News

HSCIC printed materials

Posted August 2016

The HSCIC Basic Anatomy and Physiology Manual will no longer be published as a paper document. The digital version will be available to download from TRUD. Coders attending HSCIC Clinical Coding Standards Courses will need to download and if necessary print copies before starting their course. This is inline with the NHS Digital policy of supporting a paperless 2020 vision of the NHS. This will also apply to future versions of the ICD-10 and OPCS 4 reference manuals. ICD-10 and OPCS 4 will remain as printed versions for the time being and are available from the TSO. For further information see the Classification Service section of NHS Digital.

Neonatal diarrhoea of an infectious or unspecified origin

Posted August 2016

THe NHS HSCIC CLassifications Service have issued an advisory regarding the coding of neonatal diarrhoea of an infectious or unspecified origin. The statement indicates that because there is no excludes note for neonatal diarrhoea at the chapter level of Chapter XVI Certain conditions originating in the perinatal period (P00-P96); the National Standard DChS.XVl.2: Coding perinatal conditions should be followed, and dual coding applied. Therefore, neonatal diarrhoea of an infectious or unspecified origin will require the assignment of two codes.
P39.8 Other specified infections specific to the perinatal period
A09.- Other gastroenteritis and colitis of infectious and unspecified origin

OPCS 4.8

Posted July 2016

The draft summary of changes from OPCS 4.7 to OPCS 4.8 has been released for consultation. Members are encouraged to engage with this feedback process which closes July 31st. The Information Standards notice is expected to be published in Octoner 2016.

Coding Clinic

Posted July 2016

The July 2016 v6.1 NHS HSCIC Coding Clinic has just been published. It is available for download from the NHS HSCIC Classifications website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.) This is a significant Coding Clinic which contains a number of amendments that need to be made to the ICD-10 index and tabular.

Binding Issues with ICD-10 and OPCS 4 Reference Books

Posted May 2016

The classification service have announced that there are known issues with the binding on the recently published reference books. A re-run of the affected books is being undertaken. Members should contact the Classifications Service for further information as to how to replace the faulty books. Further information has been published on their website.

ICD-10 and OPCS 4 Reference Book Issues

Posted April 2016

Members may be experiencing problems with their ICD-10 and OPCS reference book bindings. The Classifications service have indicated that they are investigating. They will issue further information shortly.

Coding Clinic

Posted April 2016

The April 2016 v6.0 NHS HSCIC Coding Clinic has just been published. It is available for download from the NHS HSCIC Classifications website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)

Chemotherapy Regimens and High Cost Drugs Lists and Guidance

Posted March 2016

The Chemotherapy Regimens list has been published on the TRUD website. However, the consultation for the planned tariff for 2016/17 is still ongoing and therefore the list and guidance are not yet available. THe current list and guidance should be used. FOr further information see the Classifications Service website.

Zika Virus

Posted February 2016

The WHO have announced that U06.9 Emergency use of U06.9 should be used to encode Zika virus. This code will be available in the UK from 1st April 2016. Until then A92.8 Other specified mosquito-borne viral fevers should be used where appropriate.

ICD-10 5th Edition E-book

Posted January 2016

The NHS HSCIC Classification Service has published their ICD-10 5th Edition E-Book. It is available via TRUD. Further information is available from the Classifications Service website.

Coding Clinic

Posted Dec 2015

The December 2015 v5.2 NHS HSCIC Coding Clinic has just been published. It is available for download from the NHS HSCIC Classifications website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)

ICD-10 5th Edition Reference Books

Posted June 2015

THe NHS HSCIC Classification Service has given notice that the ICD-10 5th edition reference book should be available from January 2016. Further information will be available on the classification service website.

ICD-11 Implementation in the UK

Posted May 2015

THe NHS HSCIC Classification Service has announced that field trials of ICD-11 will commence in the UK from the end of 2015/beginning of 2016. Organisations who wich to be involved in field trials of ICD-11 should contact the Classifications service with expressions of interest.

OPCS 4.8

Posted May 2015

The NHS HSCIC Cassification Service has announced that from the 1st April 2017, the NHS will implement the OPCS 4.8 interventions encoding scheme.

