Change Request
 
NHS Information Authority

Data Standards and Information Programme

Reference: Change Request 391
Version No: 1.6
Subject: Treatment Centres
Type of Change: Change to Site Code (of Treatment) and NHS Organisation Codes Tables to support the identification of Treatment Centres
Effective Date: Immediate
Reason for Change: To enable NHS Trusts, PCTs and Independent Sector providers to identify each Treatment Centre separately by using the Organisation Site Code.

Background:

Effective information management is essential to support the care process and is a critical component of delivering the NHS Plan and the development of new patient focused services, including the Treatment Centres (TCs). In order to monitor the care delivered by NHS and Independent Sector (IS) TCs it is necessary not only to include the activity in information reported but also to differentiate it from other activity provided to NHS patients.

NHS and IS Treatment Centres must collect and send the data as specified for the Admitted Patient Care and Out-Patient Attendance Commissioning Data Sets, via the NHS Wide Clearing Service (NWCS), to their NHS commissioners and for the Department of Health's Hospital Episode Statistics (HES) data warehouse. The HES data warehouse is required to capture information on secondary healthcare provided to admitted NHS patients resident in England, regardless of where it is delivered. HES also captures any admitted patient activity taking place in NHS hospitals and units in England, even where the patient is not funded by the NHS. From April 2004 it is planned that HES will include outpatient activity data as well.

If NHS TCs treat privately funded patients, information must also be collected and submitted on their care and treatment for the Commissioning Data Sets. Guidance on the inclusion or exclusion of private patients treated by NHS providers in other data collections should be confirmed with the team responsible for the collection in the Department of Health. There is currently no requirement for independent sector TCs to send the same aggregate or record level information on privately funded patients.

Where providers operate more than one TC, it must be possible to differentiate the separate returns and survey responses for each TC. Both providers and individual TCs may be identified separately in published information based on the returns submitted.

The requirement to collect and submit aggregate and record level data was set out in the Invitation to Negotiate and should form part of the Service Level Agreement between Independent Sector TCs and NHS commissioners. For NHS organisations using Independent Sector providers other than TCs the arrangements for data collection and submission as set out in DSCN 47/2002 still apply and should be extended to Out-Patient Attendance CDS.

The organisation providing the care to the patient, whether a NHS or Independent Sector TC will retain ultimate responsibility for the completeness, accuracy and timeliness of the data submissions and using the service. However, they can nominate a third party to send data on their behalf. The third party can be a NHS or non-NHS organisation as long as they can comply with all NHS standards and protocols.

The Organisation Codes Service has introduced a new coding structure for Independent Sector Healthcare providers and Independent Sector Healthcare provider sites which will have an 'N' prefix. The existing independent providers '8' prefix will be limited to Registered and non-registered nursing homes, Independent therapists, Independent hospices and Charities. http://nww.nhsia.nhs.uk/ocs/pages/default.asp

Further details can be found in the attached Appendix.

Summary of changes:
 
Attribute Definitions
ORGANISATION SITE CODE    Change to Description
 
Data Elements
SITE CODE (OF TREATMENT)    Change to Description
 
Supporting Information
ADMINISTRATIVE CODES & CLASSIFICATIONS    Change to Supporting Information
CONTEXTUAL OVERVIEW    Change to Supporting Information
DEFAULT CODES SUMMARY TABLE    Change to Supporting Information
NHS ADMINISTRATIVE CODES    Change to Supporting Information
NHS ORGANISATION CODES TABLES    Change to Supporting Information

Name: Barbara Fogarty
Date: 24 November 2003
Sponsor: Data & Information Standards Programme/HES

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

ORGANISATION SITE CODE
Change to Attribute: Change to Description

This provides a unique identifier of each site for an ORGANISATION.

Note: Only ORGANISATION SITE CODES which have been notified to and issued by the Corporate Data Administration section of the Department of Health Information Services Division may be used as part of the NHS SERVICE AGREEMENT Identifier. Note: Only ORGANISATION SITE CODES which have been notified to and issued by the Organisation Codes Service of the NHS Information Authority may be used.



