Change Request
 
NHS Information Authority

Data Standards and Information Programme

Reference: Change Request 371
Version No:1.17
Subject:Registered Care Homes
Type of Change:Revision of NHS data standards
Effective Date:1 September 2003
Reason for Change:The Care Standards Act has changed the registration and inspection of care homes.

Background:

The National Care Standards Commission is a new, independent body set up under the Care Standards Act 2000 to regulate social and private and voluntary health care services throughout England.

From 1st April 2002 the NCSC took over responsibility for registration and inspection of services. The Commission will have powers of enforcement to ensure that care services are run in accordance with regulations and national minimum standards which have been set by Government.

Under the new legislation, many services that have not previously been regulated will now be required to register with the NCSC. They include local authority managed residential homes, domiciliary care services, independent fostering agencies and many independent health care establishments.

RH(N) is currently not being issued while the future of the return is being discussed.

Summary of changes:
 
Class Definitions
ABSENCE WITHOUT LEAVE   Change to Description
CARE HOME REGISTRATION   New Class
CARE HOME SERVICE   New Class
CARE HOME SERVICE USER   New Class
CARE HOME SITE   New Class
CARE HOME STAY   New Class
CHILDRENS HOME REGISTRATION   New Class
CHILDRENS HOME SERVICE   New Class
CHILDRENS HOME SERVICE USER   New Class
COMMUNITY PHARMACY SITE   Change to Relationships
COMMUNITY PHARMACY SITE CONTRACT   New Class
CONSULTANT   Change to Relationships
CONSULTANT EPISODE (HOSPITAL PROVIDER)   Change to Description
GROUP HOME   Deleted
HOME LEAVE   Change to Description
HOME LEAVE   Change to Relationships
HOSPITAL PROVIDER   Change to Description
HOSPITAL PROVIDER SPELL   Change to Description
HOSPITAL PROVIDER SPELL   Change to Relationships
HOSPITAL SITE   Change to Description
HOSPITAL SITE   Change to Attributes
INDEPENDENT HEALTH CARE FACILITY   New Class
INDEPENDENT HEALTH CARE REGISTRATION   New Class
INDEPENDENT HEALTH CARE SERVICE   New Class
LEAVE OF ABSENCE   Change to Description
LEGAL STATUS   Change to Description
LEGAL STATUS   Change to Attributes
LEGAL STATUS   Change to Relationships
LEGAL STATUS CLASSIFICATION   Deleted
MENTAL HEALTH CARE SPELL   Change to Description
MENTAL NURSING HOME ADMITTED PATIENTS   Deleted
MENTAL NURSING HOME LEGAL STATUS CHANGE   Deleted
MENTAL NURSING HOME RESIDENTS   Deleted
MIDWIFE EPISODE   Change to Description
MIDWIFE EPISODE   Change to Relationships
NURSING EPISODE   Change to Description
NURSING EPISODE   Change to Relationships
NURSING HOME   Deleted
NURSING HOME OPERATIONAL PLAN   Deleted
NURSING HOME STAY (CONSULTANT CARE)   Change to Name
NURSING HOME STAY (CONSULTANT CARE) renamed CARE HOME STAY (CONSULTANT CARE)   Change to Description
NURSING HOME STAY (CONSULTANT CARE) renamed CARE HOME STAY (CONSULTANT CARE)   Change to Attributes
NURSING HOME STAY (CONSULTANT CARE)   Change to Relationships
NURSING HOME STAY (MIDWIFE CARE)   Change to Name
NURSING HOME STAY (MIDWIFE CARE) renamed CARE HOME STAY (MIDWIFE CARE)   Change to Description
NURSING HOME STAY (MIDWIFE CARE) renamed CARE HOME STAY (MIDWIFE CARE)   Change to Attributes
NURSING HOME STAY (MIDWIFE CARE) renamed CARE HOME STAY (MIDWIFE CARE)   Change to Relationships
NURSING HOME STAY (NURSING CARE)   Change to Name
NURSING HOME STAY (NURSING CARE) renamed CARE HOME STAY (NURSING CARE)   Change to Description
NURSING HOME STAY (NURSING CARE) renamed CARE HOME STAY (NURSING CARE)   Change to Attributes
NURSING HOME STAY (NURSING CARE) renamed CARE HOME STAY (NURSING CARE)   Change to Relationships
ORGANISATION SITE   Change to Attributes
ORGANISATION SITE   Change to Relationships
ORGANISATION SITE BED AVAILABILITY   Change to Description
ORGANISATION SITE BED OCCUPANCY   Change to Description
ORGANISATION SITE REGISTRATION   Change to Description
PATIENT   Change to Relationships
REGISTERED SITE BED OCCUPANCY   Deleted
REGISTERED SITE INSPECTION   Deleted
REGISTERED SITE INTENDED BED USE   Deleted
REGISTERED SITE NURSES IN POST   Deleted
RESIDENTIAL CARE HOME   Deleted
RESIDENTIAL CARE OR GROUP HOME PLAN   Deleted
RESIDENTIAL CARE OR GROUP HOME STAY   Change to Name
RESIDENTIAL CARE OR GROUP HOME STAY renamed CARE HOME STAY (RESIDENTIAL)   Change to Super Type
RESIDENTIAL CARE OR GROUP HOME STAY renamed CARE HOME STAY (RESIDENTIAL)   Change to Attributes
RESIDENTIAL CARE OR GROUP HOME STAY renamed CARE HOME STAY (RESIDENTIAL)   Change to Relationships
RIGHT OF ADMISSION   Change to Description
SERVICE PROVIDED   Change to Relationships
 
Attribute Definitions
AGE GROUP INTENDED   Change to Description
CARE HOME SERVICE CATEGORY   New Attribute
CARE HOME SERVICE USER NUMBER OVER 65   New Attribute
CARE HOME SERVICE USER NUMBER UNDER 65   New Attribute
CARE HOME SERVICE USER TYPE   New Attribute
CARER SUPPORT INDICATOR   Change to Description
CHILDRENS HOME SERVICE CATEGORY   New Attribute
CHILDRENS HOME SERVICE USER TYPE   New Attribute
COUNTY   Deleted
DELIVERY FACILITIES AVAILABLE   Change to Description
DISCHARGE DESTINATION   Change to Description
FULL-TIME AGENCY OR BANK STAFF   Deleted
FULL-TIME PERMANENT STAFF IN POST   Deleted
HOSPITAL SITE TOTAL BEDS   Deleted
INDEPENDENT HEALTH CARE FACILITY TYPE   New Attribute
INDEPENDENT HEALTH CARE PATIENT NUMBER   New Attribute
INDEPENDENT HEALTH CARE SERVICE CATEGORY   New Attribute
INSPECTION DATE   Deleted
INTENDED BED DAYS NHS PATIENTS   Deleted
INTENDED BED DAYS NON-NHS PATIENTS   Deleted
LASER SITE INDICATOR   Deleted
LEGAL STATUS CHANGE QUANTITY   Deleted
LEGAL STATUS CLASSIFICATION CODE   Change to Description
LOCAL AUTHORITY   Deleted
LOCAL AUTHORITY REGISTERED   Deleted
MAIN PRE-ANNOUNCED INSPECTION   Deleted
MENTAL HEALTH ACT REGISTERED   Deleted
MENTAL NURSING HOME ADMISSIONS FEMALE   Deleted
MENTAL NURSING HOME ADMISSIONS MALE   Deleted
MENTAL NURSING HOME INDICATOR   Deleted
NON-NHS COMMUNITY BED USE   Change to Description
NUMBER OF REGISTERED BEDS   Deleted
ORGANISATION SITE CLASSIFICATION   Change to Description
ORGANISATION SITE REGISTERED TYPE   Change to Description
ORGANISATION SITE REGISTRATION DATE   Change to Description
ORGANISATION SITE TYPE   Deleted
PART-TIME AGENCY OR BANK STAFF   Deleted
PART-TIME PERMANENT STAFF IN POST   Deleted
PART-TIME WTE AGENCY OR BANK STAFF   Deleted
PART-TIME WTE PERMANENT IN POST   Deleted
PHARMACY INDICATOR   Deleted
PROVIDING CARE TO CHILDREN   New Attribute
REGISTERED SITE BEDS OCCUPIED   Deleted
REGISTERED SITE PATIENT AGE GROUP   Deleted
REGISTERED SITE PATIENT GROUP   Deleted
REGISTERED SITE PATIENT TYPE   Deleted
RESIDENT MEDICAL PRACTITIONER INDICATOR   Deleted
RESIDENTS FEMALES DETAINED   Deleted
RESIDENTS FEMALES NOT DETAINED   Deleted
RESIDENTS MALES DETAINED   Deleted
RESIDENTS MALES NOT DETAINED   Deleted
SEX OF PATIENTS   Change to Description
SOURCE OF ADMISSION   Change to Description
 
Data Elements
ADMISSIONS (MENTAL HEALTH)   Change to Description
BED DAYS (MENTAL HEALTH)   Change to Description
BED DAYS (MENTAL HEALTH INTENSIVE)   Change to Description
BED DAYS (MENTAL HEALTH MEDIUM SECURE)   Change to Description
BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE)   Change to Description
COMMUNITY SURVIVAL TIMES LIST (MENTAL HEALTH)   Change to Description
DISCHARGES (MENTAL HEALTH)   Change to Description
FIRST CONTACT TIMES LIST (MENTAL HEALTH)   Change to Description
HOSPITAL STAYS LIST (MENTAL HEALTH)   Change to Description
MENTAL HEALTH CARE AND LEGAL STATUS HISTORY   Change to Description
RESIDENTIAL MH NON-NHS COMMUNITY CARE INDICATOR   Change to Description
 
Central Returns
RH(N)   Deleted
 
Central Return Forms
KH03 4   Change to Guidance Text
KP90 3   Change to Guidance Text
RH(N) 2   Change to Guidance Text
RH(N) 3   Change to Guidance Text
RH(N) 4   Change to Guidance Text
RH(N) 5   Change to Guidance Text
RH(N) 6   Change to Guidance Text
RH(N) 7   Change to Guidance Text
 
Diagrams
CM110 COMMUNITY - NURSING CARE IN THE COMMUNITY   
HP100 ADMITTED PATIENT NURSING CARE   
HP110 ADMITTED PATIENT STAYS   
HP140 ADMISSION AND DISCHARGE   
HP300 NURSING EPISODES   
HP310 MIDWIFE EPISODES   
HP330 REGISTERED SITES   
PC110 COMMUNITY PHARMACIES   
RH(N) PREMISES REGISTERED UNDER PART II OF THE REGISTERED HOMES ACT 1984   Deleted
 
Supporting Information
CM110   Change to Supporting Information
GLOSSARY OF TERMS   Change to Supporting Information
GN020   Change to Supporting Information
HP070   Change to Supporting Information
HP100   Change to Supporting Information
HP110   Change to Supporting Information
HP120   Change to Supporting Information
HP140   Change to Supporting Information
HP300   Change to Supporting Information
HP310   Change to Supporting Information
HP330   Change to Supporting Information
MH040   Change to Supporting Information
MISCELLANEOUS   Change to Supporting Information
MISCELLANEOUS   Change to Supporting Information
MUTUALLY EXCLUSIVE RELATIONSHIPS   Change to Supporting Information
PC110   Change to Supporting Information
REDUCED ARC - MUTUALLY EXCLUSIVE RELATIONSHIPS   Change to Supporting Information
RELATIONSHIP NAMES   Change to Supporting Information

Name:Model 1
Date:10 October 2003
Sponsor:Data and Information Standards Programme

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


ABSENCE WITHOUT LEAVE

Change to Class: Change to Description

A period of ABSENCE WITHOUT LEAVE occurs when PATIENTS who are for the time being liable to be detained in hospital under Part II of the Mental Health Act 1983, absent themselves from hospital without leave being granted, or absent themselves without permission from any place where they are required to reside in accordance with conditions imposed on granted LEAVE OF ABSENCE, or fail to return to hospital by midnight on the day specified for return from granted LEAVE OF ABSENCE. A period of ABSENCE WITHOUT LEAVE occurs when PATIENTS who are for the time being liable to be detained in hospital under Part II of the Mental Health Act 1983, absent themselves from hospital without leave being granted, or absent themselves without permission from any place where they are required to reside in accordance with conditions imposed on granted LEAVE OF ABSENCE, or fail to return to hospital by midnight on the day specified for return from granted LEAVE OF ABSENCE.

The PATIENT will still be liable to be taken into custody until the end of a period of six months beginning from the first day of absence or the end of the period for which the PATIENT is liable to be detained or subject to guardianship, whichever is the later.

The period of ABSENCE WITHOUT LEAVE starts on the day the PATIENTS absent themselves from hospital, or absent themselves from required place of residence or the day following the LEAVE OF ABSENCE planned return date. Where PATIENTS absent themselves for a period less than a day and return on the same day, an occurrence of ABSENCE WITHOUT LEAVE should not be recorded.

PATIENTS who have absented themselves from hospital, nursing home or residential care home or group home and fail to return within 28 days from the first day of absence will be discharged from their current HOSPITAL PROVIDER SPELL or NURSING HOME STAY (NURSING CARE), or their RESIDENTIAL CARE OR GROUP HOME STAY be ended. PATIENTS who have absented themselves from hospital or care home and fail to return within 28 days from the first day of absence will be discharged from their current HOSPITAL PROVIDER SPELL or CARE HOME STAY.

The period of ABSENCE WITHOUT LEAVE ends when the PATIENT:
- returns voluntarily
- is taken into custody
- fails to return within six months beginning from the first day of absence or by the end of the period for which they are liable to be detained or subject to guardianship, whichever is the later



This class is also known by these names:
ContextAlias
pluralABSENCES WITHOUT LEAVE


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CARE HOME REGISTRATION

Change to Class: New Class

CARE HOME REGISTRATION

A type of ORGANISATION SITE REGISTRATION.

The registration of an establishment registered with the National Care Standards Commission as a care home on a CARE HOME SITE.

Any establishment in which treatment or nursing (or both) are provided for persons liable to be detained under the Mental Health Act 1983 cannot be registered as a care home and is either a NHS hospital or must be registered as an independent hospital.

References:
National Care Standards Commission registration April 2002.



This class is also known by these names:
ContextAlias
pluralCARE HOME REGISTRATIONS

Attributes of this Class are:
PROVIDING CARE TO CHILDREN

Each CARE HOME REGISTRATION
may be established with one or more CARE HOME SERVICE
may be established with one or more CARE HOME SERVICE USER


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CARE HOME SERVICE

Change to Class: New Class

CARE HOME SERVICE

The category of service, such as providing personal care or nursing care, intended to be provided by a care home as part of the CARE HOME REGISTRATION.

References:
National Care Standards Commission registration April 2002.



This class is also known by these names:
ContextAlias
pluralCARE HOME SERVICES

Attributes of this Class are:
KCARE HOME SERVICE CATEGORY

Each CARE HOME SERVICE
Kmust be a service of one and only one CARE HOME REGISTRATION


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CARE HOME SERVICE USER

Change to Class: New Class

CARE HOME SERVICE USER

The type and number of service users of a particular age, such as terminally ill under 65 or old age, intended to use the care home as part of the CARE HOME REGISTRATION.

References:
National Care Standards Commission registration April 2002.



This class is also known by these names:
ContextAlias
pluralCARE HOME SERVICE USERS

Attributes of this Class are:
KCARE HOME SERVICE USER TYPE
CARE HOME SERVICE USER NUMBER OVER 65
CARE HOME SERVICE USER NUMBER UNDER 65

Each CARE HOME SERVICE USER
Kmust be a user type of one and only one CARE HOME REGISTRATION


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CARE HOME SITE

Change to Class: New Class

CARE HOME SITE

A type of ORGANISATION SITE.

The site of an establishment registered with the National Care Standards Commission as a care home which provides accommodation, together with nursing or personal care, for the following persons:


- a person who is or has been ill
- a person who is disabled or infirm
- a person who is or has been dependent on alcohol or drugs
- a person who has or has had a mental disorder (this includes mental illness as well as psychopathic disorders)

CARE HOME SITES include group homes not normally staffed by nurses but providing accommodation and personal care, nursing homes which provide full time nursing care and residential care homes staffed 24 hours a day providing board and general personal care to vulnerable residents who require on-going care and supervision.

A nursing home is staffed by NURSES or MIDWIVES 24 hours a day, providing services for client/patients requiring residential nursing care. Medical care continues to be the responsibility of the client/ patient's GENERAL MEDICAL PRACTITIONER. The premises may be used for nursing people suffering from sickness, injury or infirmity; pregnant women or women after childbirth or for nursing of mentally disordered patients. Exceptionally some PATIENTS may remain under the care of a CONSULTANT, i.e. CONSULTANT EPISODES (HOSPITAL PROVIDER) may occur in care homes. This is likely to be where the complexity or intensity of their clinical care (whether medical, nursing or other), or the need for frequent not easily predictable interventions, requires the regular supervision of a CONSULTANT.

Any establishment in which treatment or nursing (or both) are provided for persons liable to be detained under the Mental Health Act 1983 cannot be a CARE HOME SITE and is either a NHS hospital or must be registered as an independent hospital.

References:
National Care Standards Commission registration April 2002.



This class is also known by these names:
ContextAlias
pluralCARE HOME SITES

This class has no attributes.

Each CARE HOME SITE
may be the site of one or more CARE HOME STAY


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CARE HOME STAY

Change to Class: New Class

CARE HOME STAY

A period of time a PATIENT is accommodated at a CARE HOME SITE.

Any stay in an establishment in which treatment or nursing (or both) are provided for persons liable to be detained under the Mental Health Act 1983 cannot be a CARE HOME STAY and is either a NHS or independent HOSPITAL STAY.

A CARE HOME STAY may be a CARE HOME STAY (CONSULTANT CARE), CARE HOME STAY (NURSING CARE), CARE HOME STAY (MIDWIFE CARE) or CARE HOME STAY (RESIDENTIAL) depending on responsibility of care.



This class is also known by these names:
ContextAlias
pluralCARE HOME STAYS

Attributes of this Class are:
KSTART DATE
OEND DATE

Each CARE HOME STAY
Kmust be staying at one and only one CARE HOME SITE
Kmust be the stay of one and only one PATIENT
may be provided as one and only one SERVICE PROVIDED


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CHILDRENS HOME REGISTRATION

Change to Class: New Class

CHILDRENS HOME REGISTRATION

A type of ORGANISATION SITE REGISTRATION.

An establishment registered with the National Care Standards Commission as a children's home which provides care and accommodation wholly or mainly for children.

An establishment is not a children's home merely because a child is cared for and accommodated there by a parent or relative or by a foster parent.

A school may be registered as a children's home if accommodation is provided for children at the school for more than 295 days during a twelve month period.

References:
National Care Standards Commission registration April 2002.



This class is also known by these names:
ContextAlias
pluralCHILDRENS HOME REGISTRATIONS

This class has no attributes.

