Change Request |
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 |
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:Name: | Barbara Fogarty |
Date: | 5 March 2003 |
Sponsor: | Data Standards Team |
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
Telephone contact should only be made where it is determined that the
When the MENTAL HEALTH CARE TEAM MEMBER is also the allocated Care Programme Approach key worker for the PATIENTand 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
Context | Alias |
---|---|
plural | ACUTE HOME-BASED CONTACTS |
Each ACUTE HOME-BASED CONTACT
K | must 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 CARE COORDINATOR ALLOCATION |
A period of care provided as part of the Care Programme Approach for an adult (including elderly) PATIENT. The
The first
The
- | a review determines that no further care need be provided |
- | a different level of Care Programme Approach is required |
- | a |
- | death of the |
A Care Programme Approach must involve all of the following key elements:
a. | An assessment of the |
b. | A written care plan to meet the assessed needs, the |
c. | Regular reviews of the |
d. | A named mental health worker, called a care coordinator, who is responsible for the |
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.
Context | Alias |
---|---|
plural | CARE PROGRAMME APPROACH EPISODES |
Each CARE PROGRAMME APPROACH EPISODE
must be subject to one or more CARE PROGRAMME APPROACH REVIEW | |
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 |
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 PATIENTor 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
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.
Context | Alias |
---|---|
plural | CARE PROGRAMME APPROACH REVIEWS |
Attributes of this Class are:
K | CPA REVIEW DATE | |
CPA REVIEW OUTCOME | ||
O | HOME HELP USE | |
if HOME HELP VISITS planned | ||
O | NON-NHS COMMUNITY BED USE | |
if stay in non-NHS residential facilities planned | ||
O | NON-NHS DAY CARE FACILITY USE | |
if attendance at non-NHS DAY CARE FACILITIES planned | ||
PATIENT INFORMED OF OUTCOME DATE | ||
O | SHELTERED WORK FACILITY USE | |
if attendance at SHELTERED WORK FACILITIES planned | ||
| ||
SOCIAL WORKER INVOLVEMENT | ||
if involvement or face to face contacts with social worker planned |
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.
Context | Alias |
---|---|
plural | CLINIC ATTENDANCES NON-CONSULTANT |
The time a PATIENT who is subject to a MENTAL HEALTH CARE SPELL, spends in the continuous care of one CONSULTANT using the
- | there should be a specified start date for the episode | |||
- | the | |||
- | nursing and medical staff should be available to the | |||
- | 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 PATIENTmay not have concurrent CONSULTANTEPISODES (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 PATIENTapproaching 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 CONSULTANTdetermines no further acute home-based care is required.
When responsibility for a PATIENTtransfers from one CONSULTANTto another, then one CONSULTANT EPISODE (ACUTE HOME-BASED)will be ended and another one will be started.
A
The start of a
The
When responsibility for a
Context | Alias |
---|---|
plural | CONSULTANT EPISODES (ACUTE HOME-BASED) |
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
In most cases, there will be only one key worker allocated to a PATIENTat 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
Context | Alias |
---|---|
plural | CPA CARE COORDINATOR ALLOCATIONS |
Each CPA KEY WORKER ALLOCATION Each CPA CARE COORDINATOR ALLOCATIONK must be for the allocation to one and only one CARE PROGRAMME APPROACH EPISODE K must 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 WORKERmay 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
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
If the PATIENTis 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
Context | Alias |
---|---|
plural | DAY CARE ATTENDANCES |
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
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
One or more nurses or community support workers (nursing) in the same or different
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 |
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
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
If the PATIENTis 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
Context | Alias |
---|---|
plural | FACE TO FACE CONTACTS COMMUNITY CARES |
Each FACE TO FACE CONTACT COMMUNITY CARE
K | must 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 CARE COORDINATOR ALLOCATION |
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
Context | Alias |
---|---|
plural | FACE TO FACE CONTACTS CPA CARE COORDINATOR |
Each FACE TO FACE CONTACT CPA KEY WORKER Each FACE TO FACE CONTACT CPA CARE COORDINATORKmust be for the contact by one and only one CPA KEY WORKER ALLOCATIONK must be for the contact by one and only one CPA CARE COORDINATOR ALLOCATION
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
When the Social Worker is also the allocated Care Programme Approach key worker for the PATIENTthen 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
Context | Alias |
---|---|
plural | FACE TO FACE CONTACTS SOCIAL WORKER |
Each FACE TO FACE CONTACT SOCIAL WORKER
K | must 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 CARE COORDINATOR ALLOCATION |
A type of REPORTING PERIOD.
