Information Requirements from 27th September 2024 Onwards

Tec Cymru ID

Section

Data Item

Definition

Format

Code List

Value Set

Recording Guidance

 

TC001

Citizen Identifier

NHS Number

It is mandatory to record the NHS Number for each patient registered with a GP practice in England and Wales. The NHS number is allocated to an individual, to enable unique identification for NHS health care purposes.

10 digit numeric

N/A

N/A

The same identifier must be used in each record for an individual service user. This identifier should be the same identifier used across Telecare services and NHS Wales to provide accurate consistent identification.

 

TC002

Citizen Information

Date of Birth

Date of birth of patient / client.

8 digit numeric,
YYYY-MM-DD

N/A

N/A

N/A

 

TC003

Citizen Information

Postcode

This is the usual address nominated by the patient at the time of admission or attendance.

8-character alpha-numeric

N/A

N/A

A space between 2 sets of alphanumeric code is not essential

 

TC004

Citizen Information

Gender

The gender of a client (as stated by the client).
Gender identity is a person's sense of identification with either the male or female sex, as manifested in appearance, behaviour, and other aspects of a person's life.

1 character alphabetic

F

Female

Since gender can be self-assigned and can change, it should not be presumed by a telecare/health/care professional.

If a service user is undergoing or has undergone gender reassignment, then record Code M – Male or Code F - Female as they wish to indicate their perceived gender at that time.

If the client/service user is unable or unwilling to specify their current gender or does not have a clear idea of what their current gender is, then record Code Z – Not disclosed.

 

M

Male

N

Non Binary

Z

Not disclosed or unknown e.g. for unborn baby

TC005

Citizen Information

Ethnic Group

This is the ethnic group of the patient, as selected by the patient. The patient is the arbiter of the information. Classifications are based on the ethnic group data categories used in the 2011 Census and the information recorded about ethnic group must be obtained by asking the patient / client.

2 character alpha- numeric – AB, where the first character (A) is a value taken from the list in the table below, and the second character (B) is a locally defined value to be used in conjunction with the nationally defined values. If no further local breakdown is required, the second character (B) should be filled with a ‘Z’. Note that for the Substance Misuse and Maternity Indicators data set, only the first character (A) is submitted.

WHITE

The client/service user states their ethnic group.

A

Any White Background, including Welsh, English, Scottish, Northern Irish, Irish, British

B

Gypsy or Irish Traveller

MIXED / MULTIPLE ETHNIC GROUP

D

White and Black Caribbean

E

White and Black African

F

White and Asian

G

Any other mixed background / multiple ethnic background

ASIAN OR ASIAN BRITISH

H

Indian

J

Pakistani

K

Bangladeshi

R

Chinese

L

Any other Asian background

BLACK OR BLACK BRITISH

M

Caribbean

N

African

P

Any other Black background

OTHER ETHNIC GROUPS

T

Arab

S

Any other ethnic group

NOT STATED

Z

Not Stated

TC006

Citizen Information

Tenure of Household

Household tenure of the telecare service user

2 digit numeric

01

Owner occupier (This home is either owned or mortgaged)

Select one code that best describes the circumstances

02

Local authority resident (Living in a ‘council’ managed property)

03

Housing Association resident (Living in a housing association property)

04

Private resident (Privately renting)

05

Staying with family (This can be temporary or permanent)

06

Long Term Care Facility (Staying in a residential / private care setting)

07

Alternative (Anything not covered in Codes 1 – 6)

08

Not Known (To be used when type of housing is not known)

TC007

Citizen Information

Living alone

Indicator of whether the service user lives alone.

2 digit numeric

01

No

Includes:
• Mainstream Housing
• Sheltered Accommodation
• Supported Accommodation (single tenancy).
Excludes:
• Care Home
• Supported Accommodation (shared tenancy).

This data item is to establish if the service user lives alone and if this is likely to have a bearing on the care/services required. It is not to establish tenancy/housing.

Select one code that best describes the circumstances.

02

Yes

03

Not Known

TC008

Citizen Information

Next of kin recorded

To identify if a next of kin is recorded for the telecare service user.

2 digit numeric

01

No

Select one code that best describes the circumstances.

02

Yes

TC009

Citizen Information

Nominated key holder identified

To identify if a nominated key holder has been identified for the service user.

2 digit numeric

01

No

Select one code that best describes the circumstances.

02

Yes

TC010

Citizen Information

Preferred Language

This is the patient / service users preferred language

3 character alphanumeric

ISO 639-1 Standard

N/A

Select one code that best describes the circumstances.

TC011

Citizen Information

Language preference for correspondence

The language in which the service user would prefer to communicate with in writing.

3 character alphanumeric

ISO 639-1 Standard

N/A

Select one code that best describes the circumstances.

TC012

Citizen Information

Communications provider

The supplier of electronic communications network or electronic communications service to service users.

2 digit numeric

01

BT

Select one code that best describes the circumstances.

02

Vodafone

03

Sky

04

EE

05

O2

06

Virgin Mobile

07

Three (3)

08

Talk Talk

09

Lycamobile

10

Giff Gaff

11

Plusnet

12

Other

TC013

Citizen Information

Digital or analogue landline in place

The type of phone set-up in a service user’s property.

2 digit numeric

01

Digital

Select one code that best describes the circumstances.

02

Analogue

03

No landline in place

TC014

Citizen Information

Communication needs / difficulties

Communication difficulties are sometimes referred to as speech, language and communication needs or communication disabilities. These terms describe people who have difficulty with one or more aspect of communication.  A learning disability is a reduced intellectual ability and difficulty with everyday activities.

2 digit numeric

01

Learning Disabilities (Dyslexia, Dysgraphia, Dyscalculia, Auditory processing disorder, Language processing disorder, Nonverbal learning disabilities, Visual perceptual/visual motor deficit)

Select one code that best describes the circumstances.

02

Autism (Autism is not a learning disability, but around 50% of people in the UK with Autism have a learning disability.)

03

Hearing impairment (A form of hearing loss/impediment.  This can be classified as a partial or total inability to hear

*Also select the specific hearing impairment from TC015 – Health Condition, sub-section 50-56, ‘Hearing Issues’.)

04

Speech impairment (Affects people who have problems speaking in a regular voice or tempo

*Also select the specific hearing impairment from TC015 – Health Condition, sub-section 106-109, ‘Speech Issues’.)

