Change History

DSCN 2025 / 01

Audiology Wait Times Dat Set

DSCN 2024 / 12

Welsh Emergency Care Data Set

DDCN 2024 / 01

Retired Treatment Function Codes list standardisation

DSCN 2022 / 05

Treatment Function Code (AMD)

DSCN 2014 / 08 (AMD)

Treatment Function Code

DDCN 2014 / 05

Cancelled Admitted Procedures (Postponed Admitted Procedures) Data Set

DDCN 2013 / 14

Appendix A – Specialty Codes

DSCN 2013 / 03

Cancelled Admitted Procedures Data Set

DSCN 2012 / 11

Elective Admission List Data Set (EAL Ds)

DSCN 2011 / 07

The introduction of the ‘Referral to Treatment Times (Combined)’ return

DSCN 2010 / 07

Admitted Patient Care Minimum Data Set (APC MDS) Data Validity Standards

DSCN (2008) 05 (W)

Outpatient Referral Data Set

DSCN (2006) 05 (W)

Rename Data Item 'Consultant Specialty Function Code' and Specialty Function Code'

Data Set / Collection

Valid From

Valid To

APC ds99

1^st April 1999

OP ds

1^st April 1999

EAL ds

1^st April 1999

21^st November 2012

CC ds

1^st April 2007

OPR ds

1^st July 2008

RTT (Combined)

1^st September 2011

PAP ds

1^st April 2013

WECDS

1^st August 2024

AUD WT ds

1^st April 2025

Service

Service Sub Heading

Diagnostic or Allied Health Professional (AHP) Service

Audiology

(Adult Hearing Aids)

Consultant

GP

Diagnostic Service

Cardiology

Stress Test

Echo Cardiogram

Diagnostic Service

Diagnostic Endoscopy

Gastroscopy

Flexible Sigmoidoscopy

Colonoscopy

Cystoscopy

Bronchoscopy

Diagnostic Service

Dietetics

Adults

Paediatrics

AHP Service

Imaging

Fluoroscopy

Neurophysiology

Electromyography

Nerve conduction studies

Diagnostic Service

Occupational Therapy

Adults

Paediatrics

AHP Service

Physiological measurement

Urodynamic tests

Vascular technology

Diagnostic Service

Physiotherapy

Adults

Paediatrics

AHP Service

Podiatry

Urgent

Routine

AHP Service

Radiology – GP Referral

Barium Enema

C.T.

M.R.

Diagnostic Service

Radiology – Consultant Referral

Non-Obstetric Ultrasound

Nuclear Medicine

Diagnostic Service

Speech & Language

Adults

Paediatrics

AHP Service

Code

Treatment Function Title

Valid From

Comments

Surgical Specialties

100

General Surgery Service

Pre 28^th December 1995

Services delivering surgical activity not covered by other subspecialty areas. The majority of elective procedures, about 80 per cent, fall outside subspecialty areas. For further information, see: Royal College of Surgeons - Surgical Specialties

101

Urology Service

Pre 28^th December 1995

Surgical services for the treatment of disorders of the urinary system and male reproductive system. This includes surgery for gender dysphoria. For further information, see: Royal College of Surgeons - Urology

102

Transplant Surgery Service

1^st April 2015

Services for pre- and post-operative care for major organ transplants except heart and lung. Excludes Cardiothoracic Transplantation Service - see Treatment Function Code 174, corneal grafts carried out by Ophthalmology Service - see Treatment Function Code 130 and Blood and Bone Marrow Transplantation Service - see Treatment Function Code 308. For further information, see: Royal College of Surgeons - General Surgery

103

Breast Surgery Service

1^st April 2015

Services which include surgical treatment for cancer, suspected neoplasms, indeterminate breast lesions, benign breast lumps, disorders of the nipple-areolar complex, cysts, and post-cancer reconstructive, revision and symmetrising surgery. Includes breast surgery for gender dysphoria. Excludes cosmetic surgery. For further information, see: Association of Breast Surgery

104

Colorectal Surgery Service

1^st April 2015

Services for the surgical treatment of disorders of the lower intestine (colon, anus, and rectum)

105

Hepatobiliary and Pancreatic Surgery Service

1^st April 2015

Specialist surgical services for hepatobiliary and pancreatic (HPB) disorders. To be used by recognised specialist units and associated outreach services only. Excludes Transplant Surgery Service - see Treatment Function Code 102.

106

Upper Gastrointestinal Surgery Service

1^st April 2015

Services for surgical treatment of disorders of the upper parts of the gastrointestinal tract. For further information, see: Royal College of Surgeons - General Surgery

107

Vascular Surgery Service

1^st April 2015

Services for surgical treatment of diseases of the vascular system. For further information, see Royal College of Surgeons - Vascular Surgery

108

Spinal Surgery Service

1^st April 2015

Surgery concentrating on specialised and complex treatment of issues of the back and spine. To be used by recognised specialist units and associated outreach services only. Excludes Trauma and Orthopaedic Service - see Treatment Function Code 110, Orthopaedic Service - see Treatment Function Code 111, Trauma Surgery Service - see Treatment Function Code 115 and Spinal Injuries Service - see Treatment Function Code 323. For further information, see: British Association of Spine Surgeons

109

Bariatric Surgery Service

24^th January 2022

Services assessing, managing, and treating obesity, and specifically consideration of bariatric (weight loss) surgery. It includes patients who are obese and have, or are at risk of, other medical conditions. It does not cover preventing a person from becoming overweight or obese, or lifestyle weight management programmes for a person who is overweight or obese. For further information, see: National Institute for Health and Care Excellence - Obesity

110

Trauma and Orthopaedic Service

Pre 28^th December 1995

Services to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves, and muscles. Excludes Orthopaedic Surgery Service – Treatment Function Code 111 and Spinal Surgery Service- see Treatment Function Code 108. For major trauma centres use Trauma Surgery Service - see Treatment Function Code 115. For further information, see: Royal College of Surgeons - Major Trauma Surgery and Royal College of Surgeons - Orthopaedic Surgery

111

Orthopaedic Service

24^th January 2022

Services for the elective or planned surgical assessment or treatment of the musculoskeletal system. Excludes Trauma Surgery Service - see Treatment Function Code 115. Where there is no dedicated Orthopaedic Service use Trauma and Orthopaedic Service – see Treatment Function Code 110. For further information, see: Royal College of Surgeons - Orthopaedic Surgery

113

Endocrine Surgery Service

24^th January 2022

Services for the surgical treatment of diseases of the thyroid and/or other endocrine glands. For further information, see: Royal College of Surgeons - General Surgery

115

Trauma Surgery Service

24^th January 2022

Major trauma specialist services at a designated unit, with the specific exclusion of Spinal Surgery Service – see Treatment Function Code 108. Excludes elective or planned Orthopaedic Surgery Service - see Treatment Function Code 111. Where there is no major trauma centre use Trauma and Orthopaedics Service - see Treatment Function Code 110. For further information, see: Royal College of Surgeons - Major Trauma Surgery

120

Ear Nose and Throat Service

Pre 28^th December 1995

Formerly known as ENT. Surgical services for the assessment, diagnosis, management and treatment of ear, nose and/or throat issues. Excludes Audiology Service - see Treatment Function Code 840. For further information, see: Royal College of Surgeons - Ear, Nose & Throat (ENT).

