CARE or GROUP HOME occurred during the REPORTING PERIOD



This data element is also known by these names:
ContextAlias
pluralRESIDENTIAL MH NON-NHS COMMUNITY CARE INDICATORS


top

SHELTERED WORK ATTENDANCE INDICATOR

Change to Data Element: New DataElement

SHELTERED WORK ATTENDANCE INDICATOR

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

Notes:
SHELTERED WORK ATTENDANCE INDICATOR is an indicator of whether or not one or more SHELTERED WORK ATTENDANCES at SHELTERED WORK SESSIONS within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD.

Recorded as:

0 no attendance at a SHELTERED WORK FACILITY occurred during the REPORTING PERIOD
1 one or more attendances at a SHELTERED WORK FACILITY occurred during the REPORTING PERIOD



This data element is also known by these names:
ContextAlias
pluralSHELTERED WORK ATTENDANCES INDICATORS


top

SOCIAL SERVICES CLIENT IDENTIFIER

Change to Data Element: New DataElement

SOCIAL SERVICES CLIENT IDENTIFIER

Format/length: an20
HES item:
National Codes:
Default Codes:  

Notes:
This is a number used to identify a PATIENT uniquely by the relevant Local Authority Social Services. It may be different from the PATIENT's casenote number and LOCAL PATIENT IDENTIFIER. This is PERSON IDENTIFIER TYPE classification 'Social Services Client Identifier' for a PERSON IDENTIFIER



This data element is also known by these names:
ContextAlias
pluralSOCIAL SERVICES CLIENT IDENTIFIERS


top

SOCIAL WORKER INVOLVEMENT

Change to Data Element: New DataElement

SOCIAL WORKER INVOLVEMENT

Format/length: n
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  

Notes:
This is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if at least oneCARE PROGRAMME APPROACH REVIEW within the MENTAL HEALTH CARE SPELL during the REPORTING PERIOD recorded a SOCIAL WORKER INVOLVEMENT.



This data element is also known by these names:
ContextAlias
pluralSOCIAL WORKER INVOLVEMENTS


top

SOURCE OF REFERRAL FOR MENTAL HEALTH

Change to Data Element: New DataElement

SOURCE OF REFERRAL FOR MENTAL HEALTH

Format/length: an2
HES item:
National Codes: Press Definition button for the National Codes
Default Codes:  



This data element is also known by these names:
ContextAlias
pluralSOURCE OF REFERRALS FOR MENTAL HEALTH


top

SPECIALTY FUNCTION CODE (MENTAL HEALTH)

Change to Data Element: New DataElement

SPECIALTY FUNCTION CODE (MENTAL HEALTH)

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
The latest main psychiatric specialty recorded for the PATIENT within a MENTAL HEALTH CARE SPELL.

Where MHCS SPECIALTY ASSOCIATIONS are recorded it is the SPECIALTY FUNCTION CODE of the SPECIALTY FUNCTION associated with the MHCS SPECIALTY ASSOCIATION with the latest START DATE within the MENTAL HEALTH CARE SPELL.

Where MHCS SPECIALTY ASSOCIATION are not recorded it is the CONSULTANT SPECIALTY FUNCTION of:

CONSULTANT EPISODE (ACUTE HOME-BASED)
or CONSULTANT EPISODE (HOSPITAL PROVIDER)
or CONSULTANT OUT-PATIENT EPISODE

with the latest START DATE within the assembled MENTAL HEALTH CARE SPELL.

See Specialty Function Codes for the full list of codes.



This data element is also known by these names:
ContextAlias
pluralSPECIALTY FUNCTION CODES (MENTAL HEALTH)


top

SPELL DAYS IN REPORTING PERIOD

Change to Data Element: New DataElement

SPELL DAYS IN REPORTING PERIOD

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
The number of spell days of the MENTAL HEALTH CARE SPELL within the REPORTING PERIOD calculated from the:

a. START DATE (MENTAL HEALTH CARE SPELL) or START DATE of the REPORTING PERIOD where the START DATE (MENTAL HEALTH CARE SPELL) is before the START DATE of the REPORTING PERIOD
and
b. END DATE (MENTAL HEALTH CARE SPELL) or END DATE of the REPORTING PERIOD where the END DATE (MENTAL HEALTH CARE SPELL) is either:
and
c. not present i.e. the MENTAL HEALTH CARE SPELL has not ended
and
d. the END DATE (MENTAL HEALTH CARE SPELL) is after the END DATE of the REPORTING PERIOD