05

Other

TC015

Citizen Information

Health conditions

Relates to a service user having a physical or mental illness, injury, impairment, or condition.

2 digit numeric

Bone / Joint Issues

Select one (or more) code that best describes the circumstances.

01

Osteoarthritis (A progressive disorder of the joints caused by gradual loss of cartilage and resulting in the development of bony spurs and cysts at the margins of the joints.)

02

Amuptee (A person who has had one or more limbs removed by amputation.)

03

Back pain / issues (Pian in back.)

04

Fibromyalgia (A neurosensory disorder characterized by widespread muscle pain, joint stiffness, and fatigue. The condition is chronic (ongoing), but pain comes and goes and moves about the body.)

05

Gout (A form of acute arthritis that causes severe pain and swelling in the joints.)

06

Lupus (Lupus is a condition that affects the immune system. It can cause problems with your skin, joints, kidneys, and other organs.  Symptoms of lupus include joint and muscle pain, extreme tiredness, and a rash on your face.)

07

Osteopenia (A generalized reduction in bone mass that is less severe than that resulting from osteoporosis.)

08

Paget’s Disease (A localised bone disorder. It is relatively common in the United Kingdom, occurring in 10 per cent of those over the age of 70. It occurs more often in males than in females.)

09

Rheumatoid arthritis (A chronic autoimmune disease that causes inflammation and deformity of the joints.)

10

Sciatica (Refers to pain or discomfort associated with the sciatic nerve.)

11

Symptomatic previous hip fracture (A previous hip fracture that resulted in various symptoms to still be evident, for example decreased mobility, unable to weight bare.)

12

Symptomatic previous non hip fracture (A previous hip fracture, but the service user has returned to normal (same standard of health as pre-hip fracture).)

Cancer

13

Bone cancer and tumours (A term for a malignancy of bone, which is usually secondary.)

14

Breast Cancer (Caused by the development of malignant cells in the breast.)

15

Colon Cancer (Characterised by the development of malignant cells in the lining or epithelium of the first and longest portion of the large intestine.)

16

Leukaemia (Progressive proliferation of abnormal white blood cells found in hemopoietic tissues, other organs, and usually in the blood in increased numbers.)

17

Lung cancer (A term for a malignancy of the lungs.)

18

Lymphoedema (Swelling (especially in subcutaneous tissues) as a result of obstruction of lymphatic vessels or lymph nodes and the accumulation of large amounts of lymph in the affected region.)

19

Lymphoma (Any neoplastic disorder of lymphoid tissue, including Hodgkin’s disease.)

20

Prostate cancer (A disease in which cells in the prostate gland become abnormal and start to grow uncontrollably, forming tumours.)

21

Skin cancer (One of various malignant conditions of the skin such as malignant melanoma.)

22

Stomach cancer (Also known as gastric cancer, a disease in which the cells forming the inner lining of the stomach become abnormal and start to divide uncontrollably, forming a mass called a tumour.)

Circulatory Issues

23

Anaemia (A condition characterised by decreased red cells or haemoglobin in the blood, resulting in decreased oxygen in peripheral tissues.)

24

Angina (Characterised as pain, "discomfort," or pressure localized in the chest that is caused by an insufficient supply of blood (ischemia) to the heart muscle.)

25

Arrhythmia (An irregularity of the heartbeat.)

26

Coronary artery disease (A narrowing or blockage of the arteries and vessels that provide oxygen and nutrients to the heart.)

27

Deep vein thrombosis (DVT) (A blood clot in a major vein that usually develops in the legs and/or pelvis.)

28

Heart attack history (Previous heart attack(s))

29

Heart Failure (A condition in which the heart has lost the ability to pump enough blood to the body's tissues.)

30

Heart valve disease / complications (Refers to several disorders and diseases of the heart valves, which are the tissue flaps that regulate the flow of blood through the chambers of the heart.)

31

High Blood Pressure (Hypertension.  Blood pressure is the force of blood pushing against the walls of arteries as it flows through them.)

32

Low Blood Pressure (Hypotension.  This term is used when blood pressure has fallen so far that enough blood can no longer reach the brain, causing dizziness and fainting.)

33

Stroke with incomplete recovery (A stroke is the sudden death of brain cells in a localised area due to inadequate blood flow.)

Diabetes

34

Type 1 Diabetes (A condition characterised by high blood glucose levels caused by a total lack of insulin.  Occurs when the body's immune system attacks the insulin-producing beta cells in the pancreas and destroys them.  The pancreas then produces little or no insulin.  Type 1 diabetes develops most often in young people but can appear in adults.)

35

Type 2 Diabetes (A condition characterised by high blood glucose levels caused by either a lack of insulin or the body's inability to use insulin efficiently.  Type 2 diabetes develops most often in middle-aged and older adults but can appear in young people.)

Digestive Issues

36

Celiac disease (A disease of the digestive system that damages the small intestine and interferes with the absorption of nutrients from food.)

37

Colostomy bag fitted (A receptacle worn over the stoma by a colostomy patient, to receive faecal discharge.)

38

Crohn Disease (An inflammatory bowel disease marked by patchy areas of full-thickness inflammation anywhere in the gastrointestinal tract.)

39

Diverticulitis (Inflammation of a diverticulum, especially of the small pockets in the wall of the colon that fill with stagnant faecal material and become inflamed.)

40

IBS (Irritable bowel syndrome is a common intestinal condition characterized by abdominal pain and cramps; changes in bowel movements (diarrhoea, constipation, or both); gassiness; bloating; nausea; and other symptoms.)

41

Peptic ulcer disease (A stomach disorder marked by corrosion of the stomach lining due to the acid in the digestive juice.)

42

Polyps (A tumour with a small flap that attaches itself to the wall of various vascular organs such as the nose, uterus, and rectum.)

43

Symptomatic hernia (A general term used to describe a bulge or protrusion of an organ through the structure or muscle that usually contains it.)

44

Ulcerative colitis (A form of inflammatory bowel disease (IBD). It causes swelling, ulcerations, and loss of function of the large intestine.)

Frailty Issues

45

Fatigue (A physical and/or mental exhaustion that can be triggered by stress, medication, overwork, or mental and physical illness or disease.)