ICD-10 5th Edition

Posted May 2015

The NHS HSCIC Cassification Service has announced that from the 1st April 2016, the NHS will implement the ICD-10 6th edition. There are a number of changes in the updated edition that members will need to be aware of in order to prepare for the implementation. The NHS HSCIC has published a list of changes on their website.

Coding Clinic

Posted April 2015

The April 2015 v5.0 NHS HSCIC Coding Clinic has just been published. It is available for download from the NHS HSCIC Classifications website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)

ICD-10 Reference Book

Posted February 2015

The ICD-10 and OPCS 4.7 Reference Books have been updated and published. Clinical coders should have registered with the NHS HSCIC for hard copies by now. Electronic versions are available to download from the TRUD website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)

ICD-10 Reference Book

Posted March 2014

The ICD-10 Reference Book has been updated. It is available for purchase and the Classifications Service has advised that anyone wanting to purchase hard copies of the Reference Book should contact them for pricing. An electronic version is available to download from the TRUD website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)

Coding Clinic

Posted March 2014

The March 2014 v3.2 NHS HSCIC Coding Clinic has just been published. It is available for download from the NHS HSCIC Classifications website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)

ICD-10 5th Edition

Posted March 2014

The next edition of ICD-10 is due for implementation in the NHS from the 1st April 2015. The Classification Service has announed that it will be consulting on this update shortly. Files to support this update will be available from the TRUD website from the 1st November 2014.Coding Managers will be required to make the necesaary arrangments for purchasing new versions of ICD-10 for their departments.

OPCS 4.7 Standards Manual

Posted March 2014

The NHS HSIC Classifications Service has announced the publication of the OPCS 4.7 Reference Book. It is available for download from the TRUDs website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)

OPCS 4.7 eBook

Posted Feb 2014

The NHS HSIC Classifications Service has published their OPCS 4.7 eBook. It is available to download from TRUD.

OPCS 4.7 is now availalbe

Posted January 2014

THe classifications Service have announced that the OPCS 4.7 Index and Tabular are now availabe for purchase from The Stationary Office bookshop. There is an NHS discount available to NHS customers. For further information about this discount NHS organisations will have to contact the Classifications Service.

OPCS 4.7

Posted Nov 2013

The NHS HSIC Classifications Service has released the data files for OPCS 4.7. The release includes, codes and titles, metadata files, metadata specifications, tables of coding equivalence and a summary of changes. The release is available via TRUD.


Coding Clinic

Posted Sept 2013

The Sept 2013 v3.1 NHS CFH Coding Clinic has just been published. It is available for download from the NHS HSCIC Classifications website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)


National Clinical Coding Standards ICD-10 4 Reference Book 2013 Published in electronic format

Posted August 2013

The NHS HSCIC have published an electronic version of the National Standards Refecence Book 2013. It is available for download from TRUD. (Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)


Inquiry into Hospital Death Rates and Clinical Coding in Bolton

Posted May 2013

The initial findings from an independent review into whether clinical coders at the Royal Bolton Hospital had been "coding" patients' illnesses and causes of death incorrectly have showed there has been no inappropriate behaviour or manipulation of data. Following the verbal report, the Trust have decided to re-instate Dr Jackie Bene as medical director and deputy chief executive. Dr Bene, who was then acting chief executive, "stepped aside" at the end of February after Dr Foster discovered "significant discrepancies" the hospital's data.

A member of the review panel has said that "The members of the review panel are clear that there is no evidence that any coder or clinician within the trust has been deliberately directing coding either to seek financial gain or to unduly influence the various mortality ratios."

Given that the initial findings indicated that there was no inappropriate behaviour, and no attempt was made to manipulate figures, the review will continue with a focus on understanding why the rates of sepsis recorded by the trust were so high.


National Clinical Coding Standards ICD-10 4th Edition Reference Book Addendum Published

Posted March 2013

The NHS CfH have published a set of addendums for the 2012 National Clinical Coding Standards ICD-10 4th Edition reference book. It is available to download from the NHS CfH Classification Service website. (Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)


New High Cost Drug and Chemotherapy Regimens List Published

Posted March 2013

The 2031-14 High Cost Drugs list and Chemotherpay Regimens list has just been published. They are available for download from the TRUD3 website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)


Inquiry into Hospital Death Rates and Clinical Coding in Bolton

Feb 2013

The Acting Chief Executive at the Royal Bolton Hospital has 'stepped aside' as hospital launches an inquiry into its clinically coded data after it emerged that the hospital had coded four times the expected number of patients with a primary diagnosis of septicaemia.