130

Ophthalmology Service

Pre 28^th December 1995

The surgical treatment of disorders and diseases of the eye. Excludes Medical Ophthalmology Service – see Treatment Function Code 460 and Ophthalmic and Vision Science Service - see Treatment Function Code 461. For further information, see: Royal College of Ophthalmologists.

140

Oral Surgery Service

Pre 28^th December 1995

Services for the diagnosis and surgical treatment of diseases, injuries, and defects of hard and soft tissues of the mouth. Excludes departments delivering a service where oral surgery and maxillofacial services are mixed (i.e., an outpatient clinic accepting oral surgery and maxillofacial surgery patients) - see Treatment Function Code 145. For further information, see: British Association of Oral Surgeons Specialty Training Curriculum - Oral Surgery

141

Restorative Dentistry Service

Pre 28^th December 1995

Services providing examination and treatment of diseases of the oral cavity, the teeth, and their supporting structures. Restorative Dentistry includes the dental specialties of Endodontics, Periodontics and Prosthodontics (including implantology), and its foundation is based upon how these interact in the management of cases requiring multifaceted care. For further information, see: British Society for Restorative Dentistry

143

Orthodontic Service

Pre 28^th December 1995

Services for the treatment of malocclusions (improper bites). Orthodontic treatment can focus on dental displacement only or can deal with the control and modification of facial growth. For further information, see British Orthodontic Society

144

Maxillofacial Surgery Service

1^st April 2016

Professional recommendation is to use Oral and Maxillofacial Surgery Service where this service is combined with oral surgery - see Treatment Function Code 145. Alternatively, for oral surgery services only see Treatment Function Code 140. This code has been retained for existing services which only provide maxillofacial surgery.

145

Oral and Maxillofacial Surgery Service

24^th January 2022

Combined services providing diagnosis and surgical treatment of diseases, injuries and defects involving hard and soft tissues of the mouth, jaws, and neck. These services may have formerly been categorised as Treatment Function Code 140 (Oral Surgery Service) or Treatment Function Code 144 (Maxillofacial Surgery Service). For further information, see: British Association of Oral & Maxillofacial Surgeons

150

Neurosurgical Service

Pre 28^th December 1995

Surgical services for the treatment of disorders of the nervous system including the including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system. Excludes Spinal Surgery Service - see Treatment Function Code 108. For major trauma centres use Trauma Surgery Service - see Treatment Function Code 115. For further information, see: Royal College of Surgeons - Neurosurgery

160

Plastic Surgery Service

Pre 28^th December 1995

Services to correct or restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns. For care given within specialist burn services, use Burns Care Service - see Treatment Function Code 161. Excludes breast surgery for gender dysphoria, use Breast Surgery Service - see Treatment Function Code 103. For further information, see: Royal College of Surgeons - Plastic and Reconstructive

161

Burns Care Service

1^st April 2016

Services for the surgical and non-surgical treatment of burns within recognised specialist burns units and associated outreach services only. For further information, see: British Burn Association

170

Cardiothoracic Surgery Service

Pre 28^th December 1995

Services delivering surgical treatment of diseases affecting the heart and organs inside the thorax (the chest). Should only be used where there are no separate services for Cardiac Surgery and Thoracic Surgery. For further information, see: Royal College of Surgeons - Cardiothoracic Surgery

172

Cardiac Surgery Service

1^st April 2016

Services delivering surgical treatment of diseases affecting the heart. Procedures are often lengthy and complex, requiring support from advanced forms of technology during surgery. For further information, see: Royal College of Surgeons - Cardiothoracic Surgery

173

Thoracic Surgery Service

1^st April 2016

Services providing surgical treatment of diseases affecting organs inside the thorax (the chest). Generally, treatment of conditions of the lungs, chest wall, and diaphragm. Predominantly this is surgical treatment of malignant disease or its effects. For further information, see: Royal College of Surgeons - Cardiothoracic Surgery

174

Cardiothoracic Transplantation Service

1^st April 2016

Services for pre- and post-operative care for heart and lung transplants. To be used by recognised specialist units and associated outreach services only. For further information, see: Royal College of Surgeons - Cardiothoracic Surgery

Other Children's Specialist Services – The Paediatric TREATMENT FUNCTION CODES represent CLINICS OR FACILITIES intended to provide dedicated SERVICES to children with appropriate facilities and support staff, i.e., they are designed for children only. If a CLINIC OR FACILITY provides this but also treats adult PATIENTS as part of the SERVICE, then a Paediatric TREATMENT FUNCTION CODE may not be appropriate. The age of the PATIENT attending does not initiate a change to the TREATMENT FUNCTION CODE for the ACTIVITY.

142¹

Paediatric Dentistry Service

Pre 28^th December 1995

Dedicated children's services for dentistry with appropriate facilities and support staff. For further information, see: The British Society of Paediatric Dentistry

171¹

Paediatric Surgery Service

Pre 28^th December 1995

Dedicated children's services for general surgery. For further information, see: Royal College of Surgeons - Paediatric Surgery

211

Paediatric Urology Service

1^st April 2016

Dedicated children's services for surgical treatment of disorders of the urinary system and male reproductive system. For further information, see: British Association of Paediatric Surgeons - Urology

212

Paediatric Transplantation Surgery Service

1^st April 2016

Dedicated children's services for pre- and post-operative care for major organ transplants except heart and lung. Excludes Paediatric Cardiac Surgery Service - see Treatment Function Code 221, Paediatric Thoracic Surgery Service - see Treatment Function Code 222, corneal grafts carried out by Paediatric Ophthalmology Service - see Treatment Function Code 216 and Blood and Bone Marrow Transplantation Service - see Treatment Function Code 308. For further information, see: Royal College of Surgeons - General Surgery

213

Paediatric Gastrointestinal Surgery Service

1^st April 2016

Dedicated children's services for surgical treatment of disorders of the gastrointestinal tract. For further information, see: British Association of Paediatric Surgeons - Gastrointestinal

214

Paediatric Trauma and Orthopaedic Service

1^st April 2016

Dedicated children's services to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves, and muscles. Excludes Trauma Surgery Service - see Treatment Function Code 115 and Spinal Surgery Service - see Treatment Function Code 108. For further information, see: British Society for Children's Orthopaedic Surgery (BSCOS)

215

Paediatric Ear Nose and Throat Service

1^st April 2016

Dedicated children's surgical services for the assessment, diagnosis, management and treatment of ear, nose and/or throat issues. Excludes Audiology Service - see Treatment Function Code 840. For further information, see: British Association for Paediatric Otolaryngology

216

Paediatric Ophthalmology Service

1^st April 2016

Dedicated children's services for the surgical treatment of disorders and diseases of the eye. For further information, see: British & Irish Paediatric Ophthalmology and Strabismus Association

217

Paediatric Oral and Maxillofacial Surgery Service

1^st April 2016

Dedicated children's services providing diagnosis and surgical treatment of diseases, injuries and defects involving hard and soft tissues of the mouth, jaws, and neck. Excludes Paediatric Dentistry Services – see Treatment Function Code 142. For further information, see: British Association of Oral & Maxillofacial Surgeons

218

Paediatric Neurosurgery Service

1^st April 2016

Dedicated children's services for the surgical treatment of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system. For further information, see: Royal College of Surgeons - Neurosurgery

219

Paediatric Plastic Surgery Service

1^st April 2016

Dedicated children's services for correction or to restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns. For care given within specialist paediatric burn services, use Paediatric Burns Care Service - see Treatment Function Code 220.