46

Immobility (complications that are associated with a limited or absolute lack of movement by the service user.)

47

Incontinence (Inability to prevent the discharge of any of the excretions, especially of urine or faeces.)

48

Recurrent falls (Defined as more than two falls in a six-month period.)

49

Side effects of medication (Adverse reaction to medication experienced in the past by the service user.)

Hearing Issues

50

Deafness one ear (Completing hearing loss in both ears.)

51

Deafness both ears (Completing hearing loss in both ears.)

52

Hearing loss (Hearing issues, but not complete deafness in ear(s) as per above (50 & 51).)

53

Meniere's disease (A condition characterised by recurrent vertigo (dizziness), hearing loss, and tinnitus (a roaring, buzzing, or ringing sound in the ears).)

54

Requires hearing aid (Service user wears a hearing aid in one, or both ears.)

55

Tinnitus (A ringing, buzzing, or other sound without an external cause.)

56

Vertigo (A sensation of rotation or movement of oneself (subjective vertigo) or of one's surroundings (objective vertigo).)

Mental Health Issues

57

Agoraphobia (The defining feature of agoraphobia is anxiety about being in places from which escape might be embarrassing or difficult, or in which help might be unavailable.  The person suffering from agoraphobia usually avoids the anxiety-provoking situation and may become totally housebound.)

58

Anxiety (Anxiety is a multisystem response to a perceived threat or danger.  It reflects a combination of biochemical changes in the body, the service users personal history and memory, and the social situation.)

59

Behavioural disorder (A disorder characterised by displayed behaviours over a long period of time which significantly deviate from socially acceptable norms for a person's age and situation.)

60

Bi-Polar (Bi-polar disorder, formerly manic-depressive disorder or manic-depression, severe mental disorder involving manic episodes that are usually accompanied by episodes of depression.)

61

Confusion (Lack of clearness or distinctness; uncertainty about what is happening, intended, or required.)

62

Depression (A mental state of altered mood characterised by feelings of sadness, despair, and discouragement.)

63

Disruptive behaviour (Behaviour that hampers or interferes with instruction.)

64

Eating disorder (A group of disorders in which abnormal feeding habits are associated with psychological factors.)

65

Isolated / Loneliness (Social isolation is the objective physical separation from other people (living alone).

Loneliness is the subjective distressed feeling of being alone or separated.)

66

PTSD (An anxiety disorder caused by exposure to an intensely traumatic event.)

67

Schizophrenia (A psychotic disorder (or a group of disorders) marked by severely impaired thinking, emotions, and behaviours.)

68

Sleep disorder (Any condition that interferes with sleep, excluding environmental factors.)

69

Substance abuse (Pattern of use of a drug, alcohol, or other chemical agent that may lead to social, occupational, psychological, or physical problems.)

Neurological Issues

70

Apraxia (Caused by brain damage related to conditions such as head injury, stroke, brain tumour, and Alzheimer's disease.  The damage affects the brain's ability to correctly signal instructions to the body.  Forms of apraxia include the inability to say some words or make gestures.)

71

Autism (A complex developmental disorder distinguished by difficulties with social interaction, verbal and nonverbal communication, and behavioural problems, including repetitive behaviours and narrow focus of interest.)

72

Balance issues (Certain conditions, such as diabetes, heart disease, stroke, or problems with vision, thyroid, nerves, or blood vessels can cause dizziness and other balance problems.)

73

Brain injury / trauma (Impairment of structure or function of the brain, usually as a result of a trauma.)

74

Brain tumour (An abnormal growth of tissue in the brain.  A benign brain tumour is composed of non-cancerous cells and does not spread beyond the part of the brain where it originates.  A brain tumour is considered malignant if it contains cancer cells, or if it is composed of harmless cells located in an area where it suppresses one or more vital functions.)

75

Cerebal palsy (The term used for a group of nonprogressive disorders of movement and posture caused by abnormal development of, or damage to, motor control centres of the brain.)

76

Dementia (of any aetiology) (A loss of mental ability severe enough to interfere with normal activities of daily living, lasting more than six months, not present since birth, and not associated with a loss or alteration of consciousness.)

77

Epilepsy (Disturbances of nervous system function resulting from abnormal electrical activity of the brain.  Epilepsy is not one specific disease, but rather a group of symptoms that are manifestations of any of a number of conditions involving overstimulation of nerve cells of the brain.)

78

Learning disability (A reduced intellectual ability and difficulty with everyday activities, for example household tasks, which affects someone for their whole life.)

79

Migraines (A familial, recurrent syndrome characterised usually by unilateral head pain, accompanied by various focal disturbances of the nervous system.)

80

Motor neurone disease (This disease happens when cells in the brain and nerves, called motor neurones, gradually stop working.  Symptoms of motor neurone disease include muscle weakness, twitches, slurred speech, and difficulty swallowing.  The symptoms get worse over time.)

81

Multiple Sclerosis (A chronic autoimmune disorder affecting movement and bodily functions.  It is caused by destruction of the myelin insulation covering nerve fibres (neurons) in the central nervous system (brain and spinal cord).)

82

Non epileptic fits/blackout history (History of temporary loss of consciousness.)

83

Paraplegic (An impairment in motor or sensory function of the legs and lower body.)

84

Parkinson’s (A progressive disease of the nervous system marked by tremor, muscular rigidity, and slow, imprecise movement, chiefly affecting middle-aged and elderly people.)

Respiratory Conditions

85

Asthma (A chronic (long-lasting) inflammatory disease of the airways.  In those susceptible to asthma, this inflammation causes the airways to spasm and swell periodically so that the airways narrow.)

86

Bronchitis (An inflammation of the air passages between the nose and the lungs, including the windpipe or trachea and the larger air tubes of the lung that bring air in from the trachea (bronchi).  Bronchitis can either be of brief duration (acute) or have a long course (chronic).)

87

COPD (Chronic Obstructive Pulmonary Disease) (An umbrella term for a group of usually progressive lung disorders with overlapping signs and symptoms, including asthma, bronchiectasis, chronic bronchitis, and emphysema)

88

Cystic Fibrosis (An inherited disease that affects the lungs, digestive system, and sweat glands.  It affects the body's ability to move salt and water in and out of cells.  This causes the lungs and pancreas to secrete abnormally thick mucus that blocks passageways and prevents proper function.)