The Bolton News reports that the Trust recorded 800 cases of septicaemia between March 2011 and April 2012 when other similar sized trusts would expect to have about 200 cases. Dr Foster Intelligence and Bolton's CCG (Clinical Commissioning Group) are currently investigating.

The BBC has reported that it understands that the investigation will look at allegations that records were altered to make the hospital's mortality rates look better. It went on to say that 'The trust said it will be bringing in an independent team to look at current coding practices...'.

Click here for a statement to Association members and the wider clinical coding community


Francis Report

Jan 2013

The Francis inquiry into the failings at Stafford Hospital - one of the biggest scandals in the history of the NHS - has called for a fundamental change in the culture of the NHS. Inquiry head Robert Francis says everyone from porters to ministers must help change NHS practices. The conclusion by the Francis inquiry comes after a £13m investigation into the Stafford Hospital scandal. Data shows there were hundreds more deaths at the hospital than would have been expected.

The report:

  • calls for senior NHS managers to be given a code of conduct and the ability to disqualify them if they are not fit to hold office
  • recommends a statutory obligation on doctors and nurses for a duty of candour so they are open with patients about mistakes
  • calls for the regulation of HCAs
  • recommends that NHS faces new laws on honesty
  • and calls for the merger of CQC and Monitor as a beefed up regulator

The Primeminister in his response to the report has confirmed that a new post of Chief Inspector of Hospitals will be created from the autumn.


OPCS 4/7 Submission

Posted Dec 2012

The PACC-UK has made a number of submissions for codes/interventions that it believes would be appropriate to be incorporated in to OPCS 4.7. The requests were made on behalf and at the request of some of its members, clinicians and other interested parties. Click here for a copy of the submission.


Coding Clinic

Posted Nov 2012

The Nov 2012 v2.3 NHS CFH Coding Clinic has just been published. It is available for download from the NHS CFH Classifications website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)


Shadow Health Minister admits IT systems did not work as intended

Posted November 2012

Speaking at EHI Live 2012, The Shadow Health Minister, Mr Andrew Gwynne MP said "I think we've acknowledged that we (the previous Labour Government) made mistakes and there were problems with that IT system". He went on to say that government IT systems "tended to be over budget and not work the way they intended to", and that his party could learn from its mistakes.

Mr Gwynne criticised the coalition government's NHS reshuffle and said "The National Audit Office estimates the NHS reorganisation could cost up to £3 billion; money that I think could be far better spent on patient care..." "At the same time, the NHS has been tasked with saving £20 billion by 2015 and that in itself is a huge challenge to the NHS." He then went on to announce that if Labour won the next general election, it would repeal the Health and Social Care Act.

Mr Gwynne welcomed the pledge by the current government for patients to have electronic access to their GP records by 2015 and that "Effective IT can and must plan a key role in improving both the quality and efficiency of health care. For the future we need to look very carefully on what changes need to happen in the NHS."


New Health Minister

Posted September 2012

Jeremy Hunt has been promoted by the Prime Minister to Secretary of State for Health replacing Andrew Lansley who has become Leader of the House of Commons and Lord Privy Seal.

Jeremy Hunt is a controversial appointment particularly due to the on-going Leveson Inquiry into Press Standards. Mr Hunt appeared before the Leveson inquiry on 31 May 2012, when it emerged that he had been in text and private email contact with James Murdoch, even congratulating him on the progress of the takeover bid. Nonetheless then took over responsibility for adjudicating on the bid. In June 2012, Labour MP Chris Bryant accused Mr Hunt of lying to Parliament. Speaker Bercow refused to require Mr Bryant to retract his allegation that Mr Nunt was a "liar" on the basis that the debate was on a "substantive motion on the conduct of a minister, the normal rules about parliamentary language frankly don't apply".