This attribute is also known by these names:
Context Alias
plural ORGANISATION SITE CODES


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    SITE CODE (OF TREATMENT)
    Change to Data Element: Change to Description

    Format/length: an5
    HES item: SITETRET
    National Codes:
    Default Codes: 89999 - Not applicable: non-NHS UK provider
    Default Codes: 89999 - non-NHS UK provider where no organisation site code has been issued
    89997 - Not applicable: non-UK provider

    Notes:
    SITE CODE (OF TREATMENT) is the ORGANISATION SITE CODE of ORGANISATION SITE of the provider ORGANISATION.

    This identifies the site within the ORGANISATION on which the PATIENT was treated, since facilities may vary on different hospital sites. The code recorded should always be the national code; if the treatment is sub-commissioned to another provider, the site code used should be that of the provider actually carrying out the work.

    Each ORGANISATION has a unique ORGANISATION CODE, see NHS Administrative Codes for a description and format of ORGANISATION CODES. However, where an ORGANISATION has more than one site from which it provides services then each site is uniquely identifed. However, where an ORGANISATION has more than one site from which it provides services then each site is uniquely identified. These sites are ORGANISATION SITES and are uniquely identified by ORGANISATION SITE CODE. The ORGANISATION SITE CODE contains the first 3 digits of the ORGANISATION CODE with the last two digits being the site identifier.

    Example:

    RA700 ORGANISATION CODE of the ORGANISATION
    RA701 ORGANISATION SITE CODE of the first identified ORGANISATION SITE within the ORGANISATION
    RA702 ORGANISATION SITE CODE of the second identified ORGANISATION SITE within the ORGANISATION

    Where treatment for an NHS patient is sub-commissioned to an independent UK provider the default code of 89999 should be used. Similarly where treatment is sub-commissioned to an overseas provider the default code 89997 is applicable. Where treatment for an NHS patient is sub-commissioned to an independent UK provider the appropriate ORGANISATION SITE CODE should be used. Where treatment is sub-commissioned to an overseas provider the default code 89997 is applicable.

    For out-patients, activity may take place outside the hospital, such as in the PATIENT'S home; in such cases, raising a site code is impractical. LOCATION CLASS is used in the CDS message to indicate the classification of the physical location within which the activity occurred.



    This data element is also known by these names:
    Context Alias
    plural SITE CODE (OF TREATMENT)


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      ADMINISTRATIVE CODES & CLASSIFICATIONS
      Change to Supporting Information: Change to Supporting Information

      Administrative Codes and Classifications

      ADMINISTRATIVE CODES

      1. The Organisation Codes Service has responsibility for allocation and distribution of administrative codes and related data to the Department of Health, the NHS and other bodies.

        The codes are used to identify:

        • Individual healthcare organisations including independent providers;
        • Dental and Medical Practices;
        • Practitioners, such as GPs, Dental Practitioners and Hospital Consultants.

      1. The codes allow for:

        • the identification of information returned to the Department of Health;
        • the identification of the organisations involved in the electronic exchange of information within the NHS;
        • the identification of the parties involved in the commissioning and administration of an episode of care.

      1. The current coding standards were introduced in 1996 by the Organisation Codes Service (OCS). Subsequent revisions to the structure and format of organisation codes have given these codes a consistent and stable format. This both reflects the organisational changes in the NHS and protects the codes against future changes to the structure of the NHS.

      1. Codes used in England and Wales to identify organisations in Scotland and Northern Ireland are allocated by agencies working on behalf of the Scottish Office and Northern Ireland Office. These codes meet NHS coding standards and are included in the OCS CD-ROM, issued quarterly to NHS users. Note, however, that different codes may be used locally e.g. in Scotland by Scottish users.