89

Emphysema (A chronic respiratory disease where there is over-inflation of the air sacs (alveoli) in the lungs, causing a decrease in lung function, and often, breathlessness.)

90

Industrial lung disease (Any respiratory disease that is caused or was made worse by exposure at work, such as breathing in hazardous substances such as gases or dust.)

91

Pneumonia (A severe inflammation of the lungs in which the alveoli (tiny air sacs) are filled with fluid.  This may cause a decrease in the amount of oxygen that blood can absorb from air breathed into the lung.)

92

Tuberculosis (TB is a potentially fatal contagious disease that can affect almost any part of the body but is mainly an infection of the lungs.)

Sight Issues

93

Blindness (Lack or loss of ability to see)

94

Blurred vision (Lack of sharpness of vision with, as a result, the inability to see fine detail.)

95

Cataract (An opacity of the lens of the eye, usually occurring as a result of aging, trauma, endocrine or metabolic disease, intraocular disease, or as a side effect of the use of tobacco or certain medications, e.g., steroids.  Cataracts are the most common cause of blindness in adults.)

96

Diabetic retinopathy (A complication of diabetes, caused by high blood sugar levels damaging the back of the eye (retina).  It can cause blindness if left undiagnosed and untreated.)

97

Glaucoma (A common eye condition where the optic nerve, which connects the eye to the brain, becomes damaged.)

98

Macular degeneration (The progressive deterioration of a critical region of the retina called the macula.  The macula is a 3-5 mm area in the retina that is responsible for central vision.  This disorder leads to irreversible loss of central vision, although peripheral vision is retained.)

99

Wears glasses (A person who wears corrective lenses.)

Skin Issues

100

Eczema (A condition in which patches of skin become rough and inflamed with blisters which cause itching and bleeding.)

101

Pressure ulcers (An injury that breaks down the skin and underlying tissue.  They are caused when an area of skin is placed under pressure.  They are sometimes known as "bedsores" or "pressure sores".)

102

Pruritus (A medical term for itchy skin that can be caused by a number of issues including dry skin, skin disease, allergies and diabetes.)

103

Psoriasis (A condition that causes red and crusty patches of skin covered with silvery scales.)

104

Skin infections (These occur when bacteria infect the skin and sometimes the deep tissue beneath the skin.)

Speech Issues

105

Apraxia of speech (AOS, also known as acquired apraxia of speech, verbal apraxia, or childhood apraxia of speech (CAS) when diagnosed in children is a speech sound disorder.  Someone with AOS has trouble saying what they want to say correctly and consistently.)

106

Dysarthria (Difficulty speaking caused by brain damage, which results in an inability to control the muscles used in speech.)

107

Mutism (Inability to speak, typically as a result of congenital deafness or brain damage.  )

108

Stuttering (A speech disorder in which the flow of speech is disrupted by involuntary repetitions and prolongations of sounds, syllables, words, or phrases as well as involuntary silent pauses or blocks in which the person who stutters is unable to produce sounds.)

Other

109

Bariatric (A person is classified as having obesity and may be referred to as a bariatric patient when they have a body mass index (BMI) that is equal to or greater than 30)

110

Bedbound (Medically defined as someone who is confined to bed, on bed rest, or bedridden.)

111

Catheter (A flexible tube inserted through a narrow opening into a body cavity, particularly the bladder, for removing fluid.)

112

Faecal Incontinence (Bowel incontinence is an inability to control bowel movements, resulting in involuntary soiling.)

113

MRSA (A type of bacteria that's resistant to several widely used antibiotics.)

114

Muscular dystrophy (A group of muscle diseases caused by mutations in a person's genes.  Over time, muscle weakness decreases mobility, making everyday tasks difficult.)

115

Overactive thyroid (A relatively common hormonal condition that occurs when there is too much thyroid hormone in the body.)

116

Underactive thyroid (Where the thyroid gland (a small gland in the neck) does not produce enough hormones.)

117

Urinary Incontinence (A person who leaks urine by accident.  While it can happen to anyone, urinary incontinence, also known as overactive bladder, is more common in older people, especially women.)

TC016

Citizen Information

Where would service user be without telecare

Qualitive measure to ascertain whether the service user would be more or less likely to be living at home with telecare.

2 digit numeric

01

In a care home (Without telecare being place, the telecare service user would likely be admitted/living in a care home…)

Select one code that best describes the circumstances.

02

In hospital

03

In temporary accommodation

04

Living with family

05

Supported accommodation

06

No change to circumstances

TC017

Referral Information

Date of telecare referral

The date of the referral is the date on which a referral is made to the telecare service.
Definition:
A referral is a request to a service to provide appropriate telecare. A referral may be made by a person or an organisation on behalf of a service user, or a person may refer themself.

8 digit numeric,
YYYY-MM-DD

N/A

N/A

This may be the same date as the date on which the referral is received.

TC018

Referral Information

Source of telecare referral

The organisation and/or professional(s) or person who may make a referral.

2 digit numeric

01

Self-referral (Indicates the referral was made by the service user/potential service user.)

This may not be the same person that completed the referral form.

Select one code that best describes the circumstances.

02

Informal carer/family (Indicates the referral was made by a family member or carer of the service user.)

03

Primary care (Indicates the referral was made by primary care.
Includes:
• GP/GP Practice/Practice Nurse
• Health visitor
• Physiotherapist (direct access))

04

Community nursing (Indicates the referral was made by community nursing.
Includes:
• District Nurse
• Community Nurse
• Community Psychiatric Nurse.)

05

Intermediate Care (not bed-based) (Indicates the referral was made by intermediate care.
Includes:
• Time-limited assessment, rehabilitation and support provided at home by health and social care professionals, including physiotherapists and occupational therapists
• Day Hospital
• Hospital at home
• Reablement.

Definition:
Intermediate care covers a range of care options, which
allow people to avoid hospital, return home from hospital sooner, recover from illness faster, and plan for their future care.

Definition:
Reablement is the process of a local council providing personal care, such as help with daily living activities and other practical tasks. It usually lasts for up to 6 weeks and helps give people the confidence and skills to carry out these activities for themselves, so they can continue to live at home as independently as possible.)