From an NHS standpoint, the appointment of Jeremy Hunt as Secretary of State for Health is somewhat 'interesting' because in 2005 he co-authored a pamphlet "Direct Democracy: An Agenda for a New Model Party", calling for the NHS to be "de-nationalised". As Culture Secretary, Mr Hunt was responsible for security at the London Olympic Games 2012. The resulting controversy, when it transpired that contractors G4S were not adequately prepared for the Games, saw Mr Hunt claim he had been forced to "think again" about the default use of private contractors. He also reportedly attempted to have scenes celebrating the NHS removed from the Olympics opening ceremony.

The new health secretary personally intervened to encourage the controversial £650m takeover of NHS hospitals in his constituency by a private company, Virgin Care, despite concerns being raised in the local NHS risk register about the impact on patient care following the transfer of management from the NHS.

Mr Hunt is also known to be opposed to abortion and stem cell research.


Coding Clinic

Posted Aug 2012

The Aug 2012 v2.2 NHS CFH Coding Clinic has just been published. It is available for download from the NHS CFH Classifications website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)


NHS IT to be split into 3

Posted July 2012

NHS IT at a national level is to be split three ways between the Department of Health, the NHS Commissioning Board, and the Health and Social Care Information Centre (HSIC).

According to eHealth Insider, there will be a "reduction in the number of centrally funded informatics staff". It goes on to report that "one of the big risks identified in the strategy is that there will need to be "greater skills and capacity in 'local' NHS organisations" and that this may not appear. Other risks identified include failing to develop the 'vibrant supplier market place' that is supposed to give trusts a bigger choice of systems to choose from as the National Programme for IT in the NHS winds down, and the programme's unfinished procurement business".

It has been reported that the draft business plan indicates that there will be a three-way split between future NHS IT policy, systems, and management with a new external relations department at the DH, which will take on responsibility for information policy.

The NHS Commissioning Board, based in Leeds will then work with the department and the 'new' Public Health England to "commission and sponsor" national infrastructure, applications, services, standards and information governance" and encourage best practice.

And the 'new' HSCIC will both collect, analyse and present national data on health and social care and "manage and monitor the day to day delivery of national systems and services", while also approving and accrediting national and local IT standards against technical and clinical standards.


Katie Davis to step down

Posted July 2012

The Gardian and the eHealth Insider has reported that Katie Davis, managing director for NHS Informatics, will step down by the beginning of September and that Tim Donohoe, will take-over Ms. Davis' role until Connecting for Health (CfH) itself closes at the end of March 2013. Ms.Davis took over from Christine Connelly when she stepped down in June last year. The DH said there will be a hand over period in which Ms. Davis will continue to support Tim Kelsey, who started his role as the national director for patients and information in the NHS Commissioning Board earlier this month.

The Programme's national projects are likely to move to the NHS Commissioning Board (NHS CB) in Leeds, while the CfH's "delivery functions" will move to the Health and Social Care Information Centre (HSCIC).


Information Strategy published

Posted May 2012

The DH has published its Information Strategy - 'The Power of Information'. The Strategy has long been awaited following the publication of 'An Information Revolution' which was one of a series of documents published subsequent to the White Paper 'Equity and Excellence: Liberating the NHS'. The Strategy sets out a 10 year framework for 'transforming' information for the NHS. The Government has committed to enable patients to have online access to their GP records by 2015. Other aims include electronic access to repeat prescriptions and test results, patients being able to book or re-arrange appointments on line and there being one 'trusted' website for health and care information. (Members can access this document from the Inform page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)


Coding Clinic

Posted May 2012

The May 2012 v2.1 NHS CFH Coding Clinic has just been published. It is available for download from the NHS CFH Classifications website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)


Coding Clinic

Posted Apr 2012

The Apr 2012 v2.0 NHS CFH Coding Clinic has just been published. It is available for download from the NHS CFH Classifications website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)

This is an important Coding Clinic as it contains the substantial list of corrections that are required to be made to the new edition of ICD-10. It also contains the latest comorbidity list.


Coding Clinic

Posted March 2012

The March 2012 v1.2 NHS CFH Coding Clinic has just been published. It is available for download from the NHS CFH Classifications website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)

This is an important Coding Clinic as it contains the substantial list of corrections that are required to be made to the new edition of ICD-10. It also contains the latest comorbidity list.