For example:

1 If the START DATE of the REPORTING PERIOD is 2002/06/01 and the END DATE of the REPORTING PERIOD is 2002/08/01 and the START DATE (MENTAL HEALTH CARE SPELL) is 2002/07/01 and the END DATE (MENTAL HEALTH CARE SPELL) is 2002/07/28 then the spell days would be calculated from the dates 2002/07/01 and 2002/07/2
2 If the START DATE of the REPORTING PERIOD is 2002/06/01 and the END DATE of the REPORTING PERIOD is 2002/08/01 and the START DATE (MENTAL HEALTH CARE SPELL) is 2002/05/01 and the END DATE (MENTAL HEALTH CARE SPELL) is 2002/07/01 then the spell days would be calculated from the dates 2002/06/01 and 2002/07/01
3 If the START DATE of the REPORTING PERIOD is 2002/06/01 and the END DATE of the REPORTING PERIOD is 2002/08/01 and the START DATE (MENTAL HEALTH CARE SPELL) is 2002/05/01 and no END DATE (MENTAL HEALTH CARE SPELL) is present then the spell days would be calculated from the dates 2002/06/01 and to 2002/08/01

The calculated SPELL DAYS IN REPORTING PERIOD should be recorded left justified with leading zeros.



This data element is also known by these names:
ContextAlias
pluralSPELL DAYS IN REPORTING PERIODS


top

SPELL DEFINITION TYPE (ASSEMBLER MHCS)

Change to Data Element: New DataElement

SPELL DEFINITION TYPE (ASSEMBLER MHCS)

Format/length: an2
HES item:
National Codes:
Default Codes:  

Notes:
For purposes of the Mental Health Minimum Data Set (MHMDS) collection, a MHMDS record will be assembled for each MENTAL HEALTH CARE SPELL of an adult (including elderly) PATIENT who has received a continuous period of care or assessment from a HEALTH CARE PROVIDER's specialist mental health services within the REPORTING PERIOD.

SPELL DEFINITION TYPE (ASSEMBLER MHCS) identifies the method used to derive the START DATE (MENTAL HEALTH CARE SPELL) and the END DATE (MENTAL HEALTH CARE SPELL).

Recorded as:

A derived from the succession of recorded contacts e.g. FACE TO FACE CONTACT COMMUNITY CARE
D declared explicitly i.e. START DATE and END DATE of recorded MENTAL HEALTH CARE SPELL
DX declared explicitly i.e. START DATE and END DATE of recorded MENTAL HEALTH CARE SPELL but the START DATE (MENTAL HEALTH CARE SPELL) and the END DATE (MENTAL HEALTH CARE SPELL) have been adjusted to accommodate contact activity which has occurred outside of the declared or derived MENTAL HEALTH CARE SPELL
E derived from the collation of recorded episodes e.g. CONSULTANT EPISODE (HOSPITAL PROVIDER)
EX derived from the collation of recorded episodes e.g. CONSULTANT EPISODE (HOSPITAL PROVIDER) but the START DATE (MENTAL HEALTH CARE SPELL) and the END DATE (MENTAL HEALTH CARE SPELL) have been adjusted to accommodate contact activity which has occurred outside of the declared or derived MENTAL HEALTH CARE SPELL



This data element is also known by these names:
ContextAlias
pluralSPELL DEFINITION TYPES (ASSEMBLER MHCS)


top

SSSA (NUMBER FOR COMMUNITY CARE)

Change to Data Element: New DataElement

SSSA (NUMBER FOR COMMUNITY CARE)

Format/length: n2
HES item:
National Codes:
Default Codes:  

Notes:
SSSA (NUMBER FOR COMMUNITY CARE) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if one or more SOCIAL SERVICES STATUTORY ASSESSMENTS with a STATUTORY ASSESSMENT TYPE classification of b.ii. 'Assess to establish patient's need for community care' have occurred during the REPORTING PERIOD.

It is the total number of such assessments for community care within the REPORTING PERIOD. Each such assessment is recorded by a SOCIAL SERVICES STATUTORY ASSESSMENT and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a STATUTORY ASSESSMENT DATE for each SOCIAL SERVICES STATUTORY ASSESSMENT and the calculation is based upon those assessments for community care which have occurred during the REPORTING PERIOD.

