NHS Information Authority
Data Standards and Information Programme
Reference: | Change Request 344 |
Version No: | 1.14 |
Subject: | Revision of KT31 Central Return Form - Family Planning Clinic Activity |
Type of Change: | Revision of NHS Data Standards |
Effective Date: | 1 April 2003 |
Reason for Change: | DSCN 06/2003 brought-in changes to the KT31 Central Return Form and this DSCN has introduced the KT31 Central Return Form and Guidance Text into the NHS Data Dictionary and has updated existing NHS Data Dictionary elements relevant to KT31 (in line with DSCN 06/2003). |
DSCN 06/2003 updated KT31 Central Return Form (Family Planning Clinic Activity), in-order to bring the form in line with the monitoring requirements of the Teenage Pregnancy Strategy.
The Teenage Pregnancy Strategy is aimed at reducing the number of Teenage Pregnancies, by improving sexual health services and encouraging young people to seek advice.
The KT31 form is to be used to monitor the implementation of the Teenage Pregnancy Strategy, by providing data that will be used as indicators on the provision of family planning services and the uptake of services by under 18 year olds.
This DSCN has updated existing elements in the NHS Data Dictionary relevant to the KT31 form and has introduced the KT31 form and Guidance Text into the NHS Data Dictionary.
Summary of changes:Attribute Definitions | |
Change to Description | |
Change to Aliases | |
Change to Description | |
Central Returns | |
New Central Return | |
Packages | |
New Package |
Name: | Michelle Cambridge |
Date: | 10 October 2003 |
Sponsor: | Data and Information Standards Programme |
CONTRACEPTION METHOD MAIN
Change to Attribute: Change to Description
This will be recorded for The CONTRACEPTION METHOD MAIN should be the main method chosen, or for existing Where a definite choice of vasectomy or female sterilisation is made, and arrangements for this are put in hand, this should be the main method recorded, even though an alternative method may be advised for temporary use. Classification: An indication of whether the face to face contact is the first occasion on which a An Classification: Classification: In the following list Vasectomy, Male Sheath/condom, Other method or No method are the only valid classification for males. In the following list; Vasectomy, Male condom, Other methods or No methods, are the only valid classification for male
a. Oral contraceptive a. combined preparation - oral contraceptive i.combined preparation b. progestogen only - oral contraceptive ii.progestogen only c. Intra-uterine device (IUD) b. Intra-uterine device d. Cap or diaphragm c. Cap or diaphragm e. Injectable contraceptive d. Injectable contraceptive f. Other chemicals (including spermicides etc, but only when used on their own) e. Other Chemicals (including sponge) g. Male condom f. Sheath/condom h. Female condom (e.g. FEMIDOM) i. Fertility indicators (singular or combined) - natural family planning / fertility awareness (rhythm method) i.male j. Fertility devices (including Persona) - natural family planning / fertility awareness (rhythm method) ii.female k. Female sterilisation g. Rhythm method l. Implant h. Female sterilisation m. IU system (IUS) (including Mirena) i. Implant n. Contraceptive patch j. Vasectomy o. Vasectomy k. Other method p. Other methods l. No method provided q. No method provided
This attribute is also known by these names: Context Alias plural CONTRACEPTION METHODS MAIN
Change to Attribute:
Change to Aliases
a. Yes b. No
This attribute is also known by these names: Context Alias pluralFIRST CONTACTS IN FINANCIAL YEARSplural FIRST CONTACTS IN FINANCIAL YEAR
Change to Attribute:
Change to Description
An indication of whether or not a FAMILY PLANNING CLINIC is held specifically for persons under the age of 20. An indication of whether or not a
a. Yes b. No
This attribute is also known by these names: Context Alias plural YOUNG PERSONS CLINIC INDICATORS
Change to Central Return:
New Central Return
Central Return Form Guidance
Contextual Overview
The Department requires the collection of information about services provided by
FAMILY PLANNING CLINICS, in order to monitor the implementation of the Government's strategy to reduce the number of teenage pregnancies.
