Location of Contact

 

This is the type of physical location at which contact occurs between a health care practitioner and a patient or client (or proxy).

Codes * and definitions have been devised to enable the classification of location type. Each location must be classified by only one location type, regardless of the type of activity, specialty or client involved. The location type should only be altered if there is a complete change in use.

             Location type codes are not used in the central returns and are therefore outside the scope of this volume.

 

Location types are classified as follows:

a)

Clients or patient's home: the private residence (temporary or permanent) of the client or patient.

 

Includes: foster home, hotel, bed & breakfast accommodation, university halls of residence, staff accommodation (e.g. nurses home), sheltered accommodation and other accommodation which may be used as a client’s home.

 

Excludes: residential institutions mentioned elsewhere in this classification.

b)

Health centre: an NHS owned or leased facility for use by local GPs and supporting local related services.

c)

Other GP premises: premises mainly used by a GP practice for patient consultations. The distinguishing feature from a health centre is that no health care services, other than those provided directly by the GP practice, are based at the premises.

d)

Day Care Facility NHS, managed by the NHS at any site.

e)

Other clinic premises managed by the NHS

i.

Consultant clinic premises: NHS managed premises used mainly for patients to attend for consultation, examinations, investigation and/or treatment including minor operative procedures. The distinguishing feature is that the main use of the premises is for hospital consultant/consultant firms and diagnostic health professionals employed by a Local Health Board, to come into face-to-face contact with their patients. 

 

Includes: Out-Patient departments, A & E, Radiotherapy, Radiology and Physiological measurement departments

 

Excludes: Wards, premises used primarily for day care, Paramedical departments and any other premises separately identified, Pathology departments and other areas not usually used for face-to-face contacts.

ii.

Health clinic premises: † non-hospital premises used for clients to attend for consultation, examinations, assessment and/or treatment. The distinguishing feature is that the main use of the premises is for community medical officers (including community paediatricians), community nurses, health visitors, community dentists and other health professionals to come into face-to-face contact with their clients.

 

Includes: Child guidance centres, child assessment centres, sexual and reproductive health clinics and other "client-contact" health premises.

 

Excludes: location types defined elsewhere in this classification.

iii.

Resource centre premises: † non-residential premises for the use of multi-disciplinary or specialist teams to see clients or patients either as referrals or self-referrals for treatment, advice and information. The provision of Resource Centres is usually for the care of those persons with mental health or mental handicap problems.

 

Excludes: location types defined elsewhere in this classification.

f)

Elsewhere on hospital site or community type residential site.

 

NB. A community style residential site for the mentally handicapped is a facility staffed by the NHS and managed separately from any hospital, which is located in the community and provides not more than 24 residential places for persons with a mental handicap; the facility, using primarily locally based resources, provides the residents with staffed accommodation, room, board and supervision; it might also provide other services, e.g. day care, to other people with a mental handicap.

 

Residents at such a site are defined as hospital inpatients.

 

This category includes:

i.

Ward: all wards on a NHS managed hospital site inclusive of wards open day-time only. Includes wards in NHS Hospices and NHS GP Hospitals.

ii.

Paramedical department: † premises, not defined above, which are provided mainly for the use of paramedical professionals (inclusive of audiology technicians).

iii.

Other health or local authority site thus located.

g)

Nursing home:

i.

NHS nursing home: staffed by nurses 24 hours a day, with facilities for client/patient's requiring residential nursing care provided by the NHS. Medical care continues to be the responsibility of the client/patient's GP. The premises may be used for nursing people suffering from sickness, injury or infirmity: pregnant women or women after childbirth: provision for certain services such as endoscopy or premises used for nursing or treatment for mentally disordered patients (mental nursing home).

h)

Hospice: non-NHS managed residential premises, voluntary or private, registered under section 23 of the Registered Homes Act 1984, for the provision of clinical pain relief and professional nursing care to resident patients who are terminally ill.

i)

Local authority residential accommodation: residential care homes which are managed by local authority:

i.

Group home: † Residential accommodation provided to cater for a small group of vulnerable persons (those with learning disabilities or who are mentally ill). Such premises are not normally staffed by nurses but may be staffed by care assistants during the day. Community nursing care is provided as required. In the event of the deterioration of health of one or more residents, 24 hour staff attendance may be provided on a temporary basis without affecting the status of the home.

 

Excludes: sheltered accommodation.

ii.

Other residential care home: † any other residential accommodation providing board and personal care to the residents.

 

Includes: homes for children, the elderly or physically disabled.

 

Excludes: sheltered accommodation

j)

School premises: premises used primarily for primary and secondary education.

 

Includes: Sixth form colleges, nursery schools and special schools

 

Excludes: Nurseries, higher education establishments (i.e. those providing advanced courses leading to qualifications above GCE "A" Level)

k)

Other local authority premises: Premises not mentioned above which are managed by local authority:

i.

Day centre: † non-residential premises provided for the day care of vulnerable groups of persons e.g. the elderly. mentally ill, mentally handicapped and physically disabled.

 

Includes non-NHS managed: Adult training centres, work related/training for work project areas, nursery-type facilities and any other day care type facility provided for the support and maintenance of function of vulnerable persons.

 

Excludes: Premises provided for the general public

ii.

Resource centre ‡ managed by local authority.

iii.

Paramedical department ‡ managed by local authority.

iv.

Other health or local authority site: † any other premises (departments or facilities) providing health or social service type care where face-to-face contacts occur regardless of the main purpose of the premises.

 

Includes: Health education or social centres, nurseries or crèches (excluding those classifiable to "day to day care"), leisure activity centres and the offices and staff training premises of health or social service professionals.

l)

Residential facility provided by voluntary or private agency: residential care homes which are managed by voluntary or private agents:

i.

Group home ‡

ii.

Other residential care home ‡

m)

Other facility provided by voluntary or private agency: facilities not mentioned above which are managed by voluntary or private agents:

i.

Day centre ‡

ii.

Health clinic ‡

iii.

Resource centre ‡

iv.

Paramedical department ‡

v.

Other health or local authority site ‡ thus managed

n)

Other:

 

Managed by the NHS off NHS Hospital or community type residential sites.

i.

Group home ‡

ii.

Paramedical department ‡

iii.

Other health or local authority site ‡ thus managed

iv.

Prison department establishment: includes detention centres, youth custody centres and prisons.

v.

Public place or street: includes Police Station.

vi.

Other location: includes: First aid rooms in factories, Health facilities in universities, the private homes of health or social service professionals, other locations not classified elsewhere

 

† Appears more than once, classified by the management of the premises.

‡ Defined above.