If the PATIENT has more than one MENTAL HEALTH CARE SPELL during the same REPORTING PERIOD and therefore more than one MHMDS collection record, then the same SSSA (NUMBER FOR COMMUNITY CARE) will apply for all the MHMDS collection records for the PATIENT within the same REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralSSSA (NUMBERS FOR COMMUNITY CARE)


top

SSSA (NUMBER FOR DETENTION)

Change to Data Element: New DataElement

SSSA (NUMBER FOR DETENTION)

Format/length: n2
HES item:
National Codes:
Default Codes:  

Notes:
SSSA (NUMBER FOR DETENTION) is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if one or more SOCIAL SERVICES STATUTORY ASSESSMENTS with a STATUTORY ASSESSMENT TYPE classification of a.i. 'Assess whether application for compulsory detention should be made have occurred during the REPORTING PERIOD.

It is the total number of such assessments for detention within the REPORTING PERIOD. Each such assessment is recorded by a SOCIAL SERVICES STATUTORY ASSESSMENT and there may be more than one recorded during the course of a REPORTING PERIOD.

There is a STATUTORY ASSESSMENT DATE for each SOCIAL SERVICES STATUTORY ASSESSMENT and the calculation is based upon those assessments for detention which have occurred during the REPORTING PERIOD.

If the PATIENT has more than one MENTAL HEALTH CARE SPELL during the same REPORTING PERIOD and therefore more than one MHMDS collection record, then the same SSSA (NUMBER FOR DETENTION) will apply for all the MHMDS collection records for the PATIENT within the same REPORTING PERIOD.



This data element is also known by these names:
ContextAlias
pluralSSSA (NUMBERS FOR DETENTION)


top

START DATE (MENTAL HEALTH CARE SPELL)

Change to Data Element: New DataElement

START DATE (MENTAL HEALTH CARE SPELL)

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

Notes:
START DATE (MENTAL HEALTH CARE SPELL) is the same as attribute START DATE.

For Mental Health Minimum Data Set purposes where the HEALTH CARE PROVIDER cannot initiate and maintain MENTAL HEALTH CARE SPELLS it is the function of the assembler process itself to assemble the MENTAL HEALTH CARE SPELL and provide the appropriate date to be used for the START DATE (MENTAL HEALTH CARE SPELL). The assembler process derives the appropriate date from the first recorded activity which lies within an uninterrupted sequence starting in, or continuing into, the REPORTING PERIOD.

The NHS Trust may override the assemblers derived date in the case of PATIENTS cared for continuously longer than the period for which electronic activity records are available to the assembler process.



This data element is also known by these names:
ContextAlias
pluralSTART DATE (MENTAL HEALTH CARE SPELLS)


top

SUSPENDED DAYS IN REPORTING PERIOD

Change to Data Element: New DataElement

SUSPENDED DAYS IN REPORTING PERIOD

Format/length: n3
HES item:
National Codes:
Default Codes:  

Notes:
SUSPENDED DAYS IN REPORTING PERIOD is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if one or more MENTAL HEALTH CARE SPELL SUSPENSIONS have occurred during the REPORTING PERIOD.

It is the total number of suspended days of the MENTAL HEALTH CARE SPELL within the REPORTING PERIOD. Each period of suspension is recorded by a MENTAL HEALTH CARE SPELL SUSPENSION and there may be more than one such suspension during the course of a MENTAL HEALTH CARE SPELL.

There is a START DATE and END DATE for each MENTAL HEALTH CARE SPELL SUSPENSION and the calculation is based upon those periods of suspension which have occurred during the REPORTING PERIOD adjusted for where periods of suspension overlap the START DATE and/or END DATE of the REPORTING PERIOD (this includes where the period of suspension has not yet ended). Where such overlaps occur the START DATE and/or END DATE of the REPORTING PERIOD should be used instead of that of the MENTAL HEALTH CARE SPELL SUSPENSION.

SUSPENDED DAYS IN REPORTING PERIOD is the sum of the calculated periods of suspension and should be recorded left justified with leading zeros.