A period of time, defined within a particular financial year.
Context | Alias |
---|---|
plural | FINANCIAL PERIODS |
Attributes of this Class are:
PERIOD TYPE |
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 | |
Attributes of this Class are:
K | LEGAL STATUS CLASSIFICATION CODE | |
LEGAL STATUS RESTRICTIVENESS |
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 PATIENTSwith drug or alcohol dependence but excludes child and adolescent psychiatry PATIENTSand PATIENTSwith learning disabilities. This includes the care or assessment of adult and elderly 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
A
For referrals, the
The
Treatment requiring the temporary transfer of the
Treatment requiring the permanent transfer of the
The
Context | Alias |
---|---|
plural | MENTAL HEALTH CARE SPELLS |
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) |
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 |
Each MENTAL HEALTH CARE TEAM MEMBER
K | must be within one and only one MENTAL HEALTH CARE TEAM |
K | must 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 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 |
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 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 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 |
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.
Context | Alias |
---|---|
plural | ORGANISATION REPORTING PERIODS |
Each ORGANISATION FINANCIAL PERIOD Each ORGANISATION REPORTING PERIODKmust be related to one and only one FINANCIAL PERIODK must be related to one and only one ORGANISATION K must be related to one and only one REPORTING PERIOD may be related to one or more SERVICE POINT IN PERIOD
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
If a
A visit to the home of a
If the PATIENTis 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
Context | Alias |
---|---|
plural | OUT-PATIENT ATTENDANCES CONSULTANT |
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 |
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
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 PATIENTis 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
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
Context | Alias |
---|---|
plural | PROFESSIONAL STAFF GROUP CONTACTS |
Each PROFESSIONAL STAFF GROUP CONTACT
K | must 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 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 |
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
Context | Alias |
---|---|
plural | REPORTING PERIODS |
Attributes of this Class are:
K | PERIOD | |
K | START DATE | |
END DATE |
Each REPORTING PERIOD
may be related to one or more ORGANISATION REPORTING PERIOD |
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
Context | Alias |
---|---|
plural | RESPONSIBLE MENTAL HEALTH CARE TEAMS |
Attributes of this Class are:
K | START DATE | |
K | START TIME | |
O | END DATE | |
O | END TIME |
Each RESPONSIBLE MENTAL HEALTH CARE TEAM
K | must 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 |
A SERVICE POINT identified in a FINANCIAL PERIOD for statistical data collection. A SERVICE POINT identified in a REPORTING PERIOD for statistical data collection.
Context | Alias |
---|---|
plural | SERVICE POINTS IN PERIODS |
Each SERVICE POINT IN PERIOD
K | must be related to one and only one ORGANISATION REPORTING PERIOD |
K | must be related to one and only one SERVICE POINT |
One attendance of a PATIENT at a particular SHELTERED WORK SESSION.
If the PATIENTis 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
Context | Alias |
---|---|
plural | SHELTERED WORK ATTENDANCES |
A telephone contact between a PATIENT subject to a MENTAL HEALTH CARE SPELL and NHS Direct which is related to the
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
Context | Alias |
---|---|
plural | TELEPHONE CONTACTS NHS DIRECT (MENTAL HEALTH) |
Attributes of this Class are:
K | CONTACT NUMBER | |
CONTACT DATE |
Each TELEPHONE CONTACT NHS DIRECT (MENTAL HEALTH)
K | must be for contact within one and only one MENTAL HEALTH CARE SPELL |
must be contact with one and only one PATIENT |
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
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 PATIENTis 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
Context | Alias |
---|---|
plural | WARD ATTENDANCES |
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: 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.