      1. For NHS Trust sites and Primary Care Trust sites, a three character NHS Trust code with a suitable two character suffix is used to compose the sites identification code. For free-standing organisations, where more than three characters are used, the first three characters have no significance.

      1. For CDSs, both the Commissioner and the Provider must be identified by a five character code. If either the Commissioner or the Provider is normally identified by a three character code, then its organisation code may be extended to five characters by the addition of a two zero suffix (00) to create a suitable code, such as RGT00 for a Trust. This should only be used in situations where there is no other 5-character code that can be used.

      1. Only those organisations, with their sub-divisions or sites that are registered within the OCS national list of organisations may be used for commissioning purposes or for routing commissioning data sets (CDSs) over NWCS (ClearNet). NHS organisations that wish to include one or more of their sub-divisions or sites on the national register should contact the OCS Help Desk; see Contact Details

      1. Only those organisations, with their sub-divisions or sites that are registered within the OCS national list of organisations may be used for commissioning purposes or for routing commissioning data sets (CDSs) over NWCS (ClearNet). NHS and Independent Sector providers which operate Treatment Centres must be able to differentiate each Treatment Centre by the Organisation Site Code. NHS or Independent Sector organisations that wish to include one or more of their sub-divisions or sites on the national register should contact the OCS Help Desk; see Contact Details

      1. Where treatment for a NHS patient is sub-commissioned to a non-NHS provider healthcare organisation (independent provider) but that non-NHS provider does not have an organisation code or sites registered with OCS, the default value of 89999 should be used.

      1. Where treatment for a NHS patient is sub-commissioned to a non-NHS UK provider healthcare organisation (independent provider) but that non-NHS UK provider does not have an organisation code or sites registered with OCS, the default value of 89999 should be used.

        NHS Organisation Codes

        NHS ORGANISATION CODES TABLES

        Medical & Dental Practice Codes

        NHS Administrative Codes - Practitioner Codes


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        CONTEXTUAL OVERVIEW
        Change to Supporting Information: Change to Supporting Information

        CDS, CMDS and HES

        Contextual Overview

          A. Information Requirements

        1. Inormation on care provided by NHS hospitals and Primary Care Trusts is required to:


          • monitor and manage Service Agreements;
          • develop commissioning plans;
          • monitor Health Improvement Programmes;
          • underpin clinical governance;
          • understand the health needs of the population.

          Main commissioners need access to data to monitor OUT OF AREA TREATMENT activity as part of the management of their Service Agreements. PRIMARY CARE TRUSTS also need to monitor in-year referrals to investigate the sources and reasons for Out of Area Treatments.

        1. Information on care provided by NHS hospitals and Primary Care Trusts for all patients, and Independent Sector providers (for NHS patients only) is required to:


          • monitor and manage Service Agreements;
          • develop commissioning plans;
          • monitor Health Improvement Programmes;
          • underpin clinical governance;
          • understand the health needs of the population.

          Main commissioners need access to data to monitor OUT OF AREA TREATMENT activity as part of the management of their Service Agreements. PRIMARY CARE TRUSTS also need to monitor in-year referrals to investigate the sources and reasons for Out of Area Treatments.

          Independent Sector Treatment Centres (TC) are responsible for providing Admitted Patient Care and Out-Patient Attendance CDS and may submit it on their own behalf or via a third party. Other Independent Sector activity for NHS patients is the responsibility of the NHS commissioning body for the provision of the appropriate central returns and datasets.

        1. The Department of Health (DH) needs a complete record of all patients admitted to NHS hospitals and Primary Care Trusts, including patients receiving private treatment. Hospital Episode Statistics (HES) are derived from the Admitted Patient Care CDS Types submitted via the NHS-wide Clearing Service (NWCS). These records provide information about hospital and patient management and epidemiological data on patient diagnoses and operative procedures. The HES database has already been used to support every aspect of the new Performance Framework.

          B. Data Flows

        1. HES records are extracted from the NWCS database quarterly. The timely provision of Admitted Patient Care (APC) records to the NWCS, complete with clinical information, is now a performance issue for NHS Trusts.