- Improving contraception and sexual health services and encouraging young people to seek advice are important aspects of the Teenage Pregnancy Strategy. Best Practice Guidance on the provision of effective contraception and advice services for young people was issued in November 2000 and Local Teenage Pregnancy Strategies all include proposals to ensure that appropriate services are in place.
- Monitoring of the Teenage Pregnancy Strategy is being undertaken partly through a National Indicator Set, which was issued in November 2001. This includes indicators on the provision of services in accordance with Best Practice Guidance and the uptake of services by under 18 year olds. The Central Return Form KT31 will provide data needed for these indicators.
- The Best Practice Guidance on service provision is concerned with services for young people under 25, and this is reflected in KT31:
(i) A key goal of the Teenage Pregnancy Strategy is to reduce the rate of conceptions for under 18s. TheAGE group is split into 16-17 year olds and 18-19 year olds in parts B and C of the form.
(ii) An important part of the Teenage Pregnancy Strategy is to increase the awareness and involvement of young men in sexual health matters. Data on males is to be collected for exactly the sameAGE groups as for females.
- The coverage of the KT31 return includes services provided by
NHS TRUSTS / PRIMARY CARE TRUSTS in FAMILY PLANNING CLINICS and at FAMILY PLANNING DOMICILIARY VISITS and also those provided by non-NHS clinics funded wholly or in part by the NHS. Not included are services provided by CONSULTANTS in OUT-PATIENT CLINICS or those provided by GENERAL MEDICAL PRACTITIONERS.
Completing the Central Return KT31 Family Planning Services
- A contact is a
CLINIC ATTENDANCE FAMILY PLANNING or a FAMILY PLANNING DOMICILIARY VISIT , during which aPATIENT is seen by professional staff for counselling, or in order to be prescribed contraceptives.
- A
FIRST CONTACT IN FINANCIAL YEAR is the first time a PATIENT is seen in the year by the family planning service. A subsequent contact with the same service provider does not count as a first contact, so each PATIENT is recorded only once in any year by anyNHS TRUST /PRIMARY CARE TRUST .
- Where a couple are seen together only one first contact is recorded; where either vasectomy or the male condom is the main method chosen, the first contact is recorded as one with a man; in all other cases, where any other method is chosen, the first contact is recorded as one with a woman.
- The
CONTRACEPTION METHOD MAIN for new PATIENTS is that chosen after counselling; for existingPATIENTS it is the principal method in use unless a change is advised. For newPATIENTS , the main method should be the substantive method chosen and not any interim method, even if the choice is not made until a subsequent attendance or visit. In particular, where vasectomy or female sterilisation is the method chosen after counselling, any interim methods used while waiting for an operation should not be recorded.
- The information in the KT31 Central Return form can now be submitted to the Department of Health via the Internet. If you would be interested in using this facility, please contact your Information Manager. Alternatively further information about this facility can be obtained from the Department of Health:
http://www.gov.uk
Central Return Form Guidance |
Part A (I) - Total Contacts
- For Part A (1), record all contacts, including those occurring at young persons' clinics. Contacts at a young persons clinic should also be counted at A (ii).
- A contact is a
CLINIC ATTENDANCE FAMILY PLANNING or a FAMILY PLANNING DOMICILIARY VISIT during which a PATIENT is seen by professional staff for counselling, or in order to be prescribed contraceptives.
- This is the total number of
CLINIC ATTENDANCE FAMILY PLANNING contacts, where aPATIENT is seen by professional staff for counselling, or in order to be prescribed contraceptives.
Line 1: Column 4: The total number of clinic attendance contacts
- This is the total number of
FAMILY PLANNING DOMICILIARY VISIT contacts, where aPATIENT is seen by professional staff for counselling, or in order to be prescribed contraceptives.
Line 2: Column 4: The total number of domiciliary visit contacts
- This is the total number of contacts for both
CLINIC ATTENDANCE FAMILY PLANNING andFAMILY PLANNING DOMICILIARY VISIT contacts, where aPATIENT is seen by professional staff for counselling, or in order to be prescribed contraceptives.
Line 9: Column 4: The total number of contacts for both clinic attendance and domiciliary visits
- Part A (ii) - A young persons' clinic is one intended for persons up to, but not including, the AGE of 25.
