Main Specialty (Consultant)

Change History
DSCN 2022 / 06	Main Specialty (Consultant) (AMD)
DSCN 2021 / 02	Inpatient and Day Case Admissions and First Outpatient Appointments Waiting Times (PP01W) Data Set - Retirement
DSCN 2020 / 31	National Cancer Data Standards for Wales – Systemic Anti-Cancer Therapy (SACT)
DSCN 2020 / 27	Outpatient Activity (Virtual Clinics) – Phase Two
DSCN 2019 / 09	National Cancer Data Standards for Wales – Core
DSCN 2014 / 07	Main Specialty (Consultant)
DDCN 2013 / 14	Appendix A – Specialty Codes
DDCN 2013 / 12	Definition of ‘Main Specialty (consultant)’
DSCN 2012 / 11	Elective Admission List Data Set (EAL Ds)
DSCN 2011 / 07	The introduction of the ‘Referral to Treatment Times (Combined)’ return
DDCN 2011 / 02	Angiogram Waiting Time & Referral to Treatment Patient Tracking Report.
DSCN 2010 / 12	Referral to Treatment Patient Tracking Report.
DSCN 2010 / 07	Admitted Patient Care Minimum Data Set (APC MDS) Data Validity Standards
DSCN 2009 / 09	NHS Reforms: NHS Wales Data Definition Update.
DSCN (2008) 08 (W)	Referral to Treatment Patient Tracking Report.
DSCN (2007) 13 (W)	To remove waits for certain diagnostic endoscopies from the waiting times data collection for inpatient and day case admissions and first outpatient appointments (PP01W).
DSCN (2007) 08 (W)	To Provide Guidance on the Reporting Structure for the Referral to Treatment Times Reporting Requirements.
DSCN (2006) 05 (W)	Rename Data Item 'Consultant Specialty Function Code' and Specialty Function Code'

(This data item was formerly known as ‘Specialty Function Code’ with the new title being implemented from 15^th May 2006)

This data item is / was included in the following data sets / collections between the dates shown:

Data Set / Collection	Valid From	Valid To
APC ds99	1^st April 1999
EAL ds	1^st April 1999	21^st November 2012
OP ds	1^st April 1999
RTT	1^st April 2007	31^st August 2011
PP01W		8^th February 2021
OPR ds	1^st July 2008
RTT-PTR	1^st September 2008	30^th September 2009
National Cancer Ds – Core
National Cancer Ds - SACT

A unique code identifying each Main Specialty designated by Royal Colleges.

Specialties are divisions of clinical work which may be defined by body systems (dermatology), age (paediatrics), clinical technology (nuclear medicine), clinical function (rheumatology), group of diseases (oncology) or combinations of these factors. Only Specialty titles recognised by the Royal Colleges and Faculties should be used. This list is maintained by the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998.

Each consultant should be assigned a Main Specialty by the organisation to which the consultant is contracted. For physicians and surgeons with a generalist component to their work, the Main Specialty should be general medicine or general surgery. The hallmark of a general physician or general surgeon is the continued care of unselected emergency referrals. The Main Specialty is specific to a Health Care Provider. If, for example, a consultant physician working in two Health Care Providers has a generalist component to the work in one and not the other, general medicine is only assigned as the Main Specialty in the former case. Consultants in general medicine or general surgery may also have specialist interests and these should be recorded as well as the Main Specialty.

The initial source of the information should be the designation on the consultant's contract. This should be checked periodically against the work a consultant is actually doing so that the statistics can relate to a consultant's current type of work.

The Main Specialty only should be used for the purpose of producing Specialty costing statistics and for Workforce statistics where links with activity and finance are required. Other specialist interests of consultants may be recorded for workforce planning purposes.

The Main Specialty code for general practitioners 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.