        1. HES records are extracted from the NWCS database quarterly. The timely provision of Admitted Patient Care (APC) records to the NWCS, complete with clinical information, is now a performance issue for Trusts.

        1. The strategic direction set out within Information for Health is to develop comprehensive and consistent electronic health records for patients from clinical information flows. In the short term, access to and the analysis of CDS Types/CMDSs will remain important, and the exchange of these data sets should continue on at least a monthly basis.

        1. To determine who receives CDS Types/CMDSs, NHS Trusts and Primary Care Trusts need to take all of the following factors into account, not necessarily in the order specified here:


          • identifying the patient's registered GP - to establish the responsible Primary Care Trust;
          • determining where the patient is resident - necessary when the patient is not registered with a GP;
          • assigning the correct type of NHS SERVICE AGREEMENT for the treatment provided;
          • identifying an overseas visitor and whether the patient is a private patient.

          The information data flows are shown in the Tables below.
          C. CDS and CMDS Data Flow Definitions

        1. The exchange of individual CDS Types/CMDSs may be mandatory or optional. All Admitted Patient Care CDS Type exchanges, for example, are mandatory, but exchanges of individual CDS Types for accident and emergency attendances are not, and require local agreement between the parties concerned.

        1. The exchange of individual CDS Types/CMDSs may be mandatory or optional. All Admitted Patient Care and Out-Patient Attendance CDS Type exchanges are mandatory, but exchanges of individual CDS Types for accident and emergency attendances are not, and require local agreement between the parties concerned.

        1. Where CDS Types/CMDSs are exchanged, the data items within the CDS Type/CMDS have a mandatory or optional status. A data item marked as mandatory (M) means that it must be included in the CDS Type; a data item marked as optional (O) means that the data item need only be included if both parties agree to its exchange. Although the exchange of the Accident and Emergency CDS Type may be optional, this does not apply to the status of the data items within this CDS Type.

        1. For records relating to CDS and CMDS activity from the 1st April 2002 see REVISED CDS INFORMATION FLOW ADDRESSING GRID - Activity from 1st April 2002 below.

        1. For records relating to CDS and CMDS activity up to 31st March 2002, see PREVIOUS CDS INFORMATION FLOW ADDRESSING GRID - Activity up to 31st March 2002 below.

          REVISED CDS INFORMATION FLOW ADDRESSING GRID - Activity from 1st April 2002

            CDS PRIME RECIPIENT CDS COPY RECIPIENTS
          Patient/Service Agreement PCT OF RESIDENCE PCT responsible Main Comm-issioner Organisa-tion to which costs of treatment accrue
          Patient registered with GP with PCT Service Agreement * *    
          Patient not registered with a GP but resident in an area covered by a PCT with a PCT Service Agreement * *    
          Patient registered with a GP treated as an Out Of Area Treatment (OAT) * * *  
          Patient not registered with a GP treated as an Out Of Area Treatment (OAT) * * *  
          Overseas visitor exempt from charges and not registered with a GP *
          (TDH00)          		   *  
          Overseas visitor exempt from charges and registered with a GP *
          (TDH00)          		 * *  
          Overseas visitor liable for NHS charges and not registered with a GP *
          (VPP00)          		      
          Overseas visitor liable for NHS charges and registered with a GP *
          (VPP00)          		 *    
          Patient registered with GP with a Specialised Services & Other Commissioning Consortia Service Agreement * *   *
          Patient not registered with GP with a Specialised Services & Other Commissioning Consortia Service Agreement * *   *
          Private Patient * *    

          Notes:

          a. Some flows will be sent for unfinished episodes. For example, a consultant episode may be in progress when a data flow is sent. In such cases the end date is not known and the patient has not been discharged. These data items will therefore not be included in that data flow.

          b. Note that if two recipients are identical (PCT of Residence is the same as the Main Commissioner only one data set should be sent to that recipient.

          c. For further information please refer to DSCN 46/2002.