06

Hospital/secondary care (Indicates the referral was made by a health or social care professional for a person in hospital. This includes referrals from social workers working within the hospital setting.
Includes:
• Hospital-based Occupational Therapist
• Hospital-based Social Worker
• Acute care
• Mental health inpatient care
Community hospital/bed-based intermediate care.)

07

Social work and social care (Indicates the referral was made by social work services.
Includes:
• Social workers
• Social care workers
• Care Managers
• Home care workers
• Social work Occupational Therapist.
Excludes:
• Social workers working in a hospital, community hospital or bed-based intermediate care setting
Commissioned services delivered by other providers)

08

Housing (Indicates the referral was made by the housing sector.
Includes:
·         Housing officers in local authority, housing associations or housing cooperatives.)

09

Third sector (Indicates the referral was made by a third sector organisation or service, including commissioned care providers.)

10

Emergency Services (Indicates the referral was made by an emergency service.
Includes:
• Fire and Rescue Service (including following a Home Fire Safety Visit)
• Welsh Ambulance Service Trust (WAST)
• Police

11

Alternative (Use this category for referrals which are of known origin, but do not fit above categories.)

TC019

Referral Information

Reason for telecare referral

The primary (main) reason for referring for or requesting telecare.
Definition:
A referral is a request to a service to provide appropriate telecare. A referral may be made by a person or an organisation on 02behalf of a service user, or a person may refer him/herself.

2 digit numeric

01

Enable to return home (Indicates telecare requested primarily to support discharge from hospital, respite care or long-term care.)

Select one code that best describes the circumstances.  This may be a matter of personal opinion where more than one answer is relevant, but only include the single factor most important to the service user.

02

Enable to remain at home (Indicates telecare requested primarily to prevent or delay admission to hospital, respite care or long-term care.)

03

Improve safety and reduce risk of harm (Indicates request for telecare is prompted primarily by concerns for a person’s safety. This may be following a crisis or safety-related incident or series of incidents at home or in the community. Improving safety may increase a person’s independence.)

04

Reassurance and peace of mind (Indicates telecare is requested for peace of mind or to give confidence in the absence of a crisis or incident, including for peace of mind for the person or family and/or to give confidence. Improving confidence or peace of mind may increase a person’s independence.)

05

Informal carer support (Indicates telecare is requested primarily to support an informal carer.)

06

Assess care needs (Indicates referral was made for ‘lifestyle monitoring’ to better assess care needs.)

07

Remote supported living (Indicates telecare is requested to reduce the need for onsite support, such as overnight support. This may be to increase a person’s privacy and/or independence.)

TC020

Referral Information

Urgency of telecare referral

The level of urgency for installation as determined by the telecare assessor.

2 digit numeric

01

Priority One (Within two working days
• This is the TSA’s definition of ‘urgent’
• Hospital discharge)

Select one code that best describes the circumstances.

02

Priority Two (Within 15 working days
• This is the TSA’s definition of ‘non-urgent’)

TC021

Referral Information

Type of telecare referral

To identify if the person being referred is new to the service, has received the service in the past, or is an existing service user and requires an enhanced package.

2 digit numeric

01

New service user (When the service user has not had telecare installed before.)

Select one code that best describes the circumstances.

02

Existing service user (When the service user is an existing telecare service user and is having additional devices installed.)

03

Returning service user (When the service user previously had telecare installed but left the service.)

TC022

Referral Information

Mode of telecare referral

This is the route the referral was made.

2 digit numeric

01

Email

Select one code that best describes the circumstances.

02

Telephone

03

Paper form

04

Website (online form)

05

App

TC023

Referral Information

Outcome of telecare referral

To identify the outcome of the referral received for the service user.

2 digit numeric

01

Approved (The referral was approved and moved to the next stage of the process.)

Select one code that best describes the circumstances.

02

Cancelled (The referral was cancelled before a decision was made.)

03

Rejected (The referral was not approved by the authorising service area.)

TC024

Referral Information

Date telecare assessment was carried out

The date of the assessment is the date on which an assessment is completed by a telecare service.

Definition:
Following the referral, a formal assessment is typically carried out by the service provider.  Further information is gathered relating to the person, highlighted in this document, and an installation date is agreed to commence the service.

8 digit numeric,
YYYY-MM-DD

N/A

N/A

This may be the same date as the date on which the referral is received if for example it is a ‘self-referral’.

TC025

Installation Information

Service start date

The date that the type of service started.

(See item 19, Service type)

8 digit numeric,
YYYY-MM-DD

N/A

N/A

Please enter the first date telecare services were installed (tested) and ready to use following the assessment.

TC026

Installation Information

Service Type

The category of service provided, based on the device/s installed or software employed.

2 digit numeric

01

Telecare – Standard (If the service user is in receipt of a basic technology package which consists of a base unit (either
individual or part of a communal system), plus a button/pull cords/pendant which transfers an alert/alarm/data to an alarm receiving centre or individual responder.)

If a person is in receipt of an enhanced telecare package which includes a community alarm, telecare, and/or lifestyle monitoring and/or a discrete device, then data should be collected for all applicable values (‘community alarm’, ‘telecare’, ‘lifestyle monitoring’, and ‘discrete devices).

More than one code may apply

02

Telecare – With Response (If the service user is in receipt of a basic technology package as described above and the responder service.

A Response Service is physical response/intervention to a crisis moment (e.g., fallen, assistance needed).)

03

Enhanced Telecare (Enhanced Telecare includes a base unit (same as Standard Telecare) but will also have peripherals around the property that will enable the service provider to respond to multiple device alerts, such as GPS, smoke, CO, flood detectors, and more.

Includes:
• Lifestyle monitoring that is linked to the alarm receiving centre for a response.

Excludes:
stand-alone devices, which do not alert/provide information to a monitoring centre or individual responder, such as medication prompts.)

04

Enhanced Telecare -with Response (Same as Enhanced Telecare but will also include Mobile Response service.

A Response Service is physical response/intervention to a crisis moment (e.g., fallen, assistance needed).)

TC027

Installation Information

Device Type

Type of device/s or software employed.

2 digit numeric

01

Base Unit (Indicates the service user has a package installed which consists of a base unit (either individual or part of a communal system).)

Codes 1-10 describe devices capable of alerting/providing information to an alarm receiving centre or individual responder (including family) and may or may not be ‘linked’ to the home hub or communal alarm system.