Context | Alias |
---|---|
plural | CLINICAL CARE INTENSITIES |
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:
1 | Standard, requires the support or intervention of one agency or discipline; or requires only low key support from more than one agency |
2 | Enhanced, multiple needs, including housing, employment etc, which requires inter-agency coordination |
Context | Alias |
---|---|
plural | CPA LEVELS |
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 |
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 |
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 |
Context | Alias |
---|---|
plural | LEGAL STATUS CLASSIFICATION CODES |
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
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 |
Context | Alias |
---|---|
plural | LEGAL STATUS RESTRICTIVENESS |
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 |
Context | Alias |
---|---|
plural | MEDICAL TEAM MEMBER GRADES |
A classification which identifies the reason for the ending of a MENTAL HEALTH CARE SPELL.
Classification: National Codes:
00 | Finished on professional advice |
01 | Finished against professional advice |
02 | Finished by patient's non-attendance |
03 | Patient died |
21 | Transfer to medium secure |
23 | Transfer to high secure |
25 | Transfer to other health provider |
Context | Alias |
---|---|
plural | MENTAL HEALTH CARE SPELL END CODES |
A classification which identifies the reason for suspending a MENTAL HEALTH CARE SPELL.
Classification: National Codes:
1 | Unavailability of bed |
2 | Specialist care available in another NHS Trust |
3 | Patient temporarily resident elsewhere |
Context | Alias |
---|---|
plural | MHCS SUSPENSION REASONS |
A unique identifier of a FINANCIAL PERIOD. A unique identifier of a REPORTING PERIOD.
Context | Alias |
---|---|
plural | PERIODS |
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:
0 | no involvement of social worker |
1 | involvement of social worker |
Context | Alias |
---|---|
plural | SOCIAL WORKER INVOLVEMENTS |
A classification which identifies the source of referral of a MENTAL HEALTH CARE SPELL.
Classification: National Codes:
| |
00 | General Medical Practitioner |
| |
01 | Self |
| |
02 | Local Authority Social Services |
| |
03 | A&E Department |
| |
04 | Employer |
| |
05 | Education Service |
| |
06 | Police |
| |
07 | Other clinical specialty |
| |
08 | Carer |
09 | Courts |
| |
10 | Probation Service |
| |
11 | High security |
| |
12 | Medium security |
| |
13 | Other |
| |
20 | Temporary transfer from mental health unit |
| |
21 | Permanent transfer from mental health unit |
| |
| |
22 | Transfer by graduation from local child and adolescent mental health services |
Context | Alias |
---|---|
plural | SOURCE OF REFERRAL FOR MENTAL HEALTHS |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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 |
It is the total number of such
Context | Alias |
---|---|
plural | ADMISSIONS (MENTAL HEALTH) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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 |
It is the total number of bed days within the REPORTING PERIOD. Each period of bed days is recorded by a
There is a START DATE and END DATE for each
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
Context | Alias |
---|---|
plural | BED DAYS (MENTAL HEALTH) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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 | |
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
There is a START DATE and END DATE for each
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
Context | Alias |
---|---|
plural | BED DAYS (MENTAL HEALTH INTENSIVE) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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 | |
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
There is a START DATE and END DATE for each
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
Context | Alias |
---|---|
plural | BED DAYS (MENTAL HEALTH MEDIUM SECURE) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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
There is a START DATE and END DATE for each
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
Context | Alias |
---|---|
plural | BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
It is the total number of care days within the REPORTING PERIOD. Each period of care days is recorded by a
There is a START DATE and END DATE for each
CARE DAYS (ACUTE HOME-BASED) is the sum of the calculated periods of care days and should be recorded left justified with leading zeros.
