KC57 - Patient Care in the Community - Community Psychiatric Nursing

Part 2: Initial Contacts (New Episodes of Care) - Age and Sex of Patients

1. Part 2 requires information about INITIAL CONTACTS, the first contacts in new COMMUNITY EPISODES of care. A Community Episode is started by a SOURCE OF REFERRAL FOR COMMUNITY, a referral from a hospital, GP or other health care professional within NHS. Where a previous episode of care for the same PATIENT did not end with a positive discharge of care, a new episode of care should be counted if more than six months have elapsed since the last contact (or since the last failed appointment where no further appointment was made), in the absence of a planned review date.

2. An INITIAL CONTACT is the first FACE TO FACE CONTACT COMMUNITY CARE with a PATIENT (and/or their proxies) taking place as part of a COMMUNITY EPISODE in a NURSING IN THE COMMUNITY PROGRAMME. The CONTACT DATE must fall between 1 April and 31 March of the year covered by the return and the contact must be where the COMMUNITY NURSE STAFF GROUP classification is Community Psychiatric Nurses providing mental illness services.

Location of Contact

3. This is the derived LOCATION TYPE where the FACE TO FACE CONTACT COMMUNITY CARE took place. It includes:

Patient's Home

Health Centre / Other GP or Clinic Premises

Hospital Site

Nursing Home

School

NHS & LA Residential Accommodation / Other LA Premises

Residential or other Facility provided by Voluntary or Private Agency

Other Location

Location Type Codes-Table 2 (deleted) for a more detailed breakdown of the LOCATION TYPES which can be included.

4. Contacts taking place in the following LOCATION TYPES are excluded:

004	Ward on NHS Hospital Site
017	NHS Consultant Clinic Premises on a NHS Hospital Site
018	NHS Consultant Clinic Premises off a NHS Hospital Site

Age (in years) at Initial Contacts (column 7)

5. This is derived from the BIRTH DATE of the PERSON and the date of the contact (CONTACT DATES). Lines 01 - 10 include the following age groups:

Under 5 years

5 - 15 years

16 - 24 years

25 - 34 years

35 - 44 years

45 - 54 years

55 - 64 years

65 - 74 years

75 - 84 years

85 years and over

Number of Initial Contacts in the year (columns 8 & 9)

6. This requires a count of the FACE TO FACE CONTACTS COMMUNITY CARES with PATIENTS (and/or their proxies) taking place as part of a COMMUNITY EPISODE in a NURSING IN THE COMMUNITY PROGRAMMES in the locations specified in paragraphs 3. Only contacts identified as INITIAL CONTACTS are included.

Initial Contacts

7. These are broken down by the sex of the PATIENT - Males (column 8) and Females (column 9).

Total (column 10)

8. This is the total of all FACE TO FACE CONTACTS COMMUNITY CARES with members of the CPN team (subject to the location exclusions in paragraph 4). The contacts are identified as INITIAL CONTACTS and sub-divided by age group.

Total all Ages (line 99)

9. This is the total of all age groups counted in lines 01 to 10 classified by sex.

Part 3: Initial Contacts (New Episodes of Care) - Source of Referral

10. Part 3 categorises the INITIAL CONTACTS included in Part 2 by referral source. It excludes contacts taking place in the following LOCATION TYPES:

004	Ward on NHS Hospital Site
017	NHS Consultant Clinic Premises on a NHS Hospital Site
018	NHS Consultant Clinic Premises off a NHS Hospital Site

11. A Community Episode is initiated by a SOURCE OF REFERRAL FOR COMMUNITY, a referral from a hospital, GP or other health care professional within NHS.

Source Of Referral (column 11, lines 01, 02)

12. SOURCE OF REFERRAL FOR COMMUNITY is sub-divided into the classifications Hospital Staff (line 01), and Other (line 02) (note for this return Other also combines General Practitioner ). Other is a GP or other health care professional within the NHS.

Number of Initial Contacts in the year (column 12)

13. These are defined in paragraph 2.

Total (line 99)

14. This is the total of all INITIAL CONTACTS counted in lines 01 and 02. The totals in Part 2 and Part 3 should be identical.