Each CHILDRENS HOME REGISTRATION
may be established with one or more CHILDRENS HOME SERVICE
may be established with one or more CHILDRENS HOME SERVICE USER


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CHILDRENS HOME SERVICE

Change to Class: New Class

CHILDRENS HOME SERVICE

The category of service, such as a secure unit or residential special school, intended to be provided by a children's home as part of a CHILDRENS HOME REGISTRATION.

References:
National Care Standards Commission registration April 2002.



This class is also known by these names:
ContextAlias
pluralCHILDRENS HOME SERVICES

Attributes of this Class are:
KCHILDRENS HOME SERVICE CATEGORY

Each CHILDRENS HOME SERVICE
Kmust be a service of one and only one CHILDRENS HOME REGISTRATION


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CHILDRENS HOME SERVICE USER

Change to Class: New Class

CHILDRENS HOME SERVICE USER

The type of service users, such as physically disabled or drug dependent, intended to use the children's home as part of a CHILDRENS HOME REGISTRATION.

References:
National Care Standards Commission registration April 2002.



This class is also known by these names:
ContextAlias
pluralCHILDRENS HOME SERVICE USERS

Attributes of this Class are:
KCHILDRENS HOME SERVICE USER TYPE

Each CHILDRENS HOME SERVICE USER
Kmust be a user type of one and only one CHILDRENS HOME REGISTRATION


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COMMUNITY PHARMACY SITE

Change to Class: Change to Relationships

Each COMMUNITY PHARMACY SITE
may be providing one or more COMMUNITY PHARMACY ADDITIONAL HOURS
may be reopened as one or more COMMUNITY PHARMACY SITE
may be a reopening of one COMMUNITY PHARMACY SITE
may be the subject of one or more COMMUNITY PHARMACY SITE APPLICATION
may be the giver of advice to one or more NURSING HOME
may be the giver of advice to one or more RESIDENTIAL CARE HOME
may be provider for one or more COMMUNITY PHARMACY SITE CONTRACT
may be the collector during one or more WASTE MEDICINES QUANTITY PERIOD


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COMMUNITY PHARMACY SITE CONTRACT

Change to Class: New Class

COMMUNITY PHARMACY SITE CONTRACT

A contract for the provision of general pharmaceutical advice between a COMMUNITY PHARMACY SITE and a CARE HOME SITE.



This class is also known by these names:
ContextAlias
pluralCOMMUNITY PHARMACY SITE CONTRACTS

Attributes of this Class are:
KSTART DATE
OEND DATE

Each COMMUNITY PHARMACY SITE CONTRACT
Kmust be contract for one and only one COMMUNITY PHARMACY SITE
Kmust be contracted by one and only one ORGANISATION SITE


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CONSULTANT

Change to Class: Change to Relationships

Each CONSULTANT
must be contracted as main specialty by a provider for one and only one SPECIALTY
may be responsible for one or more ANTI-CANCER DRUG PROGRAMME
may be related to one or more CONSULTANT CLINIC
may be related to one or more CONSULTANT OUT-PATIENT EPISODE
may be contracted for one or more CONSULTANT SPECIALTY FUNCTION
may be related to one or more DOMICILIARY CONSULTATION
may be related to one or more ELECTIVE ADMISSION LIST ENTRY
may be responsible for one or more FACE TO FACE CONTACT OPTICAL
may be related to one or more ISOTOPE PROCEDURE DEPARTMENT
may be responsible for one or more NURSING HOME STAY (CONSULTANT CARE)
may be related to one or more OPERATING THEATRE SESSION
may be related to one or more OPERATING THEATRE SESSION
may be related to one or more PATHOLOGY DEPARTMENT
may be related to one or more PATIENT PROCEDURE
may be related to one or more PHYSIOLOGICAL MEASUREMENT DEPARTMENT
may be related to one or more RADIOLOGY DEPARTMENT
may be responsible for one or more RADIOTHERAPY TREATMENT COURSE
may be related to one or more REFERRAL REQUEST
may be related to one or more RIGHT OF ADMISSION
may be related to one or more SHARED CARE CONSULTANT
may be related to one or more SHARED CARE OUT-PATIENT CONSULTANT
may be related to one or more SHARED CLINIC CONSULTANT
may be related to one or more THEATRE CASE
may be related to one or more WARD INTENDED BED USE


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CONSULTANT EPISODE (HOSPITAL PROVIDER)

Change to Class: Change to Description

The time a PATIENT spends in the continuous care of one CONSULTANT using HOSPITAL SITE or NURSING HOME bed(s) of one HEALTH CARE PROVIDER or, in the case of shared care, in the care of two or more CONSULTANTS. The time a PATIENT spends in the continuous care of one CONSULTANT using HOSPITAL SITE or CARE HOME SITE bed(s) of one HEALTH CARE PROVIDER or, in the case of shared care, in the care of two or more CONSULTANTS. Where care is provided by two or more CONSULTANTS within the same episode, one CONSULTANT will take overriding responsibility for the patient and only one CONSULTANT EPISODE (HOSPITAL PROVIDER) is recorded. Additional CONSULTANTS participating in the care of PATIENT are defined as SHARED CARE CONSULTANTS. A CONSULTANT EPISODE (HOSPITAL PROVIDER) includes those episodes for which a GMP is acting as a CONSULTANT.

A PATIENT going on HOME LEAVE, or LEAVE OF ABSENCE for 28 days or less, or has a current period of ABSENCE WITHOUT LEAVE of 28 days or less, does not interrupt the CONSULTANT EPISODE (HOSPITAL PROVIDER).

A PATIENT may not have concurrent CONSULTANT EPISODES (HOSPITAL PROVIDER) but can have CONSULTANT OUT-PATIENT EPISODES overlapping with a CONSULTANT EPISODE (HOSPITAL PROVIDER). A CONSULTANT EPISODE (HOSPITAL PROVIDER) must not overlap with a NURSING EPISODE for the same PATIENT.

Any time spent as a LODGED PATIENT before being admitted to a WARD is included in the first CONSULTANT EPISODE (HOSPITAL PROVIDER).

A CONSULTANT transfer occurs when the responsibility for a PATIENT transfers from one CONSULTANT (or GMP acting as a CONSULTANT) to another within a HOSPITAL PROVIDER SPELL. In this case one CONSULTANT EPISODE (HOSPITAL PROVIDER) will end and another one begin.

A transfer of responsibility may occur from a CONSULTANT to the PATIENT's own GMP (not acting as CONSULTANT) with the PATIENT still in a WARD or NURSING HOME to receive nursing care. A transfer of responsibility may occur from a CONSULTANT to the PATIENT's own GMP (not acting as CONSULTANT) with the PATIENT still in a WARD or CARE HOME SITE to receive nursing care. In this case the CONSULTANT EPISODE (HOSPITAL PROVIDER) will end and a NURSING EPISODE will begin.

A transfer of responsibility from the PATIENT's own GMP to a CONSULTANT while the PATIENT is in a WARD or NURSING HOME for nursing care will end the NURSING EPISODE and begin a CONSULTANT EPISODE (HOSPITAL PROVIDER). A transfer of responsibility from the PATIENT's own GMP to a CONSULTANT while the PATIENT is in a WARD or CARE HOME SITE for nursing care will end the NURSING EPISODE and begin a CONSULTANT EPISODE (HOSPITAL PROVIDER).



This class is also known by these names:
ContextAlias
pluralCONSULTANT EPISODES (HOSPITAL PROVIDER)


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GROUP HOME

Change to Class: Deleted

Deleted
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HOME LEAVE

Change to Class: Change to Description

HOME LEAVE occurs when a PATIENT who is not liable to be detained under Part II of the Mental Health Act 1983 and who is using a bed in a WARD or NURSING HOME spends a period of time outside hospital/nursing home, usually at home, with the intention of returning to the same type of WARD or NURSING HOME to continue the same CONSULTANT EPISODE (HOSPITAL PROVIDER), MIDWIFE EPISODE or NURSING EPISODE. HOME LEAVE occurs when a PATIENT who is not liable to be detained under Part II of the Mental Health Act 1983 and who is using a bed in a WARD or care home spends a period of time outside hospital/care home, usually at home, with the intention of returning to the same type of WARD or care home to continue the same CONSULTANT EPISODE (HOSPITAL PROVIDER), MIDWIFE EPISODE or NURSING EPISODE.

A PATIENT liable to be detained in hospital under Part II of the Mental Health Act 1983 and as amended by the Mental Health (Patients in the Community) Act 1985, should be granted LEAVE OF ABSENCE instead of HOME LEAVE.

For a PATIENT under a NURSING EPISODE or a MIDWIFE EPISODE the period of time is at the discretion of the responsible nurse. The period of time for all other PATIENTS should be a maximum of Saturday, Sunday, NHS, bank and public holidays plus another three days. If a PATIENT does not return on the day specified and has failed to make alternative arrangements with hospital/nursing home staff, such a PATIENT should be considered discharged from that day. If a PATIENT does not return on the day specified and has failed to make alternative arrangements with hospital/care home staff, such a PATIENT should be considered discharged from that day. The date on which a PATIENT leaves the WARD to go on HOME LEAVE closes the preceding WARD STAY.



This class is also known by these names:
ContextAlias
pluralHOME LEAVES


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HOME LEAVE

Change to Class: Change to Relationships

Each HOME LEAVE
Kmust be related to one and only one PATIENT
must be if not from hospital from one and only one NURSING HOME
or must be if not from nursing home from one and only one WARD
must be if not from nursing home from one and only one WARD
must be if not from hospital from one and only one ORGANISATION SITE
may be related to one and only one HOSPITAL PROVIDER SPELL


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HOSPITAL PROVIDER

Change to Class: Change to Description

A HEALTH CARE PROVIDER providing services from:- A HEALTH CARE PROVIDER providing services from:-

a. A private hospital, home or clinic registered under section 23 of the Registered Homes Act 1984
a. A CARE HOME SITE
b. A separately managed NHS unit (including NHS TRUSTS) for PATIENTS using a hospital bed, or for PATIENTS using a NURSING HOME bed under the care of a CONSULTANT
b. A separately managed NHS unit (including NHS TRUSTS) for PATIENTS using a hospital bed, or for PATIENTS using a care home bed under the care of a CONSULTANT

Note: Private, registered clinics will include those providing treatment which may not be strictly health care, eg hair transplant. This is currently the case, and activity would not be required from such clinics unless a contract was placed with them.



This class is also known by these names:
ContextAlias
pluralHOSPITAL PROVIDERS


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HOSPITAL PROVIDER SPELL

Change to Class: Change to Description

The total continuous stay of a PATIENT using a bed on premises controlled by a HEALTH CARE PROVIDER during which medical care is the responsibility of one or more CONSULTANTS, or the PATIENT is receiving care under one or more NURSING EPISODES or MIDWIFE EPISODES in a WARD. The total continuous stay of a PATIENT using a bed on premises controlled by a HEALTH CARE PROVIDER during which medical care is the responsibility of one or more CONSULTANTS, or the PATIENT is receiving care under one or more NURSING EPISODES or MIDWIFE EPISODES in a WARD. During NURSING EPISODES and MIDWIFE EPISODES general medical care is the responsibility of their own GMP, who is not acting as a consultant .

The HOSPITAL PROVIDER SPELL starts when a CONSULTANT, NURSE or MIDWIFE assumes responsibility for care following the decision to admit the PATIENT. This may be before formal admission procedures have been completed and the PATIENT transferred to a WARD. For example, if a PATIENT is brought into hospital as an emergency and dies in the operating theatre before being transferred to a ward, the PATIENT would have started a HOSPITAL PROVIDER SPELL.

In some circumstances a PATIENT may take HOME LEAVE, or LEAVE OF ABSENCE for a period of 28 days or less, or have a current period of ABSENCE WITHOUT LEAVE of 28 days or less, which does not interrupt the HOSPITAL PROVIDER SPELL, CONSULTANT EPISODE (HOSPITAL PROVIDER), NURSING EPISODE, MIDWIFE EPISODE or HOSPITAL STAY.

Each admission as part of a series of regular day/night admissions generates a separate HOSPITAL PROVIDER SPELL and CONSULTANT EPISODE (HOSPITAL PROVIDER). An admission is the start of the PATIENT's HOSPITAL PROVIDER SPELL and the first CONSULTANT EPISODES (HOSPITAL PROVIDER), MIDWIFE EPISODE or NURSING EPISODE within the spell. If the PATIENT is on a HOSPITAL SITE the admission will also start the first HOSPITAL STAY and, unless the PATIENT has to spend time as a LODGED PATIENT, the admission will also start the first WARD STAY within that HOSPITAL PROVIDER SPELL. If the PATIENT is in a NURSING HOME the admission will start the first NURSING HOME STAY (CONSULTANT CARE) within the HOSPITAL PROVIDER SPELL. If the PATIENT is in a care home the admission will start the first CARE HOME STAY (CONSULTANT CARE) within the HOSPITAL PROVIDER SPELL. Any admission of a person liable to be detained under the Mental Health Act 1983 cannot be in a care home and must be a HOSPITAL PROVIDER SPELL

A discharge will be the end of the last CONSULTANT EPISODE (HOSPITAL PROVIDER), MIDWIFE EPISODE or NURSING EPISODE, and the end of the last NURSING HOME STAY (CONSULTANT CARE) or HOSPITAL STAY and WARD STAY within that HOSPITAL PROVIDER SPELL. A discharge will be the end of the last CONSULTANT EPISODE (HOSPITAL PROVIDER), MIDWIFE EPISODE or NURSING EPISODE, and the end of the last CARE HOME STAY (CONSULTANT CARE) or HOSPITAL STAY and WARD STAY within that HOSPITAL PROVIDER SPELL.

If there is any time spent as a LODGED PATIENT before transfer to a WARD this is included in the HOSPITAL PROVIDER SPELL.



This class is also known by these names:
ContextAlias
pluralHOSPITAL PROVIDER SPELLS


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HOSPITAL PROVIDER SPELL

Change to Class: Change to Relationships

Each HOSPITAL PROVIDER SPELL
Kmust be related to one and only one PATIENT
may be related to one and only one DECISION TO ADMIT
or may be related to one and only one ELECTIVE ADMISSION LIST ENTRY
must be provided by one and only one HOSPITAL PROVIDER
may be related to one or more ADMINISTRATIVE CATEGORY IN SPELL
may be related to one or more CARE HOME STAY (CONSULTANT CARE)
may be related to one or more CONSULTANT EPISODE (HOSPITAL PROVIDER)
may be related to one or more HOME LEAVE
may be related to one or more HOSPITAL STAY
may be related to one or more LODGED PATIENT
may be related to one or more MIDWIFE EPISODE
may be related to one or more NEONATAL LEVEL OF CARE PERIOD
may be related to one or more NURSING EPISODE
may be related to one or more NURSING HOME STAY (CONSULTANT CARE)
may be related to one and only one PREGNANCY EPISODE
may be related to one or more WARD STAY


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HOSPITAL SITE

Change to Class: Change to Description

A type of ORGANISATION SITE.

A HOSPITAL SITE is an ORGANISATION SITE that is a hospital. It should contain at least one bed routinely used by PATIENTS overnight. However, a dental hospital which does not have beds routinely used by PATIENTS overnight may be classified as a HOSPITAL SITE if it includes at least one bed routinely used by PATIENTS by day. A hospital is an establishment for which the main purpose is to provide medical or psychiatric treatment for illness or mental disorder or palliative care.

A hospital is run by a general manager and contracted staff within an organisational hierarchy of SERVICE POINTS. Each SERVICE POINT serves a specific function and uses accommodation, equipment and money to provide residential care or allied and supporting services for PATIENTS.

A hospital which provides high security psychiatric services in high security accommodation for PATIENTS liable to be detained in hospital under provisions of the Mental Health Act 1983, who require treatment under conditions of special security on account of their dangerous, violent or criminal propensities, must be part of an NHS trust approved by the Secretary of State for the purpose of providing such services.

Any establishment in which treatment or nursing (or both) are provided for persons liable to be detained under the Mental Health Act 1983 is a HOSPITAL SITE.

The site may or may not be classed as a NHS site.



This class is also known by these names:
ContextAlias
pluralHOSPITAL SITES


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HOSPITAL SITE

Change to Class: Change to Attributes

Attributes of this Class are:
OCCAD HOSPTIAL IDENTIFIER
DELIVERY FACILITIES AVAILABLE
OHIGH SECURITY PSYCHIATRIC ACCOMMODATION
   if approved high security accommodation provided on the hospital site
OHOSPITAL SITE TOTAL BEDS
   if not NHS site


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INDEPENDENT HEALTH CARE FACILITY

Change to Class: New Class

INDEPENDENT HEALTH CARE FACILITY

A category of independent health care establishment that is part of the INDEPENDENT HEALTH CARE REGISTRATION.

References:
National Care Standards Commission registration April 2002.



This class is also known by these names:
ContextAlias
pluralINDEPENDENT HEALTH CARE FACILITIES

Attributes of this Class are:
KINDEPENDENT HEALTH CARE FACILITY TYPE

Each INDEPENDENT HEALTH CARE FACILITY
Kmust be a facility of one and only one INDEPENDENT HEALTH CARE REGISTRATION


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INDEPENDENT HEALTH CARE REGISTRATION

Change to Class: New Class

INDEPENDENT HEALTH CARE REGISTRATION

A type of ORGANISATION SITE REGISTRATION.

This may be the registration of an independent hospital, an independent clinic or an independent medical agency which is not owned or managed by the NHS.

An independent hospital is an establishment the main purpose of which is to provide medical or psychiatric treatment for illness or mental disorder or palliative care; or in which any of the INDEPENDENT HEALTH CARE SERVICES are provided (whether or not other services are also provided).

It is also any establishment in which treatment or nursing (or both) is provided for persons liable to be detained under the Mental Health Act 1983.

An establishment must register as an independent hospital if it provides treatment under anaesthesia or sedation, even if this is on a day case basis. If the establishment does not provide overnight beds for any patient and does not provide treatment under general anaesthesia or sedation, then the establishment should be registered as an independent clinic.

An independent clinic is an establishment in which services are provided by medical HEALTH CARE PROFESSIONALS.

An independent medical agency is an undertaking which is not an independent clinic which consists of or includes the provision of services by medical HEALTH CARE PROFESSIONALS.

References:
National Care Standards Commission registration April 2002.



This class is also known by these names:
ContextAlias
pluralINDEPENDENT HEALTH CARE REGISTRATIONS

This class has no attributes.

Each INDEPENDENT HEALTH CARE REGISTRATION
may be established with one or more INDEPENDENT HEALTH CARE FACILITY
may be established with one or more INDEPENDENT HEALTH CARE SERVICE


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INDEPENDENT HEALTH CARE SERVICE

Change to Class: New Class

INDEPENDENT HEALTH CARE SERVICE

The type of service and numbers of patients intended to be provided as part of an INDEPENDENT HEALTH CARE REGISTRATION.

References:
National Care Standards Commission registration April 2002.