Context | Alias |
---|---|
plural | CARE DAYS (ACUTE HOME-BASED) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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
It is the total number of such reviews within the
There is a CPA REVIEW DATE for each
Context | Alias |
---|---|
plural | CARE PROGRAMME APPROACH REVIEWS (IN REPORTING PERIOD)S |
Format/length: | an12 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
The unique identifier of a MENTAL HEALTH CARE SPELL recorded when a
This is the CARE SPELL IDENTIFIER of a CARE SPELL with the
For purposes of the Mental Health Minimum Data Set (MHMDS) collection, a MHMDS record will be assembled for each
Context | Alias |
---|---|
plural | CARE SPELL IDENTIFIERS (MENTAL HEALTH) |
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
Use of
Context | Alias |
---|---|
plural | CARE SPELL NUMBERS IN REPORTING PERIOD |
Format/length: | an50 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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 |
For the list, the length in days between each
Where there is no
Where there is no
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 |
e - | where the |
p - | where the discharge date initiating the survival times is within the |
blank | where an admission terminates the survival period within the |
The calculated length of days (plus their suffix) are recorded within the COMMUNITY SURVIVAL TIMES LIST (MENTAL HEALTH) in ascending
Context | Alias |
---|---|
plural | COMMUNITY SURVIVAL TIMES LISTS (MENTAL HEALTH) |
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
Context | Alias |
---|---|
plural | CONTACTS (CLINICAL PSYCHOLOGISTS) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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
There is a CONTACT DATE for each
Context | Alias |
---|---|
plural | CONTACTS (COMMUNITY PSYCHIATRIC NURSES) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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
There is a ATTENDANCE DATE for each
Context | Alias |
---|---|
plural | CONTACTS (CONSULTANT PSYCHOTHERAPISTS) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
It is the total number of such contacts within the
There is a CONTACT DATE for each
Context | Alias |
---|---|
plural | CONTACTS (NHS DIRECT MENTAL HEALTH) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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
There is a CONTACT DATE for each
Context | Alias |
---|---|
plural | CONTACTS (OCCUPATIONAL THERAPISTS) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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
There is a CONTACT DATE for each
Context | Alias |
---|---|
plural | CONTACTS (PHYSIOTHERAPISTS) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
It is the total number of such contacts within the REPORTING PERIOD. Each such contact is recorded by a
There is a CONTACT DATE for each
Context | Alias |
---|---|
plural | CONTACTS (SOCIAL WORKERS) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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
There is a START DATE and END DATE for each
Please note that although both
Context | Alias |
---|---|
plural | CPA ENHANCED DAYS |
Format/length: | n |
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 latest CARE PROGRAMME APPROACH EPISODE was not ended before the END DATE of the REPORTING PERIOD.
Context | Alias |
---|---|
plural | CPA LEVELS (AT END OF REPORTING PERIOD) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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
There is a START DATE and END DATE for each
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
Context | Alias |
---|---|
plural | CPA STANDARD DAYS |
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.
Context | Alias |
---|---|
plural | DATE LAST SEEN (CPA CARE COORDINATORS) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
a. | one or more | |
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
There is a SESSION DATE for each
Context | Alias |
---|---|
plural | DAY CARE ATTENDANCES (MENTAL HEALTH NHS SITE) |
Format/length: | n |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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. |
0 | no attendance at a Non-NHS | |
1 | one or more attendances at a Non-NHS |
Context | Alias |
---|---|
plural | DAY CARE ATTENDANCES MH NON-NHS SITE INDICATOR |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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
There is a SESSION DATE for each
Context | Alias |
---|---|
plural | DAY CARE DID NOT ATTENDS (MENTAL HEALTH NHS SITES) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
It is the total number of days detained or liable to be detained within the
There is a START DATE and END DATE for each
Context | Alias |
---|---|
plural | DAYS LIABLE FOR DETENTIONS |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
It is the total number of supervised aftercare days within the
There is a START DATE and END DATE for each
Context | Alias |
---|---|
plural | DAYS OF SUPERVISED DISCHARGES |
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.
Context | Alias |
---|---|
plural | DIAGNOSES (ICD EIGHTH 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.
Context | Alias |
---|---|
plural | DIAGNOSES (ICD ELEVENTH 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.
Context | Alias |
---|---|
plural | DIAGNOSES (ICD FIFTH 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
For purposes of the Mental Health Minimum Data Set (MHMDS) collection, the twelve most recent
For example if the latest
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. |
Context | Alias |
---|---|
plural | DIAGNOSES (ICD FIRST 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.
