Allied Health Professionals Operational Measures Dataset€¦ · The proposed Allied Health...

Allied Health Professionals

Operational Measures Dataset

May 2017

Dataset Consultation Document

Version: 1.0

AHP Operational Measures Consultation

2

Contents

Contents ............................................................................................................................................................................ 2

Acknowledgements ........................................................................................................................................................... 4

Introduction ........................................................................................................................................................................ 4

The Development & Implementation of a Allied Health Profession Operational Measures Dataset ................................ 5

Proposed Dataset ............................................................................................................................................................. 8

Future Developments ........................................................................................................................................................ 8

Guidance on this Consultation .......................................................................................................................................... 9

Next steps ....................................................................................................................................................................... 10

What happens following Consultation? ........................................................................................................................... 10

Structure of this Consultation Document ........................................................................................................................ 11

AHP Operational Measures Data Summary ................................................................................................................... 11

SECTION 1: Person Demographics ............................................................................................................................... 12

1.1 Person ID .................................................................................................................................................................. 12

1.2 Community Health Index (CHI) ................................................................................................................................. 12

1.3 Surname .................................................................................................................................................................... 13

1.4 Forename .................................................................................................................................................................. 13

1.5 Date of Birth (DOB) ................................................................................................................................................... 14

1.6 Postcode ................................................................................................................................................................... 14

1.7 Gender ...................................................................................................................................................................... 14

1.8 Ethnicity ..................................................................................................................................................................... 15

SECTION 2: Episode and Request for Assistance/Referral Information ........................................................................ 17

2.1 Date Request for Assistance/Referral Received....................................................................................................... 17

2.2 Source of Request for Assistance/Referral ............................................................................................................... 17

2.3 Date of Discharge…….. ............................................................................................................................................ 19

2.4 Discharge Reason..... ................................................................................................................................................ 19

2.5 Episode ID………………. .......................................................................................................................................... 20

SECTION 3: Contact Information .................................................................................................................................... 21

3.1 Contact ID ................................................................................................................................................................. 21

3.2 AHP Profession ......................................................................................................................................................... 21

3.3 Date of Contact ......................................................................................................................................................... 22

3.4 Attendance Status ..................................................................................................................................................... 23

3.5 Time Contact Started ................................................................................................................................................ 24

3.6 Time Contact Ended ................................................................................................................................................. 24

3.7 Duration of Contact ................................................................................................................................................... 25

3.8 Location ID ................................................................................................................................................................ 25

3.9 Location of Contact ................................................................................................................................................... 26

3.10 Contact Purpose ..................................................................................................................................................... 27

3.11 Service Type ........................................................................................................................................................... 28

3.12 Contact Activity Related To ..................................................................................................................................... 28

3.13 Contact Type ........................................................................................................................................................... 30


3

3.14 Contact Category .................................................................................................................................................... 31

3.15 Contact Mode .......................................................................................................................................................... 31

3.16 Joint Contact ........................................................................................................................................................... 32

3.17 - 3.21 Joint Contact Attendees ................................................................................................................................ 33

3.22 Reason for Joint Contact ......................................................................................................................................... 35

Appendix 1 - Respondent Information and Consultation Response Form ..................................................................... 36

Section 1: Demographics ................................................................................................................................................ 37

Section 2: Episode and Request for Assistance/ Referral Information ........................................................................... 38

Section 3: Contact Details ............................................................................................................................................... 39

General Questions .......................................................................................................................................................... 41


4

Acknowledgements

We would like to thank the Local Authorities, NHS Boards and other stakeholders who have

helped the project team in developing the draft dataset. We would like to extend our thanks to

everyone who attended our workshops in February / March. We appreciate the time and effort that

you have spent with us and your contributions are greatly valued. We look forward to working with

you to refine and agree the dataset in the coming months.

Introduction

In May 2015 the Minister of Public Health agreed in parliament the requirement for a continued

AHP national programme to build upon the successes of the AHP National Delivery Plan (NDP)

2012-20151 and provide an ongoing strategic focus for the significant contribution AHPs make to

the health and wellbeing of the Scottish population. It was agreed that this would be called the

Active and Independent Living Improvement Programme2 (AILIP) and would be closely aligned to

the 2020 Vision and the broader policy context across Health, Social Care and Third Sector.

One of the challenges inherited by AILIP from the NDP was the lack of consistent e-health support

across Scotland in recording and management of AHP data (including waiting times information)

to demonstrate impact and to support service planning. This work continues as a major objective

within the AILIP portfolio.

Approximately 13,500 AHPs work in health care in Scotland (September 2016) with around 500

working in social care. They support, educate and rehabilitate individuals towards an active and

independent life by helping them meet their personal outcomes, delivering services in a huge

variety of locations and formats.