          PREVIOUS CDS INFORMATION FLOW ADDRESSING GRID - Activity up to 31st March 2002

        1. All records relating to CDS and CMDS activity up to 31st March 2002, including unfinished episodes on that date, will use the previous data flow addressing grid irrespective of when the records are actually sent to the NWCS. For example, an admitted patient episode which ended in March 2002 should be addressed to the appropriate HA or PCG/PCT in existence in March 2002 even though the record may not be sent until 1st April 2002 or later.

        Patient/Service Agreement PCG/PCT HA responsible for PCG: HA to which PCT is accountable PCG OR PCT OF RESIDENCE HA responsible for PCG OR PCT OF RESIDENCE; Main Comm-issioner Organisa-tion to which costs of treatment accrue HA of Residence Agency acting on behalf of DH
        Patient registered with GP with PCG/PCT Service Agreement * *         *  
        Patient not registered with GP but resident in area covered by PCG/PCT with PCG/PCT Service Agreement     * *     *  
        Patient registered with GP treated as Out of Area Treatment * *     *   *  
        Patient not registered with GP treated as Out of Area Treatment     * * *   *  
        Overseas visitor exempt from charges         *     *
        (TDH00)
        Overseas visitor - liable for NHS charges               *

        (VPP00)
        Patient registered with GP with Specialised Services & Other Commissioning Consortia Service Agreement * *       * *  
        Patient not registered with GP with Specialised Services & Other Commissioning Consortia Service Agreement     * *   * *  
        Private Patient * *         *  

        Notes:

        a. Some flows will be sent for unfinished episodes. For example, a consultant episode may be in progress when a data flow is sent. In such cases the end date is not known and the patient has not been discharged. These data items will therefore not be included in that data flow.

        b. Note that if two recipients are identical (e.g. the HA of Residence is the same as the HA responsible for the patient's PCG) only one data set should be sent to that recipient.


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            DEFAULT CODES SUMMARY TABLE
            Change to Supporting Information: Change to Supporting Information

            Default Codes Summary Table

            DEFAULT CODES SUMMARY

            Default (or pseudo) codes may be used:

            • to indicate an organisation type, such as an MoD doctor or a Prison Practice;
            • to indicate that the code value is not known;
            • to indicate that a code cannot be supplied (e.g. no referring doctor or dentist).
            Default code is used to indicate: Code
            Overseas visitor exempt from charges TDH00
            Overseas visitor liable for charges VPP00
            Private Patient VPP00
            GP code is unknown G9999998
            No registered GP G9999981
            Referrer other than GMP, GDP or consultant R9999981
            Locum refers code of GP for whom locum is acting
            MoD doctor A9999998
            Referrer Code not applicable, eg patient has self-presented, or not known X9999998
            Referring Organisation Code not applicable X99998
            Referring Organisation Code not known X99999
            Prison doctor P9999981
            Consultant Code not known C9999998
            Midwife default code M9999998
            Nurse default code N9999998
            Dentist code not known D9999998
            Dentist code not applicable (dentist does not have DPB number) D9999981
            Code Of GP Practice is unknown V81999
            Prison Practice V81998
            Dentist Practice V81998
            Practice code of MoD doctor V81998
            Practice code not applicable V81998
            HA Of Residence not known Q9900 or X9800
            HA Of Residence code not applicable (eg overseas visitors)

            Note: this code must not be used in the CDS header. It is not a default Commissioner code.            		 X98
            Organisation Code (Code of Provider) - non-UK provider where no organisation code has been issued 89997
            Organisation Code (Code of Provider) - non-NHS UK provider where no organisation code has been issued 89999
            Site Code (Of Treatment) not applicable: non-NHS UK provider 89999
            Site Code (Of Treatment) - non-NHS UK provider where no organisation site code has been issued 89999
            Site Code (Of Treatment) not applicable: non-UK provider 89997
            Site Code (Of Treatment) - not a hospital site (for use on Out-Patient CMDS) R9998
            Non-UK provider; specialty function not known, treatment mainly surgical 199
            Non-UK provider; specialty function not known, treatment mainly medical 499