ICD-10 2010 Edition

Posted March 2012

The NHS CfH Classification Service has alerted PACC-UK and the service to errors within the ICD-10 2010 Edition. The Classifications Service has informed the WHO of around 50 issues and an errata will be published for the 3 volume set. The WHO is currently producing the errata and it will be available on their website. The NHS CfH have announced that they do not expect the errata to be available before the 19 March 2012.


V2.0 High Cost Drug and Chemotherapy Regimens Lists and Guidance Published

Posted Feb 2012

The April 2012 v2.0 NHS CFH High Cost Drugs and Chemotherapy Regimens list and guidance documents have been published. THey are available for download from the NHS TRUD service.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)


National Clinical Coding Standards Manual

Posted Feb 2012

The new NHS CfH Clinical Coding Manual, renamed the National Clinical COding Standard, has been published and is available through the NHS CfH Classifications SErvice Helpdesk


Present on Admission Flag

Posted Jan 2012

The Daily Telegraph (Friday 27th January 2012) has reported on its front page that a group of experts led by the Care Quality Commission has written to the government asking it to ensure that hospitals always note the presence of bedsores, falls and infections when patients are admitted. Members can read a copy of the front page article by clicking here.

The letter argues that a POA (present on admission) flag should be implemented and makes the point that a POA system would provide "a clearer picture of both the quality of social and hospital care".

The letters signaturies include Cynthia Bower, the chief executive of the Care Quality Commission, Peter Carter, chief executive of the Royal College of Nursing, Margaret Hodge, chairman of the Commons public accounts committee and is backed by the PACC-UK and 16 hospital trusts. The POA campaign was launched by Dr Foster Intelligence last year and the PACC-UK, which has been an advocate of such an indicator for some time, became involved shortly after. Members can view the contents of the letter by clicking here. (Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)


Coding Clinic

Posted Jan 2012

The Jan 2012 v1.1 NHS CFH Coding Clinic has just been published. It is available for download from the NHS CFH Classifications website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)


ICD-10 Edition 4 Books Available

Posted November 2011

The New Edition of the WHO ICD-10 incorporating WHO updates up till 2010 is now available. There are significant changes to the scheme. The publication is available through the TSO (The Stationary Office). For more information you should visit the NHS CFH Classifications website.(Members can download more information by clicking here.. Contact webmaster@paccuk.org if you are a member and are having difficulty.)

The cost of the publication is 365.00 plus postage. The NHS is entitled to a discount until the 9th December. Information about how to order is available either from the NHS CfH website or from the download above.


Hospitals Respond to SHMI Publication

Posted November 2011

The HSJ (Health Service Journal) has reported that 9 of the Trusts recently named as having a greater than expected death rate in the recently published Summary Hospital Level Mortality Indicators (SHMI), have blamed their high figure on clinical coding rather than their quality of care. The HSJ has further reported that four of these Trusts said they were rated high because the indicator did not take into account whether patients were admitted to receive palliative care. Veena Raleigh, Senior Fellow at the King's Fund, a member of the technical group that developed the SHMI, said that the impact of palliative clinical coding was a "valid issue":.

Alastair Turnbull, Medical Director at York Teaching Hospital Foundation Trust blamed his organisations's rating on the inclusion of data from a hospice on the York Teaching Hospital site which is not run by the Trust. The Blackpool Teaching Hospitals Foundation Trust said that the new indicator does not take into account levels of deprivation which has put it at a disadvantage. However the George Eliot Hospital Trust in Warwickshire, which had the largest gap between expected and observed deaths under the SHMI, said it was taking the rating "extremely seriously" and has commissioned an external review.

The British Medical Association consultants committee chair, Dr Mark Porter said the measures should not be used in isolation. He went on to echo the view of the Department of Health and the NHS Information Centre which recommends that the SHMI should be used as a 'smoke alarm' giving warning of a potential problem which should be investigated.


First SHMI Mortality Indicator Results Published

Posted October 2011

Fourteen hospital trusts have been identified as the poorest performers in the first publication of the new official hospital-wide mortality ratings.