220

Paediatric Burns Care Service

1^st April 2016

Dedicated children's services for the surgical and non-surgical treatment of burns within recognised specialist burns units and associated outreach services only. For further information, see: British Burn Association

221

Paediatric Cardiac Surgery Service

1^st April 2016

Dedicated children's services for the surgical treatment of the heart or great vessels.

222

Paediatric Thoracic Surgery Service

1^st April 2016

Dedicated children's services for the surgical treatment of diseases affecting organs inside the thorax (the chest). Generally, treatment of conditions of the lungs, chest wall, and diaphragm. For further information, see: British Association of Paediatric Surgeons - Thoracic

223

Paediatric Epilepsy Service

1^st April 2016

Dedicated children's services by consultant paediatrician with expertise in epilepsy supported by specialist staff. For further information, see: Royal College of Paediatrics and Child Health - Epilepsy

230

Paediatric Clinical Pharmacology Service

24^th January 2022

Dedicated children's services providing advice and support locally and nationally regarding the introduction of new medicines, adverse drug reactions, poisoning and toxicity, and prescribing policies. For further information, see: Royal College of Paediatrics and Child Health - Drugs and medicines

240

Paediatric Palliative Medicine Service

24^th January 2022

Dedicated children's services improving the quality of life of patients and their families facing the problems associated with life-limiting illness. Prevention and relief of suffering by means of early identification, assessment and treatment of pain and other problems, physical, psychosocial, and spiritual. For further information, see: Royal College of Paediatrics and Child Health - Palliative care

241

Paediatric Pain Management Service

1^st April 2016

Dedicated children's services for complex pain disorders requiring diagnosis and treatment by a specialist Multidisciplinary Team. For further information, see: Royal College of Paediatrics and Child Health - Pain management

242

Paediatric Intensive Care Service

1^st April 2016

Dedicated children's services only to be used by designated Paediatric Intensive Care Units. For further information, see: Royal College of Paediatrics and Child Health - Intensive care medicine

250

Paediatric Hepatology Service

24^th January 2022

Dedicated children's services for the treatment of disease of the liver. For further information, see: Royal College of Paediatrics and Child Health - Hepatology

251

Paediatric Gastroenterology Service

1^st April 2016

Dedicated children's services for the treatment of disorders of the digestive system. For further information, see: Royal College of Paediatrics and Child Health - Gastroenterology

252

Paediatric Endocrinology Service

1^st April 2016

Dedicated children's services for the treatment of disorders of the endocrine system. Excludes Paediatric Diabetes Service - see Treatment Function Code 263. For further information, see: British Society for Paediatric Endocrinology and Diabetes

253

Paediatric Clinical Haematology Service

1^st April 2016

Dedicated children's services contributing to the diagnosis and management of diseases of the blood and bone marrow. May be consultative in other specialties including intensive care. Excludes Anticoagulant Service - see Treatment Function Code 324.

254

Paediatric Audio Vestibular Medicine Service

1^st April 2016

Dedicated children's services for the investigation, diagnosis, and management of patients with disorders of balance, hearing, tinnitus, and auditory communication. Excludes Audiology Service - see Treatment Function Code 840. For further information, see: British Association of Paediatricians in Audiology

255

Paediatric Clinical Immunology and Allergy Service

1^st April 2016

Dedicated children's services for the treatment of disorders of the immune system and allergic disease. For further information, see: Royal College of Paediatrics and Child Health - Paediatric allergy, immunology, and infectious diseases - sub-specialty

256

Paediatric Infectious Diseases Service

1^st April 2016

Dedicated children's services for the diagnosis and treatment of contagious or communicable diseases. For further information, see: Royal College of Paediatrics and Child Health - Paediatric allergy, immunology, and infectious diseases - sub-specialty

257

Paediatric Dermatology Service

1^st April 2016

Dedicated children's services for the treatment of diseases of the skin. For further information, see: The British Society for Paediatric Dermatology (BSPD)

258

Paediatric Respiratory Medicine Service

1^st April 2016

Dedicated children's services for the diagnosis and treatment of respiratory conditions. Also known as Thoracic Medicine and Pulmonary Medicine. For further information, see: Royal College of Paediatrics and Child Health - Paediatric respiratory medicine - sub-specialty

259

Paediatric Nephrology Service

1^st April 2016

Dedicated children's services for the diagnosis and treatment of kidney conditions and abnormalities. Also known as Renal Medicine. For further information, see: Royal College of Paediatrics and Child Health - Nephrology

260

Paediatric Medical Oncology Service

1^st April 2016

Dedicated children's services for the diagnosis and treatment, typically with Chemotherapy, of patients with cancer. For further information, see: Royal College of Paediatrics and Child Health - Oncology

261

Paediatric Inherited Metabolic Medicine Service

1^st April 2016

Formerly known as Paediatric Metabolic Disease. Dedicated children's services for the diagnosis and management of inherited metabolic conditions utilising biochemistry and metabolic characteristics requiring the expertise of both the physician and chemical pathologist. For further information, see: Royal College of Paediatrics and Child Health - Inherited metabolic medicine

262

Paediatric Rheumatology Service

1^st April 2016

Dedicated children's services incorporating the investigation, multidisciplinary holistic management, and rehabilitation of patients with a wide spectrum of disorders of the musculoskeletal system encompassing the locomotor apparatus, bone and connective tissues and blood vessels. For further information, see: Royal College of Paediatrics and Child Health - Rheumatology

263

Paediatric Diabetes Service

1^st April 2016

Formerly known as Paediatric Diabetes Medicine. Dedicated children's services for the diagnosis, treatment, and support of patients with diabetes. For further information, see: Royal College of Paediatrics and Child Health - Diabetes

264

Paediatric Cystic Fibrosis Service

1^st April 2016

Dedicated multidisciplinary children's services concerned with the diagnosis, assessment, and management of patients with cystic fibrosis. This Treatment Function Code should be used by recognised specialist centres only.