This data element is also known by these names:
ContextAlias
pluralSUSPENDED DAYS IN REPORTING PERIODS


top

YEAR OF FIRST KNOWN PSYCHIATRIC CARE

Change to Data Element: New DataElement

YEAR OF FIRST KNOWN PSYCHIATRIC CARE

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

Notes:
This is the same as attribute YEAR OF FIRST KNOWN PSYCHIATRIC CARE and records the year in which a PATIENT first received specialist psychiatric care from any NHS or non-NHS HEALTH CARE PROVIDER other than mental health problems where care was given or exclusively supervised by a General Practitioner.



This data element is also known by these names:
ContextAlias
pluralYEAR OF FIRST KNOWN PSYCHIATRIC CARE


top

MENTAL HEALTH MINIMUM DATA SET

Change to Data Set (CDS, CMDS, HES): New LegacyMessage

Mental Health Minimum Data Set

The Mental Health Minimum Data Set (MHMDS) concerns adult patients (including elderly) who receive care in NHS specialist mental health services. This care is delivered within a Mental Health Care Spell. For some patients care will comprise a small number of out-patient attendances over a few weeks. For others, it may extend over many years and include hospital, community, out-patient and day care attendances which may commonly overlap.

The MHMDS is assembled and produced for a defined period of time known as the Reporting Period (which may be monthly, quarterly or annually) and comprises a data set record for each Mental Health Care Spell which occurs wholly or partially within the Reporting Period.