Code 11 describes discrete, stand-alone devices, not historically considered to be ‘telecare’.

More than one code may apply.

02

Pendant (A button/pull cord(s)/pendant which transfers an alert/alarm/data to a monitoring centre or individual responder.)

03

Smoke Detector (Indicates an ARC-linked smoke detector was installed.)

04

Heat Detector (Indicates an ARC-linked heat detector was installed.)

05

CO Detector (Indicates an ARC-linked CO detector was installed.)

06

Falls Detector (Indicates an automatic falls detector was provided.)

07

Movement or inactivity detector (Indicates a movement detector was installed.
Includes:
• PIR movement detectors.)

08

Bed sensor (Indicates a bed sensor was installed.)

09

GPS monitor (Indicates a GPS locator was installed.)

10

Other personal monitors (Indicates a personal monitor was installed.
Includes:
• Enuresis sensor
• Bogus caller button
• Epilepsy monitor
• Medication dispensers.
Excludes:
• Falls detector (Code 06)
• Movement detector (Code 07)
• Bed monitor (Code 08).)

11

Property Exit Sensor (Indicates property exit sensors or internal door sensors were installed.)

12

Other Environmental Monitors (Indicates environmental monitors were installed.
Includes:
• ARC-linked gas detector
• Flood detector.
Excludes:
• ARC-linked smoke (Code 03), Heat (Code 04) or CO detector (Code 05).

13

ARC-linked consumer technology (Indicates consumer technology which links directly to an ARC without the use of any intermediary devices, such as a mobile phone.)

14

Lifestyle Monitoring (Indicates a person has a range of sensors installed to monitor their lifestyle for the purposes of assessment.)

15

Discrete devices (A stand-alone device or software that does not alert/provide information to a monitoring centre or individual responder.)

TC028

Installation Information

Reason for delay in installation

This is to provide an explanation for an unexpected delay in installation.

2 digit numeric

01

Delayed discharge (Hospital discharge is delayed due to reasons not relating to telecare installation.)

More than one code may apply

02

Further works required (Installation delayed due to further works being required in the person’s home, such as the installation of a telephone line, broadband or moving a socket.)

03

Telecare staff capacity (Installation delayed due to the capacity of installation staff.)

04

No Access (Service user was not present for Installation, so access was not available.)

TC029

Installation Information

Installation completion date

To identify the date that telecare services/equipment were installed ensuring the approved telecare referral was now complete.

8 digit numeric,
YYYY-MM-DD

N/A

N/A

Acknowledging that not all telecare equipment may be installed on one day.

TC030

Call Handling Information

Date Of incoming call

The date of the call, alert or activation.

8 digit numeric,
YYYY-MM-DD

N/A

N/A

This field is used to capture the date the service user alerted the telecare service.

TC031

Call Handling Information

Time of incoming call

The time of day the call, alert or activation appears on the system.

4 digit numeric, hh:mm

N/A

N/A

The day runs from midnight to 23:59.
• Midnight is 00:00

TC032

Call Handling Information

Time of response to incoming call

The time of day of the call handler response to the activation.

4 digit numeric, hh:mm

N/A

N/A

The day runs from midnight to 23:59.
• Midnight is 00:00

TC033

Call Handling Information

Call event

The device that was activated which initiated a call to the Alarm Receiving Centre.

2 digit numeric

01

Pendant (Indicates source of alarm.
Includes:
• Pendant and wrist worn.)

Select one code that best describes the circumstances.

02

Base Unit (Indicates source of alarm.
Also called integral button.)

03

Property Exit Sensor (Indicates source of alarm.
• Or door contact.)

04

Falls Detector (Indicates source of alarm.
Includes:
• Button press.)

05

Movement or inactivity detectors (Indicates source of alarm.
Includes:
• PIR movement detectors
• Inactivity monitors including lifestyle monitoring linked to the ARC.)

06

Bed monitor (Indicates source of alarm.)

07

GPS Monitor (Indicates source of alarm.)

08

Epilepsy Monitor (Indicates source of alarm.)

09

Other personal monitors (Indicates source of alarm.
Includes:
• Enuresis sensor
• Bogus caller button
• Epilepsy monitor
• Medication dispensers.
Excludes:
• Falls detector (Code 04)
• Bed monitor (Code 06)
• Movement detector (Code 05).)

10

Smoke (Indicates source of alarm.)

11

Heat detector (Indicates source of alarm.)

12

CO detector (Indicates source of alarm.)

13

Flood detector (Indicates source of alarm.)

14

Telephone (Indicates a direct call from mobile phone or landline.)

TC034

Call Handling Information

Incoming call reason

The reason for an incoming alarm call.

2 digit numeric

01

Chase Call

Select one code that best describes the circumstances.

02

Concern for Client

03

Door Access

04

Fallen

05

False Alarm

06

Fault

07

Fire Panel Test Call

08

General Assistance

09

Information Call

10

Keysafe Access

11

List Entrapment

12

Locked Out

13

Lone Worker

14

Mains Failure

15

Medical Emergency

16

No Response

17

Offsite

18

Onsite

19

Police Required

20

Programming

21

Repairs

22

Responder Onsite

23

Smoke / Fire Call

24

System / Admin

25

Testing

26

Welfare Check

TC035

Call Handling Information

Incoming Call – Secondary action / reason

The action/secondary reason added as a result of an incoming call.

2 digit numeric

01

Access Given

More than one code may apply.