A range of information sources are currently used to effectively manage and plan services locally.

However the breadth, depth and quality of information available both locally and at a nationally

comparative level need to be enhanced in order that;

The significant and increasing contribution AHPs make to the health and wellbeing of the

people of Scotland can be systematically demonstrated

1 AHPs as agents of change in health and social care - The National Delivery Plan for the Allied Health Professions in Scotland, 2012 - 2015 http://www.gov.scot/Publications/2012/06/9095

2 AHPs in Scotland : Active and Independent Living Improvement Programme http://www.knowledge.scot.nhs.uk/ahpcommunity/ailip.aspx

http://www.gov.scot/Publications/2012/06/9095

http://www.knowledge.scot.nhs.uk/ahpcommunity/ailip.aspx


5

AHPs have an empirical basis for service review and improvement.

The Scottish Government Chief Health Professions Officer recognised the existing

incompleteness, inconsistency and partial inaccuracy of national AHP data and during the NDP,

draft ‘Operational Measures for AHP Services across Scotland 2015’ were developed. These

Operational Measures (AHPOMs) were built on extensive previous work to develop an agreed

national minimum dataset for AHPs and outlined the measures proposed for capture from local

AHP data systems.

Later in 2015, National Services Scotland (NSS) Information Services Division (ISD) was

commissioned to lead a phased data development project to define the minimum dataset for

AHPOMs through wide engagement with AHPs and formal consultation followed by extensive

testing with real data extracted from a selection of partner organisation information systems in

both health and social care.

The Development & Implementation of a Allied Health Profession

Operational Measures Dataset

2012

2014

2015

20162017

Need for AHP data included as item 6.1 of NDP

National survey of AHP IT systems

AHP Operational Measures Phase 1Feasibility

AHP Operational Measures Phase 2Define and Test

Measures to be included in AILIP

Scottish AHP Data - The Journey So Far

If you don’t count,you don’t count!


6

The current stage of the AHPOMs project (Phase 2) aims to define and specify the national

minimum dataset through widespread user engagement and a formal consultation process.

Subsequent to this, the agreed dataset will be used to inform one-off data extraction from a broad,

representative range of partners in both health and social care to allow testing, analytical output

development and to help understand data supplier readiness.

This dataset is specifically aimed at defining supporting data for the AHPOMs Key Performance

Indicators (KPIs):

• Service User Referral

• Individual Service User Clinical Activity

• Episode of Care

The full set of KPIs3 also includes information on Waiting Times, Workforce and Other Clinically

Related Activity. Parallel work streams concerning AHP Workforce / Workload and the ongoing

development of AHP MSK Waiting Times will provide the basis for including relevant KPIs in the

future. It is planned that the AHPOMs reporting platform / dashboard will receive data feeds from

these national sources when mature to allow presentation of all the KPIs in a single place.

The project seeks to minimise data collection burden by using existing local sources of data from

health board and local authority systems. As this depends upon the existence of appropriate

electronic systems locally, the work of this project is aligned with the AILIP e-health work stream to

help organisations prepare for the implementation of AHPOMs in future. The project will also be

managed with due regard for information governance and data security safeguards.

The objectives of the current phase of the project do not include implementation at local level. The

findings of phase 2 will be incorporated into a business case for a later phase(s) which will focus

on the technical development of the national dataset, a reporting platform and the roll out of local

implementation.

In the future, nationally implemented AHPOMs will provide a source of standardised AHP data

recorded consistently and regularly to enable service review and planning.

Specific benefits for AHP services will include;

• The potential to benchmark against peers to identify areas for service improvement

• Demonstrating the significant contribution AHPs make to the health and wellbeing of the

Scottish population

3 Full KPIs are available on our website http://www.isdscotland.org/Products-and-Services/Data-Definitions-and-

References/Allied-Health-Professionals-National-Dataset/_docs/AHP_Operational_Measures_v1_0.pdf

http://www.isdscotland.org/Products-and-Services/Data-Definitions-and-References/Allied-Health-Professionals-National-Dataset/_docs/AHP_Operational_Measures_v1_0.pdf

http://www.isdscotland.org/Products-and-Services/Data-Definitions-and-References/Allied-Health-Professionals-National-Dataset/_docs/AHP_Operational_Measures_v1_0.pdf


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• An evidence base for quality improvement

• The potential to analyse trends and enable predictive modeling

• A source of AHP data which can be used within the wider public health environment

It is also anticipated that, in future, AHP Operational Measures data would be routinely linked to

other national data sources such as prescribing data and Scottish Morbidity Record (SMR)

admission and discharge data. This would enable full pathway and outcome analysis and

opportunities for research.

This consultation builds on extensive user engagement conducted in February and March 2017

through 6 definitional workshops across Scotland. All 12 AHP professions were represented

across these events covering health, social care and the third sector. The valuable feedback

recorded has been processed and translated into the formal consultation presented on the

following pages.