This class is also known by these names:
ContextAlias
pluralINDEPENDENT HEALTH CARE SERVICES

Attributes of this Class are:
KINDEPENDENT HEALTH CARE SERVICE CATEGORY
INDEPENDENT HEALTH CARE PATIENT NUMBER

Each INDEPENDENT HEALTH CARE SERVICE
Kmust be a service provided by one and only one INDEPENDENT HEALTH CARE REGISTRATION


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LEAVE OF ABSENCE

Change to Class: Change to Description

LEAVE OF ABSENCE only applies to PATIENTS liable to be detained in hospital under Part II of the Mental Health Act 1983 and as amended by the Mental Health (Patients in the Community) Act 1995.

The granting of LEAVE OF ABSENCE can only be authorised by the Responsible Medical Officer for the PATIENT. The granted period of absence from hospital may be indefinite, a specified occasion or for any specified period and be escorted or unescorted. Where leave is granted for a specified period, that period may be extended by further leave granted in absence of the PATIENT. If the period of leave is extended, the current LEAVE OF ABSENCE will be ended, and a new one started.

A LEAVE OF ABSENCE for a period up to a maximum of 28 days from the start date, will not interrupt the CONSULTANT EPISODE (HOSPITAL PROVIDER), NURSING HOME STAY (CONSULTANT CARE), NURSING HOME STAY (NURSING CARE) or RESIDENTIAL CARE OR GROUP HOME STAY. A LEAVE OF ABSENCE for a period greater than 28 days from the start date, will entail the PATIENT being discharged from the current HOSPITAL PROVIDER SPELL or NURSING HOME STAYS (NURSING CARE), or their RESIDENTIAL CARE OR GROUP HOME STAY being ended. A LEAVE OF ABSENCE for a period up to a maximum of 28 days from the start date, will not interrupt the CONSULTANT EPISODE (HOSPITAL PROVIDER), CARE HOME STAY (CONSULTANT CARE), CARE HOME STAY (NURSING CARE) or CARE HOME STAY (RESIDENTIAL). A LEAVE OF ABSENCE for a period greater than 28 days from the start date, will entail the PATIENT being discharged from the current HOSPITAL PROVIDER SPELL or CARE HOME STAYS (NURSING CARE), or their CARE HOME STAY (RESIDENTIAL) being ended.

During the LEAVE OF ABSENCE, the Responsible Medical Officer continues to be responsible for the organisation and management of the PATIENT's continuing health and social care needs.

If a PATIENT does not return by midnight on the day specified, then the LEAVE OF ABSENCE will be ended and a period of ABSENCE WITHOUT LEAVE started.



This class is also known by these names:
ContextAlias
pluralLEAVES OF ABSENCE


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LEGAL STATUS

Change to Class: Change to Description

The status required for any PATIENT who is formally detained under the Mental Health Act, or any PATIENT who is not formally detained, but has previously had a period of detention in the same HOSPITAL PROVIDER SPELL, or any PATIENT under the care of a CONSULTANT in the psychiatric specialties whether or not formally detained. The status required for any PATIENT who is formally detained under the Mental Health Act, or any PATIENT who is not formally detained, but has previously had a period of detention in the same HOSPITAL PROVIDER SPELL, or any PATIENT under the care of a CONSULTANT in the psychiatric specialties whether or not formally detained.

Any change in LEGAL STATUS CLASSIFICATION CODE requires a new LEGAL STATUS to be recorded.



This class is also known by these names:
ContextAlias
pluralLEGAL STATUSES


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LEGAL STATUS

Change to Class: Change to Attributes

Attributes of this Class are:
KLEGAL STATUS CLASSIFICATION CODE
KSTART DATE
OEND DATE
OEND TIME
LEGAL STATUS RESTRICTIVENESS
MENTAL CATEGORY
START TIME
   to be recorded if systems permit


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LEGAL STATUS

Change to Class: Change to Relationships

Each LEGAL STATUS
Kmust be recorded for one and only one PATIENT
must be related to one and only one LEGAL STATUS CLASSIFICATION


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LEGAL STATUS CLASSIFICATION

Change to Class: Deleted

Deleted
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MENTAL HEALTH CARE SPELL

Change to Class: Change to Description

A type of CARE SPELL.

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

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

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

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

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

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

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



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


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MENTAL NURSING HOME ADMITTED PATIENTS

Change to Class: Deleted

Deleted
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MENTAL NURSING HOME LEGAL STATUS CHANGE

Change to Class: Deleted

Deleted
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MENTAL NURSING HOME RESIDENTS

Change to Class: Deleted

Deleted
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MIDWIFE EPISODE

Change to Class: Change to Description

A continuous period of time a client (PATIENT) uses a bed or delivery facility as part of a HOSPITAL PROVIDER SPELL or NURSING HOME STAY (MIDWIFE CARE), under the direct care of a MIDWIFE. A continuous period of time a client (PATIENT) uses a bed or delivery facility as part of a HOSPITAL PROVIDER SPELL or CARE HOME STAY (MIDWIFE CARE), under the direct care of a MIDWIFE. This may be during a PREGNANCY EPISODE for the mother but may also be for a baby following a REGISTRABLE BIRTH.

The MIDWIFE with overall responsibility for a MIDWIFE EPISODE must be identified. If the responsible MIDWIFE changes then a new MIDWIFE or CONSULTANT EPISODE (HOSPITAL PROVIDER) begins. An intervention by a healthcare professional with responsibility for a particular procedure does not end the episode. The episode would end only if overall responsibility for the patient is transferred.

Jas's Test



This class is also known by these names:
ContextAlias
pluralMIDWIFE EPISODES


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MIDWIFE EPISODE

Change to Class: Change to Relationships

Each MIDWIFE EPISODE
Kmust be related to one and only one PATIENT
or must be within one and only one HOSPITAL PROVIDER SPELL
or must be within one and only one NURSING HOME STAY (MIDWIFE CARE)
must be within one and only one CARE HOME STAY (MIDWIFE CARE)
must be within one and only one HOSPITAL PROVIDER SPELL
must be related to one and only one MIDWIFE
may be related to one or more DAY CARE ATTENDANCE
may be related to one or more LABOUR AND DELIVERY
may be to one and only one PREGNANCY EPISODE
may be related to one and only one SERVICE PROVIDED


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NURSING EPISODE

Change to Class: Change to Description

A continuous period of residential nursing care for a client (PATIENT) given on site 24 hours a day, with a nominated NURSE responsible for and available to the client/patients in circumstances when the responsibility for medical care is provided by the PATIENT's own GMP. A continuous period of residential nursing care for a client (PATIENT) given on site 24 hours a day, with a nominated NURSE responsible for and available to the client/patients in circumstances when the responsibility for medical care is provided by the PATIENT's own GMP.

The NURSES with overall responsibility for a NURSING EPISODE must be identified. If the responsible NURSES changes then a new NURSING EPISODE begins.

During a NURSING EPISODE the PATIENT is either in a NURSING HOME or in one or more WARDS of a HOSPITAL SITE. During a NURSING EPISODE the PATIENT is either in a care home or in one or more WARDS of a HOSPITAL SITE. In some circumstances a PATIENT may take HOME LEAVE, or LEAVE OF ABSENCE for 28 days or less, or has a current period of ABSENCE WITHOUT LEAVE of 28 days or less, which does not interrupt the NURSING EPISODE.



This class is also known by these names:
ContextAlias
pluralNURSING EPISODES


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NURSING EPISODE

Change to Class: Change to Relationships

Each NURSING EPISODE
Kmust be related to one and only one PATIENT
must be if patient in hospital within one and only one HOSPITAL PROVIDER SPELL
or must be if patient in nursing home within one and only one NURSING HOME STAY (NURSING CARE)
must be if patient in nursing home within one and only one CARE HOME STAY (NURSING CARE)
or must be if patient in hospital within one and only one HOSPITAL PROVIDER SPELL
must be related to one and only one NURSE
may be related to one or more DAY CARE ATTENDANCE
may be if in hospital and as a result of an RTA, part of one and only one ROAD TRAFFIC ACCIDENT TREATMENT
may be related to one and only one SERVICE PROVIDED


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NURSING HOME

Change to Class: Deleted

Deleted
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NURSING HOME OPERATIONAL PLAN

Change to Class: Deleted

Deleted
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NURSING HOME STAY (CONSULTANT CARE)

Change to Class: Change to Name

NURSING HOME STAY (CONSULTANT CARE)
CARE HOME STAY (CONSULTANT CARE)


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NURSING HOME STAY (CONSULTANT CARE) renamed CARE HOME STAY (CONSULTANT CARE)

Change to Class: Change to Description

A period of time a PATIENT using a bed stays in one NURSING HOME with medical care the responsibility of a CONSULTANT. A period of time a PATIENT using a bed stays in one CARE HOME SITE with medical care the responsibility of a CONSULTANT who transferred the PATIENT to the care home. This is within a HOSPITAL PROVIDER SPELL.



This class is also known by these names:
ContextAlias
pluralNURSING HOME STAYS (CONSULTANT CARE)
pluralCARE HOME STAYS (CONSULTANT CARE)


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NURSING HOME STAY (CONSULTANT CARE) renamed CARE HOME STAY (CONSULTANT CARE)

Change to Class: Change to Attributes

Attributes of this Class are:
KSTART DATE
OEND DATE
This class has no attributes.


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NURSING HOME STAY (CONSULTANT CARE)

Change to Class: Change to Relationships

Each NURSING HOME STAY (CONSULTANT CARE) Each CARE HOME STAY (CONSULTANT CARE)
Kmust be related to one and only one HOSPITAL PROVIDER SPELL
must be the responsibility of one and only one CONSULTANT
must be related to one and only one HOSPITAL PROVIDER SPELL
must be related to one and only one NURSING HOME
may be provided as one and only one SERVICE PROVIDED


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NURSING HOME STAY (MIDWIFE CARE)

Change to Class: Change to Name

NURSING HOME STAY (MIDWIFE CARE)
CARE HOME STAY (MIDWIFE CARE)


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NURSING HOME STAY (MIDWIFE CARE) renamed CARE HOME STAY (MIDWIFE CARE)

Change to Class: Change to Description

A period of time that a PATIENT stays in one NURSING HOME with care provided during one or more MIDWIFE EPISODES. A period of time that a PATIENT stays in one [DELETED] with care provided during one or more MIDWIFE EPISODES.



This class is also known by these names:
ContextAlias
pluralNURSING HOME STAYS (MIDWIFE CARE)


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NURSING HOME STAY (MIDWIFE CARE) renamed CARE HOME STAY (MIDWIFE CARE)

Change to Class: Change to Attributes

Attributes of this Class are:
KSTART DATE
ADMINISTRATIVE CATEGORY
ODISCHARGE DESTINATION
OEND DATE
SOURCE OF ADMISSION


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NURSING HOME STAY (MIDWIFE CARE) renamed CARE HOME STAY (MIDWIFE CARE)

Change to Class: Change to Relationships

Each NURSING HOME STAY (MIDWIFE CARE) Each CARE HOME STAY (MIDWIFE CARE)
Kmust be related to one and only one PATIENT
must be related to one and only one NURSING HOME
may be related to one or more MIDWIFE EPISODE


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NURSING HOME STAY (NURSING CARE)

Change to Class: Change to Name

NURSING HOME STAY (NURSING CARE)
CARE HOME STAY (NURSING CARE)


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NURSING HOME STAY (NURSING CARE) renamed CARE HOME STAY (NURSING CARE)

Change to Class: Change to Description

A type of CARE HOME STAY.

A period of time that a PATIENT stays in one NURSING HOME with care provided, during that time, during one or more NURSING EPISODES. A period of time that a PATIENT stays in one care home with care provided, during that time, during one or more NURSING EPISODES.



This class is also known by these names:
ContextAlias
pluralNURSING HOME STAYS (NURSING CARE)
pluralCARE HOME STAYS (NURSING CARE)


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NURSING HOME STAY (NURSING CARE) renamed CARE HOME STAY (NURSING CARE)

Change to Class: Change to Attributes

Attributes of this Class are:
KSTART DATE
ADMINISTRATIVE CATEGORY
ODISCHARGE DESTINATION
OEND DATE
SOURCE OF ADMISSION


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NURSING HOME STAY (NURSING CARE) renamed CARE HOME STAY (NURSING CARE)

Change to Class: Change to Relationships

Each NURSING HOME STAY (NURSING CARE) Each CARE HOME STAY (NURSING CARE)
Kmust be related to one and only one PATIENT
must be related to one and only one NURSING HOME
must be related to one and only one SERVICE PROVIDED
may be related to one or more NURSING EPISODE


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ORGANISATION SITE

Change to Class: Change to Attributes

Attributes of this Class are:
KORGANISATION SITE CODE
OCENSUS DATE
OCOUNTY
OLASER SITE INDICATOR
   if classified as a Registered/Chartered site
OLOCAL AUTHORITY
OLOCAL AUTHORITY REGISTERED
   if registered under Part I of the Registered Homes Act 1984
OMENTAL HEALTH ACT REGISTERED
   if classified as a Registered/Chartered site
ORGANISATION SITE CLASSIFICATION
ORGANISATION SITE NAME
ORGANISATION SITE REGISTERED TYPE
ORGANISATION SITE TYPE
OPHARMACY INDICATOR
   if classified as a Registered/Chartered site
ORESIDENT MEDICAL PRACTITIONER INDICATOR
   if classified as a Registered/Chartered site
OSECURE ACCOMMODATION TYPE
   if entire site facilities are used for secure accommodation


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ORGANISATION SITE

Change to Class: Change to Relationships

Each ORGANISATION SITE
Kmust be operated and managed by one and only one ORGANISATION
must be a site with one and only one ADDRESS ASSOCIATION
may be related to one or more LOCATION
may be related to one or more MENTAL NURSING HOME LEGAL STATUS CHANGE
may be related to one or more ORGANISATION SITE BED AVAILABILITY
may be related to one or more ORGANISATION SITE BED OCCUPANCY
may be registered by one or more ORGANISATION SITE REGISTRATION
may be related to one or more OUT-PATIENT ATTENDANCE CONSULTANT
may be related to one or more PROFESSIONAL STAFF GROUP CONTACT
may be reported as having one or more REGISTERED SITE BED OCCUPANCY
may be a registered site which has one or more REGISTERED SITE INSPECTION
may be registered for one or more REGISTERED SITE INTENDED BED USE
may be related to one or more REGISTERED SITE NURSES IN POST
may be related to one or more RESIDENTIAL CARE OR GROUP HOME STAY
may be related to one or more RIGHT OF ADMISSION
may be related to one or more SERVICE POINT


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ORGANISATION SITE BED AVAILABILITY

Change to Class: Change to Description

The record of a number of bed days available in a NURSING HOME, RESIDENTIAL CARE HOME or GROUP HOME during a period of time.

The number of bed days available in an ORGANISATION SITE during a period of time.



This class is also known by these names:
ContextAlias
pluralORGANISATION SITE BED AVAILABILITIES


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ORGANISATION SITE BED OCCUPANCY

Change to Class: Change to Description

The record of a number of bed days occupied in a NURSING HOME, RESIDENTIAL CARE HOME or GROUP HOME during a period of time.

The number of bed days occupied in an ORGANISATION SITE during a period of time.



This class is also known by these names:
ContextAlias
pluralORGANISATION SITE BED OCCUPANCIES


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ORGANISATION SITE REGISTRATION

Change to Class: Change to Description

A registration of a voluntary or private ORGANISATION SITE registered under Section 23 of Part II of the Registered Homes Act 1984. An ORGANISATION SITE may have several registrations but only one registration per classification. A registration of an ORGANISATION SITE with the National Care Standards Commission (NCSC) under the Care Standards Act 2000.


This may be a residential or nursing home, children's home, private and voluntary hospital or clinic, residential family centre, domiciliary care agency, nurses agency, a fostering agency, an adoption agency or other establishment registration.

A residential family centre is an establishment at which;
- accommodation is provided for children and their parents
- the parents' capacity to respond to the children's needs and to safeguard their welfare is monitored or assessed, and
- the parents are given such advice, guidance or counselling as is considered necessary.

A domiciliary care agency is an undertaking which consists of or includes arranging the provision of personal care in their own homes for persons who by reason of illness, infirmity or disability are unable to provide it for themselves without assistance.

A fostering agency is an undertaking which discharges functions of Local Authorities in connection with the placing of children with foster parents or a voluntary organisation which places children with foster parents under section 59(1) of the Children Act 1989.

A nurses agency is an employment agency or employment business which supplies, or provides services for the purpose of supplying, NURSES.



This class is also known by these names:
ContextAlias
pluralORGANISATION SITE REGISTRATIONS


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PATIENT

Change to Class: Change to Relationships

Each PATIENT
may be absent for one or more ABSENCE WITHOUT LEAVE
may be related to one or more ACCIDENT AND EMERGENCY EPISODE
may be the subject of one or more CANCER CARE SPELL
may be subject to one or more CARE HOME STAY
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


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REGISTERED SITE BED OCCUPANCY

Change to Class: Deleted

Deleted
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REGISTERED SITE INSPECTION

Change to Class: Deleted

Deleted
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REGISTERED SITE INTENDED BED USE

Change to Class: Deleted

Deleted
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REGISTERED SITE NURSES IN POST

Change to Class: Deleted

Deleted
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RESIDENTIAL CARE HOME

Change to Class: Deleted

Deleted
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RESIDENTIAL CARE OR GROUP HOME PLAN

Change to Class: Deleted

Deleted
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RESIDENTIAL CARE OR GROUP HOME STAY

Change to Class: Change to Name

RESIDENTIAL CARE OR GROUP HOME STAY
CARE HOME STAY (RESIDENTIAL)


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RESIDENTIAL CARE OR GROUP HOME STAY renamed CARE HOME STAY (RESIDENTIAL)

Change to Class: Change to Super Type, Change to Description, Change to Description

A period of time a PATIENT is resident in a RESIDENTIAL CARE HOME or GROUP HOME. A type of CARE HOME STAY.

A period of time a PATIENT is resident in a care home. Residential accommodation provides board to the residents. Such premises are provided for vulnerable persons (eg children, the elderly, the physically disabled, those with dependence on alcohol/drugs and those with learning disabilities or who are mentally ill) who require on-going care and supervision in the circumstances where nursing care would normally be inappropriate.



This class is also known by these names:
ContextAlias
pluralRESIDENTIAL CARE OR GROUP HOME STAYS
pluralCARE HOME STAYS (RESIDENTIAL)


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RESIDENTIAL CARE OR GROUP HOME STAY renamed CARE HOME STAY (RESIDENTIAL)

Change to Class: Change to Attributes

Attributes of this Class are:
KSTART DATE
BROAD PATIENT GROUP
OEND DATE


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RESIDENTIAL CARE OR GROUP HOME STAY renamed CARE HOME STAY (RESIDENTIAL)

Change to Class: Change to Relationships

Each RESIDENTIAL CARE OR GROUP HOME STAY
This class has no relationships.
Kmust be related to one and only one PATIENT
must be staying at one and only one ORGANISATION SITE
may be provided as one and only one SERVICE PROVIDED


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RIGHT OF ADMISSION

Change to Class: Change to Description

An arrangement by a HEALTH CARE PROVIDER giving Medical or Nursing Staff the right to admit a PATIENT to a hospital bed or NURSING HOME. An arrangement by a HEALTH CARE PROVIDER giving Medical or Nursing Staff the right to admit a PATIENT to a hospital bed or ORGANISATION SITE.



