Specialty Function Codes

MAIN SPECIALTY AND TREATMENT FUNCTION CODES

TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets (CDS). It is based on specialty, but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including hospital consultants.

The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL eg Intermediate Care as the TREATMENT FUNCTION CODE for a Nursing Episode.

A full list of TREATMENT FUNCTION CODES follows the MAIN SPECIALTY CODES.

MAIN SPECIALTY CODES are aligned with the specialties recognised in the European Specialist Medical Qualifications Order 1995 and European Primary and Specialist Dental Qualifications Regulations 1998. Pseudo codes should be used in Commissioning Data Set (CDS) messages for lead CARE PROFESSIONALS other than hospital consultants eg Nursing Episode.

For further information, contact the Data and Information Standards Programme; Contact Details.

  Code Main Specialty Title
    Surgical Specialties
  100 GENERAL SURGERY
  101 UROLOGY
  110 TRAUMA & ORTHOPAEDICS
  120 ENT
  130 OPHTHALMOLOGY
  140 ORAL SURGERY
  141 RESTORATIVE DENTISTRY
  142 PAEDIATRIC DENTISTRY
  143 ORTHODONTICS
  145 ORAL & MAXILLO FACIAL SURGERY
  146 ENDODONTICS
  147 PERIODONTICS
  148 PROSTHODONTICS
  149 SURGICAL DENTISTRY
  150 NEUROSURGERY
  160 PLASTIC SURGERY
  170 CARDIOTHORACIC SURGERY
  171 PAEDIATRIC SURGERY
  180 ACCIDENT & EMERGENCY
  190 ANAESTHETICS
  191 no longer in use
  192 CRITICAL CARE MEDICINE
    Medical Specialties
  300 GENERAL MEDICINE
  301 GASTROENTEROLOGY
  302 ENDOCRINOLOGY
  303 CLINICAL HAEMATOLOGY
  304 CLINICAL PHYSIOLOGY
  305 CLINICAL PHARMACOLOGY
  310 AUDIOLOGICAL MEDICINE
  311 CLINICAL GENETICS
  312 CLINICAL CYTOGENETICS and MOLECULAR GENETICS
  313 CLINICAL IMMUNOLOGY and ALLERGY
  314 REHABILITATION
  315 PALLIATIVE MEDICINE
  320 CARDIOLOGY
  321 PAEDIATRIC CARDIOLOGY
  330 DERMATOLOGY
  340 THORACIC MEDICINE
  350 INFECTIOUS DISEASES
  352 TROPICAL MEDICINE
  360 GENITO-URINARY MEDICINE
  361 NEPHROLOGY
  370 MEDICAL ONCOLOGY
  371 NUCLEAR MEDICINE
  400 NEUROLOGY
  401 CLINICAL NEURO-PHYSIOLOGY
  410 RHEUMATOLOGY
  420 PAEDIATRICS
  421 PAEDIATRIC NEUROLOGY
  430 GERIATRIC MEDICINE
  450 DENTAL MEDICINE SPECIALTIES
  460 MEDICAL OPHTHALMOLOGY
†  500 OBSTETRICS and GYNAECOLOGY
  501 OBSTETRICS
  502 GYNAECOLOGY
  510 no longer in use
  520 no longer in use
  560 MIDWIFE EPISODE
  600 GENERAL MEDICAL PRACTICE
  601 GENERAL DENTAL PRACTICE
  610 no longer in use
  620 no longer in use
    Psychiatry
  700 LEARNING DISABILITY
  710 ADULT MENTAL ILLNESS
  711 CHILD and ADOLESCENT PSYCHIATRY
  712 FORENSIC PSYCHIATRY
  713 PSYCHOTHERAPY
  715 OLD AGE PSYCHIATRY
    Radiology
  800 CLINICAL ONCOLOGY (previously RADIOTHERAPY)
  810 RADIOLOGY
    Pathology
  820 GENERAL PATHOLOGY
  821 BLOOD TRANSFUSION
  822 CHEMICAL PATHOLOGY
  823 HAEMATOLOGY
  824 HISTOPATHOLOGY
  830 IMMUNOPATHOLOGY
  831 MEDICAL MICROBIOLOGY
  832 no longer in use
    Other
  900 COMMUNITY MEDICINE
  901 OCCUPATIONAL MEDICINE
  902 COMMUNITY HEALTH SERVICES DENTAL
  903 PUBLIC HEALTH MEDICINE
  904 PUBLIC HEALTH DENTAL
  950 NURSING EPISODE
  990 no longer in use
 