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              NHS ADMINISTRATIVE CODES
              Change to Supporting Information: Change to Supporting Information

              Administrative Codes and Classifications

              ORGANISATION CODING FRAMES

                NHS Organisation Codes

              1. All NHS organisations (with the exception of GP Practices - see Medical & Dental Practice Codes) are coded using one of two five character coding frames; the A frame or the B frame as shown in the table:

                Char Position 1 2 3 4 5
                Format a/n a/n a/n a/n a/n
                A Frame Organisation Type Indicator Organisation Identifier
                B Frame Organisation Type Indicator Organisation Identifier Site or Sub-Division Identifier

              1. The A Frame applies to ORGANISATION TYPES with a high volume of ORGANISATIONS and with no requirements to identify sites or sub-divisions within the ORGANISATION. The ORGANISATION CODE is normally a full five characters in length.

                Examples: Independent Providers Examples: Strategic Health Authority

              1. The B Frame applies to ORGANISATION TYPES with a low volume of ORGANISATIONS or ORGANISATION TYPES needing to identify sites or sub-divisions within the ORGANISATION. The ORGANISATION CODE is normally three characters in length; the fourth and fifth character positions are used for identifying sites or sub-divisions.

                Examples: NHS Trusts, Primary Care Trusts

              1. Both coding frames allow the use of digits 0 (zero) to 9 and the use of all upper-case alpha characters except I and O (to avoid ambiguity); no special characters are allowed. These alphanumeric characters may be used in all character positions with the following restrictions:

                • the first character position may only contain one of a series of pre-set values which indicate the ORGANISATION TYPE;

                • within the B Frame, a two zero suffix (00) can be used to extend a three-character Commissioner or Provider ORGANISATION CODE. This should only be used in situations such as in the CDS, where a 5 character code is required and no other 5-character code can be used. For this reason, a Site Identifier should never be coded as 00.

              1. The structure and format of organisation codes maintained by the OCS, PPA and other agencies are detailed in the NHS ORGANISATION CODES TABLES.


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                NHS ORGANISATION CODES TABLES
                Change to Supporting Information: Change to Supporting Information

                Administrative Codes and Classifications

                NHS ORGANISATION CODES TABLES

                Table 1: CODING FORMATS for ORGANISATION in ENGLAND
                Organisation Type Character Position Code allocated by: Notes/Comments
                  1 2 3 4 5    
                Strategic Health Authority Q A-9 A-9 0 0 OCS  
                Care Trust T A-9 A-9 0 0 OCS The 00 suffix should only be used when a 5- character code is required for a Trust and no other 5-character code is available
                Care Trust Site T A-9 A-9 A-9 A-9 OCS  
                Primary Care Trust (PCT) 5 A-9 A-9 0 0 OCS The 00 suffix should only be used when a 5-character code is required for a Trust and no other 5-character code is available
                Primary Care Trust Site 5 A-9 A-9 A-9 A-9 OCS  
                Primary Care Trust Site 5 A-9 A-9 A-9 A-9 OCS Treatment Centres should be separately identified and registered with the OCS. TC is the preferred site code; if there is more than one per trust T1, T2, T3 etc are suggested unless already in use by the trust.
                Special Health Authority (SpHA) T 0-9 0-9 0 0 OCS  
                Other Statutory Authority (OSA) X 0-9 0-9 0 0 OCS  
                OSA Site X 0-9 0-9 0-9 0-9 OCS  
                NHS Trust R A-9 A-9 0 0 OCS The 00 suffix should only be used when a 5-character code is required for a Trust and no other 5-character code is available
                NHS Trust Site R A-9 A-9 A-9 A-9 OCS  
                NHS Trust Site R A-9 A-9 A-9 A-9 OCS Treatment Centres should be separately identified and registered with the OCS. TC is the preferred site code; if there is more than one per trust T1, T2, T3 etc are suggested unless already in use by the trust.