270

Paediatric Emergency Medicine Service

24^th January 2022

Dedicated children's services to care for patients with urgent problems delivered as part of an Accident and Emergency Attendance.  Excludes Trauma Surgery Service - see Treatment Function Code 115. For further information, see: Royal College of Paediatrics and Child Health - Emergency Medicine

280

Paediatric Interventional Radiology Service

1^st April 2016

Dedicated children's services for the diagnosis and treatment of diseases utilising minimally invasive image-guided procedures. Not to be used for Diagnostic Imaging - see Treatment Function Code 812. For further information, see: British Society of Interventional Radiology - What is Interventional Radiology

290

Community Paediatric Service

1^st April 2016

Services providing assessment and care to vulnerable children, including those with developmental disorders and disabilities, complex behavioural presentations, and those at risk of abuse or are being abused. Excludes Paediatric Neurodisability Service - see Treatment Function Code 291. For further information, see: Royal College of Paediatrics and Child Health - Community child health - sub-specialty

291

Paediatric Neurodisability Service

1^st April 2016

Dedicated Children’s services for the diagnosis and treatment of Cerebral Palsy and non-progressive handicapping neurological conditions, with or without Learning Disability / Intellectual Disability. For further information, see: Royal College of Paediatrics and Child Health - Neurodisability

321¹

Paediatric Cardiology Service

1^st April 2016

Dedicated children's services for diseases and abnormalities of the heart. Excludes Congenital Heart Disease Service - see Treatment Function Code 331. For further information, see: Joint Royal Colleges of Physicians Training Board - Paediatric Cardiology

421¹

Paediatric Neurology Service

Pre 28^th December 1995

Dedicated children’s services for diagnosis, management and medical treatment of conditions and diseases of the central nervous system, with appropriate facilities and support staff. Excludes Paediatric Epilepsy Service - see Treatment Function Code 223. For further information, see: Royal College of Paediatrics and Child Health - Neurology

Medical Specialties

180¹

Emergency Medicine Service

Pre 28^th December 1995

Formerly known as Accident & Emergency. Services to care for patients with urgent problems delivered as part of an Accident and Emergency Attendance or admission at an Accident and Emergency Department. Excludes Trauma Surgery Service - see Treatment Function Code 115. For further information, see: The Royal College of Emergency Medicine

190

Anaesthetic Service

Pre 28^th December 1995

Services for patients being assessed for anaesthesia, as well as the provision of sedation and anaesthesia for patients undergoing interventional radiology and radiotherapy. This can be used in outpatients only. Pain Management Service should be recorded in Treatment Function Code 191. Intensive Care Medicine Service should be recorded in Treatment Function Code 192. For further information, see: Royal college of Anaesthetists - Anaesthetists

191¹

Pain Management Service

Pre 28^th December 1995

Services for complex pain disorders requiring diagnosis and treatment by a specialist Multi-disciplinary Team.

192

Intensive Care Medicine Service

1^st April 2016

Formerly known as Critical Care Medicine. Services using a body of specialist knowledge and practice concerned with the treatment of patients, with, at risk of, or recovering from potentially life-threatening failure of one or more of the body's organ systems. It includes the provision of organ system support, the investigation, diagnosis, and treatment of acute illness, systems management and patient safety, ethics, end-of-life care, and the support of families. For further information, see: Faculty of Intensive Care Medicine

200

Aviation and Space Medicine Service

24^th January 2022

Also known as Aerospace Medicine Services.

Aviation and Space Medicine services study all factors affecting the person in flight. This may include pre-flight preparation and checks as well as inflight care to minimise the potentially harmful effects of their abnormal environment. For further information, see: Royal College of Physicians - Aviation and Space Medicine

300

General Internal Medicine Service

Pre 28^th December 1995

Formerly known as General Medicine. Services include adults admitted as emergencies with acute medical problems, including multiple disorders. Patients with problems that are not clearly within the remit of a particular medical specialty are referred for the opinion of a general physician. For further information, see: Joint Royal Colleges of Physicians Training Board - General Internal Medicine (GIM)

301

Gastroenterology Service

Pre 28^th December 1995

Screening, diagnostic, and therapeutic endoscopy services including upper and lower gastrointestinal (GI) endoscopy and hepatobiliary endoscopy. Excludes Hepatology Service - see Treatment Function Code 306.

302

Endocrinology Service

Pre 28^th December 1995

The treatment of disorders of the endocrine system, excluding specific Diabetes Services - see Treatment Function Code 307. For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus

303

Clinical Haematology Service

Pre 28^th December 1995

Services contributing to the diagnosis and management of diseases of the blood and bone marrow. May be consultative in other specialties including intensive care. Excludes Anticoagulant Service - see Treatment Function Code 324. For further information, see: Joint Royal Colleges of Physicians Training Board - Haematology

304

Clinical Physiology Service

Pre 28^th December 1995

Physiological measurement. Excludes Clinical Neurophysiology Service - see Treatment Function Code 401, Audiology Service - see Treatment Function Code 840, Respiratory Physiology Service - see Treatment Function Code 341, Cardiac Physiology Service - see Treatment Function Code 675, Gastrointestinal Physiology Service - see Treatment Function Code 677, Urological Physiology Service - see Treatment Function Code 670, Vascular Physiology Service - see Treatment Function Code 673 and Ophthalmic and Vision Science - see Treatment Function Code 461. For further information, see: The Registration Council for Clinical Physiologists

305

Clinical Pharmacology Service

Pre 28^th December 1995

Services undertaking and interpreting clinical investigations including clinical trials; optimising the therapeutic use of drugs; detection and analysis of adverse drug effects; contribution to medicines evaluation and management of poisoning. For further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Pharmacology and Therapeutics (CPT)

306

Hepatology Service

1^st April 2016

Medical services for the diagnosis and treatment of liver disease. Also known as liver medicine. For hepatobiliary endoscopy, use Gastroenterology Service - see Treatment Function Code 301

307

Diabetes Service

1^st April 2016

Formerly known as Diabetes Medicine. Services to diagnose, treat and support Patients with diabetes. For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus

308

Blood and Marrow Transplantation Service

1^st April 2016

Services recognised as specialist units and associated outreach services only. Includes pre- and post-operative specialised services for autologous, allogeneic, or syngeneic Blood and Marrow Transplantation. For further information, see: British Society of Blood and Marrow Transplantation

309

Haemophilia Service

1^st April 2016

Specialist services for the diagnosis, treatment, and management of haemophilia.

310

Audio Vestibular Medicine Service

Pre 28^th December 1995

Formerly known as Audiological Medicine. Services concerned with the diagnosis and management of hearing and balance disorders, for example tinnitus, dysacusis and communication disorders. Rehabilitative/habilitative care is delivered by Multidisciplinary Teams and is aimed at improving the well-being and quality of life of the patient concerned. Excludes Audiology Service - see Treatment Function Code 840. For further information, see: Joint Royal College of Physicians Training Board - Audio vestibular Medicine

311

Clinical Genetics Service

Pre 28^th December 1995

Services for the diagnosis and management of genetic disorders affecting individuals and their families. For further information, see: Clinical Genetics

313

Clinical Immunology and Allergy Service

Pre 28^th December 1995

Services for the diagnosis and management of patients with diseases resulting from disordered immunological mechanisms, and allergic disease (abnormal immune responses to external substances). Should only be used where there are no separate services for Clinical Immunology and Allergy. For separate services - See Clinical Immunology Service – Treatment Function Code 316 and Allergy Service - Treatment Function Code 317. For further information, see: Welcome to the British Society for Allergy & Clinical Immunology (BSACI)

314

Rehabilitation Medicine Service

Pre 28^th December 1995

Formerly known as Rehabilitation Service. Services for the prevention, diagnosis, treatment, and rehabilitation management of disabling conditions. Rehabilitation medicine is broadly divided into neurological rehabilitation, spinal cord injury, limb loss and prosthetics and/or musculoskeletal rehabilitation. Excludes Mental Health Recovery and Rehabilitation Service - see Treatment Function Code 725, Cardiac Rehabilitation Service - see Treatment Function Code 327, Pulmonary Rehabilitation Service - see Treatment Function Code 342, Orthotics Service - See Treatment Function Code 658 or Prosthetics Service - see Treatment Function Code 657. For further information, see: Joint Royal Colleges of Physicians Training Board - Rehabilitation medicine