This class is also known by these names:
ContextAlias
pluralRIGHTS OF ADMISSION


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SERVICE PROVIDED

Change to Class: Change to Relationships

Each SERVICE PROVIDED
Kmust be a treatment or service provided by one and only one HEALTH CARE PROVIDER
may be part of one and only one HEALTH PROGRAMME
or may be related to one and only one SURVEILLANCE PROGRAMME STAGE
may be related to one or more GROUP SESSION
or may be related to one or more HEALTH PROMOTION OTHER ACTIVITY
or may be related to one or more PERSON IN A CONTACT TRACING PROGRAMME
or may be related to one or more PERSON IN A SCREENING PROGRAMME
may be related to one or more ACCIDENT AND EMERGENCY DEPARTMENT
may be related to one or more ACCIDENT AND EMERGENCY EPISODE
may be related to one or more ADMINISTRATIVE CATEGORY IN EPISODE
may be related to one or more ADMINISTRATIVE CATEGORY IN SPELL
may be related to one or more AMBULANCE SERVICE
may be provided as one or more ANTI-CANCER DRUG PROGRAMME
may be related to one or more AUDIOLOGY ATTENDANCE
may be provided as one or more CARE HOME STAY
may be provided within one and only one CARE PLAN
may be provided as one or more CARE PROGRAMME APPROACH EPISODE
may be for care responsibility part of one and only one CARE SPELL
may be related to one or more CLINICAL INTERVENTION
may be related to one or more CLINIC ATTENDANCE NON-CONSULTANT
may be related to one or more COMMUNITY EPISODE
may be provided as one or more CONSULTANT EPISODE (ACUTE HOME-BASED)
may be related to one or more CONSULTANT EPISODE (HOSPITAL PROVIDER)
may be provided as one or more CONSULTANT OUT-PATIENT EPISODE
may be related to one or more DENTAL EPISODE
may be related to one or more DENTAL STAFF MEMBER IN PROGRAMME
may be related to one or more DOMICILIARY CONSULTATION
may be related to one or more DRUG MISUSE EPISODE
may be related to one or more ELECTIVE ADMISSION LIST ENTRY
may be related to one or more FACE TO FACE CONTACT OPTICAL
may be provided as one or more FACE TO FACE CONTACT SOCIAL WORKER
may be related to one or more FAMILY PLANNING DOMICILIARY VISIT
may be related to one or more HEALTH PROMOTION ACTIVITY HIV AND AIDS
may be related to one or more HEALTHY PERSON STAY
may be related to one or more HOME ASSESSMENT VISIT
may be related to one or more HOME DIALYSIS EPISODE
may be provided as one or more HOME HELP VISIT
may be related to one or more IMMUNISATION PROGRAMME FOR PERSON
may be related to one or more LABOUR AND DELIVERY
may be related to one or more LITHOTRIPSY COURSE ATTENDANCE
may be provided in one and only one LOCATION
may be related to one or more MATERNITY DOMICILIARY VISIT
may be related to one or more MIDWIFE EPISODE
may be related to one or more NHS SERVICE AGREEMENT CHANGE
may be related to one or more NURSE OR MIDWIFE CONTACT
may be related to one or more NURSING EPISODE
may be provided as one or more NURSING HOME STAY (CONSULTANT CARE)
may be related to one or more NURSING HOME STAY (NURSING CARE)
may be related to one or more OUT-PATIENT CLINIC
may be related to one or more OVERSEAS VISITOR STATUS
may be provided as one or more PALLIATIVE CARE EPISODE
may be related to one or more PATIENT JOURNEY
may be related to one or more PERSON IN ADVICE AND SUPPORT PROGRAMME
may be related to one or more PERSON IN A SURVEILLANCE STAGE
may be related to one or more PERSON OBSERVATION
may be providing one or more PERSON SMOKING CESSATION EPISODE
may be related to one and only one PLANNED CANCER TREATMENT
may be related to one or more POST MORTEM
may be related to one or more PROFESSIONAL STAFF GROUP EPISODE
may be related to one or more PROFESSIONAL STAFF GROUP SERVICE
may be related to one or more RADIOTHERAPY TREATMENT COURSE
may be initiated by one and only one REFERRAL REQUEST
may be provided as one or more REGULAR ATTENDER EPISODE
may be related to one or more REQUEST FOR DIAGNOSTIC TEST
may be provided as one or more RESIDENTIAL CARE OR GROUP HOME STAY
may be subdivided into one or more SERVICE PROVIDED
may be a subdivision of one SERVICE PROVIDED
may be related to one or more SERVICE PROVIDED UNDER AGREEMENT
may be provided at one or more SERVICE PROVISION POINT
may be related to one or more SERVICE REPORTED
may be reported by one and only one SERVICE REPORT HEADER
may be provided as one or more SHELTERED WORK ATTENDANCE
may be part of one and only one SMOKING CESSATION SERVICE
may be provided as one or more SOCIAL SERVICES STATUTORY ASSESSMENT
may be related to one or more VASECTOMY PERFORMED
may be related to one or more WARD ATTENDANCE
may be related to one or more WARD STAY


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AGE GROUP INTENDED

Change to Attribute: Change to Description

The age group of patients intended to use a WARD or NURSING HOME indicated in the operational plans. The age group of patients intended to use a WARD indicated in the operational plan.

Classification:
a. Neonates
b. Children and/or adolescents
c. Elderly
d. Any age



This attribute is also known by these names:
ContextAlias
pluralAGE GROUPS INTENDED


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CARE HOME SERVICE CATEGORY

Change to Attribute: New Attribute

CARE HOME SERVICE CATEGORY

A category of service to be provided by a care home.

National Codes:
PC Care home providing personal care
N Care home providing nursing
AP Care home providing adult placement
NM Care home not providing medicines or medical treatment

References:
National Care Standards Comission registration April 2002.


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CARE HOME SERVICE USER NUMBER OVER 65

Change to Attribute: New Attribute

CARE HOME SERVICE USER NUMBER OVER 65

The intended number of a particular CARE HOME SERVICE USER TYPE who will be over 65 years of age.

References:
National Care Standards Commission registration April 2002.


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CARE HOME SERVICE USER NUMBER UNDER 65

Change to Attribute: New Attribute

CARE HOME SERVICE USER NUMBER UNDER 65

The intended number of a particular CARE HOME SERVICE USER TYPE who will be under 65 years of age.

References:
National Care Standards Commission registration April 2002.


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CARE HOME SERVICE USER TYPE

Change to Attribute: New Attribute

CARE HOME SERVICE USER TYPE

A type of user who will be provided for by a care home.

National Codes:
DE Dementia
MD Mental disorder, excluding learning disability or dementia
LD Learning disability
PD Physical disability
D Past or present drug dependence
A Past or present alcohol dependence
TI Terminally ill
SI Sensory impairment
OP Old age, not falling within any of the categories above

References:
National Care Standards Comission registration April 2002.


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CARER SUPPORT INDICATOR

Change to Attribute: Change to Description

An indication of whether or not carer support is available to the PATIENT at their normal residence. This does not include any paid support or support from a voluntary organisation, unless the PATIENT is normally resident in a NURSING HOME, GROUP HOME or RESIDENTIAL CARE HOME. This does not include any paid support or support from a voluntary organisation, unless the PATIENT is normally resident in a care home.

National Codes:
01 Yes
02 No



This attribute is also known by these names:
ContextAlias
pluralCARER SUPPORT INDICATORS


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CHILDRENS HOME SERVICE CATEGORY

Change to Attribute: New Attribute

CHILDRENS HOME SERVICE CATEGORY

A category of service to be provided bya children's home.

National Codes:
CH Children's Home (not in any of the categories below)
SU Children's Home with a Secure Unit
HH Half-way House Children's Home (for children aged 16 or over)
SCH Residential Special School (accommodating any child over 295 days a year)
SCB Boarding School (other than a special school - accommodating any child over 295 days a year)

References:
National Care Standards Comission registration April 2002.


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CHILDRENS HOME SERVICE USER TYPE

Change to Attribute: New Attribute

CHILDRENS HOME SERVICE USER TYPE

A type of user who will be provided for by a children's home.

National Codes:
X Children (with none of the following conditions)
EBD Children with emotional or behavioural difficulties
PD Children with physical disabilities
LD Children with learning disabilities disability
MD Children with mental disorders, excluding learning disability
D Children with present drug dependence
A Children with present alcohol dependence
SI Children with sensory impairment

References:
National Care Standards Comission registration April 2002.


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COUNTY

Change to Attribute: Deleted

Deleted
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DELIVERY FACILITIES AVAILABLE

Change to Attribute: Change to Description

An indication of whether or not delivery facilities are available at HOSPITAL SITES or NURSING HOMES. An indication of whether or not delivery facilities are available at the HOSPITAL SITE or CARE HOME SITE.

Classification:
a. Yes
b. No



This attribute is also known by these names:
ContextAlias
pluralDELIVERY FACILITIES AVAILABLE


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DISCHARGE DESTINATION

Change to Attribute: Change to Description

The destination of a patient on completion of a HOSPITAL PROVIDER SPELL, or a note that the patient died or was a still birth.

National Codes:
19 Usual place of residence unless listed below, for example, a private dwelling whether owner occupied or owned by local authority, housing association or other landlord. This includes wardened accommodation but not residential accommodation where health care is provided. It also includes patients with no fixed abode.
29 Temporary place of residence when usually resident elsewhere (includes hotel, residential educational establishment)
30 Repatriation from high security psychiatric accommodation in an NHS hospital provider (NHS trust)
37 Court
38 Penal establishment or police station
48 High Security Psychiatric Hospital, Scotland
49NHS hospital provider - high security psychiatric accommodation
50 NHS hospital provider - medium secure unit
51 NHS hospital provider - ward for general patients or the younger physically disabled
52 NHS hospital provider - ward for maternity patients or neonates
53 NHS hospital provider - ward for patients who are mentally ill or have learning disabilities
54 NHS run NURSING HOME, RESIDENTIAL CARE HOME or GROUP HOME
54 NHS run care home
65 Local Authority Part 3 residential accommodation ie where care is provided
65 Local Authority residential accommodation ie where care is provided
66 Local Authority foster care but not in Part 3 residential accommodation
66 Local Authority foster care
79 Not applicable - patient died or still birth
84 Non-NHS run hospital - medium secure unit
85 Non-NHS (other than Local Authority) run RESIDENTIAL CARE HOME
85 Non-NHS (other than Local Authority) run care home
86 Non-NHS (other than Local Authority) run NURSING HOME
87 Non-NHS run hospital
88 Non-NHS (other than Local Authority) run Hospice



This attribute is also known by these names:
ContextAlias
pluralDISCHARGE DESTINATIONS


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FULL-TIME AGENCY OR BANK STAFF

Change to Attribute: Deleted

Deleted
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FULL-TIME PERMANENT STAFF IN POST

Change to Attribute: Deleted

Deleted
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HOSPITAL SITE TOTAL BEDS

Change to Attribute: Deleted

Deleted
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INDEPENDENT HEALTH CARE FACILITY TYPE

Change to Attribute: New Attribute

INDEPENDENT HEALTH CARE FACILITY TYPE

The type of facility to be provided as part of the INDEPENDENT HEALTH CARE REGISTRATION.

National Codes:
IH Independent Hospital - an establishment which provides treatment under anaesthesia or sedation, even if this is on a day case basis
IC Independent Clinic - an establishment which does not provide overnight beds for any patient and does not provide treatment under general anaesthesia or sedation
IMA Independent Medical Agency

References: National Care Standards Commission registration April 2002.


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INDEPENDENT HEALTH CARE PATIENT NUMBER

Change to Attribute: New Attribute

INDEPENDENT HEALTH CARE PATIENT NUMBER

The normal complement of PATIENTS to be provided for with an INDEPENDENT HEALTH CARE SERVICE.

References:
National Care Standards Commisssion registration April 2002.


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INDEPENDENT HEALTH CARE SERVICE CATEGORY

Change to Attribute: New Attribute

INDEPENDENT HEALTH CARE SERVICE CATEGORY

A category of service to be provided as part of the INDEPENDENT HEALTH CARE REGISTRATION.

National Codes:
AH Acute hospital (with overnight beds)
AD(DS) Acute hospital (day surgery only)
MH Mental Health treatment establishment, not including those where people are liable to be detained
MH(D) Mental Health establishment taking people liable to be detained
H(A) Hospice for adults
H(C) Hospice for children
MC Maternity hospital/clinic
TOP Abortion clinic
PD(M) Private doctor - walk in medical centres
PD(IMA) Private doctor - independent medical agencies
PD Private doctor - (other)
PT(L) Establishment using Class 3B or Class 4 lasers
PT(IL) Establishment using intense light sources
PT(D) Establishment providing dialysis
PT(E) Establishment using endoscopy
PT(IVF) Establishment providing in vitro fertilisation
PT(HBO) Establishment providing hyperbaric oxygen treatment

References: National Care Standards Commission registration April 2002.


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INSPECTION DATE

Change to Attribute: Deleted

Deleted
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INTENDED BED DAYS NHS PATIENTS

Change to Attribute: Deleted

Deleted
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INTENDED BED DAYS NON-NHS PATIENTS

Change to Attribute: Deleted

Deleted
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LASER SITE INDICATOR

Change to Attribute: Deleted

Deleted
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LEGAL STATUS CHANGE QUANTITY

Change to Attribute: Deleted

Deleted
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LEGAL STATUS CLASSIFICATION CODE

Change to Attribute: Change to Description

A classification of LEGAL STATUS CLASSIFICATION. A classification of LEGAL STATUS. 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



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


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LOCAL AUTHORITY

Change to Attribute: Deleted

Deleted
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LOCAL AUTHORITY REGISTERED

Change to Attribute: Deleted

Deleted
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MAIN PRE-ANNOUNCED INSPECTION

Change to Attribute: Deleted

Deleted
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MENTAL HEALTH ACT REGISTERED

Change to Attribute: Deleted

Deleted
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MENTAL NURSING HOME ADMISSIONS FEMALE

Change to Attribute: Deleted

Deleted
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MENTAL NURSING HOME ADMISSIONS MALE

Change to Attribute: Deleted

Deleted
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MENTAL NURSING HOME INDICATOR

Change to Attribute: Deleted

Deleted
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NON-NHS COMMUNITY BED USE

Change to Attribute: Change to Description

An indication of whether or not a patient's care plan, established during a CARE PROGRAMME APPROACH REVIEW, includes stays in residential care facilities which are not funded by the NHS. Such facilities include NURSING HOMES, RESIDENTIAL CARE HOMES, GROUP HOMES, residential drug and alcohol treatment units and short stay crisis hostels. Such facilities include care homes, residential drug and alcohol treatment units and short stay crisis hostels. Stays which are for periods of planned respite care should not be included.

Classification:
a. Yes
b. No



This attribute is also known by these names:
ContextAlias
pluralNON-NHS COMMUNITY BED USES


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NUMBER OF REGISTERED BEDS

Change to Attribute: Deleted

Deleted
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ORGANISATION SITE CLASSIFICATION

Change to Attribute: Change to Description

The classification of the ORGANISATION SITE for health care services.

Classification: National Codes:
a. NHS Site
A site operated and managed by a NHS organisation, the site must be owned or leased by the NHS organisation. Documents, such as lease documents and deeds, will be supported by the estate terrier. Places which are used on a temporary or regular basis, such as school halls, but are not registered on the estate terrier cannot be classified as a NHS Site.
01 NHS Site
A site operated and managed by a NHS organisation, the site must be owned or leased by the NHS organisation. Documents, such as lease documents and deeds, will be supported by the estate terrier. Places which are used on a temporary or regular basis, such as school halls, but are not registered on the estate terrier cannot be classified as a NHS Site.
b. Registered/Chartered Site - Hospital or Clinic
A voluntary or private site where health care services are provide. This is a site that is registered under Section 23 of Part II of the Registered Homes Act 1984 or a site of an institution incorporated by Royal Charter. This includes all private premises used as hospitals, abortion clinics and any other premises used or intended to be used for: surgical procedures under anaesthesia, pregnancy termination, endoscopy, haemodialysis or peritoneal dialysis and treatment by 'specially controlled techniques'. Treatment by specially controlled techniques includes certain types of laser treatment and any other treatment designated by the Secretary of State to be a potential hazard to patients or staff. A Registered/ Chartered Hospital or Clinic Site excludes all premises controlled by a government department or local authority.
02 Care Standards Registered Site
A site that is registered with the National Care Standards Commission (NCSC) under the Care Standards Act 2000.
c. Registered/Chartered Site - Nursing Home
A voluntary or private site that is registered under Section 23 of Part II of the Registered Homes Act 1984 to be used as a NURSING HOME or mental NURSING HOME. A Registered Nursing Home Site excludes all premises controlled by a government department or local authority.
03 Non NHS/Non Registered Sites.
This includes Residential Special Schools and Boarding Schools.
d. Registered/Chartered Site - Residential Care Home
A voluntary or private site that is registered under Section 1 of Part I of the Registered Homes Act 1984 to be used as a RESIDENTIAL CARE HOME. A Registered Residential Care Home Site excludes all premises controlled by a government department or local authority.
e. Non NHS/Non Registered Sites.
This includes RESIDENTIAL CARE HOMES or GROUP HOMES run by Local Authorities under Part III of the 1948 National Assistance Act.
f. Other
04 Other



This attribute is also known by these names:
ContextAlias
pluralORGANISATION SITE CLASSIFICATIONS


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ORGANISATION SITE REGISTERED TYPE

Change to Attribute: Change to Description

The category of a voluntary or private ORGANISATION SITE when registered under Section 23 of Part II of the Registered Homes Act 1984. These will include general NURSING HOMES, mental NURSING HOMES and HOSPITAL SITES. The category of ORGANISATION SITE REGISTRATION.

Classification: National Codes:
a. General nursing
01 Care Home
b. People with learning disabilities
02 Children's Home
c. Mental health nursing
03 Independent Health Care (Independent Hospital, Independent Clinic and Independent Medical Agency)
d. Specialist nursing
04 Residential Family Centre
e. Maternity
05 Domiciliary Care Agency
f. Specialist mental health nursing
06 Nurses Agency
g. General specialties
07 Fostering Agency
h. Other
08 Voluntary Adoption Agency
09 Adoption Support Agency
90 Other



This attribute is also known by these names:
ContextAlias
pluralORGANISATION SITE REGISTERED TYPES


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ORGANISATION SITE REGISTRATION DATE

Change to Attribute: Change to Description

The date on which a registration under Section 23 of Part II Registered Homes Act 1984 for a NURSING HOME or HOSPITAL SITE took place. The date on which an ORGANISATION SITE REGISTRATION took place with the National Care Standards Commission (NCSC) under the Care Standards Act 2000.