Part A (II) - Clinic sessions for people aged under 25
- A clinic session is recorded each time a young persons' clinic is held; do not include any other type of clinic session.
Line 1: Column 6: The total number of clinic sessions held (recorded each time a Young Persons Clinic is held) (Line 1: Column 6)
- All contacts at young persons clinics should be recorded, regardless of the
AGE of the PATIENT ; where a couple attend together, record one contact only
Line 2: Column 6: The total number of contacts regardless of a patients age (recorded each time a Young Persons Clinic is held) (Line 1: Column 6)
Central Return Form Guidance |
Part B - First Contacts in the Financial Year - Females
- This is a count of the 'Main Methods of Contraception Chosen':
CONTRACEPTION METHOD MAIN (Lines 01-17), recorded the first time a female PATIENT is seen in the year by the family planning service: FIRST CONTACT IN FINANCIAL YEAR, broken down by 7 AGE groups (columns 8-14). Please provide full details if possible; if full year detail by AGE or method is not available, part year or sample based detail would be helpful in addition to any full-year figures.
- The
CONTRACEPTION METHOD MAIN for new PATIENTS , is that chosen after counselling; for existingCONTRACEPTION METHODS MAIN , it is the principal method in use unless a change is advised. For newPATIENTS , the main method should be the substantive method chosen and not any interim method, even if the choice is not made until a subsequent attendance or visit. In particular, where vasectomy or female sterilisation is the method chosen after counselling, any interim methods used while waiting for an operation should not be recorded.
- Note: Information about male first contacts should be recorded in part D(i) of the KT31 form)
- This is the
CONTRACEPTION METHOD MAIN chosen or already in use by a female PATIENT, recorded during aFIRST CONTACT IN FINANCIAL YEAR .
Main Method of Contraception Chosen (Female first contacts in financial year): Column 7: Lines 01-17
- The
FIRST CONTACT IN FINANCIAL YEAR is the first time a femalePATIENT is seen in the year by the family planning service.
- A subsequent contact with the same service provider does not count as a first contact, so each
PATIENT is recorded only once in any year by anyNHS TRUST / PRIMARY CARE TRUST.
- This is the count of the number of times the 'Combined Preparation - oral contraceptive' is chosen or is already in use as a
CONTRACEPTION METHOD MAIN , the first time aPATIENT is seen in the year at a family planning service, broken down by 7 AGE groups (columns 8-14).
Oral Contraceptive: Lines 01 - 02
Line 01: Columns 8 - 14: Main Method of Contraception Chosen - (i) Combined Preparation - (Oral Contraceptive)
- This is the count of the number of times the 'Progestogen only - oral contraceptive' is chosen or is already in use as a
CONTRACEPTION METHOD MAIN , the first time aPATIENT is seen in the year at a family planning service, broken down by 7 AGE groups (columns 8-14).
Line 02: Columns 8 - 14: Main Method of Contraception Chosen - (ii) Progestogen only (Oral Contraceptive)
- This is the count of the number of times the 'IU Device (IUD)' is chosen or is already in use as a
CONTRACEPTION METHOD MAIN , the first time aPATIENT is seen in the year at a family planning service, broken down by 7AGE groups (columns 8 14).
Line 03: Columns 8 - 14: Main Method of Contraception Chosen - IU Device (IUD)
- Note: IU Devices - do not include use of the Mirena intra-uterine system (IUS), this should be included at line 13.
- This is the count of the number of times the 'Cap, Diaphragm' is chosen or is already in use as a
CONTRACEPTION METHOD MAIN , the first time aPATIENT is seen in the year at a family planning service, broken down by 7AGE groups (columns 8 14).
Line 04: Columns 8 - 14: Main Method of Contraception Chosen - Cap, Diaphragm
- This is the count of the number of times the 'Injectable contraceptive' is chosen or is already in use as a
CONTRACEPTION METHOD MAIN , the first time aPATIENT is seen in the year at a family planning service, broken down by 7AGE groups (columns 8-14).