315

Palliative Medicine Service

Pre 28^th December 1995

Services improving the quality of life of patients and their families facing the problems associated with life-limiting illness and end of life care. Prevention and relief of suffering by means of early identification, assessment and treatment of pain and other physical, psychosocial, and spiritual problems. For further information, see: Joint Royal College of Physicians - Specialty spotlight - palliative medicine

316

Clinical Immunology Service

1^st April 2016

Services for the diagnosis and management of patients with diseases resulting from disordered immunological mechanisms, and conditions in which immunological manipulations form an important part of therapy. Allergy services should be recorded against Allergy Service - see Treatment Function Code 317. For further information, see: Joint Royal College of Physicians Training Board - Immunology

317

Allergy Service

1^st April 2016

Services for the diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions. For further information, see: Joint Royal College of Physicians Training Board - Allergy

318

Intermediate Care Service

1^st April 2016

Services encompassing a range of multidisciplinary approaches, designed to safeguard independence by maximising rehabilitation and recovery after illness or injury. For further information, see: National Institute for Health and Care Excellence - Understanding intermediate care, including reablement

319

Respite Care Service

1^st April 2016

Services providing temporary care of a dependant person, providing relief for their usual caregivers

320

Cardiology Service

Pre 28^th December 1995

Services for patients with heart disease covering a wide range of clinical activities. Management can involve interventional treatment, cardiac imaging, preventative, and therapeutic options. This includes both diagnostic and interventional procedures in the cardiac catheterisation laboratory. For further information, see: Royal College of Physicians - Cardiology

322

Clinical Microbiology Service

1^st April 2016

Services for the diagnosis, management, and treatment of patients with diseases caused by bacteria, viruses, fungi, and parasites.

323

Spinal Injuries Service

1^st April 2016

Services for non-surgical management of issues of the back and spine. To be used by recognised specialist units and associated outreach services only. Excludes Spinal Surgery Service - see Treatment Function Code 108

324

Anticoagulant Service

1^st April 2016

Services providing the monitoring and control of anticoagulant therapy including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage. This can be used in outpatients only.

325

Sport and Exercise Medicine Service

1^st April 2016

Specific services providing diagnosis and management of medical problems caused by physical activity, the prevention of related injury and disease and the role of exercise in disease treatment. Excludes Trauma and Orthopaedic Service - see Treatment Function Code 110, Orthopaedic Surgery Service - see Treatment Function Code 111, and Trauma Surgery Service - see Treatment Function Code 115. For further information, see: Joint Royal Colleges of Physicians Training Board - Sport and Exercise Medicine

326

Acute Internal Medicine Service

24^th January 2022

Services concerned with the assessment, diagnosis and management of adults presenting to secondary care with acute medical illness. For further information, see: Acute Internal Medicine

327

Cardiac Rehabilitation Service

1^st April 2016

Services for patients recovering from heart-related conditions such as heart attacks or procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health

328

Stroke Medicine Service

1^st April 2016

Services for diagnosis, investigation, treatment, and care of stroke patients. Excludes outpatients for Transient Ischaemic Attack Service - see Treatment Function Code 329. For further information, see: Joint Royal Colleges of Physicians Training Board - Stroke Medicine (sub-specialty)

329

Transient Ischaemic Attack Service

1^st April 2016

A multidisciplinary outpatient service for rapid diagnosis and treatment of patients presenting with suspected Transient Ischaemic Attack and mini strokes to minimise the chance of a full stroke occurring and maximise the chances of independent living after a stroke. For further information, see: National Institute for Health and Care Excellence - Stroke and transient ischaemic attack

330

Dermatology Service

Pre 28^th December 1995

Services for the treatment of diseases of the skin. For further information, see: Joint Royal Colleges of Physicians Training Board - Dermatology

331

Congenital Heart Disease Service

1^st April 2016

The management and treatment of congenital heart disease, this includes the ongoing care of children into adulthood. For further information, see: Joint Royal Colleges of Physicians Training Board - Paediatric cardiology

333

Rare Disease Service

24^th January 2022

Services for rare diseases, many of which are present at birth and are either caused by a genetic problem or deficiencies or exposures to substances around the time of conception or during pregnancy. This Treatment Function Code should be used by designated specialist centres only. For further information, see: National Congenital Anomaly and Rare Disease Registration Service

335

Inherited Metabolic Medicine Service

24^th January 2022

Services for the diagnosis and management of inherited metabolic conditions utilising biochemistry and metabolic characteristics requiring the expertise of both the physician and chemical pathologist. For further information, see: Joint Royal Colleges of Physicians Training Board - Metabolic Medicine

340

Respiratory Medicine Service

Pre 28^th December 1995

Respiratory Medicine is also known as Thoracic Medicine and Pulmonary Medicine. Services for the investigation, diagnosis, management, and treatment of patients with respiratory complaints. Excludes acute respiratory failure and adult respiratory distress syndrome (ARDS) - see Intensive Care Medicine Service Treatment Function Code 192 and Respiratory Physiology Service - see Treatment Function Code 341. For further information, see: Joint Royal Colleges of Physicians Training Board - Respiratory Medicine

341

Respiratory Physiology Service

1^st April 2016

Services for the physiological measurement of the function of the respiratory system. Excludes Sleep Medicine Service - see Treatment Function Code 347. For further information, see: Association for Respiratory Technology & Physiology

342

Pulmonary Rehabilitation Service

1^st April 2016

Formerly known as Programmed Pulmonary Rehabilitation. A multidisciplinary programme of care for patients with chronic respiratory impairment.

343

Adult Cystic Fibrosis Service

1^st April 2016

Multidisciplinary service concerned with the diagnosis, assessment, and management of patients with cystic fibrosis. This Treatment Function Code should be used by designated specialist centres only.

347

Sleep Medicine Service

24^th January 2022

Services providing diagnosis and management of sleep disorders including parasomnias, excessive daytime sleepiness, and sleep apnoea. For further information, see: Royal Society of Medicine - Sleep Medicine Section

348

Post-COVID-19 Syndrome Service

24^th January 2022

Multidisciplinary services for patients experiencing long-term health effects following COVID-19 infection, whether or not this was diagnosed at the time of acute illness or the patient was initially asymptomatic. Post-COVID-19 syndrome has also been known as 'long COVID'. For further information, see: National Institute for Health and Care Excellence - COVID-19 guideline: management of the long-term effects of COVID-19.