This attribute is also known by these names:
ContextAlias
pluralORGANISATION SITE REGISTRATION DATES


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ORGANISATION SITE TYPE

Change to Attribute: Deleted

Deleted
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PART-TIME AGENCY OR BANK STAFF

Change to Attribute: Deleted

Deleted
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PART-TIME PERMANENT STAFF IN POST

Change to Attribute: Deleted

Deleted
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PART-TIME WTE AGENCY OR BANK STAFF

Change to Attribute: Deleted

Deleted
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PART-TIME WTE PERMANENT IN POST

Change to Attribute: Deleted

Deleted
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PHARMACY INDICATOR

Change to Attribute: Deleted

Deleted
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PROVIDING CARE TO CHILDREN

Change to Attribute: New Attribute

PROVIDING CARE TO CHILDREN

An indication of whether the care home is providing accommodation, nursing or personal care to children aged 16-17.

National Codes:
Y Yes
N No

References:
National Care Standards Commission registration April 2002.


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REGISTERED SITE BEDS OCCUPIED

Change to Attribute: Deleted

Deleted
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REGISTERED SITE PATIENT AGE GROUP

Change to Attribute: Deleted

Deleted
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REGISTERED SITE PATIENT GROUP

Change to Attribute: Deleted

Deleted
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REGISTERED SITE PATIENT TYPE

Change to Attribute: Deleted

Deleted
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RESIDENT MEDICAL PRACTITIONER INDICATOR

Change to Attribute: Deleted

Deleted
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RESIDENTS FEMALES DETAINED

Change to Attribute: Deleted

Deleted
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RESIDENTS FEMALES NOT DETAINED

Change to Attribute: Deleted

Deleted
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RESIDENTS MALES DETAINED

Change to Attribute: Deleted

Deleted
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RESIDENTS MALES NOT DETAINED

Change to Attribute: Deleted

Deleted
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SEX OF PATIENTS

Change to Attribute: Change to Description

The sex of patients intended to use a WARD or NURSING HOME indicated in the operational plans. The sex of patients intended to use a WARD indicated in the operational plans.

Classification:
a. Males
b. Females
c. Either sex



This attribute is also known by these names:
ContextAlias
pluralSEX OF PATIENTS


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SOURCE OF ADMISSION

Change to Attribute: Change to Description

The coded source of admission to a HOSPITAL PROVIDER SPELL or a NURSING EPISODE when the PATIENT is in a NURSING HOME. The coded source of admission to a HOSPITAL PROVIDER SPELL or a NURSING EPISODE when the PATIENT is in a HOSPITAL SITE or a CARE HOME SITE.

National Codes:
19 Usual place of residence unless listed below, for example, a private dwelling whether owner occupied or owned by local authority, housing association or other landlord. This includes wardened accommodation but not residential accommodation where health care is provided. It also includes patients with no fixed abode.
29 Temporary place of residence when usually resident elsewhere (e.g. hotels, residential educational establishments)
39 Penal establishment, Court, or police station
49NHS hospital provider - high security psychiatric accommodation in an NHS hospital provider (NHS trust)
51 NHS hospital provider - ward for general patients or the younger physically disabled or A & E department
52 NHS hospital provider - ward for maternity patients or neonates
53 NHS hospital provider - ward for patients who are mentally ill or have learning disabilities
54 NHS run NURSING HOME, RESIDENTIAL CARE HOME or GROUP HOME
54 NHS run care home
65 Local Authority Part 3 residential accommodation ie where care is provided
65 Local Authority residential accommodation ie where care is provided
66 Local Authority foster care but not in Part 3 residential accommodation
66 Local Authority foster care
79 Babies born in or on the way to hospital
85 Non-NHS (other than Local Authority) run RESIDENTIAL CARE HOME
85 Non-NHS (other than Local Authority) run care home
86 Non-NHS (other than Local Authority) run NURSING HOME
87 Non NHS run hospital
88 Non-NHS (other than Local Authority) run Hospice



This attribute is also known by these names:
ContextAlias
pluralSOURCE OF ADMISSIONS


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ADMISSIONS (MENTAL HEALTH)

Change to Data Element: Change to Description

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

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

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

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



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


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BED DAYS (MENTAL HEALTH)

Change to Data Element: Change to Description

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

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

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

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

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

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

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



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


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BED DAYS (MENTAL HEALTH INTENSIVE)

Change to Data Element: Change to Description

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

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

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

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

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

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

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



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


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BED DAYS (MENTAL HEALTH MEDIUM SECURE)

Change to Data Element: Change to Description

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

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

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

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

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

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

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



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


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BED DAYS (MENTAL HEALTH NHS COMMUNITY CARE)

Change to Data Element: Change to Description

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

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

a. one or more NURSING HOME STAY (NURSING CARE) and/or RESIDENTIAL CARE OR GROUP HOME STAY within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
a. one or more CARE HOME STAY (NURSING CARE) and/or CARE HOME STAY (RESIDENTIAL) 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
c. where the CARE HOME SITE is operated and managed by an NHS ORGANISATION as classified by ORGANISATION TYPE

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

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

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

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



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


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COMMUNITY SURVIVAL TIMES LIST (MENTAL HEALTH)

Change to Data Element: Change to Description

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

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

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

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

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

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

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

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

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



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


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DISCHARGES (MENTAL HEALTH)

Change to Data Element: Change to Description

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

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

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


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FIRST CONTACT TIMES LIST (MENTAL HEALTH)

Change to Data Element: Change to Description

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

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

a. a PROFESSIONAL STAFF GROUP CONTACT with PROFESSIONAL STAFF GROUP TYPE classification of b. ‚¨‹Clinical Psychology‚¨", d. ‚¨‹Occupational Therapy‚¨" or e. ‚¨‹Physiotherapy‚¨"
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‚¨"
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‚¨"
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
e. a DAY CARE ATTENDANCE with DAY CARE FUNCTION classification e. 'Mental Illness'
or
f. a CONSULTANT EPISODE (HOSPITAL PROVIDER) where the main CONSULTANT SPECIALTY FUNCTION of the CONSULTANT is for an adult or mental illness SPECIALTY FUNCTION. The adult or mental illness SPECIALTY FUNCTION being 700, 710,712, 713 and 715.
or
g. a NURSING HOME STAY (CONSULTANT CARE) where the main CONSULTANT SPECIALTY FUNCTION of the CONSULTANT is for an adult or mental illness SPECIALTY FUNCTION. The adult or mental illness SPECIALTY FUNCTION being 700, 710,712, 713 and 715.

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

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

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



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


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HOSPITAL STAYS LIST (MENTAL HEALTH)

Change to Data Element: Change to Description

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

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

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

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

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

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



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


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MENTAL HEALTH CARE AND LEGAL STATUS HISTORY

Change to Data Element: Change to Description

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

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

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

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



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


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RESIDENTIAL MH NON-NHS COMMUNITY CARE INDICATOR

Change to Data Element: Change to Description

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

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

a. one or more NURSING HOME STAY (CONSULTANT CARE) and/or RESIDENTIAL CARE OR GROUP HOME STAY within the MENTAL HEALTH CARE SPELL has occurred during the REPORTING PERIOD
a. one or more CARE HOME STAY (NURSING CARE) and/or CARE HOME STAY (RESIDENTIAL) 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 HOME or GROUP HOME is operated and managed by a Non-NHS ORGANISATION as classified by ORGANISATION TYPE.
c. where the CARE HOME SITE 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 HOME or GROUP HOME occurred during the REPORTING PERIOD
0 no stays in a Non-NHS care home occurred during the REPORTING PERIOD
1 one or more stays in a Non-NHS NURSING HOME, RESIDENTIAL CARE HOME or GROUP HOME occurred during the REPORTING PERIOD
1 one or more stays in a Non-NHS care home occurred during the REPORTING PERIOD



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


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RH(N)

Change to Central Return: Deleted

Deleted
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KH03 4

Change to Central Return Form: Change to Guidance Text

Central Return Form Guidance

KH03 - Bed Availability and Occupancy

    Part 3 Residential Care
  1. Part 3 of the return asks for information on available and occupied bed days in NHS-managed residential care, that is, NURSING HOMES, RESIDENTIAL CARE HOMES and Group Homes that are directly managed by the NHS, subdivided by BROAD PATIENT GROUP of Patients with mental illness, Patients with learning disabilities and then any other.
  1. Part 3 of the return asks for information on available and occupied bed days in NHS-managed residential care, that is, care homes that are directly managed by the NHS, subdivided by BROAD PATIENT GROUP of Patients with mental illness, Patients with learning disabilities and then any other.
    Part 4 Wards open day only, and day cases treated in Wards open overnight
  1. Part 4 of the return asks for information on the number of available and occupied bed days in WARDS open during the day only. The first category is WARDS with a WARD DAY NIGHT INDICATOR of Open only during the day and AGE GROUP INTENDED of Neonates or Children and/or adolescents and the second is with an AGE GROUPS INTENDED of Any age.
  2. There is also a heading for the WARD LISTING TOTAL DAY CASE treated in WARDS open overnight.

    The final line in Part 4 requires a total of WARD LISTING TOTAL DAY CASE treated in WARDS where the WARD OPERATIONAL PLAN has a WARD DAY NIGHT INDICATORS of Only open overnight or Open 24 hours.

    For the purposes of recording occupied bed days in WARDS Open only during the day, an occupied bed day is defined as a bed which has been used for at least one day case admission during the day.


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KP90 3

Change to Central Return Form: Change to Guidance Text

Central Return Form Guidance

KP90 - Admissions, Changes in Status and Detentions under the Mental Health Act

Changes in Status Under the Mental Health Act and Patients Resident as at 31 March

    Part 3: Number of changes during the year

  1. Part 3 requests the number of informal and detained PATIENTS in hospital or at the point of discharge whose LEGAL STATUS CLASSIFICATION CODE changed during the year ending 31 March, by type of change.

    Change and Number of changes

  1. A MENTAL NURSING HOME LEGAL STATUS CHANGE summarises the number of times PATIENTS have changed LEGAL STATUS during the year. Numbers are classified by the combination of their previous LEGAL STATUS CLASSIFICATION CODE and the new classification.

  1. The number of changes of LEGAL STATUS for PATIENTS is derived from the dates of the CARE HOME STAYS or HOSPITAL STAYS that have occurred during the year and START DATE of each LEGAL STATUS for that period. Numbers are classified by the combination of their previous LEGAL STATUS CLASSIFICATION CODE and the new classification.

  1. For each Legal Status change described, enter the LEGAL STATUS CHANGE QUANTITY that occurred during the year. All changes not specifically described should be aggregated under the All 'other'' changes row.

  1. For each Legal Status change described, enter the number of LEGAL STATUS changes that occurred during the year. All changes not specifically described should be aggregated under the All 'other'' changes row.

  1. Changes from Section 136 refer only to those PATIENTS whose place of detention was a hospital.

  1. Note that changes from detention under a Section to informal status should include those who have remained in hospital as informal PATIENTS and those who were discharged from hospital at the point where they were no longer liable to detention and those whose status lapsed.

    Part 4: Number of Informal and Detained Patients Resident as at 31 March

  1. Part 4 requests the number of informal and detained Patients resident as at 31 March, by LEGAL STATUS CLASSIFICATION CODE, sex and MENTAL CATEGORY. This should be completed in the same way as Part 1.


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RH(N) 2

Change to Central Return Form: Change to Guidance Text

Central Return Form Guidance

RH(N) Registered Homes (Nursing)

    Part RH(N) A/1: General Nursing Homes and Registered Beds

  1. RH(N) A/1 applies only to ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home. It excludes NURSING HOMES with MENTAL NURSING HOME INDICATOR identifying that they are Mental NURSING HOMES. These are specifically covered in RH(N) A/2. These criteria should be applied in all cases when completing the required information for this part of the return.

  1. RH(N) A/1 applies only to ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home. It excludes [DELETED] with [DELETED] identifying that they are Mental [DELETED]. These are specifically covered in RH(N) A/2. These criteria should be applied in all cases when completing the required information for this part of the return.

    B: Number of premises covered by registrations (cell 01)

  1. This is the total of all ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATIONS of Registered/Chartered Site - Nursing Home. It excludes NURSING HOMES with MENTAL NURSING HOME INDICATORS identifying that they are Mental NURSING HOMES. These are covered in RH(N) A/2.

  1. This is the total of all ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATIONS of Registered/Chartered Site - Nursing Home. It excludes [DELETED] with [DELETED] identifying that they are Mental [DELETED]. These are covered in RH(N) A/2.

    Number of separate registrations relating to these premises (by primary category)

  1. General nursing (cell 02)


    People with learning disabilities (cell 03)
    Specialist nursing (cell 04)
    Maternity (cell 05)

    These require the number of ORGANISATION SITES with ORGANISATION SITE REGISTRATION TYPE classification of General nursing, People with learning disabilities, Specialist nursing or Maternity.

    Total Registrations (cell 06)

  1. This is the total of cells 02 - 05.

    Number of registered nursing beds by intended use

  1. This section of RH(N) A/1 counts the NUMBER OF REGISTERED BEDS of REGISTERED SITE INTENDED BED USE for all NURSING HOMES.

  1. This section of RH(N) A/1 counts the [DELETED] of [DELETED] for all [DELETED].

  1. Registered nursing beds are classified by REGISTERED SITE PATIENT GROUP and by REGISTERED SITE PATIENT TYPE giving totals for each REGISTERED SITE PATIENT GROUPS.

  1. Registered nursing beds are classified by [DELETED] and by [DELETED] giving totals for each [DELETED].

  1. The classifications of REGISTERED SITE PATIENT GROUPS for this section are:

  1. The classifications of [DELETED] for this section are:

      General nursing (cells 12, 22, 31, 41)
      People with learning disabilities (cells 13, 23, 32, 42)
      Specialist nursing: Hospice (cells 14, 24, 33, 43)
      Specialist nursing: Brain injury (cells 15, 25, 34, 44)
      Specialist nursing: Physical disabilities (cells 16, 26, 35, 45)
      Specialist nursing: Rehabilitation (cells 17, 27, 36, 46)
      Specialist nursing: Renal dialysis (cells 18, 28, 37, 47)
      Specialist nursing: Other (to be specified) (cells 19, 29, 38, 48)
      Maternity (cells 20, 39, 49)

  1. The classifications of REGISTERED SITE PATIENT TYPES are Children, Elderly and Other.

  1. The classifications of [DELETED] are Children, Elderly and Other.

    Total Nursing Beds (cells 21, 30, 40, 50)

  1. This is the total of the NUMBER OF REGISTERED BEDS by REGISTERED SITE PATIENT TYPES and the total number of registered nursing beds.

  1. This is the total of the [DELETED] by [DELETED] and the total number of registered nursing beds.

    Of which: Dual Registered Nursing Homes (cells 07 - 11, 51 - 89 and 90)

  1. This applies only to those ORGANISATION SITES which have dual registration as identified by the LOCAL AUTHORITY REGISTERED indicator.

  1. This applies only to those ORGANISATION SITES which have dual registration as identified by the [DELETED] indicator.

    Number of separate registrations relating to these premises (by primary category)

  1. General nursing (cell 07)
    People with learning disabilities (cell 08)
    Specialist nursing (cell 09)
    Maternity (cell 10)

    These require the number of ORGANISATION SITES with ORGANISATION SITE REGISTERED TYPE classification of General nursing, People with learning disabilities, Specialist nursing or Maternity.

    Total Registrations (cell 11)

  1. This is the total of cells 07 - 10.

    Number of registered nursing beds by intended use

  1. This section of RH(N) A/1 counts the NUMBER OF REGISTERED BEDS of REGISTERED SITE INTENDED BED USE for NURSING HOMES with dual registration.

  1. This section of RH(N) A/1 counts the [DELETED] of [DELETED] for [DELETED] with dual registration.

  1. Registered nursing beds are classified by REGISTERED SITE PATIENT GROUPS and by REGISTERED SITE PATIENT TYPES giving totals for each REGISTERED SITE PATIENT GROUPS.

  1. Registered nursing beds are classified by [DELETED] and by [DELETED] giving totals for each [DELETED].

  1. The classifications of REGISTERED SITE PATIENT GROUPS for this section are:

  1. The classifications of [DELETED] for this section are:

      General nursing (cells 51, 61, 70, 80)
      People with learning disabilities (cells 52, 62, 71, 81)
      Specialist nursing: Hospice (cells 53, 63, 72, 82)
      Specialist nursing: Brain injury (cells 54, 64, 73, 83)
      Specialist nursing: Physical disabilities (cells 55, 65, 74, 84)
      Specialist nursing: Rehabilitation (cells 56, 66, 75, 85)
      Specialist nursing: Renal dialysis (cells 57, 67, 76, 86)
      Specialist nursing: Other (to be specified) (cells 58, 68, 77, 87)
      Maternity (cells 59, 78, 88)

  1. The classifications of REGISTERED SITE PATIENT TYPES are Children, Elderly and Other.

  1. The classifications of [DELETED] are Children, Elderly and Other.

    Total Nursing Beds (cells 60, 69, 79, 89)

  1. This is the total of the NUMBER OF REGISTERED BEDS by REGISTERED SITE PATIENT TYPES and the total number of registered nursing beds.

  1. This is the total of the [DELETED] by [DELETED] and the total number of registered nursing beds.

    Total Residential Places in Dual Registered Homes (cell 90)

  1. This applies only to those ORGANISATION SITES which have dual registration as identified by the LOCAL AUTHORITY REGISTERED indicator and counts the total NUMBER OF REGISTERED BEDS classified by REGISTERED SITE PATIENT GROUPS of Residential Care for all REGISTERED SITE PATIENT TYPESS.

  1. This applies only to those ORGANISATION SITES which have dual registration as identified by the [DELETED] indicator and counts the total [DELETED] classified by [DELETED] of Residential Care for all [DELETED]S.


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RH(N) 3

Change to Central Return Form: Change to Guidance Text

Central Return Form Guidance

RH(N) Registered Homes (Nursing)

    Part RH(N) A/2: Mental Nursing Homes and Registered Beds

  1. RH(N) A/2 applies only to ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home and are Mental NURSING HOMES as identified by MENTAL NURSING HOME INDICATOR.

  1. RH(N) A/2 applies only to ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home and are Mental [DELETED] as identified by [DELETED].

  1. These criteria should be applied in all cases when completing the required information on this part of the return.

    C: Number of premises covered by registrations (cell 01)

  1. This is the total of all ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATIONS of Registered/Chartered Site - Nursing Home and are Mental NURSING HOMES as identified by MENTAL NURSING HOME INDICATORS.

  1. This is the total of all ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATIONS of Registered/Chartered Site - Nursing Home and are Mental [DELETED] as identified by [DELETED].