Line 05: Columns 8 - 14: Main Method of Contraception Chosen - Injectable contraceptive
- This is the count of the number of times 'Other chemicals' are chosen or are already in use as a
CONTRACEPTION METHOD MAIN , the first time aPATIENT is seen in the year at a family planning service, broken down by 7AGE groups (columns 8-14).
Line 06: Columns 8 - 14: Main Method of Contraception Chosen - Other chemicals (Spermicides etc, but only when used on their own)
- Note: Other Chemicals (mainly spermicidal foams, gels, jellies and cream), should be included only when they are used on their own and not when used with, for example, a barrier method.
- This is the count of the number of times 'Male condoms' are chosen or are already in use as a
CONTRACEPTION METHOD MAIN , the first time a female PATIENT is seen in the year at a family planning service, broken down by 7AGE groups (columns 8 14).
Line 07: Columns 8 - 14: Main Method of Contraception Chosen - Male condom (female first Contacts only)
- This is the count of the number of times 'Female condoms' are chosen or are already in use as a
CONTRACEPTION METHOD MAIN , the first time aPATIENT is seen in the year at a family planning service, broken down by 7AGE groups (columns 8 14).
Line 08: Columns 8 - 14: Main Method of Contraception Chosen - Female condom: e.g. FEMIDOM
- Where both indictors and devices are used, record under line 10 devices.
Main Method of Contraception Chosen - Natural Family Planning/Fertility Awareness (Rhythm Method): Lines 09-10
- This is the count of the number of times 'Fertility Indicators' are chosen or are already in use as a
CONTRACEPTION METHOD MAIN , the first time aPATIENT is seen in the year at a family planning service, broken down by 7AGE groups (columns 8-14).
Line 09: Columns 8 - 14: Main Method of Contraception Chosen - (i) Fertility Indicators (singular or combined)
- This is the count of the number of times 'Fertility devices' are chosen or are already in use as a
CONTRACEPTION METHOD MAIN , the first time aPATIENT is seen in the year at a family planning service, broken down by 7AGE groups (columns 8 14).
Line 10: Columns 8 - 14: Main Method of Contraception Chosen - (ii) Fertility Devices (including Persona)
- For Lines 9 and 10 - The terms "Natural Family Planning" or "Fertility Awareness" are now used in preference to 'Rhythm Method'. There are a number of recognised indicators that monitor the timing of ovulation, for example cycle length, waking body temperature, cervical secretions (cervical mucus); these indicators may be used in combination and there are also fertility devices (including Persona).
- This is the count of the number of times 'Female sterilisation' is chosen or has already been chosen as a
CONTRACEPTION METHOD MAIN , the first time aPATIENT is seen in the year at a family planning service, broken down by 7 AGE groups (columns 8-14).
Line 11: Columns 8 - 14: Main Method of Contraception Chosen - Female Sterilisation
- This is the count of the number of times 'Implants' are chosen or are already in use as a
CONTRACEPTION METHOD MAIN , the first time aPATIENT is seen in the year at a family planning service, broken down by 7AGE groups (columns 8-14).
Line 12: Columns 8 - 14: Main Method of Contraception Chosen - Implant
- This is the count of the number of times 'IU System (IUS) (Including Mirena)*' is chosen or is already in use as a
CONTRACEPTION METHOD MAIN , the first time aPATIENT is seen in the year at a family planning service, broken down by 7 AGE groups (columns 8-14).
Line 13: Columns 8 - 14: Main Method of Contraception Chosen - IU System (IUS) (Including Mirena)
- *Include use of the Mirena intra-uterine system (IUS)
- This is the count of the number of times 'Patches' are chosen or are already in use as a
CONTRACEPTION METHOD MAIN , the first time aPATIENT is seen in the year at a family planning service, broken down by 7AGE groups (columns 8 -14).
Line 14: Columns 8 - 14: Main Method of Contraception Chosen - Contraceptive Patch
- This is the count of the number of times 'Other methods' are chosen or are already in use as a
CONTRACEPTION METHOD MAIN , the first time aPATIENT is seen in the year at a family planning service, broken down by 7AGE groups (columns 8 -14).