AHP Operational Measures Project Team

NSS Information Services Scotland

May 2017


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Proposed Dataset

The proposed Allied Health Professionals Operational Measures (AHPOM) dataset is grouped into

three sections:

1. Demographics

2. Episode and Request for Assistance/Referral Information

3. Contact Information

All Health and Social Care AHP data should be included in this dataset. This includes students or

support workers that have a current caseload. We have aligned where possible to other ISD

datasets and our coding reflects this.

We are aware that the 12 Allied Health Professions across Health and Social Care may not record

the same information or use the same terminology. As a National dataset, we hope that the

proposed data items and definitions can be seen as a best fit for all.

It is envisaged that relevant data will be collected on a quarterly basis via a secure file transfer

facility.

The consultation document asks for each data item to be reviewed and where appropriate

commented upon along with some general questions to assist us in producing a valuable minimum

dataset.

The definitions in this consultation will use the word “person” when referring to the individual

patient / client / service user.

Future Developments

Throughout conversations held with AHPs and from the workshops, it was acknowledged that the

following areas were important and should be considered in future phases:

• Other clinically related activity (including public health)

• Personal Outcomes

• Named Person Requests/ Referrals


9

Guidance on this Consultation

The AHPOM team would welcome responses to this consultation by Friday 16th June 2017.

This consultation document provides an opportunity for relevant organisations and individuals to

offer their views on the proposed AHPOM dataset, and associated definitions, in order to ensure

that the data collected and associated outputs will meet your needs. It is crucial that key

stakeholders be involved in and shape this work, and to this end we welcome suggestions for

amendments, improvements and feedback on any issues.

A list of the proposed data items is provided on page 11 for ease of reference.

Some of the key things we would like you to consider when reviewing the data standards include:

Are there any data items included here that are superfluous or beyond the scope of a ‘core’

national dataset?

The definitions of data items – are they clear, consistent and fit for purpose? Are there other

common terms used to describe these items?

The format of data items (e.g. integer, alpha numeric, field length)

The mutual exclusivity of code sets (i.e. absence of overlap or clear boundaries between

code values within a code set)

We would be grateful if you would use the Respondent Information and Consultation Response

Form for collation of your comments. This is provided as Appendix 1 of the document. Completion

of the form will aid our analysis of the responses received.

Please send your completed Respondent Information and Consultation Response Form to:

[email protected]

Allied Health Professional Operational Measures

Area 151C, Data Management

Information Services Division

National Services Scotland

Gyle Square

1 South Gyle Crescent

Edinburgh

EH12 9EB

mailto:[email protected]


10

Next steps

What happens following Consultation?

Following the closing date (Friday 16th June 2017) all responses will be reviewed and considered

along with any other available evidence to help us refine the AHPOM dataset.

We will issue a feedback report on this consultation which will be published on the ISD website at:

http://www.isdscotland.org/Products-and-Services/Data-Definitions-and-References/Allied-Health-

Professionals-National-Dataset/Operational-Measures.asp by October 2017.

Following this consultation, the nationally agreed dataset will be tested and a report formulated

with suggestions for Phase 3 (and beyond) which will lead the development project into an

implementation phase. The Phase 2 project and output reports are planned for completion by May

2018

Comments

If you have any comments about how this consultation exercise has been conducted, please send

them to:

Name: Richard Hunter, Information Consultant

Address: Area 159e


Public Health and Intelligence


Gyle Square


Edinburgh

EH12 9EB

Email: [email protected]

http://www.isdscotland.org/Products-and-Services/Data-Definitions-and-References/Allied-Health-Professionals-National-Dataset/Operational-Measures.asp

http://www.isdscotland.org/Products-and-Services/Data-Definitions-and-References/Allied-Health-Professionals-National-Dataset/Operational-Measures.asp



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Structure of this Consultation Document

This consultation document is organised into three sections and is supported by questions and

appendices:

1. Demographics

2. Episode and Request for Assistance/Referral Information

3. Contact Information

Appendix 1 – Respondent Information and Consultation Response Form

AHP Operational Measures Data Summary

Section 1: Person Demographics

1.1 Person ID 1.2 Community Health Index (CHI)

1.3 Surname 1.4 Forename

1.5 Date of Birth (DOB) 1.6 Postcode

1.7 Gender 1.8 Ethnicity

Section 2: Episode and Request for Assistance/Referral Information

2.1 Date Request for Assistance/Referral Received

2.2 Source of Request for Assistance/ Referral

2.3 Date of Discharge 2.4 Discharge Reason

2.5 Episode ID

Section 3: Contact Information

3.1 Contact ID 3.2 AHP Profession

3.3 Date of Contact 3.4 Attendance Status

3.5 Time Contact Started 3.6 Time Contact Ended

3.7 Duration of Contact 3.8 Location ID

3.9 Location of Contact 3.10 Contact Purpose

3.11 Service Type 3.12 Contact Activity Related To

3.13 Contact Type 3.14 Contact Category

3.15 Contact Mode 3.16 Joint Contact

3.17 – 3.21 Joint Contact Attendees 3.22 Reason for Joint Contact


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SECTION 1: Person Demographics

Demographic data will be returned for all persons who have had a contact with an Allied Health

Professional within the reporting period or where a request for assistance/referral has been

received within the reporting period. Demographics will be required for every submission.