Context | Alias |
---|---|
plural | DIAGNOSES (ICD FOURTH 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.
Context | Alias |
---|---|
plural | DIAGNOSES (ICD NINTH 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.
Context | Alias |
---|---|
plural | DIAGNOSES (ICD SECOND 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.
Context | Alias |
---|---|
plural | DIAGNOSES (ICD SEVENTH 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.
Context | Alias |
---|---|
plural | DIAGNOSES (ICD SIXTH 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.
Context | Alias |
---|---|
plural | DIAGNOSES (ICD TENTH 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.
Context | Alias |
---|---|
plural | DIAGNOSES (ICD THIRD 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.
Context | Alias |
---|---|
plural | DIAGNOSES (ICD TWELFTH MOST RECENT) |
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 |
It is the total number of such discharges from
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
See NHS Postcode Directory, Related Products.
Context | Alias |
---|---|
plural | ELECTORAL WARDS OF USUAL ADDRESSES |
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
For Mental Health Minimum Data Set purposes where the HEALTH CARE PROVIDER cannot initiate and maintain
Context | Alias |
---|---|
plural | END DATES (MENTAL HEALTH CARE SPELLS) |
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
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 |
or | |
g. | a NURSING HOME STAY (CONSULTANT CARE) where the main |
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 |
The calculated length of days (plus their suffix) are recorded within the FIRST CONTACT TIMES LIST (MENTAL HEALTH) in ascending contact date sequence.
Context | Alias |
---|---|
plural | FIRST CONTACT TIMES LISTS (MENTAL HEALTH) |
Format/length: | n |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
Recorded as:
0 | no |
1 | one or more |
Context | Alias |
---|---|
plural | HOME HELP VISIT INDICATORS |
Format/length: | an13 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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,
This is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if an
Context | Alias |
---|---|
plural | HONOS RATINGS (BEST IN LAST TWELVE MONTHS) |
Format/length: | an13 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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,
Context | Alias |
---|---|
plural | HONOS RATINGS (FIRST IN MHCS) |
Format/length: | an13 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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,
Context | Alias |
---|---|
plural | HONOS RATINGS (MOST RECENT IN MHCS) |
Format/length: | an13 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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,
Context | Alias |
---|---|
plural | HONOS RATINGS (WORST EVER RECORDED) |
Format/length: | ccyymmdd |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
The date of an
This is an optional data item note in the Mental Health Minimum Data Set (MHMDS) collection record and should only be present if an
Context | Alias |
---|---|
plural | HONOS SCORE DATES (BEST IN LAST TWELVE MONTHS) |
Format/length: | n |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
The date of an
Context | Alias |
---|---|
plural | HONOS SCORE DATES (FIRST IN MHCS) |
Format/length: | ccyymmdd |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
The date of an
Context | Alias |
---|---|
plural | HONOS SCORE DATES (MOST RECENT IN MHCS) |
Format/length: | ccyymmdd |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
The date of an
Context | Alias |
---|---|
plural | HONOS SCORE DATES (WORST EVER RECORDED) |
Format/length: | an50 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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 |
For the list, the length in days of each
B | where the | |
C | where the | |
blank | where |
The calculated length of days (plus their suffix) are recorded within the HOSPITAL STAYS LIST (MENTAL HEALTH) in ascending
Context | Alias |
---|---|
plural | HOSPITAL STAYS LISTS (MENTAL HEALTH) |
Format/length: | n2 |
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 a LEGAL STATUS was not ended within the MENTAL HEALTH CARE SPELL before the END DATE of the REPORTING PERIOD.