Where the response for data item (Consultation method) is

• Virtual Clinical Review (Non-Patient Contact), record the main specialty of the lead consultant

Format: 3 digit numeric

Code	Main Specialty Title	Valid From	Valid To	Comments
Surgical Specialties
100	General Surgery	Pre 28^th December 1995		For further information, see: Royal College of Surgeons - General Surgery
101	Urology	Pre 28^th December 1995		For further information, see: Royal College of Surgeons - Urology
107	Vascular Surgery	24^th January 2022		For further information, see: Royal College of Surgeons - Vascular Surgery
110	Trauma and Orthopaedics	Pre 28^th December 1995		For further information, see: Royal College of Surgeons - Orthopaedic Surgery
120	Ear Nose and Throat	Pre 28^th December 1995		Formerly known as ENT. For further information, see: Royal College of Surgeons - Ear, Nose and Throat (ENT)
130	Ophthalmology	Pre 28^th December 1995		For further information, see: The Royal College of Ophthalmologists
140	Oral Surgery	Pre 28^th December 1995		For further information, see: Royal College of Surgeons - Oral and Maxillofacial Surgery
141	Restorative Dentistry	Pre 28^th December 1995		For further information, see: The British Society for Restorative Dentistry (BSRD)
142	Paediatric Dentistry	Pre 28^th December 1995		For further information, see: The British Society of Paediatric Dentistry
143	Orthodontics	Pre 28^th December 1995		For further information, see: British Orthodontic Society
145	Oral and Maxillofacial Surgery	1^st April 2015		For further information, see: Royal College of Surgeons - Oral and Maxillofacial Surgery
146	Endodontics	1^st April 2015		For further information, see: British Endodontic Society
147	Periodontics	1^st April 2015		For further information, see: British Society of Periodontology
148	Prosthodontics	1^st April 2015		For further information, see: The British Society of Prosthodontics (BSSPD)
149	Surgical Dentistry	1^st April 2015		For further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
150	Neurosurgery	Pre 28^th December 1995		For further information, see: Royal College of Surgeons - Neurosurgery
160	Plastic Surgery	Pre 28^th December 1995		For further information, see: Royal College of Surgeons - Plastic and Reconstructive
170	Cardiothoracic Surgery	Pre 28^th December 1995		For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
171	Paediatric Surgery	Pre 28^th December 1995		For further information, see: Royal College of Surgeons - Paediatric Surgery
Medical Specialties
180¹	Emergency Medicine	Pre 28^th December 1995		Formerly known as Accident and Emergency. For further information, see: The Royal College of Emergency Medicine
190	Anaesthetics	Pre 28^th December 1995		For further information, see: Royal College of Anaesthetists
192	Intensive Care Medicine	1^st April 2015		Formerly known as Critical Care Medicine. For further information, see: The Faculty of Intensive Care Medicine
200	Aviation and Space Medicine	24^th January 2022		For further information, see: Joint Royal Colleges of Physicians Training Board - Aviation and Space Medicine
300	General Internal Medicine	Pre 28^th December 1995		Formerly known as General Medicine. For further information, see: Joint Royal Colleges of Physicians Training Board - General Internal Medicine (GIM)
301	Gastroenterology	Pre 28^th December 1995		For further information, see: Joint Royal Colleges of Physicians Training Board - Gastroenterology
302	Endocrinology and Diabetes	Pre 28^th December 1995		Formerly known as Endocrinology. For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus
303	Clinical Haematology	Pre 28^th December 1995		For further information, see: Joint Royal Colleges of Physicians Training Board - Haematology
304	Clinical Physiology	Pre 28^th December 1995		For further information, see: The Registration Council for Clinical Physiologists
305	Clinical Pharmacology	Pre 28^th December 1995		For further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Pharmacology and Therapeutics (CPT)
310	Audio Vestibular Medicine	Pre 28^th December 1995		Formerly known as Audiological Medicine. For further information, see: Joint Royal Colleges of Physicians Training Board - Audio vestibular Medicine
311	Clinical Genetics	Pre 28^th December 1995		For further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Genetics