1.1 Person ID

Optional

Definition: A unique reference number which may be used across multiple systems

to identify an individual. This number may be national or local to each

area.

Common Names: Patient/Client ID, System Number/ID, Unique Identifier, Social Care ID.

Format: Alpha Numeric

Field Length: 20

1.2 Community Health Index (CHI)

Required

Definition: The Community Health Index (CHI) is a population register which is used

in Scotland for health care purposes. The CHI number uniquely identifies

a person on the index.

Format: Numeric

Field Length: 10

Recording Guidance: CHI is a required field when 1.3 Surname, 1.4 Forename, 1.5 DOB, 1.6

Postcode & 1.7 Gender are not recorded.


13

1.3 Surname

Required

Definition: The surname of a person represents that part of the name of a person

which indicates the family group of which the person is part. This will be

the surname at point of contact.

Common Names Second Name; Family Name; Last Name.

Format: Alpha – Free Text

Field Length: 35

Recording Guidance: Required if 1.2 CHI is not recorded.

1.4 Forename

Required

Definition: The first forename of a person represents that part of the name of a

person which after the surname is the principal identifier of a person. This

will be the forename at point of contact.

Common Name: First Name; Given Name.

Format: Alpha – Free Text

Field Length: 35



14

1.5 Date of Birth (DOB)

Required

Definition: The date on which a person was born or is officially deemed to have been

born.

Format: Date – DDMMCCYY

Field Length: 8


1.6 Postcode

Required

Definition: The postcode is a basic unit for identifying geographic locations. A

postcode is associated with each address in the UK. This will be the place

of residence at time of contact for the person.


Field Length: 8


1.7 Gender

Required

Definition: A statement by the individual about the gender they currently identify

themselves to be. This will be the gender at point of contact.

Common Name: Sex.

Format: Numeric

Field Length: 1



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1.7 Gender - Codes and Values

Code Value Explanatory Notes

0 Not Known The gender of the person cannot be determined for physical reasons, e.g.

a new born or unborn baby, indeterminate gender or intersex.

1 Male

2 Female

9 Not Specified The gender of the person is not provided in the personal details i.e. the

data has not been supplied and sex cannot be ascertained from the data

provided.

1.8 Ethnicity

Optional

Definition: A statement made by the person about their current ethnic group. This

will be the ethnicity at point of contact.


Field Length: 2

Codes and Values

Code Value

White

1A

1B

1C

1K

1L

1Z

Scottish

Other British

Irish

Gypsy/Traveller

Polish

Other white ethnic group


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1.8 Ethnicity - Codes and Values Continued

Mixed of Multiple Ethnic Groups

Code Value

2A Any mixed or multiple ethnic groups

Asian, Asian Scottish or Asian British

3F

3G

3H

3J

3Z

Pakistani, Pakistani Scottish or Pakistani British

Indian, Indian Scottish or Indian British

Bangladeshi, Bangladeshi Scottish or Bangladeshi British

Chinese, Chinese Scottish or Chinese British

Other Asian, Asian Scottish or Asian British

African

4D

4Y

African, African Scottish or African British

Other African

Caribbean or Black

5C

5D

5Y

Caribbean, Caribbean Scottish or Caribbean British

Black, Black Scottish or Black British

Other Caribbean or Black

Other Ethnic Group

6A

6Z

Arab, Arab Scottish or Arab British

Other ethnic group

Other

98 Refused/Not provided

99 Not Known


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SECTION 2: Episode and Request for

Assistance/Referral Information

An AHP episode is the care provided to a person over a period of time by an AHP. The care may

take place in any setting.

The episode comprises of one or a series of contacts which are initiated by an AHP request for

assistance/referral or re-request/referral and ended by an AHP discharge.

A request for assistance/referral is a request to an AHP to provide appropriate health or social

care to a person. A request/referral may be made by an individual on behalf of a person, or a

person may refer themselves. We would request data on all requests/referrals received by the

AHP, if they were inappropriate then you would complete the appropriate discharge information.

2.1 Date Request for Assistance/Referral Received

2.2 Source of Request for Assistance/Referral

Required

Definition: The date on which the profession receives a request for

assistance/referral.