Patient Demographics
ORGANISATION CODE (CODE OF PROVIDER)
ORGANISATION CODE (CODE OF COMMISSIONER)
REPORTING PERIOD (MENTAL HEALTH)
NHS NUMBER
ELECTORAL WARD OF USUAL ADDRESS
ORGANISATION CODE (PCT OF RESIDENCE)
SEX
MARITAL STATUS
BIRTH DATE
CODE OF GP PRACTICE (REGISTERED GMP)
ORGANISATION CODE (PCT OF GP PRACTICE)
LOCAL PATIENT IDENTIFIER
SOCIAL SERVICES CLIENT IDENTIFIER
ETHNIC CATEGORY
YEAR OF FIRST KNOWN PSYCHIATRIC CARE
Mental Health Care Spell Activity
CARE SPELL IDENTIFIER (MENTAL HEALTH)
CARE SPELL NUMBER IN REPORTING PERIOD
SPECIALTY FUNCTION CODE (MENTAL HEALTH)
START DATE (MENTAL HEALTH CARE SPELL)
SOURCE OF REFERRAL FOR MENTAL HEALTH
END DATE (MENTAL HEALTH CARE SPELL)
MENTAL HEALTH CARE SPELL END CODE
SPELL DAYS IN REPORTING PERIOD
SUSPENDED DAYS IN REPORTING PERIOD
MHCS SUSPENSION REASON (AT END OF REPORTING PERIOD)
CPA STANDARD DAYS
CPA ENHANCED DAYS
CPA LEVEL (AT END OF REPORTING PERIOD)
OCCUPATION (CPA CARE COORDINATOR)
DATE LAST SEEN (CPA CARE COORDINATOR)
DAYS LIABLE FOR DETENTION
DAYS OF SUPERVISED DISCHARGE
LEGAL STATUS CLASSIFICATION CODE (AT END OF REPORTING PERIOD)
LEGAL STATUS RESTRICTIVENESS (HIGHEST IN REPORTING PERIOD)
MHC WITHOUT PATIENT CONSENT IN REPORTING PERIOD
SSSA (NUMBER FOR DETENTION)
SSSA (NUMBER FOR COMMUNITY CARE)
DIAGNOSIS (ICD FIRST MOST RECENT)
DIAGNOSIS (ICD SECOND MOST RECENT)
DIAGNOSIS (ICD THIRD MOST RECENT)
DIAGNOSIS (ICD FOURTH MOST RECENT)
DIAGNOSIS (ICD FIFTH MOST RECENT)
DIAGNOSIS (ICD SIXTH MOST RECENT)
DIAGNOSIS (ICD SEVENTH MOST RECENT)
DIAGNOSIS (ICD EIGHTH MOST RECENT)
DIAGNOSIS (ICD NINTH MOST RECENT)
DIAGNOSIS (ICD TENTH MOST RECENT)
DIAGNOSIS (ICD ELEVENTH MOST RECENT)
DIAGNOSIS (ICD TWELFTH MOST RECENT)
HONOS RATING (FIRST IN MHCS)
HONOS SCORE DATE (FIRST IN MHCS)
HONOS RATING (MOST RECENT IN MHCS)
HONOS SCORE DATE (MOST RECENT IN MHCS)
HONOS RATING (WORST EVER RECORDED)
HONOS SCORE DATE (WORST EVER RECORDED)
HONOS RATING (BEST IN LAST TWELVE MONTHS)
HONOS SCORE DATE (BEST IN LAST TWELVE MONTHS)
Mental Health Package
BED DAYS (MENTAL HEALTH)
BED DAYS (MENTAL HEALTH MEDIUM SECURE)
BED DAYS (MENTAL HEALTH INTENSIVE)
CARE DAYS (ACUTE HOME-BASED)
BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE)
RESIDENTIAL MH NON-NHS COMMUNITY CARE INDICATOR
DAY CARE ATTENDANCE (MENTAL HEALTH NHS SITE)
DAY CARE ATTENDANCE MH NON-NHS SITE INDICATOR
SHELTERED WORK ATTENDANCE INDICATOR
OUT-PATIENT ATTENDANCE CONSULTANT (MENTAL HEALTH)
CONTACTS (COMMUNITY PSYCHIATRIC NURSE)
CONTACTS (CLINICAL PSYCHOLOGIST)
CONTACTS (OCCUPATIONAL THERAPIST)
SOCIAL WORKER INVOLVEMENT
HOME HELP VISIT INDICATOR
PROCEDURE (READ FIRST MOST RECENT)
PROCEDURE (READ SECOND MOST RECENT)
PROCEDURE (READ THIRD MOST RECENT)
PROCEDURE (READ FOURTH MOST RECENT)
PROCEDURE (READ FIFTH MOST RECENT)
PROCEDURE (READ SIXTH MOST RECENT)
PROCEDURE (READ SEVENTH MOST RECENT)
PROCEDURE (READ EIGHTH MOST RECENT)
PROCEDURE (READ NINTH MOST RECENT)
PROCEDURE (READ TENTH MOST RECENT)
PROCEDURE (READ ELEVENTH MOST RECENT)
PROCEDURE (READ TWELFTH MOST RECENT)
PROCEDURE (ECT TREATMENTS ADMINISTERED)
ADMISSIONS (MENTAL HEALTH)
DISCHARGES (MENTAL HEALTH)
HOSPITAL STAYS LIST (MENTAL HEALTH)
COMMUNITY SURVIVAL TIMES LIST (MENTAL HEALTH)
FIRST CONTACT TIMES LIST (MENTAL HEALTH)
POSTCODE OF USUAL ADDRESS
MENTAL HEALTH CARE TEAM TYPE (AT END OF REPORTING PERIOD)
CONTACTS (PHYSIOTHERAPIST)
CONTACTS (CONSULTANT PSYCHOTHERAPY)
CONTACTS (SOCIAL WORKER)
OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH)
DAY CARE DID NOT ATTENDS (MENTAL HEALTH NHS SITE)
CONTACTS (NHS DIRECT MENTAL HEALTH)
CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD)
SPELL DEFINITION TYPE (ASSEMBLER MHCS)
MENTAL HEALTH CARE AND LEGAL STATUS HISTORY


top

GN010 SERVICE POINTS

Change to Diagram: Change to diagram contents


 GN010 Service Points 


top

MH020 MENTAL HEALTH CARE SPELL

Change to Diagram: Change to diagram contents


 MH020 Mental Health Care Spell 


top

MH030 CARE PROGRAMME APPROACH EPISODE

Change to Diagram: Change to diagram contents


 MH030 Care Programme Approach Episode 


top

MHMDS1 MENTAL HEALTH MINIMUM DATA SET

Change to Diagram: New Diagram


 MHMDS1 Mental Health Minimum Data Set 


top

MH020

Change to Supporting Information: Change to supporting information

Model View Diagram - Overview

MH020 - MENTAL HEALTH CARE SPELL

  1. A MENTAL HEALTH CARE SPELL can include a number of periods of MHC WITHOUT PATIENT CONSENT, where care or treatment is provided without the PATIENT's consent under Section 58 of the Mental Health Act 1983. Periods of authorised LEAVES OF ABSENCE from a MENTAL HEALTH CARE SPELL can be indefinite. Unauthorised ABSENCE WITHOUT LEAVE occurs when the PATIENT either absconds or fails to return from an authorised LEAVE OF ABSENCE.