350

Infectious Diseases Service

Pre 28^th December 1995

Services for the diagnosis, management, and treatment of infectious diseases. Excludes Tropical Medicine Service - see Treatment Function Code 352.  For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases

352

Tropical Medicine Service

1^st April 2016

Services for the diagnosis, management and treatment of diseases that are found most often in tropical or sub-tropical regions. This Treatment Function Code should be used by designated specialist centres only. Excludes Infectious Diseases Service - see Treatment Function Code 350. For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and Tropical Medicine

360

Genitourinary Medicine Service

Pre 28^th December 1995

Services for the investigation and management of sexually transmitted infections and HIV. For further information, see: Joint Royal Colleges of Physicians Training Board - Genitourinary Medicine (GUM)

361

Renal Medicine Service

Pre 28^th December 1995

Formerly known as Nephrology. Services for patients with acute renal failure and chronic kidney disease requiring long term care with the help of a Multidisciplinary Team. Most general medical problems in patients with kidney disease are managed by the Renal Medicine Service. Excludes acute renal replacement therapy in the critical care setting, see Intensive Care Medicine Service – Treatment Function Code 192. For further information, see: Joint Royal Colleges of Physicians Training Board - Renal Medicine

370

Medical Oncology Service

Pre 28^th December 1995

Services for the specialised assessment and management of patients with cancer using chemotherapy. Includes treatment option discussions with patients, supervision of therapy and management of any complications of disease and/or treatment that may arise. For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Oncology

371

Nuclear Medicine Service

Pre 28^th December 1995

Services responsible for administration of unsealed radioactive substances to patients for the purposes of diagnosis, therapy, or research. For further information, see: Joint Royal Colleges of Physicians Training Board - Nuclear Medicine

400

Neurology Service

Pre 28^th December 1995

Services for the diagnosis, management, and medical treatment of neurological conditions. Excludes Stroke Medicine Service – Treatment Function Code 328, outpatients for Transient Ischaemic Attack Service - see Treatment Function Code 329. For further information, see: Joint Royal Colleges of Physicians Training Board - Neurology

401

Clinical Neurophysiology Service

Pre 28^th December 1995

Primarily diagnostic service concerned with recording electrical activity from the nervous system to aid diagnosis, classification, and management of neurological disease. Includes Electroencephalogram (EEG) and Electromyography (EMG). For further information, see: Joint Royal College of Physicians - Clinical Neurophysiology

410

Rheumatology Service

Pre 28^th December 1995

Services incorporating the investigation, holistic management, and rehabilitation of patients with a wide spectrum of disorders of the musculoskeletal system encompassing the locomotor apparatus, bone and connective tissues and blood vessels. For further information, see: Joint Royal College of Physicians - Rheumatology

420

Paediatric Service

Pre 28^th December 1995

Dedicated children's services for the treatment of patients typically aged 0 to 18 for medical conditions, however the environments and other members of the multidisciplinary service are likely to care for surgical patients too. For further information, see: Royal College of Paediatrics and Child Health - General paediatrics - level 3 training

422

Neonatal Critical Care Service

1^st April 2016

Formerly known as Neonatology. Services providing care for all babies that require on-going, enhanced medical care following birth. Neonatal critical care services are provided in a variety of settings dependent upon the interventions required for the baby and with dedicated transport services to support babies being transferred to and from neonatal care units. Use when Neonatal Level of Care = 1, 2 or 3. Includes Special Care Baby Units (SCBU), Local Neonatal Units (LNU) and Neonatal Intensive Care Units (NICU). Any readmission would be to Paediatric Service - see Treatment Function Code 420, or Paediatric Intensive Care Service - see Treatment Function Code 242. For further information, see: Royal College of Paediatrics and Child Health - Neonatal medicine - sub-specialty.

424

Well Baby Service

1^st April 2016

Services for healthy infants born and referenced by the Maternity record who do not require any intervention other than health screening and prophylactic healthcare. General care given by the mother/substitute with healthcare education if needed. Use when Neonatal Level of Care = 0 - Normal Care: Care given by the mother/substitute with medical and neonatal nursing advice if needed. Excludes Neonatal Critical Care Service - see Treatment Function Code 422

430

Elderly Medicine Service

Pre 28th December 1995

Formerly known as Geriatric Medicine. Services to treat diseases and disabilities in older adults, particularly those with multiple morbidities. There is no set age at which patients may be under the care of Geriatric Medicine, this decision should be determined by the individual patient’s needs. For further information, see: Joint Royal Colleges of Physicians Training Board - Geriatric Medicine

431

Orthogeriatric Medicine Service

24^th January 2022

Multidisciplinary services addressing clinical and social needs in the management of patients with fragility fractures, including hip fractures. The care provided aims to be holistic and to include secondary prevention of fractures as well as acute care. For further information, see: GM - Orthogeriatrics

450

Dental Medicine Service

Pre 28^th December 1995

Services for dental treatment carried out in a hospital setting. Includes Oral Medicine. For further information, see: British Dental Association.

451

Special Care Dentistry Service

24^th January 2022

Services concerned with the improvement of the oral health of patients and groups in society who have a physical, sensory, intellectual, mental, medical, emotional, or social impairment or disability or, more often, a combination of these factors. The specialty focuses on adolescents and adults only and includes the important period of transition as the adolescent moves into adulthood. For further information, see: Special Care Dentistry Association (SCDA)

460

Medical Ophthalmology Service

Pre 28^th December 1995

Medically-led services including assessment, investigation, diagnosis, and management of inflammatory, vascular, and neurological disorders affecting vision. May include public health screening, for example diabetic retinopathy screening. For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Ophthalmology

461

Ophthalmic and Vision Science Service

24^th January 2022

Services providing physiological measurement of the function of the eye and vision. Includes diagnostic electrophysiology of vision, imaging, and biometry.

501

Obstetrics Service

Pre 28^th December 1995

Services managing high risk pregnancy including miscarriages and still births but specifically excluding planned terminations. Excludes Midwifery Service - see Treatment Function Code 560. For further information, see: Royal College of Obstetricians & Gynaecologists - Obstetrics and Gynaecology

502

Gynaecology Service

Pre 28^th December 1995

Services for the diagnosis, management, and treatment of disorders of the female reproductive system. Includes planned terminations of pregnancy. For further information, see: Royal College of Obstetricians & Gynaecologists - Obstetrics and Gynaecology

503

Gynaecological Oncology Service

1^st April 2016

Services to treat cancers of the female reproductive system, principally involving surgical members of the Multidisciplinary Team. For further information, see: British Gynaecological Cancer Society

504

Community Sexual and Reproductive Health Service

24^th January 2022

Services supporting people to have a positive and respectful approach to sexuality and sexual relationships and to have pleasurable and safe sexual experiences, free of infection, coercion, discrimination, and violence. The service also provides access to contraception and signposts Maternity Services to support pregnancy and childbirth. Excludes Genitourinary Medicine Service - see Treatment Function Code 360 and Midwifery Service - see Treatment Function Code 560. For further information, see: Faculty of Sexual and Reproductive Healthcare (FSRH)

505

Fetal Medicine Service

24^th January 2022

Services providing specialist care at a designated centre for the fetus or fetuses and mother. This includes assessment of fetal growth and wellbeing; the diagnosis and management of identified fetal disorders (including fetal abnormalities); prenatal fetal intervention and surgery; and counselling and support for parents. Excludes routine maternity screening activities - see Midwifery Service Treatment Function Code 560.