                Hospices

                		 (1) R A-9 0-9 0-9 0-9 OCS

                A hospice may either be situated at NHS Trust level (1) or be an Independent Provider (2).

                (2) 8 A-9 A-9 A-9 A-9 OCS
                Independent Provider 8 A-9 A-9 A-9 A-9 OCS  
                Independent Provider 8 A-9 A-9 A-9 A-9 OCS Used for Registered and Non-Registered Nursing Homes, Independent Therapists, Independent Hospices and Charities.
                Independent Sector Healthcare Provider N T, V, W A-9     OCS  
                Independent Sector Healthcare Provider Site N T, V, W A-9 A-9 A-9 OCS Treatment Centres should be separately identified and registered with the OCS who will allocate the codes.
                MoD Hospital X M D A, F or N 0-9 OCS A=Army, F=RAF, N=Navy
                Private patient V P P 0 0 DH  
                Pathology Laboratories 6 A-Z A-Z A-9 A-9 OCS  

                Note: A-9 indicates that characters A-Z and 0-9 are valid.

                Table 2: CODING FORMATS for ORGANISATION in SCOTLAND
                Organisation Type Character Position Code allocated by: Notes/Comments
                  1 2 3 4 5    
                Scottish Health Board S A-Z 9 9 9 ISD, Scotland  
                Scottish Health Agency S D 0-9 0-9 0-9 ISD, Scotland 2nd character (D) identifies Scottish Office agencies
                Scottish Provider S A-Z A,C,D 0-9 0-9 ISD, Scotland 2nd character identifies the Health Board the organisation reports to; the 3rd character identifies the organisation type:
                A= Health Unit
                C = Hospital Trust
                D = Nursing Home

                Table 3: CODING FORMATS for ORGANISATION in NORTHERN IRELAND
                Organisation Type Character Position Code allocated by: Notes/Comments
                  1 2 3 4 5    
                NI Health Board Z E,N,S,W 0 0 0 NI HSS Executive E = Eastern
                N= Northern
                S = Southern
                W = Western
                NI Provider Z 1,7 0-9 0-9 0-9 NI HSS Executive 2nd character identifies organisation:
                1=HSS Trust
                7 = Independent Provider

                Table 4: CODING FORMATS for ORGANISATION in WALES
                Organisation Type Character Position Code allocated by: Notes/Comments
                  1 2 3 4 5 -
                Local Health Board 6 A-Z 1-9 0 0 OCS The 00 suffix should only be used when a 5-character code is required for a Trust and no other 5-character code is available.
                Local Health Board Site 6 A-Z 1-9 A-9 A-9 Health Solutions Wales  
                NHS Trust R A-9 A-9 0 0 OCS The 00 suffix should only be used when a 5-character code is required for a Trust and no other 5-character code is available.
                NHS Trust Site R A-9 A-9 A-9 A-9 Health Solutions Wales  
                Independent Provider 8 W A-9 A-9 A-9 Health Solutions Wales  
                Other Statutory Authority (OSA) X 0-9 0-9 0 0 OCS  
                OSA Site X 0-9 0-9 0-9 0-9 OCS  

                Hospices

                		 (1) R A-9 0-9 0-9 0-9 OCS

                A hospice may either be situated at NHS Trust level (1) or be an Independent Provider (2).

                (2) 8 A-9 A-9 A-9 A-9 OCS
                MoD Hospital X M D A, F or N 0-9 OCS A=Army, F=RAF, N=Navy
                Private patient V P P 0 0 DH  

                Note: A-9 indicates that characters A-Z and 0-9 are valid.

                Note: a 'Regional Code' of W00 for Wales is shown in the OCS files, to enable Welsh organisations to be distinguished from English organisations where the same coding frame is used.


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