Format: Date - DDMMCCYY

Field Length: 8

Required

Definition: The person or service that initiated a request or referral.


Field Length: 2

Recording Guidance: The request/referral is from the point of request /referral and not the point

where the person is assigned / triaged.


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2.2 Source of Request for Assistance/Referral - Codes and Values


1 GP Includes: GPs only. Exclude all other GP Practice staff.

5 Self Includes: the Person; Immediate Family Unit; Guardian.

7 Criminal Justice Service Includes: Forensics; Custody; Courts.

B Optometrist/Optician

C Allied Health Professional

(AHP)

Includes: Arts Therapies; Dietitians; Occupational Therapist;

Orthotists; Orthoptists; Physiotherapists; Podiatrists;

Prosthetists; Diagnostic Radiographers; Therapeutic

Radiographers; Speech and Language Therapists;

Paramedics.

Includes: Private AHP; Blanket or Assertive request /

referrals ; Non–registered AHP staff.

D Dental Practitioner

F Medic Includes: Consultants; Hospital Doctors; Registrars;

Surgeons; Psychiatrists; Ophthalmologists.

Excludes: GPs.

G Government Service Includes: Department for Work and Pensions (DWP);

Elected Officials.

M Nursing & Midwifery Includes: Acute and Community Nurses & Midwives; Health

Visiting; Specialist Nursing; District Nurses; School Nurses.

P Personal Includes: Other Relations; Friends; Childminder; Carers;

Power of Attorney; Leisure or other activity on behalf of the

person.

S Social Care Includes: Social Work.

U Education Includes: Nurseries; Schools; Colleges; Universities;

Educational Psychology.


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2.2 Source of Request for Assistance/Referral - Codes and Values Continued


V Voluntary/Third

Sector/Private

Includes: Independent sector.

X Emergency Services Includes: Non-paramedic SAS; Fire; Police; Mountain

Rescue.

Y Housing Includes: Care Homes; Housing Associations; Residential

Care Homes; Private Care Homes.

Z Clinical

Psychology/Psychology

2.3 Date of Discharge

2.4 Discharge Reason

Required

Definition: The date on which a person is discharged from an AHP episode of care.

Format: Date – DDMMCCYY

Field Length: 8

Recording Guidance: Only required once discharge occurs.

Required

Definition: The reason why the person is discharged from AHP care.

Format: Integer

Field Length: 2

Recording Guidance: Only required once discharge occurs.


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2.5 Episode ID

2. 4 Discharge Reason - Codes and Values


01 Maximum benefit gained

02 Person did not attend

03 Person unable to attend/ could not

attend

06 Inappropriate request/referral

07 Care transferred to other

service/profession

Includes: Onward referral.

10 Planned course of contacts complete

11 Care no longer appropriate Includes: Inappropriate behavior; non-

compliance.

12 Deceased

Required

Definition: A system generated code to uniquely identify an episode of care.

Format: Alpha-Numeric

Field Length: 10

Recording Guidance: This is required to link contact information to an episode.


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SECTION 3: Contact Information

A contact is any interaction between an AHP and a person (direct contact) or with another

individual regarding the person (indirect contact). This includes any interaction with other

professionals about a specified person (e.g. case conferences, Multi-Disciplinary Team (MDT)

meeting). A contact can be face to face or via other communication channels (e.g. telephone,

video conference, email).

Any interaction attributed to the care of an identifiable person should be recorded as a contact, this

includes report writing.

3.1 Contact ID

3.2 AHP Profession

Codes and Values

Code Value

RU Arts Therapies

Required

Definition: A system generated code to uniquely identify a contact.

Format: Alpha-Numeric

Field Length: 10

Recording Guidance: This is required to uniquely identify a contact.

Required

Definition: AHP Profession that the person is interacting with.


Field Length: 3

Recording Guidance: All un-registered AHP staff would be included under their overall

profession.


22

3.2 AHP Profession - Codes and Values Continued

Code Value

R3 Dietitians

R4 Occupational Therapists

RF2 Orthotists

RJ Orthoptists

R5 Physiotherapists

R1 Podiatrists

RF1 Prosthetists

RK Diagnostic Radiographers

RL Therapeutic Radiographers

R6 Speech and Language Therapists

RP Paramedics

99 None Specified

3.3 Date of Contact

Required

Definition: The date that the contact occurred.

Format: Date - DDMMCCYY

Field Length: 8


23

3.4 Attendance Status

Codes and Values


1 Person Was Seen

2 Person Cancelled Includes: Unable To Attend (UTA); Could Not Attend

(CNA).

4 Staff Cancelled Includes: Appointment cancelled due to staff sickness;

emergency personal circumstances; unforeseen travel

disruptions; service needs or urgent clinical situations

elsewhere.