Context | Alias |
---|---|
plural | LEGAL STATUS CLASSIFICATION CODES (AT END OF REPORTING PERIOD) |
Format/length: | nn.n |
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 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
If the PATIENT has more than one
Where more than one
Context | Alias |
---|---|
plural | LEGAL STATUS RESTRICTIVENESS (HIGHEST IN REPORTING PERIODS) |
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,
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 | ||||
1 | 3 | ||||
1 | 4 | ||||
1 | 5 | ||||
1 | 6 | not used | |||
1 | 7 | ||||
1 | 8 | ||||
2 | 1 | ||||
2 | 2 | ||||
2 | 3 | ||||
2 | 4 | ||||
2 | 5 | ||||
2 | 6 | not used | |||
2 | 7 | ||||
2 | 8 | ||||
3 | 1 | ||||
3 | 2 | ||||
3 | 3 | ||||
3 | 4 | ||||
3 | 5 | ||||
3 | 6 | not used | |||
3 | 7 | ||||
3 | 8 | ||||
4 | 1 | ||||
4 | 2 | ||||
4 | 3 | ||||
4 | 4 | ||||
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 | ||||
5 | 4 | ||||
5 | 5 | ||||
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 | ||||
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 |
Context | Alias |
---|---|
plural | MENTAL HEALTH CARE AND LEGAL STATUS HISTORIES |
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.
Context | Alias |
---|---|
plural | MENTAL HEALTH CARE SPELL END CODES |
Format/length: | n2 |
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 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
Context | Alias |
---|---|
plural | MENTAL HEALTH CARE TEAM TYPES (AT END OF REPORTING PERIOD) |
Format/length: | n |
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 a MENTAL HEALTH CARE SPELL SUSPENSION was not ended before the END DATE of the REPORTING PERIOD.
Context | Alias |
---|---|
plural | MHCS SUSPENSION REASONS (AT END OF REPORTING PERIOD) |
Format/length: | n |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
Recorded as:
0 | no MHC WITHOUT PATIENT CONSENT were present during the REPORTING PERIOD | |
1 | one or more |
If the PATIENT has more than one MENTAL HEALTH CARE SPELL during the same
Context | Alias |
---|---|
plural | MHC WITHOUT PATIENTS CONSENT IN REPORTING PERIOD |
Format/length: | n |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
For purposes of the Mental Health Minimum Data Set (MHMDS) collection,
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.
Context | Alias |
---|---|
plural | OCCUPATION (CPA CARE COORDINATORS) |
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
See NHS Administrative Codes, NHS Organisation Codes for a description of ORGANISATION CODES.
Context | Alias |
---|---|
plural | ORGANISATION CODE (PCT OF GP PRACTICES) |
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.
a. | one or more | |
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
There is an ATTENDANCE DATE for each
Context | Alias |
---|---|
plural | OUT-PATIENT ATTENDANCE CONSULTANTS (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
There is an APPOINTMENT DATE for each
Context | Alias |
---|---|
plural | OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
It is the total number of such ECT administrations within the
There is a CLINICAL INTERVENTION DATE for each
Context | Alias |
---|---|
plural | PROCEDURES (ECT TREATMENTS ADMINISTERED) |
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.
Context | Alias |
---|---|
plural | PROCEDURES (READ EIGHTH 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.
Context | Alias |
---|---|
plural | PROCEDURES (READ ELEVENTH 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.
Context | Alias |
---|---|
plural | PROCEDURES (READ FIFTH 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
For purposes of the Mental Health Minimum Data Set (MHMDS) collection, the twelve most recent
For example if the latest
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
Context | Alias |
---|---|
plural | PROCEDURES (READ FIRST 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.
Context | Alias |
---|---|
plural | PROCEDURES (READ FOURTH 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.
Context | Alias |
---|---|
plural | PROCEDURES (READ NINTH 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.
Context | Alias |
---|---|
plural | PROCEDURES (READ SECOND 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.
Context | Alias |
---|---|
plural | PROCEDURES (READ SEVENTH 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.
Context | Alias |
---|---|
plural | PROCEDURES (READ SIXTH 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.
Context | Alias |
---|---|
plural | PROCEDURES (READ TENTH 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.
Context | Alias |
---|---|
plural | PROCEDURES (READ THIRD 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.