  1. The SERVICES PROVIDED within a MENTAL HEALTH CARE SPELL include SOCIAL SERVICES STATUTORY ASSESSMENTS, CONSULTANT EPISODES (ACUTE HOME-BASED), HOME HELP VISITS and SHELTERED WORK ATTENDANCES.

  1. SHELTERED WORK ATTENDANCES take place within SHELTERED WORK SESSIONS which are held at SHELTERED WORK FACILITIES which are facilities which provide work in sheltered surroundings, often for those who are elderly, mentally ill or have learning difficulties.

  1. CONSULTANT EPISODES (ACUTE HOME-BASED) comprise ACUTE HOME-BASED CONTACTS with a MENTAL HEALTH CARE TEAM MEMBER, who may be the PATIENT's named key worker (CPA KEY WORKER ALLOCATION).

  1. CONSULTANT EPISODES (ACUTE HOME-BASED) comprise ACUTE HOME-BASED CONTACTS with a MENTAL HEALTH CARE TEAM MEMBER, who may be the PATIENT's named care coordinator (CPA CARE COORDINATOR ALLOCATION).


top

MENTAL HEALTH MINIMUM DATA SET DIAGRAM CLASS DEFINITIONS

Change to Supporting Information: New WebPage

Mental Health Minimum Data Set Diagram Class Definitions

The Mental Health Minimum Data Set is represented by diagrams which contain the class types and their relationships that are required to support the Mental Health Minimum Data Set.

By clicking on a class box on the diagram opposite, the selected class definition will display.

Any text within the displayed definition which is in blue, uppercase and underlined is the name of an class or an attribute and if clicked on will display the definition for the class or attribute.


top

MH030

Change to Supporting Information: Change to supporting information

Model View Diagram - Overview

MH030 - CARE PROGRAMME APPROACH EPISODE

  1. A CARE PROGRAMME APPROACH EPISODE involves care and assessment carried out by one or more MENTAL HEALTH CARE TEAM MEMBERS, one of whom must be the named key worker, the CPA KEY WORKER ALLOCATION.

  1. A CARE PROGRAMME APPROACH EPISODE involves care and assessment carried out by one or more MENTAL HEALTH CARE TEAM MEMBERS, one of whom must be the named care coordinator, the CPA CARE COORDINATOR ALLOCATION.

  1. A CARE PROGRAMME APPROACH EPISODE starts with a CARE PROGRAMME APPROACH REVIEW, which assesses the PATIENT's health and social care needs, and further CARE PROGRAMME APPROACH REVIEWS take place throughout the CARE PROGRAMME APPROACH EPISODE. PATIENT DIAGNOSES and HONOS SCORES FOR PERSONS may be recorded during these reviews.

  1. Within a CARE PROGRAMME APPROACH EPISODE a PATIENT may have SUPERVISION REGISTER EPISODES, which are periods of time when the PATIENT is on a Supervision Register which indicates the risk against which the PATIENT is being supervised. A PATIENT may also have SUPERVISED DISCHARGE EPISODES, when they receive supervised aftercare while still within a CARE PROGRAMME APPROACH EPISODE.

  1. The named key worker for the CARE PROGRAMME APPROACH EPISODE may be involved in FACE TO FACE CONTACTS CPA KEY WORKERS, FACE TO FACE CONTACTS COMMUNITY CARES and PROFESSIONAL STAFF GROUP CONTACTS. Contacts with the PATIENT by a MENTAL HEALTH CARE TEAM MEMBER who is a social worker are recorded as FACE TO FACE CONTACTS SOCIAL WORKER.

  1. The named care coordinator for the CARE PROGRAMME APPROACH EPISODE may be involved in FACE TO FACE CONTACTS CPA CARE COORDINATOR, FACE TO FACE CONTACTS COMMUNITY CARES and PROFESSIONAL STAFF GROUP CONTACTS. Contacts with the PATIENT by a MENTAL HEALTH CARE TEAM MEMBER who is a social worker are recorded as FACE TO FACE CONTACTS SOCIAL WORKER.


top