5 Person Attended but was not

seen (CNW: could not wait)

8 Person Did Not Attend

(DNA)

Includes: Failed visits at persons home.

Optional

Definition: Indicates whether the person attended / was seen.

Format: Integer

Field Length: 1

Recording Guidance: Attendance Status is only applicable for pre-arranged contacts between

an AHP and the person or with another individual on that person’s behalf.


24

3.5 Time Contact Started

3.6 Time Contact Ended

Optional

Definition: A record of the time the contact began.

Common Name: Time of Visit, Time Visit Started.

Format: hh:mm (24hr clock)

Field Length: 5

Recording Guidance: Do not include travel time.

If 3.5 Time Contact Started and 3.6 Time Contact Ended is provided there

is no requirement for 3.7 Duration of Contact to be completed.

Optional

Definition: A record of the time the contact ended.

Common Name: Time Visit Ended.

Format: hh:mm (24hr clock)

Field Length: 5

Recording Guidance: Do not include travel time.

If 3.5 Time Contact Started and 3.6 Time Contact Ended is provided there

is no requirement for 3.7 Duration of Contact to be completed.


25

3.7 Duration of Contact

3.8 Location ID

Optional

Definition: The length of time contact occurred.

Common Name: Length of Contact, Length of Visit.

Format: mmm (minutes)

Field Length: 3

Recording Guidance: Duration of contact includes preparation and notes.

Do not include travel time.

Duration of contact should be completed if 3.5 Time Contact Started and

3.6 Time Contact Ended is not recorded.

Optional

Definition: Each location in Scotland, at which events pertinent to public service take

place, is allocated a location code.

Locations include hospitals, health centres, clinics, NHS board offices,

private nursing homes, homes for the elderly, Local Government

buildings, children’s homes and schools.

Common Names: Location Code.


Field Length: 5

Recording Guidance: If not in the same location, complete the location of the AHP.

http://www.natref.scot.nhs.uk/location_search.aspx

http://www.natref.scot.nhs.uk/location_search.aspx


26

3.9 Location of Contact

Codes and Values


1 Hospital Includes: Day Hospitals.

2 Health Centre Includes: GP Surgery.

4 Clinic Out with hospitals.

5 Nursing Home / Care Home

6 Person’s home / residence Includes: Carer’s/ relative’s residence

7 Day Centre

C Community Location Includes: Leisure Centre; Community Centre; Cafes;

Street.

L Local Authority Building Includes Social Workers offices (excludes schools).

W Work Place / Job Centre /

Employment Services

Includes: Educational Institutions such as Schools or

Colleges.

Required

Definition: The location where the contact took place.

Format: Alpha numeric

Field Length: 1

Recording Guidance: If not in the same location, complete the location of the AHP.


27

3.10 Contact Purpose

Codes and Values


01 Diagnose/Investigate/Assess Includes: Assess; Evaluate; Needs Analysis; Initial

Conversation leading to assessment; Re-evaluate/review.

03 Educate Includes: Communicate; Liaise; Reinforce or Retrain; Self -

Management; Signposting to relevant information;

Providing Advice; Reassurance; Supporting.

04 Enable/Facilitate Includes: Facilitate Change; Self-caring and Self-

Management; Motivate; Empower; Maintain / Sustain;

Manage or Crisis Intervention; Rehabilitation; Improve;

Reablement; Wound Management; Housing Adaptations.

08 Resolve Includes: Cure; Resolve Symptoms.

09 Prevent Includes: Anticipatory Care Planning; Admission

Prevention; Stabilise; Maintain.

10 Palliative/End of Life Includes: Improve Quality of Life; Make comfortable;

Comfort.

Required

Definition: The agreed high level purpose of a contact between the AHP and person

/ carer/ other individuals.

Common Name: Reason for Contact; Aim of Contact.

Format: Integer

Field Length: 2

Recording Guidance: Please select the main purpose of the contact.

This would be the purpose of the actual contact, not the previously

planned purpose.


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3.11 Service Type

Codes and Values


1 Children and Young People Includes: Paediatrics.

2 Adult Services

3 Older Person Includes: Geriatric, Elderly.

3.12 Contact Activity Related To

Codes and Values


01 Audiology

Required

Definition: Service type seeing the person.

Format: Integer

Field Length: 1

Recording Guidance This refers to the service provided regardless of the patient’s age (e.g. 20

year old with Developmental Coordination Disorder being seen within the

children’s service because of required skills of the professional) or a

person who is yet to transition to adult services.

Required

Definition: The service/specialty that the contact activity is related to.

Format: Integer

Field Length: 2

Recording Guidance: Please record the main category.