Line 15: Columns 8 - 14: Main Method of Contraception Chosen - Other Methods
- Note: Record here the number of women whose
CONTRACEPTION METHOD MAIN is not listed in lines 1 to 14; include in line 15 women whose first contact is an attendance for post-coital (emergency) contraception, who have no other method recorded as their main method.
- This is the count of the number of times 'No method provided' is recorded the first time a
PATIENT is seen in the year at a family planning service, broken down by 7AGE groups (columns 8 -14).
Line 16: Columns 8 - 14: Main Method of Contraception: No Method Provided
- Note: Record here the number of women who attend for contraceptive advice and have no current method, but for whom no method is advised (Line 16: Column 7)
- This is the count of the number of times 'Contact for reasons other than contraception' is recorded the first time a
PATIENT is seen in the year at a family planning service, broken down by 7AGE groups (columns 8-14).
Line 17: Columns 8 - 14: Contact for Reasons other than Contraception
- Note: Record here the number of women who attend the clinic solely for purposes not connected with contraceptive advice, e.g. for cervical screening only (Line 17: Column 7)
- This is the count of the total for each
AGE group forFIRST CONTACTS IN FINANCIAL YEARS for females, broken down by 7 AGE groups (columns 8 - 14).
Line 99: Totals - Main Method of Contraception Chosen (broken down by AGE groups: Columns 8 - 14) - for Female first contacts in financial year
- The totals for Column 8 (
AGE : <15), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 8 in Line: 99 - Total.
Line 99: Totals - Column 8
- The totals for Column 9 (
AGE : 15), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 9 in Line: 99 - Total
Line 99: Totals - Column 9
- The totals for Column 10 (
AGE : 16-17), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 10 in Line: 99 - Total
Line 99: Totals - Column 10
- The totals for Column 11 (
AGE : 18-19), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 11 in Line: 99 - Total
Line 99: Column 11
- The totals for Column 12 (
AGE : 20-24), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 12 in Line: 99 - Total
Line 99: Column 12
- The totals for Column 13 (
AGE : 25-34), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 13 in Line: 99 - Total
Line 99: Column 13
- The totals for Column 14 (
AGE : 35+), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 14 in Line: 99 - Total
Line 99: Column 14
- The total count for each
CONTRACEPTION METHOD MAIN chosen or already in use (lines 01-17), should be entered into each line in Column 15. The total for each line that needs to be entered into Column 15, is the figure for eachAGE group (columns 8-14), added together to form a total for eachCONTRACEPTION METHOD MAIN .
Column 15: Lines 01-17
- This is the total count for all
FIRST CONTACTS IN FINANCIAL YEARS - females, from allCONTRACEPTION METHODS MAIN chosen (lines 01-17), for all AGE groups (columns 8-14).
Column 15: Line 99
Central Return Form Guidance |
Part C - Post Coital Contraceptives - Females - Number of Occasions
- Part C - Record every contact with a woman for
CONTRACEPTION METHOD POST COITAL, not just first contacts.
- This is a count for the number of contacts with women for
CONTRACEPTION METHOD POST COITAL (not just for first contacts), for type of post-coital contraception: Hormonal, broken down by 7AGE groups (columns 17-23).
Line 01: Post Coital Contraceptives - Females - Number of occasions (Type of Post Coital Contraception - Hormonal)
- This is a count for the number of contacts with women for
CONTRACEPTION METHOD POST COITAL (not just for first contacts), for type of post-coital contraception: IUD, broken down by 7AGE groups (columns 17 - 23).
Line 02: Post Coital Contraceptives - Females - Number of occasions (Type of Post Coital Contraception - IUD)
- The totals for Columns 17-23, for Lines 01-02 (
CONTRACEPTION METHOD POST COITAL : Hormonal and IUD) added together to create total figures for each AGE group, in Line: 99.
Line 99: Totals Column 17 - 23
- The total count for each type of
CONTRACEPTION METHOD POST COITAL for lines 01-02, should be entered into each line in Column 24. The total for each line that needs to be entered into Column 24, is the figure for eachAGE group (columns 17-23), added together to form a total for each type of post-coital contraception.
Column 24: Totals Lines 01-02
- This is the total count from both types of
CONTRACEPTION METHOD POST COITAL (lines 01-02), for allAGE groups (columns 8-14).