Context | Alias |
---|---|
plural | PROCEDURES (READ TWELFTH MOST RECENT) |
Format/length: | ccyy/mm/dd-ccyy/mm/dd |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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
The defined
Context | Alias |
---|---|
plural | REPORTING PERIODS (MENTAL HEALTH) |
Format/length: | n |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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 | ||
1 | one or more stays in a Non-NHS NURSING HOME, RESIDENTIAL CARE or GROUP HOME occurred during the |
Context | Alias |
---|---|
plural | RESIDENTIAL MH NON-NHS COMMUNITY CARE INDICATORS |
Format/length: | n |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
Recorded as:
0 | no attendance at a SHELTERED WORK FACILITY occurred during the | ||
1 | one or more attendances at a |
Context | Alias |
---|---|
plural | SHELTERED WORK ATTENDANCES INDICATORS |
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
Context | Alias |
---|---|
plural | SOCIAL SERVICES CLIENT IDENTIFIERS |
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.
Context | Alias |
---|---|
plural | SOCIAL WORKER INVOLVEMENTS |
Format/length: | an2 |
HES item: | |
National Codes: | Press Definition button for the National Codes |
Default Codes: |
Context | Alias |
---|---|
plural | SOURCE OF REFERRALS FOR 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
Where
CONSULTANT EPISODE (ACUTE HOME-BASED) | ||
or | CONSULTANT EPISODE (HOSPITAL PROVIDER) | |
or | CONSULTANT OUT-PATIENT EPISODE |
with the latest START DATE within the assembled
See Specialty Function Codes for the full list of codes.
Context | Alias |
---|---|
plural | SPECIALTY FUNCTION CODES (MENTAL HEALTH) |
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 | |
and | ||
b. | END DATE (MENTAL HEALTH CARE SPELL) or END DATE of the | |
and | ||
c. | not present i.e. the | |
and | ||
d. | the |
For example:
1 | If the START DATE of the | |
2 | If the | |
3 | If the |
The calculated SPELL DAYS IN REPORTING PERIOD should be recorded left justified with leading zeros.
Context | Alias |
---|---|
plural | SPELL DAYS IN REPORTING PERIODS |
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 | |
DX | declared explicitly i.e. | |
E | derived from the collation of recorded episodes e.g. CONSULTANT EPISODE (HOSPITAL PROVIDER) | |
EX | derived from the collation of recorded episodes e.g. |
Context | Alias |
---|---|
plural | SPELL DEFINITION TYPES (ASSEMBLER MHCS) |
Format/length: | n2 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
It is the total number of such assessments for community care within the
There is a STATUTORY ASSESSMENT DATE for each
If the
Context | Alias |
---|---|
plural | SSSA (NUMBERS FOR COMMUNITY CARE) |
Format/length: | n2 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
It is the total number of such assessments for detention within the
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
If the PATIENT has more than one MENTAL HEALTH CARE SPELL during the same
Context | Alias |
---|---|
plural | SSSA (NUMBERS FOR DETENTION) |
Format/length: | ccyymmdd |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
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
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.
Context | Alias |
---|---|
plural | START DATE (MENTAL HEALTH CARE SPELLS) |
Format/length: | n3 |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
It is the total number of suspended days of the
There is a START DATE and END DATE for each
Context | Alias |
---|---|
plural | SUSPENDED DAYS IN REPORTING PERIODS |
Format/length: | ccyy |
HES item: | |
National Codes: | |
Default Codes: |
Notes:
This is the same as attribute
Context | Alias |
---|---|
plural | YEAR OF FIRST KNOWN PSYCHIATRIC CARE |
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.
GN010 Service Points
MH020 Mental Health Care Spell
MH030 Care Programme Approach Episode
MHMDS1 Mental Health Minimum Data Set
Model View Diagram - Overview |
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
The SERVICES PROVIDED within a
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).
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.
Model View Diagram - Overview |
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.
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.
A
Within a
The named key worker for the CARE PROGRAMME APPROACH EPISODEmay be involved in FACE TO FACE CONTACTS CPA KEY WORKERS, FACE TO FACE CONTACTS COMMUNITY CARES and PROFESSIONAL STAFF GROUP CONTACTS. Contacts with the PATIENTby a MENTAL HEALTH CARE TEAM MEMBERwho is a social worker are recorded as FACE TO FACE CONTACTS SOCIAL WORKER.
The named care coordinator for the