834¹

Medical Virology Service

1^st April 2016

Clinical services for the diagnosis and management and prevention of blood-borne and/or airborne viral infections. For further information, see: Royal College of Pathologists - Medical Virology

Mental Health Services

656¹

Clinical Psychology Service

1^st April 2016

Mental Health Services for the assessment, management and treatment of problems including addiction, anxiety, depression, behavioural difficulties, and relationship issues. Methods of assessment include psychometric tests, interviews, and direct observation of behaviour. Assessment may lead to advice, counselling, or therapy. For further information, see: The British Psychological Society

700

Learning Disability Service

Pre 28th December 1995

Also known as Intellectual Disability Service. Mental Health Services provided to patients with a Learning 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 Service

Pre 28th December 1995

Mental Health Services provided to adult patients for the assessment, diagnosis and treatment of mental illness and maintenance of mental health. For further information, see: Royal College of Psychiatrists - Faculty of General Adult Psychiatry

711

Child and Adolescent Psychiatry Service

Pre 28th December 1995

Mental Health Services for children and young people with somatisation and complex presentations, behavioural challenges, eating disorders, mood disorders, anxiety, and other mental health presentations. Excludes Paediatric Neurodisability Service - see Treatment Function Code 291 and specialist Eating Disorders Service - see Treatment Function Code 720. For further information, see: Royal College of Psychiatrists - Faculty of Child and Adolescent Psychiatry

712

Forensic Psychiatry Service

Pre 28th December 1995

Mental Health Services for the assessment, management and treatment of patients who are being held in high, medium, and low secure units or prisons. This includes prevention of further harm in the community or to the individual themselves. For further information, see: Royal College of Psychiatrists - Faculty of Forensic Psychiatry

713

Medical Psychotherapy Service

Pre 28th December 1995

Formerly known as Psychotherapy. Multidisciplinary Mental Health Services to assess, manage and treat children and adults with mental health problems using talking therapies and other psychotherapeutic techniques. For further information, see: Faculty of Medical Psychotherapy

715

Old Age Psychiatry Service

Pre 28th December 1995

Mental Health Services providing the specialised assessment, treatment and continuing care for older adults suffering a range of mental illnesses, including dementia, depression, or schizophrenia. Excludes specific Dementia Assessment Service - see Treatment Function Code 727. For further information, see: Royal College of Psychiatrists - Faculty of Old Age Psychiatry

720

Eating Disorders Service

1^st April 2016

A specialist service for the diagnosis and treatment of eating disorders including anorexia, bulimia, and compulsive overeating. This is usually a multidisciplinary service which needs to consider both physical and mental health aspects of the patient’s care. For further information, see: Royal College of Psychiatrists - Faculty of Eating Disorders Psychiatry

721

Addiction Service

1^st April 2016

Mental Health Services for the treatment of addictive behaviour, including substance misuse, drugs, alcohol, tobacco, and gambling. Excludes patients with both severe mental illness and problematic substance misuse, see Mental Health Dual Diagnosis Service – Treatment Function Code 726. For further information, see: Royal College of Psychiatrists - Faculty of Addictions Psychiatry

722

Liaison Psychiatry Service

1^st April 2016

Mental Health Services for the provision of psychiatric treatment to patients attending acute hospitals including outpatient clinics, emergency care departments and admission to wards. Deals with the interface between physical and psychological health. For further information, see: Royal College of Psychiatrists - Faculty of Liaison Psychiatry

723

Psychiatric Intensive Care Service

1^st April 2016

Mental Health Services provided to vulnerable individuals with severe disturbances who are admitted to Psychiatric Intensive Care Units from open acute wards and forensic settings. For further information, see: Royal College of Psychiatrists - Quality Network for Psychiatric Intensive Care Units

724

Perinatal Mental Health Service

1^st April 2016

Formerly known as Perinatal Psychiatry. Specialist Mental Health Services for the assessment, management, and treatment of pre-existing or new mental health issues during pregnancy or after delivery. For further information, see: Royal College of Psychiatrists - Faculty of Perinatal Psychiatry

725

Mental Health Recovery and Rehabilitation Service

1^st April 2016

Mental Health Services provided to support recovery from mental illness that maximises the patient's quality of life and social inclusion by encouraging their skills, promoting independence and autonomy. For further information, see: Faculty of Rehabilitation and Social Psychiatry

726

Mental Health Dual Diagnosis Service

1^st April 2016

Mental Health Services to provide support to patients with both severe mental illness and substance misuse problems. For further information, see: Mind: Recreational drugs and alcohol

727

Dementia Assessment Service

1^st April 2016

Designated Mental Health Services for the assessment of patients who have or are suspected to have dementia. Dementia complicates care giving and can occur at any stage of the illness and at any age. In addition to memory impairment, dementia may include behavioural and psychological problems. For non-specific Old Age Psychiatry Service - see Treatment Function Code 715. For further information, see: Royal College of Psychiatrists - Dementia pathway

730

Neuropsychiatry Service

24^th January 2022

Mental Health Services for brain disorders and integration of psychiatry within clinical neurosciences. For further information, see: Royal College of Psychiatrists - Faculty of Neuropsychiatry

Other Services

560¹

Midwifery Service

Pre 28^th December 1995

Services for managing for managing antenatal and perinatal care during pregnancy, and postnatal care following delivery, provided under the direct care of a Midwife. Excludes Obstetrics Service - see Treatment Function Code 501. For further information, see: Royal College of Midwives

650¹

Physiotherapy Service

1^st April 2016

Services helping patients affected by injury, illness or disability through movement and exercise, manual therapy, education, and advice to manage pain and prevent disease. To encourage development and facilitate recovery, enabling maintenance of work and independence for as long as possible. For further information, see: Chartered Society of Physiotherapy (CSP) - Physiotherapy

651¹

Occupational Therapy Service

1^st April 2016

Services using specific activities to limit the effects of disability and promote independence in all aspects of daily life

652¹

Speech and Language Therapy Service

1^st April 2016

Services providing assessment management and treatment of speech, language, communication, and swallowing issues in patients of all ages. For further information, see: Royal College of Speech & Language Therapists - Speech and language therapy

653¹

Podiatry Service

1^st April 2016

Also known as Chiropody. Services for the diagnosis and treatment of disorders, diseases, and deformities of the feet. Excludes Podiatric Surgery - see Treatment Function Code 663. For further information, see: The College of Podiatry

654¹

Dietetics Service

1^st April 2016

Services applying the science of nutrition to improve health and treat diseases/conditions by educating and giving practical, personalised advice to patients, patient proxies and other members of the Multidisciplinary Team. They advise on and help to maintain nutritional status during dietary interventions such as exclusion diets and to recommend nutritional supplements. For further information, see: British Dietetic Association

655¹

Orthoptics Service

1^st April 2016

Services providing the diagnosis and treatment of visual problems involving eye movement and alignment. For further information, see: British and Irish Orthoptic Society

657¹

Prosthetics Service

1^st April 2016

Services providing gait analysis and engineering solutions to patients with limb loss. They design and provide prostheses that replicate the structural or functional characteristics of the patients absent limb. They often work autonomously or part of Multidisciplinary Teams working closely with Physiotherapists and Occupational Therapists as part of multidisciplinary amputee rehabilitation teams. For further information, see: British Association of Prosthetists and Orthotists (BAPO) - Prosthetists