The NHS Information Centre (NHSIC) has published the first Summary Hospital-level Mortality Indicator (SHMI) results for all non-specialist acute trusts and 14 NHS Trusts have been given thelowest banding. The 14 trusts are:

  • George Eliot Hospital NHS Trust
  • Isle of Wight NHS Primary Care Trust
  • East and North Hertfordshire NHS Trust
  • Blackpool Teaching Hospitals NHS Foundation Trust
  • Tameside Hospital NHS Foundation Trust
  • Medway NHS Foundation Trust
  • York Teaching Hospital NHS Foundation Trust
  • Northern Lincolnshire and Goole Hospitals NHS Foundation Trust
  • Basildon and Thurrock University Hospitals NHS Foundation Trust
  • Hull and East Yorkshire Hospitals NHS Trust
  • Northampton General Hospital NHS Trust
  • East Lancashire Hospitals NHS Trust
  • University Hospitals or Morecombe Bay NHS Foundation Trust
  • Western Sussex Hospitals NHS Trust

Fourteen trusts recieved the highest banding. They are:

  • The Whittington Hospital NHS Trust
  • Barts and the London NHS Trust
  • University College London Hospitals NHS Foundation Trust
  • Imperial College Healthcare NHS Trust
  • Royal Free Hampstead NHS Trust
  • St George's Healthcare NHS Trust
  • Chelsea and Westminster Hospital NHS Foundation Trust
  • Cambridge University Hospitals NHS Foundation Trust
  • Newham University Hospital NHS Trust
  • North West London Hospitals NHS Trust
  • Sheffield Teaching Hospitals NHS Foundation Trust
  • Kingston Hospital NHS Trust
  • James Paget University Hospitals NHS Foundation Trust
  • Ealing Hospital NHS Trust

The SHMI is intended to provide an indicator to enable Trusts to probe potential problems with their quality of care. The NHSIC Chief Executive, Tim Straughan, stressed it was only one indicator and could not reveal all the problems in the NHS. In a statement he said "The SHMI is best treated as a 'smoke alarm' that should be used locally by individual hospital trusts to assess and investigate their mortality-related outcomes". He went on to say, "Though a powerful measure, it should not be taken in isolation as a headline figure of trust performance. It requires careful interpretation and for that reason it is not specifically tailored for use by patients or the public, though we understand there will be clear interest in it".

The new measure monitors deaths in hospital as well as those within 30 days of discharge. It was developed after the scandal exposed at the Mid Staffordshire NHS Trust in 2009,where between 400 and 1,200 excess deaths were not identified. It is intended that the SHMI will be published quarterly.


The ISB Approves SNOMED-CT

Posted August 2011

The ISB (Information Standards Board for Health and Social Care)) has officially approved SNOMED-CT as a 'fundamental standard'. SNOMED CT is an internationally recognised set of numerical, machine readable codes and human readable descriptions, which can be used to uniquely identify clinical concepts. Simon Burns MP said that adopting it should mean "much clearer and more consistent communication between hospitals and GPs" and "help patients better understand their care records." The ISB said that the standard defines the rules for administering SNOMED CT in England, however the ISB has not yet mandated its use for healthcare providers, "Further standards will be submitted to ISB to show that SNOMED CT can be used to support key functions within the NHS, such as the clinical management of the patient within general practice and secondary care,".

The SNOMED CT is owned and managed by the International Health Terminology Standards Development Organisation (IHTSDO) based in Denmark.


Dr James Read dies

Posted July 2011

The original author of the Read Codes, Dr James Read, has died. The Read Codes which subsequently became the Clinical Terms V3, were merged with the American SNOMED-RT to form what we now know as SNOMED-CT. The Read codes began life in the 1980s in Loughborough where Dr Read was a GP. The original version was a four character code structure and was often known as Read V1 or 4-Byte Read. An NHS operational need to map the Read Codes to the then ICD-9, resulted in the creation of Read version 2 or 5-Byte Read (subsequently known as Clinical Terms V2 or CTV2). The intellectual copyright of the Read Codes was purchased by the UK Government and remain Crown Copyright. A more radical version of the Read codes was devised in the 1990s and these became known as the Clinical Terms V3 or CTV3.