†  Code 500 is not acceptable for Central Returns including HES
  Pseudo Main Specialty codes should be used in CDS messages for lead CARE PROFESSIONALS other than consultant medical and dental staff eg 560 and 950.
  The Main Specialty for GPs is General Medical Practice or General Dental Practice
  Joint Consultant Clinic activity should be recorded against the MAIN SPECIALTY CODE of the consultant managing the clinic
  Code Treatment Function Title Comments
    Surgical Specialties  
  100 GENERAL SURGERY  
  101 UROLOGY  
  102 TRANSPLANTATION SURGERY Includes renal and liver transplants, excludes Cardiothoracic Tranplantation
  103 BREAST SURGERY Includes suspected neoplasms, cysts etc, does not include cosmetic surgery
  104 COLORECTAL SURGERY Surgical treatment of disorders of the lower intestine (colon, anus and rectum)
  105 HEPATOBILIARY & PANCREATIC SURGERY Includes liver surgery but excludes liver transplantation see Transplantation Surgery
  106 UPPER GASTROINTESTINAL SURGERY new
  107 VASCULAR SURGERY new
  110 TRAUMA & ORTHOPAEDICS  
  120 ENT  
  130 OPHTHALMOLOGY  
  140 ORAL SURGERY  
  141 RESTORATIVE DENTISTRY Endodontics, Periodontics and Prosthodontics are all mono-specialties within Restorative Dentistry
  142 PAEDIATRIC DENTISTRY  
  143 ORTHODONTICS  
  144 MAXILLO-FACIAL SURGERY new
  150 NEUROSURGERY  
  160 PLASTIC SURGERY  
  161 BURNS CARE To be used by recognised specialist services only - but including 'outreach' facilities
  170 CARDIOTHORACIC SURGERY Should only be used where there are no separate services for Cardiac Surgery and Thoracic Surgery
  171 PAEDIATRIC SURGERY  
  172 CARDIAC SURGERY new
  173 THORACIC SURGERY new
  174 CARDIOTHORACIC TRANPLANTATION To be used by recognised specialist services only - but including 'outreach' facilities
  180 ACCIDENT & EMERGENCY  
  190 not a Treatment Function  
  191 PAIN MANAGEMENT Complex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
  192 CRITICAL CARE MEDICINE also known as Intensive Care Medicine
    Medical Specialties  
  300 GENERAL MEDICINE  
  301 GASTROENTEROLOGY  
  302 ENDOCRINOLOGY  
  303 CLINICAL HAEMATOLOGY  
  304 not a Treatment Function  
  305 CLINICAL PHARMACOLOGY  
  306 HEPATOLOGY new
  307 DIABETIC MEDICINE new
  308 BONE & MARROW TRANSPLANTATION Previously in Clinical Haematology
  309 HAEMOPHILIA Previously in Clinical Haematology
  310 AUDIOLOGICAL MEDICINE  
  311 CLINICAL GENETICS  
  312 not a Treatment Function  
  313 CLINICAL IMMUNOLOGY and ALLERGY Should only be used where there are no separate services for Clinical Immunology and Allergy
  314 REHABILITATION  
  315 PALLIATIVE MEDICINE  
  316 CLINICAL IMMUNOLOGY new
  317 ALLERGY new
  318 INTERMEDIATE CARE Intermediate care encompasses a range of multi-disciplinary services designed to safeguard independence by maximising rehabilitation and recovery after illness or injury
  319 RESPITE CARE new
  320 CARDIOLOGY  
  321 PAEDIATRIC CARDIOLOGY  
  322 CLINICAL MICROBIOLOGY new
  330 DERMATOLOGY  
  340 THORACIC MEDICINE  
  341 SLEEP STUDIES new
  350 INFECTIOUS DISEASES  
  352 TROPICAL MEDICINE new
  360 GENITO-URINARY MEDICINE  
  361 NEPHROLOGY  
  370 MEDICAL ONCOLOGY  
  371 not a Treatment Function  
  400 NEUROLOGY  
  401 not a Treatment Function  
  410 RHEUMATOLOGY  
  420 PAEDIATRICS  
  421 PAEDIATRIC NEUROLOGY  
  422 NEONATOLOGY new
  424 WELL BABIES Care given by the mother/substitute with medical and neonatal nursing advice if needed
  430 GERIATRIC MEDICINE  
  450 DENTAL MEDICINE SPECIALTIES  
  460 MEDICAL OPHTHALMOLOGY  
  500 not a Treatment Function  
  501 OBSTETRICS  
  502 GYNAECOLOGY  
  503 GYNAECOLOGICAL ONCOLOGY new
  510 not a Treatment Function Record as Obstetrics, antenatal clinic can be used as a local sub-specialty if required
  520 not a Treatment Function Record as Obstetrics, postnatal clinic can be used as a local sub-specialty if required
  560 MIDWIFE EPISODE  
  600 not a Treatment Function  
  610 not a Treatment Function Record as Obstetrics
  620 not a Treatment Function Use the appropriate function under which the patient is treated
    Psychiatry  
  700 LEARNING DISABILITY  
  710 ADULT MENTAL ILLNESS  
  711 CHILD and ADOLESCENT PSYCHIATRY  
  712 FORENSIC PSYCHIATRY  
  713 PSYCHOTHERAPY  
  715 OLD AGE PSYCHIATRY  
    Radiology  
  800 CLINICAL ONCOLOGY (previously RADIOTHERAPY)  
  810 RADIOLOGY  
  811 INTERVENTIONAL RADIOLOGY new
    Pathology  
  820 not a Treatment Function  
  821 not a Treatment Function  
  822 CHEMICAL PATHOLOGY  
  823 not a Treatment Function See Clinical Haematology
  824 not a Treatment Function  
  830 not a Treatment Function see Clinical Immunology
  831 not a Treatment Function See Clinical Microbiology
  832 not a Treatment Function  
    Other  
  900 not a Treatment Function  
  901 not a Treatment Function  
  950 not a Treatment Function Use the appropriate function under which the patient is treated
  990 not a Treatment Function  
  Treatment Function Codes should be used for all aggregate central returns unless otherwise stated eg Workforce returns use Main Specialty Codes
  GP and Nurse activity should be recorded against the Treatment Function under which the patient is treated
  Joint Consultant Clinic activity should be recorded against the Treatment Function which best describes the specialised service