02

Access Not Given

03

All Okay

04

Ambulance Called

05

Ambulance Onsite

06

Ambulance Required

07

ARC Provider Notified

08

Back Home

09

BT Contacted

10

Call Disconnected

11

Carers

12

Carers Attending

13

Carers Called

14

Carers Leaving

15

Carers Onsite

16

Carers Required

17

Cause Unknown

18

Chase Call

19

Cleaner / Caretaker

20

CLI Mismatch

21

Client

22

Client Okay

23

Confirmed Call

24

Contact

25

Contact Advised

26

Contact Attending

27

Contact Onsite

28

Contact Required

29

Data Update

30

District Nurse Called

31

District Nurse Required

32

Doctor Called

33

Doctor Required

34

Door Fault

35

Emergency Service Onsite

36

Engineer

37

Engineer Attending

38

Fallen

39

False Alarm

40

Fault

41

Fire Brigade

42

Fire Brigade Attending

43

Fire Brigade Called

44

Gas Emergency

45

Going Away

46

Going Out

47

Housing Association Called

48

Information Request

49

In Hospital

50

Installation Test Call

51

Isolation

52

Lift

53

Line Fault

54

Logging Off

55

Logging On

56

Lost Peripheral

57

Low battery

58

Manager Contacted

59

Manual Call

60

Mobility

61

No Action Required

62

No Answer

63

No Heating

64

No Power

65

No Voice Contact

66

Other CP Contacted

67

Other Person

68

Other Property Repair

69

Periodic Call

70

Personal Care

71

Plumbing Issue

72

Police Called

73

Police Required

74

Power Cut

75

Power Restored

76

Programming Failed

77

Programming Successful

78

Reassurance Given

79

Refused to Attend

80

Repair

81

Repeat Call

82

Requires Date / Time

83

Responder

84

Responder Advised

85

Responder Attending

86

Scheme Manager

87

Scheme Manager Called

88

Signposting

89

Situation Update

90

Social Worker Advised

91

Staff / Carer

92

System Call

93

Telecare Equipment

94

Test Call

95

Unplugged

96

Visitor

TC036

Proactive Services

Date of proactive outbound call

The date an outbound proactive call is made to the service user by the telecare service.

Definition:
A proactive call is a planned call to the service user initiated by the call handler or wider telecare service that aims to enable wellbeing and/or anticipate or prevent an incident or crisis.
Excludes:
• Test calls
• Reviews
• Responding to an immediate situation

8 digit numeric,
YYYY-MM-DD

N/A

N/A

This field is used to capture the date of the proactive call to the service user

TC037

Proactive Services

Start of proactive call

The time of day the proactive call is made as it appears on the system.

4 digit numeric, hh:mm

N/A

N/A

The day runs from midnight to 23:59.
• Midnight is 00:00

TC038

Proactive Services

End time of proactive call

The time of day the proactive call is ended as it appears on the system.

4 digit numeric, hh:mm

N/A

N/A

The day runs from midnight to 23:59.
• Midnight is 00:00

TC039

Proactive Services

Outcome of proactive outbound call

The outcome of an outbound proactive call.

Definition:
A proactive call is a planned call to the service user initiated by the call handler or wider telecare service that aims to enable wellbeing and/or anticipate or prevent an incident or crisis.
Excludes:
• Test calls
• Reviews
• Responding to an immediate situation

2 digit numeric

01

No action (Following an arranged call, no specific action was required.)

More than one may apply

02

Request telecare provision review (Following an arranged call, a review of telecare provision was requested due to change in needs, or issues with current equipment or service.)

03

Escalation of concerns (Following an arranged call, the situation was escalated because of the service user’s or call handler’s immediate concerns.

Includes escalation to:
• Social Work
• Social Care
• GP/GP practice
• Family
• Emergency services)

04

Onward referral (Following an arranged call, an onward referral was made to another agency or service to provide appropriate care and support.

Includes referrals to:
• Social care
• Social Work
• Falls teams

If the referral relates to immediate concerns, use Code 02 ‘Escalations of concerns’)

05

Signpost to community support (Following an arranged call, the call handler provided information about a community-based service or organisation with a view to the service user or their family/carer contacting the service or organisation.)

TC040

Response Service Information

Date of attended response

The date of the attended response by the telecare service.

8 digit numeric,
YYYY-MM-DD

N/A

N/A

This field is used to capture the date the responder arrived at the service user’s property.

TC041

Response Service Information

Time Response Officer notified

The time of day the telecare response service was notified
Excludes responses by:
• Emergency services
• Volunteer key holder (family, friends, neighbours).

4 digit numeric, hh:mm

N/A

N/A

The day runs from midnight to 23:59.
• Midnight is 00:00

TC042

Response Service Information

Time responder arrived at property

The time of day the telecare response service arrived at the property.
Excludes responses by:
• Emergency services
• Volunteer key holder (family, friends, neighbours).

4 digit numeric, hh:mm

N/A

N/A

The day runs from midnight to 23:59.
• Midnight is 00:00

TC043

Response Service Information

Attended response by response provider

The service or person that provided the onsite response.
Includes all attended responses arranged by the call handler.

2 digit numeric

01

Telecare responder service (Indicates the response was provided by a team of specially trained staff to provide a telecare response.)

More than one may apply.

02

Home care service (Indicates the response was provided by home care staff, wardens, or similar staff, who can provide practical help in an emergency, and can appraise a situation (such as a fall, or failure to answer the door) so ensuring that the appropriate support is provided.)

03

Nominated key holder or contact (Indicates the response was provided by a person nominated by the service user, who has consented to be a key holder for the service user or a contact person.)

04

Housing services (Indicates the response was provided by housing support staff, including:
• Sheltered housing support staff
• Housing officer.)

05

Health care service (Indicates the response was provided by a health care professional, for example, a nurse, physiotherapist, occupational therapist or GP.
Excludes:
• Welsh Ambulance Service (WAST))

06

Ambulance (Indicates the response was provided by the Welsh Ambulance Service.)

07

Fire and Rescue (Indicates the response was provided by the Fire and Rescue Service.)

08

Police (Indicates the response was provided by Police.)

09

Third sector organisation (Indicates the response was provided by a third sector service commissioned by the Telecare Service to provide trained staff to deliver the response visit on their behalf.)

10

Emergency repair (Indicates the response was provided by an external service to undertake emergency repairs.
Includes:
• Care and Repair (emergency only)
• Utility company
• Telecoms
• Property or fire alarms
• Technical repairs to enhanced technology.)

11

Other (Use this category for responders that do not fit above categories.)

TC044

Response Service Information

Attended response by type of support required

The type of support or care required when an onsite response is provided by a telecare response service or home care service.

2 digit numeric

01

Accidental activation /no assistance required (Indicates false alarm and no support was required.)

Excludes responses by:
• Emergency services
• Other health professionals
• Nominated key holders.

Select one code that best describes the circumstances.

02

Locate the service user in property (Indicates location of service user is required after a property exit sensor alert and the person is in the property.)

03

Locate the service user outside the property (Indicates location of service user is required after a property exit sensor alert and the person is located outside of the property.)