DH Chief Information Officer Resigns

are still

Posted June 2011

Christine Connelly, the Department of Health Chief Information Officer has resigned. She is to be temporarily replaced by Katie Davis who is currently Exectutive Director of Operational Excellence in the Efficiency and Reform Group at the Cabinet Office. Her resignation follows the announcement of further delays to the publication of the DH's Information Strategy which will not now be released until the Autumn. The Information Strategy is needed to provide direction for the pulling together of patient records and provide more information for patient and commissioner choices of NHS services. The NPfIT programme has recently come under fire from MPs for not delivering on its objectives and for wasting billions of pounds.


High Cost Drugs and Chemotherapy lists

Posted April 2011

The 2011 High Cost Drugs list and Chemotherapy Regimens List have been re-issued. A number of mistakes have been corrected. They are available for download from the NHS CFH Classifications website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)


Coding Clinic

Posted March 2011

The Volume 7 Issues 9 March 2011 NHS CFH Coding Clinic has just been published. It is available for download from the NHS CFH Classifications website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)


High Cost Drugs and Chemotherapy lists

Posted March 2011

The 2011 High Cost Drugs list and Chemotherapy Regimens List have now been published. They are available for download from the NHS CFH Classifications website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)


Liberating the NHS - ICD-10 Update

Posted March 2011

As previously reported on this website, the Government has published its White Paper Equity and excellence: Liberating the NHS. As part of the changes being passed into law, the white paper indicated the new Governments intention to implement the latest edition (edition 4) of ICD-10. The NHS Classifications Service have now announced that they are beginning the necessary development work to support the implementation of the ICD-10 4th Edition. A summary of changes has been published. (Members can access a direct link from the Inform page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.) They have also announced that several ICD-10 updates focus groups will be held early in the new financial year (2011-12) primarily for the coding community to review the updates and identify training needs.


Coding Clinic

Posted March 2011

The Volume 7 Issues 7 and 8 March 2011 NHS CFH Coding Clinics have just been published. They are available for download from the NHS CFH Classifications website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)


NHS Outcomes Framework

Posted December 2010

The Department of Health (DH) has published the first NHS outcomes framework. The government intends to concentrate onoutcomes rather than on performance management. There are 10 over-arching indicators which cover the broad aims of each area, 31 improvement area indicators which look in more detail at key areas within each domain; which are divided between 5 healthcare domains which articulate the responsibilities of the NHS (in total there are 51 indicators). For the period 2011-12 there are no targets primarily as there is insufficient reliable information as yet. Thereafter the Health Secretary and the NHS Commissioning Board will identify areas "of ambition" for improvment.

  • Domain 1 - Prventing people from dying prematurely
  • Domain 2 - Enhancing quality of life for people with with long-term conditions
  • Domain 3 - Helping people to recover from episodes of ill health or injury
  • Domain 4 - Ensuring that people have a positive experience of healthcare
  • Domain 5 - Treating and caring for peopl in a safe environmnet and protecting them form avoidable harm

Members can access a copy of the NHS Outcomes framework here.


Coding Clinic

Posted December 2010

The Volume 7 Issue 6 December 2010 NHS CFH Coding Clinic has just been published. It is available for download from the NHS CFH Classifications website.(Members can access a direct link from the National Standards page in the members section . Contact webmaster@paccuk.org if you are a member and are having difficulty logging in to the Members area.)


NHS Outcomes Framework

Posted December 2010

The Department of Health (DH) has published the first NHS outcomes framework. The government intends to concentrate onoutcomes rather than on performance management. There are 10 over-arching indicators which cover the broad aims of each area, 31 improvement area indicators which look in more detail at key areas within each domain; which are divided between 5 healthcare domains which articulate the responsibilities of the NHS (in total there are 51 indicators). For the period 2011-12 there are no targets primarily as there is insufficient reliable information as yet. Thereafter the Health Secretary and the NHS Commissioning Board will identify areas "of ambition" for improvment.

  • Domain 1 - Prventing people from dying prematurely
  • Domain 2 - Enhancing quality of life for people with with long-term conditions
  • Domain 3 - Helping people to recover from episodes of ill health or injury
  • Domain 4 - Ensuring that people have a positive experience of healthcare
  • Domain 5 - Treating and caring for peopl in a safe environmnet and protecting them form avoidable harm

Members can access a copy of the NHS Outcomes framework here.