    Number of separate registrations relating to these premises (by primary category)

  1. Mental health nursing (cell 02)


    People with learning disabilities (cell 03)
    Specialist mental health nursing (cell 04)
    Other (to be specified) (cell 05)

    These require the number of ORGANISATION SITES with ORGANISATION SITE REGISTERED TYPE classification of Mental health nursing, People with learning disabilities, Specialist mental health nursing or Other.

    Total Registrations (cell 06)

  1. This is the total of cells 02 - 05.

    Number of premises registered to receive patients detained under the provisions of the Mental Health Act 1983 (cell 07)

  1. This counts the number of ORGANISATION SITES with the MENTAL HEALTH ACT REGISTERED indicator set to Yes.

  1. This counts the number of ORGANISATION SITES with the [DELETED] indicator set to Yes.

    Number of registered nursing beds by intended use

  1. This section of RH(N) A/2 counts the NUMBER OF REGISTERED BEDS of REGISTERED SITE INTENDED BED USE for all Mental NURSING HOMES.

  1. This section of RH(N) A/2 counts the [DELETED] of [DELETED] for all Mental [DELETED].

  1. Registered nursing beds are classified by REGISTERED SITE PATIENT GROUP and by REGISTERED SITE PATIENT TYPE giving totals for each REGISTERED SITE PATIENT GROUP.

  1. Registered nursing beds are classified by [DELETED] and by [DELETED] giving totals for each [DELETED].

  1. The classifications of REGISTERED SITE PATIENT GROUP for this section are:

  1. The classifications of [DELETED] for this section are:

      Mental health nursing (cells 14, 21, 27, 34)
      People with learning disabilities (cells 15, 22, 28, 35)
      Specialist mental health nursing: Alcohol and drug addiction (cells 16, 23, 29, 36)
      Specialist mental health nursing: Eating disorders (cells 17, 24, 30, 37)
      Specialist mental health nursing: Postnatal depression (cells 18, 31, 38)
      Specialist mental health nursing: Other (to be specified) (cells 19, 25, 32, 39)

  1. The classifications of REGISTERED SITE PATIENT TYPES are Children, Elderly and Other.

  1. The classifications of [DELETED] are Children, Elderly and Other.

    Total Nursing Beds (cells 20, 26, 33, 40)

  1. This is the total of the NUMBER OF REGISTERED BEDS by REGISTERED SITE PATIENT TYPES and the total number of registered nursing beds.

  1. This is the total of the [DELETED] by [DELETED] and the total number of registered nursing beds.

    Of which: Dual Registered Nursing Homes (cells 08 - 11, 41 - 67 and 68)

  1. This applies only to those ORGANISATION SITES which have dual registration, indicated by the LOCAL AUTHORITY REGISTERED indicator.

  1. This applies only to those ORGANISATION SITES which have dual registration, indicated by the [DELETED] indicator.

    Number of separate registrations relating to these premises (by primary category)

  1. Mental health nursing (cell 08)
    People with learning disabilities (cell 09)
    Specialist mental health nursing (cell 10)
    Other (to be specified) (cell 11)

    These require the number of ORGANISATION SITES with ORGANISATION SITE REGISTERED TYPE classification of Mental health nursing, People with learning disabilities, Specialist mental health nursing or Other.

    Total Registrations (cell 12)

  1. This is the total of cells 08 - 11.

    Number of premises registered to receive patients detained under the provisions of the Mental Health Act 1983 (cell 13)

    This counts the number of ORGANISATION SITES with the MENTAL HEALTH ACT REGISTERED indicator set to Yes. This counts the number of ORGANISATION SITES with the [DELETED] indicator set to Yes.

    Number of registered nursing beds by intended use

  1. This section of RH(N) A/2 counts the NUMBER OF REGISTERED BEDS of REGISTERED SITE INTENDED BED USE for all Mental NURSING HOMES.

  1. This section of RH(N) A/2 counts the [DELETED] of [DELETED] for all Mental [DELETED].

  1. Registered nursing beds are classified by REGISTERED SITE PATIENT GROUP and by REGISTERED SITE PATIENT TYPES giving totals for each REGISTERED SITE PATIENT GROUP.

  1. Registered nursing beds are classified by [DELETED] and by [DELETED] giving totals for each [DELETED].

  1. The classifications of REGISTERED SITE PATIENT GROUP for this section are:

  1. The classifications of [DELETED] for this section are:

      Mental health nursing (cells 41, 48, 54, 61)
      People with learning disabilities (cells 42, 49, 55, 62)
      Specialist mental health nursing: alcohol and drug addiction (cells 43, 50, 56, 63)
      Specialist mental health nursing: eating disorders (cells 44, 51, 57, 64)
      Specialist mental health nursing: postnatal depression (cells 45, 58, 65)
      Specialist mental health nursing: other (to be specified) (cells 46, 52, 59, 66)

  1. The classifications of REGISTERED SITE PATIENT TYPES are Children, Elderly and Other.

  1. The classifications of [DELETED] are Children, Elderly and Other.

    Total Nursing Beds (cells 47, 53, 60, 67)

  1. This is the total of the NUMBER OF REGISTERED BEDS by REGISTERED SITE PATIENT TYPES and the total number of registered nursing beds.

  1. This is the total of the [DELETED] by [DELETED] and the total number of registered nursing beds.

    Total Residential Places in Dual Registered Homes (cell 90)

  1. This applies only to those ORGANISATION SITES which have dual registration as identified by the LOCAL AUTHORITY REGISTERED indicator and counts the total NUMBER OF REGISTERED BEDS classified by REGISTERED SITE PATIENT GROUP of Residential Care for all REGISTERED SITE PATIENT TYPESS.

  1. This applies only to those ORGANISATION SITES which have dual registration as identified by the [DELETED] indicator and counts the total [DELETED] classified by [DELETED] of Residential Care for all [DELETED]S.


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RH(N) 4

Change to Central Return Form: Change to Guidance Text

Central Return Form Guidance

RH(N) Registered Homes (Nursing)

    Part RH(N) A/3: Hospitals/Clinics and Registered Beds

  1. RH(N) applies only to ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Hospital or Clinic. For HOSPITAL SITES, it only includes ORGANISATION SITES with an ORGANISATION SITE TYPE classification of General and Acute Hospital - Hospitals providing acute services. It also excludes all NURSING HOMES.

    These criteria should be applied in all cases when completing the required information below.

    D: Number of premises covered by registrations (cell 01)

  1. This is the total of all ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATIONS of Registered/Chartered Site - Hospital or Clinic. For HOSPITAL SITES, it only includes ORGANISATION SITES with an ORGANISATION SITE TYPE classification of General and Acute Hospital - Hospitals providing acute services.

  1. RH(N) applies only to ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Hospital or Clinic. For HOSPITAL SITES, it only includes ORGANISATION SITES with an [DELETED] classification of General and Acute Hospital - Hospitals providing acute services. It also excludes all [DELETED].

    These criteria should be applied in all cases when completing the required information below.

    D: Number of premises covered by registrations (cell 01)

  1. This is the total of all ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATIONS of Registered/Chartered Site - Hospital or Clinic. For HOSPITAL SITES, it only includes ORGANISATION SITES with an [DELETED] classification of General and Acute Hospital - Hospitals providing acute services.

    Number of separate registrations relating to these premises (by primary category)
  1. mental health nursing (cell 02)

    people with learning disabilities (cell 03)
    maternity (cell 04)
    general specialties (cell 05)

    These require the number of ORGANISATION SITES with ORGANISATION SITE REGISTERED TYPE classification of Mental health nursing, People with learning disabilities, Maternity or General specialties.

    Total Registrations (cell 06)

  1. This is the total of cells 02 - 05.

    Number of registered nursing beds by intended use

  1. This section of RH(N) A/3 counts the NUMBER OF REGISTERED BEDS of REGISTERED SITE INTENDED BED USE.

  1. This section of RH(N) A/3 counts the [DELETED] of [DELETED].

  1. Registered nursing beds are classified by REGISTERED SITE PATIENT GROUP and by REGISTERED SITE PATIENT TYPE giving totals for each REGISTERED SITE PATIENT GROUP.

  1. Registered nursing beds are classified by [DELETED] and by [DELETED] giving totals for each [DELETED].

  1. The classification of REGISTERED SITE PATIENT GROUP for this section are:

  1. The classification of [DELETED] for this section are:

      Mental health nursing (cells 07, 12, 17, 22)
      People with learning disabilities (cells 08, 13, 18, 23)
      Maternity (cells 09, 14, 19, 24)
      General specialties (cells 10, 15, 20, 25)

  1. The classifications of REGISTERED SITE PATIENT TYPES are Children, Elderly and Other.

  1. The classifications of [DELETED] are Children, Elderly and Other.

    Total Nursing Beds (cells 11, 16, 21, 26)

  1. This is the total of the NUMBER OF REGISTERED BEDS by REGISTERED SITE PATIENT TYPES and the total number of registered nursing beds.

  1. This is the total of the [DELETED] by [DELETED] and the total number of registered nursing beds.


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RH(N) 5

Change to Central Return Form: Change to Guidance Text

Central Return Form Guidance

RH(N) Registered Homes (Nursing)

    Part RH(N) B: Occupied Beds and General Facilities

  1. RH(N) B applies to ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home or Registered/Chartered Site - Hospital or Clinic.

  1. The information for each registered home is recorded during the annual inspection. Where more than one inspection of a registered home is carried out during the year, the information completed on RH(N) B should be in respect of the main pre-announced inspection within the year.

  1. The return requires the INSPECTION DATE of REGISTERED SITE INSPECTION, the ORGANISATION SITE CODE, ORGANISATION SITE NAME, ADDRESS and POSTCODE of the ORGANISATION SITE. In addition, the ORGANISATION CODE and ORGANISATION NAME of the Local Authority within whose area the registered home is located, is also required.

  1. The return requires the [DELETED] of [DELETED], the ORGANISATION SITE CODE, ORGANISATION SITE NAME, ADDRESS and POSTCODE of the ORGANISATION SITE. In addition, the ORGANISATION CODE and ORGANISATION NAME of the Local Authority within whose area the registered home is located, is also required.

  1. Where more than one inspection has occurred during the year, the REGISTERED SITE INSPECTION with the latest INSPECTION DATE and with MAIN PRE-ANNOUNCED INSPECTION indicator of Yes, should be used. All the information completed on occupied beds should also be based upon details recorded during the REGISTERED SITE INSPECTION.

  1. Where more than one inspection has occurred during the year, the [DELETED] with the latest [DELETED] and with [DELETED] indicator of Yes, should be used. All the information completed on occupied beds should also be based upon details recorded during the [DELETED].

    Type of establishment (cell 01, 02 or 03)

  1. Only one type of establishment can be indicated and is determined by the following criteria:

    Nursing home (cell 01); an ORGANISATION SITE with an ORGANISATION SITE CLASSIFICATIONS of Registered/Chartered Site - Nursing Home and excludes NURSING HOMES with MENTAL NURSING HOME INDICATOR identifying that they are Mental NURSING HOMES.
    Nursing home (cell 01); an ORGANISATION SITE with an ORGANISATION SITE CLASSIFICATIONS of Registered/Chartered Site - Nursing Home and excludes [DELETED] with [DELETED] identifying that they are Mental [DELETED].

    or Mental Nursing home (cell 02); an ORGANISATION SITE with an ORGANISATION SITE CLASSIFICATIONS of Registered/Chartered Site - Nursing Home with MENTAL NURSING HOME INDICATOR identifying that they are a Mental NURSING HOMES. or Mental Nursing home (cell 02); an ORGANISATION SITE with an ORGANISATION SITE CLASSIFICATIONS of Registered/Chartered Site - Nursing Home with [DELETED] identifying that they are a Mental [DELETED].

    or Hospital/Clinic (cell 03); an ORGANISATION SITE with an ORGANISATION SITE CLASSIFICATIONS of Registered/Chartered Site - Hospital or Clinic.

  1. Cells 04 -17 are Yes or No boxes which indicate whether or not the establishment has the following facilities:

    Premises are dual registered (cell 04 Yes or 05 No): the LOCAL AUTHORITY REGISTERED indicator identifies whether the ORGANISATION SITE is dual registered.
    Premises are dual registered (cell 04 Yes or 05 No): the [DELETED] indicator identifies whether the ORGANISATION SITE is dual registered.

    Medical practitioner providing 24 hour cover on premises (cell 06 Yes or 07 No): the RESIDENT MEDICAL PRACTITIONER INDICATOR identifies whether the ORGANISATION SITE has such cover. Medical practitioner providing 24 hour cover on premises (cell 06 Yes or 07 No): the [DELETED] identifies whether the ORGANISATION SITE has such cover.

    Evidence of a registered pharmacy on the premises (cell 08 Yes or 09 No): the PHARMACY INDICATOR identifies whether the ORGANISATION SITE has such facilities. Evidence of a registered pharmacy on the premises (cell 08 Yes or 09 No): the [DELETED] identifies whether the ORGANISATION SITE has such facilities.

    Premises registered to receive patients detained under the provisions of the Mental Health Act 1983 (cell 10 Yes or 11 No): the MENTAL HEALTH ACT REGISTERED indicator identifies whether the ORGANISATION SITE is registered to receive such patients. Note: If the premise is registered to receive such patients, then the type of establishment must be a Mental NURSING HOME as indicated by cell 02. Premises registered to receive patients detained under the provisions of the Mental Health Act 1983 (cell 10 Yes or 11 No): the [DELETED] indicator identifies whether the ORGANISATION SITE is registered to receive such patients. Note: If the premise is registered to receive such patients, then the type of establishment must be a Mental [DELETED] as indicated by cell 02.

    Operating theatre on premises (cell 12 Yes or 13 No): this identifies whether such facilities are present or not i.e. whether a HOSPITAL SITE has SERVICE POINTS which are OPERATING THEATRES.

    Premises registered for the provision of treatment using lasers and no other purpose (cell 14 Yes or 15 No); the LASER SITE INDICATOR with classification of Registered for use of lasers only identifies an ORGANISATION SITE with such facilities. Premises registered for the provision of treatment using lasers and no other purpose (cell 14 Yes or 15 No); the [DELETED] with classification of Registered for use of lasers only identifies an ORGANISATION SITE with such facilities.

    Premises registered for the provision of treatment using lasers in addition to registration on other grounds (cell 16 Yes or 17 No); the LASER SITE INDICATORS with classification of Registered for use of lasers and other purposes identifies an ORGANISATION SITE with such facilities. Premises registered for the provision of treatment using lasers in addition to registration on other grounds (cell 16 Yes or 17 No); the [DELETED] with classification of Registered for use of lasers and other purposes identifies an ORGANISATION SITE with such facilities.

    Main category of registration, registered beds and number of occupied bed days at date of inspection

  1. This section of RH(N) B counts the NUMBER OF REGISTERED BEDS of REGISTERED SITE INTENDED BED USE and the REGISTERED SITE BEDS OCCUPIED of REGISTERED SITE BED OCCUPANCY.

  1. This section of RH(N) B counts the [DELETED] of [DELETED] and the [DELETED] of [DELETED].

    Note: The return requires an entry in every cell which counts the registered and occupied beds. If no count exists e.g. there are no registered beds for a particular patient type, then zero should be entered.

  1. Registered beds are classified by REGISTERED SITE PATIENT GROUP. Occupied beds are classified by REGISTERED SITE PATIENT GROUP and by REGISTERED SITE PATIENT AGE GROUP giving totals for each REGISTERED SITE PATIENT GROUP.

  1. Registered beds are classified by [DELETED]. Occupied beds are classified by [DELETED] and by [DELETED] giving totals for each [DELETED].

  1. The INSPECTION DATE of REGISTERED SITE BED OCCUPANCY should be the same as the INSPECTION DATE of REGISTERED SITE INSPECTION for the inspection.

  1. The [DELETED] of [DELETED] should be the same as the [DELETED] of [DELETED] for the inspection.

  1. The classifications of REGISTERED SITE PATIENT GROUP for this section are:

  1. The classifications of [DELETED] for this section are:

      General nursing/General specialties, this being the combined count of the two separate classifications (cells 18, 32, 46, 60, 74, 88, 102)
      Mental health nursing (cells 19, 33, 47, 61, 75, 89, 103)
      People with learning disabilities (cells 20, 34, 48, 62, 76, 89, 104)
      Specialist nursing: Hospice (cells 21, 35, 49, 63, 77, 90, 105)
      Specialist nursing: Brain injury (cells 22, 36, 50, 64, 78, 91, 106)
      Specialist nursing: Physical disabilities (cells 23, 37, 51, 65, 79, 92 107)
      Specialist nursing: Rehabilitation (cells 24, 38, 52, 66, 80, 93, 108)
      Specialist nursing: Renal dialysis (cells 25, 39, 53, 67, 81, 93, 109)
      Specialist mental health nursing: Alcohol and drug addiction (cells 26, 40, 54, 68, 82, 94, 110)
      Specialist mental health nursing: Eating disorders (cells 27, 41, 55, 69, 83, 95, 111)
      Specialist mental health nursing: Post-natal depression (cells 28, 42, 56, 70, 84, 96, 112)
      Other (to be specified), this being the combined count of classifications Specialist nursing: Other and Specialist mental health nursing: Other (cells 29, 43, 57, 71, 85, 97, 113)
      Maternity (cells 30, 44, 58, 72, 86, 98, 114)

  1. The classifications of REGISTERED SITE PATIENT AGE GROUPS are:

  1. The classifications of [DELETED] are:

      Under 18 years
      18 - 64 years
      65 - 75 years
      75 - 84 years
      85 years and over

    Total Registered Beds (cell 31)

  1. This is the total of cells 18 - 30.

    Total Number of Occupied Beds at Date of Inspection (cells 45, 59, 73, 87, 101, 115)

  1. This is the total of the REGISTERED SITE BEDS OCCUPIED by REGISTERED SITE PATIENT AGE GROUPS and the total occupied beds.

  1. This is the total of the [DELETED] by [DELETED] and the total occupied beds.

    For dual registered homes only

  1. This section applies only to those ORGANISATION SITES which have dual registration as identified by the LOCAL AUTHORITY REGISTERED.

  1. This section applies only to those ORGANISATION SITES which have dual registration as identified by the [DELETED].

    Residential care places (cell 116)

  1. This counts the NUMBER OF REGISTERED BEDS of REGISTERED SITE INTENDED BED USE classified by REGISTERED SITE PATIENT GROUP of Residential Care for all REGISTERED SITE PATIENT TYPES.

  1. This counts the [DELETED] of [DELETED] classified by [DELETED] of Residential Care for all REGISTERED SITE PATIENT TYPES.

    Number of residents (cell 117)

  1. This counts the REGISTERED SITE BEDS OCCUPIED of REGISTERED SITE BED OCCUPANCY classified by REGISTERED SITE PATIENT GROUP of Residential Care for all REGISTERED SITE PATIENT AGE GROUPSS.