29

3.12 Contact Activity Related To - Codes and Values


02 Burns

03 Cardiovascular Includes: Angina; Amputation; Heart attack; Vascular.

04 Dermatology Includes: Tissue Viability.

05 Developmental Includes: Developmental Delay; Developmental

Coordination Disorder

06 Falls

07 Frailty

08 Gastroenterology

09 Mental Health Includes: Addiction; Chronic Fatigue Syndrome; Dementia;

Self Harm; Suicidal.

10 MSK Includes: Soft tissue injury; Osteoarthritis; Postural

Management.

11 Neo-Natal

12 Neurology Includes: Stroke; Parkinson’s Disease; Cerebral Palsy;

Multiple Sclerosis (MS); Motor - Neuron Disease (MND).

13 Nutritional Health and

Wellbeing

Includes: Nutrition; Food Allergy; Weight Management.

14 Obstetrics and Gynaecology

15 Ophthalmology

16 Oncology Includes: All Cancer Services.

17 Orthopaedics Includes: Fractures and Broken Bones.

18 Palliative / End of Life Care Includes: End of life support; Bereavement Services.

19 Respiratory Includes: Chronic Obstructive Pulmonary Disease; Cystic

Fibrosis; Respiratory Tract Infections; Pneumonia.


30

3.12 Contact Activity Related To - Codes and Values Continued


20 Rheumatology

21 Surgery Includes: Plastic Surgery; Ear Nose & Throat (ENT);

Immediate Recovery Post Surgery.

22 Urology

3.13 Contact Type

Codes and Values


1 Individual A one to one contact with a person or representative. A

carer / befriender may be present.

2 Group A contact as part of an arranged group session with other

persons and / or carers.

3 Family A contact with a person, carer, family member(s) as part of

a specific family session.

4 Professional Activity A contact with other professionals to discuss the care of

the person.

Includes: Case Conferences; Multi Disciplinary Team

(MDT) Meetings; Documentation

Optional

Definition: How a contact between the AHP and a person / carer / other individual

was delivered.

Format: Integer

Field Length: 1


31

3.14 Contact Category

Required

Definition: A contact may be categorised as direct or indirect.

Format: Integer

Field Length: 1

Codes and Values


1 Direct A contact between an AHP and a person. This

may be done face to face, over the phone, video link,

email or via any other medium.

2 Indirect Also known as a 'proxy' contact.

A contact between an AHP and another individual on

behalf of, or about, a person, e.g. parent, carer (excluding

the person). This may be done in person, over the phone,

video link, email or via any other medium.

This includes interactions with other professions and

report writing.

3.15 Contact Mode

Required

Definition: Method of contact.

Common Names Type of Contact.

Format: Numeric

Field Length: 2


32

3.15 Contact Mode - Codes and Values


1 Face to Face

2 Letter Includes: Other documentation writing

3 Telephone By means of a telephone conversation (this does not include arranging

appointments).

4 Video Link By means of a video link e.g. telemedicine (use of telecommunication to

provide health care at a distance)

6 Telehealth Remote exchange of data between a patient at home and their clinician to

assist in diagnosis and monitoring of their condition i.e. Blood Glucose

Monitoring.

7 Email

3.16 Joint Contact

Codes and Values

Code Value

0 No

1 Yes

Optional

Definition: A contact where multiple people are required.

Format: Integer

Field Length: 1

Recording Guidance: This does not include staff training, shadowing or other development.


33

3.17 - 3.21 Joint Contact Attendees

Codes and Values


01 Arts Therapies

02 Dietitians

03 Occupational Therapists

04 Orthotists

05 Orthoptists

06 Physiotherapists

07 Podiatrists

08 Prosthetists

09 Diagnostic Radiographers

10 Therapeutic Radiographers

11 Speech and Language Therapists

Optional

Definition: Other individuals present at the contact.

Format: Integer

Field Length: 2

Recording Guidance: Record up to five additional attendees.

Include only those individuals who are present for the person’s need. A

family member should only be recorded if they are assisting with the

intervention. Any prison officer(s) in attendance should not be recorded as

they are required for legal reasons.

Does not include staff training, shadowing or other development.

If students are actively involved in the care, they should be recorded

under their profession.


34

3.17 – 3.21 Joint Contact Attendees - Codes and Values Continued


12 Paramedics

13 AHP Support workers Includes: AHP Health Care Support Worker; AHP Technical

Instructor and AHP Therapy Assistants.

14 GPs

15 Medics Includes: Consultants; Hospital Doctors; Registrars;

Surgeons; Psychiatrists; Ophthalmologists.

16 Personal Help Includes: Immediate Family Unit; Guardian; Other Relations; Friends; Childminder; Carers; Power of Attorney; Leisure or other activity on behalf of the person.

17 Criminal Justice Service Includes: Forensics; Custody; Courts.

18 Optometrists / Opticians

19 Dental Practitioners

20 Government Service Includes: Department for Work and Pensions (DWP);

Elected Officials.