313	Clinical Immunology	Pre 28^th December 1995		Formerly known as Clinical Immunology and Allergy. For further information, see: Joint Royal Colleges of Physicians Training Board - Immunology
314	Rehabilitation Medicine	Pre 28^th December 1995		Formerly known as Rehabilitation. For further information, see: Joint Royal Colleges of Physicians Training Board - Rehabilitation Medicine
315	Palliative Medicine	Pre 28^th December 1995		For further information, see: Joint Royal Colleges of Physicians Training Board - Palliative Medicine
317	Allergy	24^th January 2022		For further information, see: Joint Royal Colleges of Physicians Training Board - Allergy
320	Cardiology	Pre 28^th December 1995		For further information, see: Joint Royal Colleges of Physicians Training Board - Cardiology
321	Paediatric Cardiology	1^st April 2015		For further information, see: Joint Royal Colleges of Physicians Training Board - Paediatric Cardiology
325	Sport and Exercise Medicine	1^st April 2015		For further information, see: Faculty of Sport and Exercise Medicine
326	Acute Internal Medicine	1^st April 2015		For further information, see: Joint Royal Colleges of Physicians Training Board - Acute Internal Medicine
330	Dermatology	Pre 28^th December 1995		For further information, see: Joint Royal Colleges of Physicians Training Board - Dermatology
340	Respiratory Medicine	Pre 28^th December 1995		Also known as Thoracic Medicine. For further information, see: Joint Royal Colleges of Physicians Training Board - Respiratory Medicine
350	Infectious Diseases	Pre 28^th December 1995		For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and Tropical Medicine
352	Tropical Medicine	1^st April 2015		For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and tropical Medicine
360	Genitourinary Medicine	Pre 28^th December 1995		For further information, see: Joint Royal Colleges of Physicians Training Board - Genitourinary Medicine
361	Renal Medicine	Pre 28^th December 1995		Formerly known as Nephrology. For further information, see: Joint Royal Colleges of Physicians Training Board - Renal Medicine
370	Medical Oncology	Pre 28^th December 1995		For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Oncology
371	Nuclear Medicine	Pre 28^th December 1995		For further information, see: Joint Royal Colleges of Physicians Training Board - Nuclear Medicine
400	Neurology	Pre 28^th December 1995		For further information, see: Joint Royal Colleges of Physicians Training Board - Neurology
401	Clinical Neurophysiology	Pre 28^th December 1995		For further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Neurophysiology
410	Rheumatology	Pre 28^th December 1995		For further information, see: British Society for Rheumatology
420	Paediatrics	Pre 28^th December 1995		For further information, see: Royal College of Paediatrics and Child Health - General Paediatrics
421	Paediatric Neurology	Pre 28^th December 1995		For further information, see: Royal College of Paediatrics and Child Health - Neurology
430	Geriatric Medicine	Pre 28^th December 1995		For further information, see: Joint Royal Colleges of Physicians Training Board - Geriatric Medicine
450	Dental Medicine	Pre 28^th December 1995		Formerly known as Dental Medicine Specialties. For further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
451	Special Care Dentistry	1^st April 2015		For further information, see: Special Care Dentistry Association (SCDA)
460	Medical Ophthalmology	Pre 28^th December 1995		For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Ophthalmology
500	Obstetrics and Gynaecology	1^st April 2015		For further information, see: Royal College of Obstetricians and Gynaecologists
501	Obstetrics	Pre 28^th December 1995		For further information, see: Royal College of Obstetricians and Gynaecologists
502	Gynaecology	Pre 28^th December 1995		For further information, see: Royal College of Obstetricians and Gynaecologists
504	Community Sexual and Reproductive Health	1st April 2015		For further information, see: Faculty of Sexual & Reproductive Healthcare of the Royal College of Obstetricians & Gynaecologists
600	General Medical Practice	1st April 2015		For further information, see: Royal College of General Practitioners
601	General Dental Practice	1st April 2015		For further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
831¹	Medical Microbiology and Virology	Pre 28^th December 1995		For further information, see: The Royal College of Pathologists - Medical Microbiology and The Royal College of Pathologists - Virology