  1. This counts the [DELETED] of [DELETED] classified by [DELETED] of Residential Care for all [DELETED]S.

  1. The INSPECTION DATE of REGISTERED SITE BED OCCUPANCY should be the same as the INSPECTION DATE of REGISTERED SITE INSPECTION for the inspection.

  1. The [DELETED] of [DELETED] should be the same as the [DELETED] of [DELETED] for the inspection.


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RH(N) 6

Change to Central Return Form: Change to Guidance Text

Central Return Form Guidance

RH(N) Registered Homes (Nursing)

    RH(N) Summary Sheet

  1. The RH(N) Summary Sheet provides a summary to the RH(N) A/1, RH(N) A/2 and RH(N) A/3 returns. These returns provide aggregated information on the registered homes on HEALTH AUTHORITY registers at the 31 March of each year.

    A: Total number of premises registered at 31 March (cell 01)

  1. This is the total of all ORGANISATION SITES with ORGANISATION SITE CLASSIFICATIONS of Registered/Chartered Site - Nursing Home and Registered/Chartered Site - Hospital or Clinic on the HEALTH AUTHORITIES register at the 31 March. This is the total of cells 02 - 04.

    B: registered as General Nursing Homes (cell 02)

  1. This is the total of all ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home. It excludes NURSING HOMES with MENTAL NURSING HOME INDICATOR identifying that they are Mental NURSING HOMES. The total is as recorded in cell 01 of RH(N) A/1.

  1. This is the total of all ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home. It excludes [DELETED] with [DELETED] identifying that they are Mental [DELETED]. The total is as recorded in cell 01 of RH(N) A/1.

    C: registered as Mental Nursing Homes (cell 03)

  1. This is the total of all ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home and are Mental NURSING HOMES as identified by MENTAL NURSING HOME INDICATOR. The total is as recorded in cell 01 of RH(N) A/2.

  1. This is the total of all ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home and are Mental [DELETED] as identified by [DELETED]. The total is as recorded in cell 01 of RH(N) A/2.

    D: registered as Hospitals/Clinics (cell 04)

  1. This is the total of all ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Hospital or Clinic. For HOSPITAL SITES, it only includes ORGANISATION SITES with an ORGANISATION SITE TYPE classification of General and Acute Hospital - Hospitals providing acute services. The total is as recorded in cell 01 of RH(N) A/3.

  1. This is the total of all ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Hospital or Clinic. For HOSPITAL SITES, it only includes ORGANISATION SITES with an [DELETED] classification of General and Acute Hospital - Hospitals providing acute services. The total is as recorded in cell 01 of RH(N) A/3.

  1. The second part of the Summary Sheet requires totals on the number of registered homes which are also registered with the Local Authority for the provision of residential care, Homes registered with both the HEALTH AUTHORITIES and the Local Authority are termed dual registered homes.

    E: registered as General Nursing Homes (cell 05)

  1. This is the total of all ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home and are identified as being dual registered by LOCAL AUTHORITY REGISTERED indicator. It excludes NURSING HOMES with MENTAL NURSING HOME INDICATOR identifying that they are Mental NURSING HOMES. The total is as recorded in cell 11 of RH(N) A/1.

  1. This is the total of all ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home and are identified as being dual registered by [DELETED] indicator. It excludes [DELETED] with [DELETED] identifying that they are Mental [DELETED]. The total is as recorded in cell 11 of RH(N) A/1.

    F: registered as Mental Nursing Homes (cell 06)

  1. This is the total of all ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home and are Mental NURSING HOMES as identified by MENTAL NURSING HOME INDICATOR and are also identified as being dual registered by LOCAL AUTHORITY REGISTERED indicator. The total is as recorded in cell 12 of RH(N) A/2.

  1. This is the total of all ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home and are Mental [DELETED] as identified by [DELETED] and are also identified as being dual registered by [DELETED] indicator. The total is as recorded in cell 12 of RH(N) A/2.


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RH(N) 7

Change to Central Return Form: Change to Guidance Text

Central Return Form Guidance

RH(N) Registered Homes (Nursing)

    Part RH(N) S: Nursing Staff in Post

  1. RH(N) S applies to ORGANISATION SITES with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home or Registered/Chartered Site - Hospital or Clinic.

  1. The information for each registered home is recorded during the annual inspection. Where more than one inspection of a registered home is carried out during the year, the information completed on RH(N) S should be in respect of the main pre-announced inspection within the year.

  1. The return requires the INSPECTION DATE of REGISTERED SITE INSPECTION, the ORGANISATION SITE CODE, ORGANISATION SITE NAME, ADDRESS and POSTCODE of the ORGANISATION SITE. In addition, the ORGANISATION CODE and ORGANISATION NAME of the Local Authority within whose area the registered home is located, is also required.

  1. The return requires the [DELETED] of [DELETED], the ORGANISATION SITE CODE, ORGANISATION SITE NAME, ADDRESS and POSTCODE of the ORGANISATION SITE. In addition, the ORGANISATION CODE and ORGANISATION NAME of the Local Authority within whose area the registered home is located, is also required.

  1. Where more than one inspection has occurred during the year, the REGISTERED SITE INSPECTION with the latest INSPECTION DATE and with MAIN PRE-ANNOUNCED INSPECTION indicator of Yes, should be used.

  1. Where more than one inspection has occurred during the year, the [DELETED] with the latest [DELETED] and with [DELETED] indicator of Yes, should be used.

    Type of establishment (cell 01, 02 or 03)

  1. Only one type of establishment can be indicated and is determined by the following criteria:

    Nursing home (cell 01); an ORGANISATION SITE with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home and excludes NURSING HOMES with MENTAL NURSING HOME INDICATOR identifying that they are Mental NURSING HOMES.
    Nursing home (cell 01); an ORGANISATION SITE with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home and excludes [DELETED] with [DELETED] identifying that they are Mental [DELETED].

    or Mental Nursing home (cell 02); an ORGANISATION SITE with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home with MENTAL NURSING HOME INDICATORS identifying that they are a Mental NURSING HOMES. or Mental Nursing home (cell 02); an ORGANISATION SITE with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Nursing Home with [DELETED] identifying that they are a Mental [DELETED].

    or Hospital/Clinic (cell 03); an ORGANISATION SITE with an ORGANISATION SITE CLASSIFICATION of Registered/Chartered Site - Hospital or Clinic.

    Nursing Staff and Staff in post

  1. This section of RH(N) S counts the number of Registered Site Nurses In Post categorised by Nurse Type for the permanent posts within the registered home.

    Note: The return requires an entry in every cell which counts the nursing staff. If no count exists e.g. there are no nurses for a particular nurse type, then zero should be entered.

  1. The INSPECTION DATE of REGISTERED SITE NURSES IN POST should be the same as the INSPECTION DATE of REGISTERED SITE INSPECTION for the inspection.

  1. The [DELETED] of [DELETED] should be the same as the [DELETED] of [DELETED] for the inspection.

  1. Nursing staff are classified by the following NURSE TYPES:

      Registered General Nurse ( Registered General Nurse and Registered Nurse (Adult)) (cells 04, 15, 26, 37, 48, 59)
      Registered Mental Nurse (Registered Mental Nurse and Registered Nurse (Learning Disabled - RN)) (cells 05, 16, 27, 38, 49, 60)
      Registered Nurse for people with Learning Disabilities (Registered Nurse (Learning Disabled - RNMH) and Registered Nurse (Mental Handicap)) (cells 06, 17, 28, 39, 50, 61)
      Registered Nurse for people with Learning Disabilities (Registered Nurse (Learning Disabled - RNMH) and Registered Nurse (Mental Handicap)) (cells 06, 17, 28, 39, 50, 61)
      Registered Sick Children's Nurse (Registered Sick Children's Nurse and Registered Nurse (Children)) (cells 07, 18, 29, 40, 51, 62)
      Registered Midwife (cells 08, 19, 30, 41, 52, 63)
      Registered Fever Nurse (cells 09, 20, 31, 42, 53, 64)
      Registered Nurse (Enrolled Nurse (General), Enrolled Nurse (Mental), Enrolled Nurse (Learning Disabled) and Enrolled Nurse (Trained in Scotland)) (cells 10, 21, 32, 43, 54, 65)
      Registered Health Visitor (cells 11, 22, 33, 44, 55, 66)
      Care Assistant - with NVQ (cells 12, 23, 34, 45, 56, 67)
      Care Assistant - without NVQ (cells 13, 24, 35, 46, 57, 68)

  1. Staff in post information for each NURSE TYPES is split between permanent staff and temporary Agency/ Bank staff.

    Permanent staff in post information:

  1. Number of full-time staff: FULL-TIME PERMANENT STAFF IN POST of REGISTERED SITE NURSES IN POST

  1. Number of full-time staff: [DELETED] of [DELETED]

    Number of part-time staff: PART-TIME PERMANENT STAFF IN POST of REGISTERED SITE NURSES IN POST Number of part-time staff: [DELETED] of [DELETED]

    Number of part-time staff whole time equivalent: PART-TIME WTE PERMANENT IN POST of REGISTERED SITE NURSES IN POST

    Temporary Agency/Bank staff in post information:
    Number of part-time staff whole time equivalent: [DELETED] of [DELETED]
    Temporary Agency/Bank staff in post information:

  1. Number of full-time staff: FULL-TIME AGENCY OR BANK STAFF of REGISTERED SITE NURSES IN POST

  1. Number of full-time staff: [DELETED] of [DELETED]

    Number of part-time staff: PART-TIME AGENCY OR BANK STAFF of REGISTERED SITE NURSES IN POST Number of part-time staff: [DELETED] of [DELETED]

    Number of part-time staff whole time equivalent: PART-TIME WTE AGENCY OR BANK STAFF of REGISTERED SITE NURSES IN POST Number of part-time staff whole time equivalent: [DELETED] of [DELETED]

    Total (cells 14, 25, 36, 47, 58)

  1. These are the totals of the staff in post information.


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CM110 COMMUNITY - NURSING CARE IN THE COMMUNITY

Change to Diagram:


 CM110 Community - Nursing Care in the Community 


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HP100 ADMITTED PATIENT NURSING CARE

Change to Diagram:


 HP100 Admitted Patient Nursing Care 


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HP110 ADMITTED PATIENT STAYS

Change to Diagram:


 HP110 Admitted Patient Stays 


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HP140 ADMISSION AND DISCHARGE

Change to Diagram:


 HP140 Admission and Discharge 


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HP300 NURSING EPISODES

Change to Diagram:


 HP300 Nursing Episodes 


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HP310 MIDWIFE EPISODES

Change to Diagram:


 HP310 Midwife Episodes 


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HP330 REGISTERED SITES

Change to Diagram:


 HP330 Registered Sites 


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PC110 COMMUNITY PHARMACIES

Change to Diagram:


 PC110 Community Pharmacies 


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RH(N) PREMISES REGISTERED UNDER PART II OF THE REGISTERED HOMES ACT 1984

Change to Diagram: Deleted

Deleted
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CM110

Change to Supporting Information: Change to Supporting Information

Model View Diagram - Overview

CM110 - COMMUNITY - NURSING CARE IN THE COMMUNITY

  1. This diagram shows classes relevant to nursing in the community (NURSING IN THE COMMUNITY PROGRAMME).

  1. A NURSING IN THE COMMUNITY PROGRAMME will comprise many COMMUNITY EPISODES. A COMMUNITY EPISODE is initiated by a referral of a PATIENT. A COMMUNITY EPISODE will continue until positive discharge from care, or after six months have elapsed since the last contact or last failed appointment (in the absence of a planned review date).

  1. A FACE TO FACE CONTACT COMMUNITY CARE occurs when one or more NURSES sees a PATIENT, either at a clinic or during a domiciliary visit, with the objective of delivering treatment or care to that PATIENT. A FACE TO FACE CONTACT COMMUNITY CARE forms part of a COMMUNITY EPISODE.

  1. A COMMUNITY EPISODE is the responsibility of a particular community nurse staff group. If two or more NURSESS are responsible for the episode and they are from different community nurse staff groups, a COMMUNITY EPISODE starts for each community nurse staff group.

  1. A PATIENT who is receiving care or treatment during a COMMUNITY EPISODE for the misuse of substances, will have one or more SUBSTANCES MISUSEDS. Each SUBSTANCE MISUSED in a COMMUNITY EPISODE will also form part of a DRUG MISUSE EPISODE (see CM120).

  1. A PATIENT may spend a period of time in a RESIDENTIAL CARE HOME or GROUP HOME. Periods of attendance are recorded in RESIDENTIAL CARE OR GROUP HOME STAYS on an ORGANISATION SITE.

  1. A PATIENT may spend a period of time in a care home registered as a CARE HOME REGISTRATION. Periods of attendance are recorded in CARE HOME STAYS (RESIDENTIAL) on an ORGANISATION SITE.


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GLOSSARY OF TERMS

Change to Supporting Information: Change to Supporting Information

Glossary of Terms

Glossary of Terms

GLOSSARY OF TERMS

The Glossary lists commonly used terms in alphabetical order. These terms are not defined and therefore do not have an class or attribute. Each entry in the Glossary is shown with its related class and attribute where appropriate.

For example 'Booked Admission' is shown as relating to the class ELECTIVE ADMISSION LIST ENTRY. ELECTIVE ADMISSION LIST ENTRY has an attribute ELECTIVE ADMISSION TYPES and reference to the attribute definition will identify that 'Booked Admission' is one of the national code classifications of ELECTIVE ADMISSION TYPES.

Class Attribute
Admission
HOSPITAL PROVIDER SPELL START DATE
Annual Census
HOSPITAL PROVIDER SPELL START DATE
OPERATIVE PROCEDURE  
LEGAL STATUS MENTAL CATEGORY
LEGAL STATUS CLASSIFICATION LEGAL STATUS CLASSIFICATION CODES
HOSPITAL PROVIDER SPELL DISCHARGE DATE
PATIENT DIAGNOSIS DIAGNOSIS
Bed
WARD OPERATIONAL PLAN  
Booked Admission
ELECTIVE ADMISSION LIST ENTRY ELECTIVE ADMISSION TYPE
Code of General Practitioner
PERSON IDENTIFIER PERSON IDENTIFIER TYPES
Consultant Code
PERSON IDENTIFIER PERSON IDENTIFIER TYPES
Consultant Name
PERSON NAME  
Day Case Admission
HOSPITAL PROVIDER SPELL PATIENT CLASSIFICATION
Diagnostic Services
PATHOLOGY DEPARTMENT  
RADIOLOGY DEPARTMENT  
ISOTOPE PROCEDURE DEPARTMENT  
PHYSIOLOGICAL MEASUREMENT DEPARTMENTS  
Discharge
HOSPITAL PROVIDER SPELL DISCHARGE DATE
Drop-In Clinic
REFERRAL REQUEST OUT-PATIENT CLINIC REFERRING INDICATOR
Emergency Admission
HOSPITAL PROVIDER SPELL ADMISSION METHOD
Emergency Journey
EMERGENCY TRANSPORT REQUEST  
General Practitioner Name
PERSON NAME  
GMC or GDC Number
PERSON IDENTIFIER PERSON IDENTIFIER TYPES
Local Patient Identifier
PERSON IDENTIFIER PERSON IDENTIFIER TYPES
Maternity Admission
HOSPITAL PROVIDER SPELL ADMISSION METHOD
Neonate
PATIENT  
Notional Half Day (NHD)
EMPLOYEE CONTRACT EMPLOYEE CONTRACTED NOTIONAL HALF DAYS
Nurse Identifier
PERSON IDENTIFIER PERSON IDENTIFIER TYPES
Nurse Name
PERSON NAME  
One Stop Clinic
REFERRAL REQUEST OUT-PATIENT CLINIC REFERRING INDICATOR
Ordinary Admission
HOSPITAL PROVIDER SPELL PATIENT CLASSIFICATION
Organisation Postcode
ADDRESS POSTCODE
ADDRESS ASSOCIATION  
Organisation Address
ADDRESS ASSOCIATION ADDRESS ASSOCIATION TYPE
Patient Name
PERSON NAME  
Patients Usual Address
ADDRESS ASSOCIATION ADDRESS ASSOCIATION TYPE
Planned Admission
ELECTIVE ADMISSION LIST ENTRY ELECTIVE ADMISSION TYPE
Postcode of Usual Address
ADDRESS POSTCODE
Regular Day Admission
HOSPITAL PROVIDER SPELL PATIENT CLASSIFICATION
Sex
SEX  
CLINIC ATTENDANCE FAMILY PLANNING FAMILY PLANNING SEX OF PATIENT
DRUG MISUSER DRUG MISUSER SEX
FAMILY PLANNING DOMICILIARY VISITS
Special/Planned Journey
SPECIAL TRANSPORT REQUEST  
PLANNED TRANSPORT REQUESTS TRANSPORT NEED
Telephone Number
TELE-COMMUNICATION CONTACT STRING TELE-COMMUNICATION CONTACT METHOD
TELE-COMMUNICATION ACCESS CODES
Two Man/One Man Crew
TRANSPORT REQUIREMENTTRANSPORT NEED
TCI (To Come In Date)
OFFER OF ADMISSION OFFERED FOR ADMISSION DATE
Unit of Medical Time (UMT)
EMPLOYEE CONTRACT CONTRACTED UNITS OF MEDICAL TIME BASIC
CONTRACTED UNITS OF MEDICAL TIME CLASS A
CONTRACTED UNITS OF MEDICAL TIME CLASS B
Urgent Journey
TRANSPORT REQUEST  
Waiting List Admission
HOSPITAL PROVIDER SPELL ADMISSION METHOD
Ward Transfer
WARD STAY END DATE
WARD STAY TERMINATION REASON
Whole Time Equivalent (WTE)
STAFFING LEVEL PLANNED  


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GN020

Change to Supporting Information: Change to Supporting Information

Model View Diagram - Overview

GN020 - ORGANISATION STRUCTURE

  1. This diagram shows the structure of ORGANISATIONS involved in supplying and supporting health care services.

  1. Each ORGANISATION may be a particular subtype such as: STRATEGIC HEALTH AUTHORITY, PRIMARY CARE TRUST, NHS TRUST and GP PRACTICE. ORGANISATIONS may be hierarchically structured. Such structures are recorded using ORGANISATION STRUCTURE. Accountability and other types of relationships between ORGANISATION, such as ownership, may also be recorded. These other types of relationship need not be hierarchical.

  1. An ORGANISATION is uniquely identified within the Health Service by an ORGANISATION CODE. Further ORGANISATION IDENTIFIERS that are generated by other ORGANISATIONS can be recorded.

  1. An ORGANISATION acts as a HEALTH CARE PROVIDER when providing health care services. Where a HEALTH CARE PROVIDER offers hospital services, it acts as a HOSPITAL PROVIDER.