21 Nurses / Midwives Includes: Acute and Community Nurses & Midwives; Health

Visiting; Specialist Nursing; District Nurses; School Nurses.

22 Social Care Includes: Social Work.

23 Education Includes: Nurseries; Schools; Colleges; Universities;

Educational Psychology.

24 Voluntary / Third Sector/ Private

Includes: Independent sector.

25 Emergency Services Includes: Non-paramedic SAS; Fire; Police; Mountain

Rescue.

26 Housing Includes: Care Homes; Housing Associations; Residential

Care Homes; Private Care Homes.

27 Clinical Psychology/Psychology


35

3.22 Reason for Joint Contact

Codes and Values


1 Manual Handling Multiple individuals required to support person.

2 Multi-Professional Input Multiple professionals required for assessment or intervention.

3 Other staff or person need Excluding students, shadowing.

Optional

Definition: Reason for a joint contact to be undertaken.

Format: Integer

Field Length: 1


36

Appendix 1 - Respondent Information and Consultation Response Form

Respondent Information Details

Allied Health Professionals Operational Measures Dataset

Please note this form must be returned with your Consultation Response Form to ensure that we handle your reply appropriately.

We would appreciate if you could complete the form as comprehensively as possible.

Organisation Name:

Profession:

Job Title:

Surname:

Forename:

Tel Number:

Email:

System used to record data

(includes spreadsheets,

paper records):


37

Section 1: Demographics

Data Item Have you

reviewed this data

item? (Y/N)

Do you accept the

proposed standard

definition for this

data item? (Y/N)

Do you currently

record this data

item / could submit

this data item?

(Y/N)

Details of any suggested alterations, additions or

clarifications.

1.1 Person ID

1.2 Community Health

Index (CHI)

1.3 Surname

1.4 Forename

1.5 Date of Birth (DOB)

1.6 Postcode

1.7 Gender

1.8 Ethnicity


38

Section 2: Episode and Request for Assistance/ Referral Information

Data Item Have you reviewed

this data item?

(Y/N)

Do you accept the

proposed standard

definition for this

data item? (Y/N)

Do you currently

record this data

item / could submit

this data item??

(Y/N)


clarifications.

2.1 Date Request for

Assistance/Referral

Received

2.2 Source of Request

for Assistance/ Referral

2.3 Date of Discharge

2.4 Discharge Reason

2.5 Episode ID


39

Section 3: Contact Details


this data item?

(Y/N)

Do you accept the

proposed standard

definition for this

data item? (Y/N)

Do you currently

record this data

item / could submit

this data item??

(Y/N)


clarifications.

3.1 Contact ID

3.2 AHP Profession

3.3 Date of Contact

3.4 Attendance Status

3.5 Time Contact

Started

3.6 Time Contact

Ended

3.7 Duration of Contact

3.8 Location ID

3.9 Location of Contact


40


this data item?

(Y/N)

Do you accept the

proposed standard

definition for this

data item? (Y/N)

Do you currently

record this data

item / could submit

this data item??

(Y/N)


clarifications.

3.10 Contact Purpose

3.11 Service Type

3.12 Contact Activity

Related To

3.13 Contact Type

3.14 Contact Category

3.15 Contact Mode

3.16 Joint Contact

3.17 - 3.21 Joint

Contact Attendees

3.22 Reason for Joint

Contact


41

General Questions

It would be extremely helpful if you could provide answers to the question(s) provided below:

Q1: Do you feel this dataset represents your profession?

Comments:

Q2: The dataset asks for both 2.5 Episode ID and 3.1 Contact ID as system generated numbers. Is it feasible to provide these unique identifiers?

Comments:

Q3: Data items 3.11 Service Area and 3.12 Contact Activity Related To – these have been included to represent the breadth of AHP activity. As

an example it would show that 100 hours of physiotherapy activity was 20% children’s, 40% adult, 40% older persons, and that 10% was

orthopaedic work. Do you feel these items are needed and represent a breakdown you would use?

Comments:


42

Q4: Data Item 3.12 Contact Activity Related To – are there any categories that you feel would be a catch all for a service / profession to record

them? What additional options are required to stop it being used in this way?

Comments:

Q5: Would it be adequate to have the number of attendees as a joint contact or more beneficial to have a breakdown of the professions /

specialties in attendance? Space is provided for up to five attendees, is this sufficient?

Comments:


43

Please enter any other comments you may have regarding this dataset here:

Please send your completed Respondent Information and Consultation Response Form to:

[email protected]

Allied Health Professional Operational Measures

Area 151C, Data Management



Gyle Square


Edinburgh

EH12 9EB

Thank you for taking the time to read the Consultation Paper and completing the Consultation Response Form.


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