04

Fall management (Indicates support was provided to assist the service user from the floor following a fall.)

05

Continence management (Indicates the service user or carer is requesting assistance with continence (may include toileting).)

06

In-person assistance (Indicates that the service user or carer is requesting assistance.
Includes:
• The service user is unwell
• Assistance with repositioning
• Assistance with mobility for example unable to get up from a chair, bed, toilet or commode or get out of the bath.
Excludes:
• Assistance with continence care (select Code 05 for this).)

07

Nominated contact/family assistance (Indicates the responder requested attendance from named contact or family.)

08

Escalation to ambulance service (Indicates the responder requested attendance by the ambulance service.)

09

Escalation to Fire and rescue (Indicates the responder requested attendance by the fire and rescue service.
Includes:
• For forced access to a property.)

10

Escalation to police (Indicates the responder requested attendance by the police.)

11

Escalation to NHS 111 (Indicates the responder requested advice from NHS 111.)

12

Escalation to another health service (Indicates the responder services requested another service attend, including a health professional (Such as GP, District Nurse).)

TC045

Response Service Information

Date responder left property

The date of the attended response.

8 digit numeric,
YYYY-MM-DD

N/A

N/A

This field is used to capture the date the responder left the service user’s property.

TC046

Response Service Information

Time responder left property

The time of day the funded telecare response service left the property.
Excludes responses by:
• Emergency services
• Volunteer key holder (family, friends, neighbours).

4 digit numeric, hh:mm

N/A

N/A

The day runs from midnight to 23:59.
• Midnight is 00:00

TC047

Onward Referral Information

Date of notification or onward referral to other agencies

The date the telecare service notified another service of changes to a service user’s circumstances or needs or referred the service user to another service due to concerns and/or a change in the service user’s circumstances or needs.

Definition:
An onward referral is a request to another agency or service to provide appropriate care and support. 

8 digit numeric,
YYYY-MM-DD

N/A

N/A

This field is used to capture the date the telecare service made the notification or referral.

TC048

Onward Referral Information

Notification or referral to other service

A contact with a service user or their nominated person results in notification or onwards referral to another agency or agencies.

Definition:
An onward referral is a request to another agency or service to provide appropriate care and support.

2 digit numeric

01

Pre-install (Indicates notification or onwards referral prior to the telecare installation.)

Select one code that best describes the circumstances.

02

Post-incoming call/s (Indicates notification or onwards referral followed incoming call or series of calls from a service user.)

03

Post-proactive call (Indicates notification or onwards referral following an arranged proactive outbound call with a service user or their carer.

Definition:
A proactive call is a planned call to the service user initiated by the call handler or wider telecare service that aims to enable wellbeing and/or anticipate or prevent an incident or crisis.
Excludes:
• Test calls
• Reviews)

04

Post-response (Indicates notification or onwards referral follow a response visit to the service user.)

05

Post-review (Indicates notification or onwards referral following a telecare review of the service user (this could be done annually as part of a ‘Birthday Check’ call)

See TC051 for how the review would be carried out.)

TC049

Onward Referral Information

Reason for onward referral

Service user, family, Social Worker or Response Officer has requested a referral be made for extra support or advice for service user.

2 digit numeric

01

Falls management

Select one code that best describes the circumstances.

02

Meals management

03

Hoarding

04

Aids and adaptations

05

Additional TEC required

06

Mental Health support

07

Finance and benefit support

08

Loneliness and isolation

09

Continence management

10

Wider social care needs

11

Known, but not included

TC050

Onward Referral Information

The service contacted for onward referral

The service/organisation that the service user has been signposted towards.

2 digit numeric

01

Single point of access gateway for Social Care (typically local authority)

Select one code that best describes the circumstances.

02

Housing Association

03

Third Sector

04

Primary Care (GP)

05

Secondary Care (Physio, community OT etc.)

06

Meals on Wheels

07

Community Group

08

Social Worker

09

Known, but not included

TC051

Review / reassessment information

Date of telecare review

The date the service user received a review of their telecare service.

Definition:
A review is a process which takes place through a home visit or telephone call, and includes a combination of the following:
• Calls history within the review period
• A check/update of information held on the person, including their contacts/phone numbers, their health status and medication
• A check of how the property is accessed
• An equipment check. This is more thorough than the remote monthly check carried out by clients. The base unit and the pendant are checked along with all the peripheral devices. Battery back-up is also checked
• A check to ensure the service is still able to meet the needs of the service user.

8 digit numeric,
YYYY-MM-DD

N/A

N/A

TC052

Review / reassessment information

Outcome of telecare review

Action taken following a telecare review.

2 digit numeric

01

No actions required (Indicates no action was required following the review.)

More than one code may apply.

02

Replace/update of device/s (Indicates current device/s require/s replacement or update, or adjustment of device settings.)

03

Changes to devices provided (Indicates additional devices were required or devices were removed.)

04

Changes to response arrangements (Indicates changes were required to how service responds to alerts going forwards, including escalation, response, support required.)

05

Referral to other service or agency (Indicates a referral was made to another service or agency.)

06

Withdrawal of service (Indicates the devices and the service were withdrawn.)

TC053

Withdrawal of service information

Telecare service withdrawal date

The date the service ceased being used by the service user.

8 digit numeric,
YYYY-MM-DD

N/A

N/A

This field is used to capture the date the service user completely discontinued using the telecare service.

Where a service user has had a trial period of receiving telecare services this should be recorded as an installation and be recorded as service withdrawal.

TC054

Withdrawal of service information

Reason for telecare service withdrawal

The reason why the telecare service has been discontinued.

2 digit numeric

01

Admitted to long term care facility (Indicates the service user has been admitted to a care home or other long term care facility.)

Select one code that best describes the circumstances.

02

Admitted to hospital (Indicates the service user was admitted to hospital.)

03

No longer needed (Indicates the service is no longer required for reasons other than admission to hospital (Code 02 or care (Code 01), or deceased (Code 4).
May include:
• A service user moving out of the area, or living with family
• The service user no longer needs the service
• The service user choses to no longer receive a service.)

04

Deceased (Indicates the service user is deceased.)

05

Charges (Indicates the withdrawal is related to the service charge, including an introduction or increase in charge, or the issue of an invoice.)

06

System misuse (Breach of terms and conditions (excessive use).)