833¹	Medical Microbiology	1^st April 2015		Also known as Microbiology and Bacteriology. For further information, see: The Royal College of Pathologists - Medical Microbiology
834¹	Medical Virology	1^st April 2015		For further information, See: The Royal College of Pathologists - Medical Virology
Mental Health
700	Learning Disability	Pre 28^th December 1995		Also known as Intellectual Disability. For further information, see: Royal College of Psychiatrists - Faculty of the Psychiatry of Intellectual Disability and British Institute of Learning Disabilities
710	Adult Mental Illness	Pre 28^th December 1995
711	Child and Adolescent Psychiatry	Pre 28^th December 1995		For further information, see: Royal College of Psychiatrists - Faculty of Child and Adolescent Psychiatry
712	Forensic Psychiatry	Pre 28^th December 1995		For further information, see: Royal College of Psychiatrists - Faculty of Forensic Psychiatry
713	Medical Psychotherapy	Pre 28^th December 1995		For further information, see: Royal College of Psychiatrists - Faculty of Medical Psychotherapy
715	Old Age Psychiatry	Pre 28^th December 1995		For further information, see: Royal College of Psychiatrists - Faculty of Old Age Psychiatry
Other
560¹	Midwifery	Pre 28^th December 1995		Formerly known as Midwife Episode. For further information, see: Royal College of Midwives
800¹	Clinical Oncology	Pre 28^th December 1995		Formerly known as Radiotherapy. For further information, see: The Royal College of Radiologists - Clinical Oncology
810¹	Radiology	Pre 28^th December 1995		For further information, see: The Royal College of Radiologists (RCR)
820¹	General Pathology	Pre 28^th December 1995		For further information, see: The Royal College of Pathologists
821¹	Blood Transfusion	Pre 28^th December 1995		For further information, see: The Royal College of Pathologists - Blood Transfusion
822¹	Chemical Pathology	Pre 28^th December 1995		For further information, see: The Royal College of Pathologists
823¹	Haematology	Pre 28^th December 1995		For further information, see: The Royal College of Pathologists - Haematology
824¹	Histopathology	Pre 28^th December 1995		For further information, see: The Royal College of Pathologists - Histopathology
830¹	Immunopathology	Pre 28^th December 1995		For further information, see: The Royal College of Pathologists - Immunology
900	Community Medicine	Pre 28^th December 1995		For further information, see: Faculty of Public Health
901	Occupational Medicine	Pre 28^th December 1995		For further information, see: Royal College of Physicians - Faculty of Occupational Medicine
902	Community Health Services Dental	1^st April 2015		For further information, see: Faculty of Public Health
903	Public Health Medicine	1^st April 2015		For further information, see: Faculty of Public Health
904	Public Health Dental	1^st April 2015		For further information, see: GOV.uk - Oral Health
950	Nursing	Pre 28^th December 1995		Formerly known as Nursing Episode. For further information, see: Nursing & Midwifery Council
960	Allied Health Professional	1^st April 2015		Formerly known as Allied Health Professional Episode. For further information, see: Health and Care Professions Council

Specialty Codes can be viewed through the following link to the Welsh Reference Data Service (WRDS Website): WRDS (wales.nhs.uk)

Notes:

¹Main Specialty codes which have changed sections within the Main Specialty table.

Retired

Code	Main Specialty Title	Valid From	Valid To
191	Pain Management	Pre 28^th December 1995	31^st March 2015
199	Non-UK provider; specialty function not know, treatment mainly surgical (only applicable for overseas providers)	Pre 28^th December 1995	31^st March 2015
312	Clinical Cytogenetics and Molecular Genetics	Pre 28^th December 1995	31^st March 2015
499	Non-UK provider: specialty function not known, treatment mainly medical (only applicable for overseas providers)	Pre 28^th December 1995	31^st March 2015
510	Obstetrics – AN (outpatients)	Pre 28^th December 1995	31^st March 2015
520	Obstetrics - PN (outpatients)	Pre 28^th December 1995	31^st March 2015
610	GP Maternity	Pre 28^th December 1995	31^st March 2015
620	GP Other	Pre 28^th December 1995	31^st March 2015
832	Neuropathology	Pre 28^th December 1995	31^st March 2015
990	Joint Consultant Clinics	Pre 28^th December 1995	31^st March 2015