  1. HOSPITAL SITE, RESIDENTIAL CARE HOME, GROUP HOME and NURSING HOME are types of ORGANISATION SITE.

  1. HOSPITAL SITE is a type of ORGANISATION SITE.

  1. A PATIENT may be registered with a GENERAL PRACTITIONER who may work for more than one GP PRACTICE as a PERSON ROLE IN ORGANISATION. The main practice may be recorded for each GENERAL MEDICAL PRACTITIONER. A PERSON may thus be registered as a PATIENT (a PERSON ROLE IN ORGANISATION) at a GP PRACTICE that may be different to the main practice for their GENERAL MEDICAL PRACTITIONER.


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HP070

Change to Supporting Information: Change to Supporting Information

Model View Diagram - Overview

HP070 - CONSULTANT EPISODES (HOSPITAL PROVIDER)

  1. HP070 - HP140 show the classes relevant to PATIENTS using a hospital bed. Additional information relevant to maternity PATIENTS is contained in HP150. HP070 is particularly concerned with CONSULTANT EPISODES (HOSPITAL PROVIDER).

  1. A HOSPITAL PROVIDER SPELL is a continuous stay of a PATIENT using a hospital bed under the care of a HEALTH CARE PROVIDER. A HOSPITAL PROVIDER SPELL will consist of one or more CONSULTANT EPISODES (HOSPITAL PROVIDER) and/or one or more NURSING EPISODES.

  1. A CONSULTANT EPISODE (HOSPITAL PROVIDER) is a period of time for which a CONSULTANT is responsible for the care of a PATIENT who is using a hospital bed or, in some circumstances, is in a NURSING HOME (see HP110). Care of a patient during a CONSULTANT EPISODE (HOSPITAL PROVIDER) can sometimes be shared between two or more CONSULTANTS. In this case each additional CONSULTANT will be a SHARED CARE CONSULTANT. A PATIENT has only one CONSULTANT EPISODE (HOSPITAL PROVIDER) at a time. Each CONSULTANT EPISODE (HOSPITAL PROVIDER) will relate to one CONSULTANT SPECIALTY FUNCTION as a ‚¨Smain specialty interest‚¨ż, and may also have a ‚¨Streatment specialty interest‚¨ż associated with it. A CONSULTANT EPISODE (HOSPITAL PROVIDER) may have a LOCAL SUB-SPECIALTY defined for it. Where responsibility is shared, the SPECIALTY FUNCTION of the SHARED CARE CONSULTANTS is also required.

  1. A CONSULTANT EPISODE (HOSPITAL PROVIDER) is a period of time for which a CONSULTANT is responsible for the care of a PATIENT who is using a hospital bed or, in some circumstances, is in a [DELETED] (see HP110). Care of a patient during a CONSULTANT EPISODE (HOSPITAL PROVIDER) can sometimes be shared between two or more CONSULTANTS. In this case each additional CONSULTANT will be a SHARED CARE CONSULTANT. A PATIENT has only one CONSULTANT EPISODE (HOSPITAL PROVIDER) at a time. Each CONSULTANT EPISODE (HOSPITAL PROVIDER) will relate to one CONSULTANT SPECIALTY FUNCTION as a ‚¨Smain specialty interest‚¨ż, and may also have a ‚¨Streatment specialty interest‚¨ż associated with it. A CONSULTANT EPISODE (HOSPITAL PROVIDER) may have a LOCAL SUB-SPECIALTY defined for it. Where responsibility is shared, the SPECIALTY FUNCTION of the SHARED CARE CONSULTANTS is also required.


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HP100

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Model View Diagram - Overview

HP100 - ADMITTED PATIENT NURSING CARE

  1. The classes in this diagram relate to patient care under a NURSE following admission.

  1. NURSING EPISODES may take place in hospital during a HOSPITAL PROVIDER SPELL or in a NURSING HOME (see HP300). Each NURSING EPISODE relates to one NURSE responsible.

  1. NURSING EPISODES may take place in hospital during a HOSPITAL PROVIDER SPELL or in a care home as a CARE HOME STAY (NURSING CARE) (see HP300). Each NURSING EPISODE relates to one NURSE responsible.


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HP110

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Model View Diagram - Overview

HP110 - ADMITTED PATIENT STAYS

  1. HP070-HP140 show the classes relevant to PATIENTS using a hospital bed. Additional information relevant to maternity PATIENTS is contained in HP150. HP110 is particularly concerned with stays in hospital.

  1. A HOSPITAL PROVIDER SPELL is a continuous stay of a PATIENT using a hospital bed under the care of a HEALTH CARE PROVIDER. It may entail one or more HOSPITAL STAYS and one or more WARD STAYS during each HOSPITAL STAY (covered in HP120). During a HOSPITAL STAY a PATIENT may have one or more periods of HOME LEAVE from a WARD. A bed on a WARD may be reserved for the PATIENT during HOME LEAVE, or for other reasons.

  1. The HOSPITAL PROVIDER SPELL may include a period immediately following admission where the PATIENT is a LODGED PATIENT. This occurs when the PATIENT has to wait (and possibly experience inappropriate care) until they can be admitted to a WARD.

  1. A WARD, or group of WARDS, will form a SERVICE POINT within the organisation.

  1. Each NURSING HOME STAY (CONSULTANT CARE) must be the responsibility of a CONSULTANT and must be associated with a named NURSE.

  1. Each CARE HOME STAY (CONSULTANT CARE) must be the responsibility of a CONSULTANT and must be associated with a named NURSE.


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HP120

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Model View Diagram - Overview

HP120 - WARDS

  1. The classes in this diagram are concerned with PATIENTS attending and staying in hospital WARDS.

  1. A PATIENT staying in hospital has a HOSPITAL PROVIDER SPELL which may consist of one or more WARD STAYS.

  1. A PATIENT who is not staying in hospital may be seen (and treated) on a WARD during a WARD ATTENDANCE. Ward attenders may be the subject of one or more PATIENT PROCEDURES (see HP070) each of which must have a PATIENT PROCEDURE CLASSIFICATION classified by a READ CLASSIFICATION.

  1. Where a person who is not ill stays in a WARD, this is recorded as a HEALTHY PERSON STAY.

  1. The number of beds available in a NURSING HOME, RESIDENTIAL CARE HOME or GROUP HOME during a period of time is recorded using ORGANISATION SITE BED AVAILABILITY.

  1. Each WARD STAY must be the responsibility of a NURSE or a MIDWIFE.


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HP140

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Model View Diagram - Overview

HP140 - ADMISSION AND DISCHARGE

  1. HP070- HP140 show the classes relevant to PATIENTS using a hospital bed. Additional information relevant to maternity PATIENTS is contained in HP150. HP140 is particularly concerned with admission and discharge from hospital.

  1. A HOSPITAL PROVIDER SPELL is a continuous stay of a PATIENT using a hospital bed under the care of a HEALTH CARE PROVIDER.

  1. On admission to hospital, at the start of a HOSPITAL PROVIDER SPELL, a number of items of information are relevant, such as the current ADDRESS ASSOCIATION of the PATIENT. If the ADDRESS ASSOCIATION of the PATIENT changes during their HOSPITAL PROVIDER SPELL, both the new and the previous address are needed for contracting purposes. PATIENTS who are detained will have a LEGAL STATUS and those from abroad will have a PERSON NATIONALITY OR RESIDENCY STATUS.

  1. A NURSING HOME STAY (NURSING CARE) is where a PATIENT has one or more NURSING EPISODES staying in a NURSING HOME.

  1. A CARE HOME STAY (NURSING CARE) is where a PATIENT has one or more NURSING EPISODES staying in a CARE HOME SITE.

  1. A NURSING HOME STAY (MIDWIFE CARE) is where a PATIENT has one or more MIDWIFE EPISODES staying in a NURSING HOME.

  1. A CARE HOME STAY (MIDWIFE CARE) is where a PATIENT has one or more MIDWIFE EPISODES staying in a CARE HOME SITE.


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HP300

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Model View Diagram - Overview

HP300 - NURSING EPISODES

  1. This diagram shows the classes relevant to NURSING EPISODES.

  1. A NURSING EPISODE is a period of care by a NURSE for a particular PATIENT.

  1. A NURSING EPISODE is related to a HOSPITAL PROVIDER SPELL if the PATIENT is in hospital or to a NURSING HOME STAY (NURSING CARE) if the PATIENT is in a NURSING HOME.

  1. A NURSING HOME will have a number of NURSING HOME OPERATIONAL PLANS.

  1. A NURSING EPISODE is related to a HOSPITAL PROVIDER SPELL if the PATIENT is in hospital or to a CARE HOME STAY (NURSING CARE) if the PATIENT is in an ORGANISATION SITE which has a CARE HOME REGISTRATION.


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HP310

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Model View Diagram - Overview

HP310 - MIDWIFE EPISODES

  1. This diagram shows the classes relevant to MIDWIFE EPISODES.

  1. A MIDWIFE EPISODE is a period of care by a MIDWIFE for a particular PATIENT.

  1. A MIDWIFE EPISODE is related to a HOSPITAL PROVIDER SPELL if the PATIENT is in hospital or to a NURSING HOME STAY (MIDWIFE CARE) if the PATIENT is in a NURSING HOME.

  1. A MIDWIFE EPISODE is related to a HOSPITAL PROVIDER SPELL if the PATIENT is in hospital or to a CARE HOME STAY (MIDWIFE CARE) if the PATIENT is in an ORGANISATION SITE which has a CARE HOME REGISTRATION.


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HP330

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Model View Diagram - Overview

HP330 - REGISTERED SITES

HP330 - ORGANISATION SITE REGISTRATION

  1. This diagram shows the information to be collected about Registered or Chartered Sites. These sites are either privately owned and registered under Section 23 of Part II of the Registered Homes Act 1984 and/or registered under Part I of the Registered Homes Act 1984.

  1. This diagram shows the information to be collected about ORGANISATION SITE REGISTRATIONS of Nursing Homes, Residential Care Homes, Residential Group Homes, Independent Hospitals, Independent Clinics and other non NHS care services, with the National Care Standards Commission (NCSC) under the Care Standards Act 2000.

  1. An ORGANISATION SITE may be subtyped into NURSING HOMES, HOSPITAL SITES, RESIDENTIAL CARE HOMES and GROUP HOMES. A NURSING HOME or a HOSPITAL SITE registered under both Part I and Part II of the Registered Homes Act 1984 is classified as dual registered.

  1. Each ORGANISATION may have a number of different ORGANISATION SITES each of which may have a number of ORGANISATION SITE REGISTRATIONS. In most cases an ORGANISATION SITE will only have one ORGANISATION SITE REGISTRATION of a particular type such as care home, however, in some cases there may be more, for example, a children's home may also be registered as a boarding school.

  1. An ORGANISATION SITE, if registered under Part II of the Registered Homes Act 1984, may have several ORGANISATION SITE REGISTRATIONS.

  1. An ORGANISATION SITE REGISTRATION may be a CARE HOME REGISTRATION, INDEPENDENT HEALTH CARE REGISTRATION, CHILDRENS HOME REGISTRATION or some other registration.

  1. On each ORGANISATION SITE, if registered under Part II of the Registered Homes Act 1984, one or more REGISTERED SITE NURSES IN POST will be employed and each will be classified by NURSE TYPE. This classification is according to the primary role of the REGISTERED SITE NURSE IN POST within the ORGANISATION SITE.

  1. An ORGANISATION SITE may have a number of stays associated with it. Depending on the ORGANISATION SITE REGISTRATION, these may be HOSPITAL STAYS (which includes stays in an Independent Hospital or Clinic) or CARE HOME STAYS.

  1. Beds within the site may be registered for a REGISTERED SITE INTENDED BED USE, classified for children, elderly or other use.

  1. A CARE HOME STAY may be a CARE HOME STAY (CONSULTANT CARE), CARE HOME STAY (MIDWIFE CARE), CARE HOME STAY (NURSING CARE) or CARE HOME STAY (RESIDENTIAL).

  1. Where a NURSING HOME is a mental nursing home additional information is required. This is contained in MENTAL NURSING HOME ADMITTED PATIENTS and MENTAL NURSING HOME RESIDENTS. Totals are maintained of any MENTAL NURSING HOME LEGAL STATUS CHANGES.

  1. A CARE HOME REGISTRATION may include a number of CARE HOME SERVICE USERS and CARE HOME SERVICES.

  1. MENTAL NURSING HOME RESIDENTS is a total of PATIENTS resident in a mental nursing home. Totals for MENTAL NURSING HOME ADMITTED PATIENTS and MENTAL NURSING HOME RESIDENTS exclude PATIENTS covered by NHS SERVICE AGREEMENTS.

  1. A CHILDRENS HOME REGISTRATION may include a number of CHILDRENS HOME SERVICES and CHILDRENS HOME SERVICE USERS.

  1. Where the ORGANISATION SITE is a registered NURSING HOME or HOSPITAL SITE, the REGISTERED SITE BED OCCUPANCY is recorded.

  1. An INDEPENDENT HEALTH CARE REGISTRATION may include a number of INDEPENDENT HEALTH CARE SERVICES and INDEPENDENT HEALTH CARE FACILITIES.

  1. The number of beds available and occupied in a NURSING HOME, RESIDENTIAL CARE HOME or GROUP HOME during a period of time are recorded using ORGANISATION SITE BED AVAILABILITY and ORGANISATION SITE BED OCCUPANCY. When recording the number of available and occupied beds, totals are broken down by NHS and Non-NHS patients.

  1. The date of each inspection of a Registered or Chartered Site by a HEALTH AUTHORITY Registration and Inspection Unit is recorded by a REGISTERED SITE INSPECTION.

  1. The LEGAL STATUS of a PATIENT during a spell of care can be derived from the particular CARE HOME STAYS or HOSPITAL STAYS.


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MH040

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Model View Diagram - Overview

MH040 - PATIENTS AND MENTAL HEALTH CARE TEAMS

  1. The care or assessment within a MENTAL HEALTH CARE SPELL is provided by a MENTAL HEALTH CARE TEAM, which may be multidisciplinary and involve both NHS and non-NHS agencies, for example Social Services of a Local Authority. A MENTAL HEALTH CARE TEAM is part of a FUNCTIONAL GROUP within an ORGANISATION.

  1. A MENTAL HEALTH CARE TEAM comprises PERSONS who are MENTAL HEALTH CARE TEAM MEMBERS and are either employed by the HEALTH CARE PROVIDER providing the specialist mental health care services, or employed by another NHS or non-NHS ORGANISATION.

  1. PATIENTS may have SECURE ACCOMMODATION REQUIREMENTS which are periods of time when they are identified as requiring accommodation of a higher level of security, for example a high or medium security hospital.

  1. PATIENTS within a MENTAL HEALTH CARE SPELL have one or more LEGAL STATUS over time, classified by LEGAL STATUS CLASSIFICATION.

  1. PATIENTS within a MENTAL HEALTH CARE SPELL have one or more LEGAL STATUS over time, classified by [DELETED].


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MISCELLANEOUS

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CENTRAL RETURN DIAGRAMS - MISCELLANEOUS

A(C)A1 AIDS (Control) Act 1987 Statistics on Reported AIDS Cases and Deaths
A(C)A2 AIDS (Control) Act 1987 Statistics on First Reports of Hiv-1 Infected Persons
EXTDRUG Extended Drug Misuse Database
KA34 Ambulance Services
KO41(A) HCHS Complaints
KO41(B) FHS Complaints
KP90 Admissions, Changes in Status and Detentions Under the Mental Health Act
RH(N) Premises Registered under Part II of the Registered Homes Act 1984
[DELETED] [DELETED]


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MISCELLANEOUS

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CENTRAL RETURNS - MISCELLANEOUS

KA34 Ambulance Services
KO41 (A) HCHS Complaints
KO41 (B) FHS Complaints
See the Department of Health NHS Written complaints website for the most up-to-date available statistics
KP90 Admissions, Changes in Status and Detentions under the Mental Health Act
RH(N) Registered Homes (Nursing)
[DELETED] [DELETED]


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MUTUALLY EXCLUSIVE RELATIONSHIPS

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Diagramming Conventions

Diagramming Conventions

Mutually Exclusive Relationships

In some situations, relationships may be mutually exclusive, i.e. either one or other relationship may be present, but not both. For example, a particular HOME LEAVE may only relate to either a NURSING HOME or a WARD, but not both as the patient can only be in one place from which the HOME LEAVE is taken. For example, a particular HOME LEAVE may only relate to either a WARD or, if the PATIENT is not in a hospital, an ORGANISATION SITE, such as a care home, but not both as the patient can only be in one place from which the HOME LEAVE is taken. This 'either/or' situation is shown by an arc spanning the realtionships in question.

An example of mutually exclusive relationships in diagrams is given below:


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PC110

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Model View Diagram - Overview

PC110 - COMMUNITY PHARMACIES

  1. COMMUNITY PHARMACY SITE APPLICATIONS are made to PRIMARY CARE TRUSTS and consent determined based on the Pharmaceutical Services Regulations. Applications are made either from existing COMMUNITY PHARMACY SITES or another ORGANISATION.

  1. COMMUNITY PHARMACY SITES may operate waste medicine collection schemes in which case WASTE MEDICINES QUANTITY PERIOD amounts will be recorded and reported.

  1. COMMUNITY PHARMACY SITES may operate formal contacts with RESIDENTIAL CARE HOMES and NURSING HOMES for the provision of general pharmaceutical advice.

  1. COMMUNITY PHARMACY SITES may operate formal COMMUNITY PHARMACY SITE CONTRACTS with CARE HOME SITES for the provision of general pharmaceutical advice.

  1. If a COMMUNITY PHARMACY SITE provides additional hours then these are recorded as COMMUNITY PHARMACY ADDITIONAL HOURS. Pharmacies that operate as part of the Essential Small Pharmacies Scheme are identified by the value of the ESSENTIAL SMALL PHARMACY INDICATOR.


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REDUCED ARC - MUTUALLY EXCLUSIVE RELATIONSHIPS

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Diagramming Conventions

Diagramming Conventions

Reduced Arc - Mutually Exclusive Relationships

In some diagrams only one of the mutually exclusive relationships may be present, the other, being not applicable to the diagram, being omitted. For example, a particular diagram is concerned with NURSING HOMES and requires the inclusion of HOME LEAVE however, the second mutually exclusive relationship to WARD is not germaine to the diagram and can be left out. For example, a particular diagram is concerned with WARDS and requires the inclusion of HOME LEAVE however, the second mutually exclusive relationship to ORGANISATION SITE is not germaine to the diagram and can be left out. This omission is indicated by the straight line (arc) which normally spans the two relationships being displayed in a reduced manner.

An example of a reduced mutually exclusive relationship arc in diagrams is given below:


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RELATIONSHIP NAMES

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Diagramming Conventions

Diagramming Conventions

Relationship Names

Where a relationship between entity types is named in a diagram, the name applies to the entity type to which it is nearest.

An example of a relationship name in diagrams is given below:

In the example above, the entity type definition for LEGAL STATUS will contain the following relationship information:

Each LEGAL STATUS
K must be recorded for one and only one PATIENT
  must be related to one and only one LEGAL STATUS CLASSIFICATION


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