Column 24: Line 99
Central Return Form Guidance |
Part D(i) First contacts in the financial year - male
Main Method of Contraception Chosen (Males - first contacts in financial year)
- This is the
CONTRACEPTION METHOD MAIN chosen or already in use; the first time a male PATIENT is seen in the year by the family planning service. A subsequent contact with the same service provider does not count as a first contact, so each PATIENT is recorded only once in any year by anyNHS TRUST / PRIMARY CARE TRUST.
- The
CONTRACEPTION METHOD MAIN for newPATIENTS is that chosen after counselling; for existingCONTRACEPTION METHODS MAIN , it is the principal method in use unless a change is advised. For newPATIENTS , the main method should be the substantive method chosen and not any interim method, even if the choice is not made until a subsequent attendance or visit. In particular, where vasectomy or female sterilisation is the method chosen after counselling, any interim methods used while waiting for an operation should not be recorded.
- This is the count of the number of times 'Vasectomy' is chosen or has already been chosen as a
CONTRACEPTION METHOD MAIN , the first time aPATIENT is seen in the year at a family planning service, broken down by 7AGE groups (columns 26-32).
Line 01: Main Method of Contraception Chosen - Vasectomy
- This is the count of the number of times 'Male Condoms' are chosen or are already in use as a
CONTRACEPTION METHOD MAIN , the first time aPATIENT is seen in the year at a family planning service, broken down by 7AGE groups (columns 26-32).
Line 02: Main Method of Contraception Chosen - Male condom
- This is the count of the number of times 'Other Methods' are chosen or are already in use as a
CONTRACEPTION METHOD MAIN , the first time aPATIENT is seen in the year at a family planning service , broken down by 7AGE groups (columns 26-32).
Line 03: Main Method of Contraception Chosen - Other methods
- Note: Record the number of male first contacts whose main method is neither vasectomy nor male condom
- This is the count of the number of times 'No method provided' is recorded the first time a
PATIENT is seen in the year at a family planning service as aCONTRACEPTION METHOD MAIN , broken down by 7AGE groups (columns 26-32).
Line 04: Main Method of Contraception Chosen - No method provided
- This is the count of the number of times 'Contacts for reasons other than contraception' is recorded the first time a male
PATIENT is seen in the year at a family planning service, broken down by 7AGE groups (columns 26-32).
Line 05: Main Method of Contraception Chosen: Contact for reasons other than contraception
- The totals for Columns 26-32, for Lines 1-5 for the
CONTRACEPTION METHOD MAIN chosen or already in use by males duringFIRST CONTACT IN FINANCIAL YEAR, added together to create total figures for each AGE group in Line: 99.
Line 99: Totals - Column 26 - 32
- The total count for each
CONTRACEPTION METHOD MAIN chosen by Males or already in use for lines 1-5, should be entered into each line in Column 33. The total for each line that needs to be entered into Column 33, is the figure for eachAGE group (columns 26-32) added together to form a total for eachCONTRACEPTION METHOD MAIN chosen (Lines 1-5).
Column 33: Totals - Lines 1-5
- This is the total count for all Main Methods of Contraception chosen or already in use by Males during
FIRST CONTACTS IN FINANCIAL YEARS , from allCONTRACEPTION METHODS MAIN (lines 1 - 5), for allAGE groups (columns 26-32).
Column 44: Total - Line 99
- A count of all the vasectomy operations carried out by the
NHS TRUST /PRIMARY CARE TRUST in a FAMILY PLANNING CLINIC or an OUT-PATIENT CLINIC or under contract with a non-NHS clinic or hospital; do not include vasectomies carried out by theNHS TRUST /PRIMARY CARE TRUST on an in-patient basis
Part D (ii) Vasectomies - all operations in family planning clinics, out-patients clinics or under contract
Column 34: Total of all vasectomy operations carried out at family planning Clinics, out-patient clinics or under contract.
CROSS SECTOR SERVICES
Change to Package: New Package
Note, this package has a fully qualified name of: Change_Packages.CP344.Data_Dictionary.Messages.Central_Returns.Cross_Sector_Services.Cross_Sector_Services