658¹

Orthotics Service

1^st April 2016

Services providing gait analysis and engineering solutions to patients with needs of the neuro, muscular and skeletal systems. They design and provide orthoses that modify the structural or functional characteristics of the patient’s neuro-muscular and skeletal systems enabling patients to mobilise, eliminate gait deviations, reduce falls, reduce pain, prevent, and facilitate healing of ulcers. They often work autonomously or part of Multidisciplinary Teams such as within the diabetic foot team or neuro-rehabilitation team. For further information, see: The British Association of Prosthetists and Orthotists (BAPO) - Orthotists

659¹

Dramatherapy Service

1^st April 2016

Services providing dramatherapy which is a form of psychological therapy focussing on the use of performance arts within the therapeutic relationship. For further information, see: British Association of Dramatherapists

660¹

Art Therapy Service

1^st April 2016

Services delivering a form of psychotherapy that uses art media as its primary mode of expression and communication. Within this context, art is not used as diagnostic tool but as a medium to address emotional issues which may be confusing and distressing. For further information, see: British Association of Art Therapists

661¹

Music Therapy Service

1^st April 2016

Services delivering a form of psychotherapy that uses music to support psychological, emotional, cognitive, physical, communicative and/or social needs. For further information, see: British Association for Music Therapy

662¹

Optometry Service

1^st April 2016

Services providing the diagnosis and non-surgical treatment of disorders of the eye and vision care

663¹

Podiatric Surgery Service

1^st April 2016

Services involved in the complex management of the foot and ankle involving surgery under both local and general anaesthetic. Excludes Podiatry Service - see Treatment Function Code 653. For further information, see: The College of Podiatry

670

Urological Physiology Service

24^th January 2022

Diagnostic services for the study of erectile, upper, and lower urinary tract function, including urodynamics. For further information, see: The British Association of Urological Surgeons

673

Vascular Physiology Service

24^th January 2022

Diagnostic services for the study of arterial and venous circulation primarily using Doppler ultrasound but including tests such as pressure measurement and plethysmography. Excludes Cardiac Physiology Service – see Treatment Function Code 675. For further information, see: The Society for Vascular Technology

675

Cardiac Physiology Service

24^th January 2022

Services providing physiological measurements of the heart structure/function and response to therapeutic/surgical intervention through the means of a wide spectrum of non-invasive and invasive cardiac diagnostic testing. Examples include echocardiography, cardiac device management. For further information, see: Society for Cardiological Science and Technology (SCST)

677

Gastrointestinal Physiology Service

24^th January 2022

Services providing physiological measurement of the gastrointestinal tract. This includes standard catheter based oesophageal pH studies, oesophageal pH impedance, oesophageal manometry, ano-rectal manometry, wireless capsule studies. Excludes Gastroenterology Service – see Treatment Function Code 301. For further information, see: AGIP - Association of GI Physiologists

800¹

Clinical Oncology Service

Pre 28th December 1995

Formerly known as Radiotherapy. The diagnosis and treatment, typically with Radiotherapy, of patients with cancer. For further information, see: Royal College of Radiologists - Clinical oncology

811¹

Interventional Radiology Service

1^st April 2016

Services delivering a range of techniques using radiological image guidance including X-ray fluoroscopy, ultrasound, Computerised Tomography Scan (CT), or Magnetic Resonance Imaging Scan (MRI) to precisely target therapy. Excludes Interventional Cardiology - see Cardiology Service Treatment Function Code 320, and Diagnostic Imaging Service - see Treatment Function Code 812. For further information, see: British Society of Interventional Radiology - What is Interventional Radiology

812¹

Diagnostic Imaging Service

1^st April 2016

Services providing medical imaging, especially X-ray based examinations, Ultrasound scan, MRI Scan, PET Scan or CT Scan. Diagnostic imaging is used to confirm, assess, and document diseases, as well as to assess responses to treatment. For further information, see: WHO: Diagnostic imaging

822¹

Chemical Pathology Service

Pre 28th December 1995

Services interpreting biochemical investigation results to assess, diagnose and treat diseases. To be used for the clinical management of patients by chemical pathology only. For further information, see: Royal College of Pathologists – Chemical Pathology

840¹

Audiology Service

1^st April 2016

Services providing physiological measurement and diagnosis of hearing disorders, and the rehabilitation of patients with hearing loss. Include hearing services activity, such as hearing tests and the fitting of hearing aids. For further information, see: British Society of Audiology

920

Diabetic Education Service

1^st April 2016

Services providing dedicated small group education courses regarding self-management for diabetic patients

998

Diagnostic*

14th September 2011

999

Allied Health Professional (AHP) Services*

14th September 2011

Code

Treatment Function Title

Valid From

Valid To

Comments

199

Non-UK provider: specialty function not know, treatment mainly surgical (only applicable for overseas providers)

Pre 28th December 1995

31st March 2016

312

Clinical Cytogenetics and Molecular Genetics

Pre 28th December 1995

31st March 2016

Not a Treatment Function

344

Complex Specialised Rehabilitation Service

1^st April 2016

April 2022

This Treatment Function Code will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference: Complex specialised rehabilitation service which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 1 service

345

Specialist Rehabilitation Service

1^st April 2016

April 2022

This Treatment Function Code will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference: Specialist rehabilitation Service which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2a service.

346

Local Specialist Rehabilitation Service

1^st April 2016

April 2022

This Treatment Function Code will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference: Local Specialist rehabilitation service which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2b service.

499

Non-UK provider; specialty function not known, treatment mainly medical (only applicable for overseas providers)

Pre 28th December 1995

31st March 2016

510

Obstetrics – AN (outpatients)

Pre 28th December 1995

31st March 2016

Record as Obstetrics, antenatal clinic can be used as a local sub-specialty if required

520

Obstetrics - PN (outpatients)

Pre 28th December 1995

31st March 2016

Record as Obstetrics, postnatal clinic can be used as a local sub-specialty if required

610

GP Maternity

Pre 28th December 1995

31st March 2016

Record as Obstetrics

620

GP Other

Pre 28th December 1995

31st March 2016

Use the appropriate function under which the patient is treated

810

Radiology

Pre 28th December 1995

31st March 2016

Not a Treatment Function

820

General Pathology

Pre 28th December 1995

31st March 2016

Not a Treatment Function

821

Blood Transfusion

Pre 28th December 1995

31st March 2016

Not a Treatment Function

823

Haematology (non-clinical)

Pre 28th December 1995

31st March 2016

Not a Treatment Function

See Clinical Haematology (303)

824

Histopathology

Pre 28th December 1995

31st March 2016

Not a Treatment Function

830

Immunopathology

Pre 28th December 1995

31st March 2016

Not a Treatment Function

See Clinical Immunology (316)

831

Medical Microbiology

Pre 28th December 1995

31st March 2016

Not a Treatment Function

See Clinical Microbiology (322)

832

Neuropathology

Pre 28th December 1995

31st March 2016

900

Community Medicine

Pre 28th December 1995

31st March 2016

Not a Treatment Function

901

Occupational Medicine

Pre 28th December 1995

31st March 2016

Not a Treatment Function

950

Nursing

Pre 28th December 1995

31st March 2016

Not a Treatment Function

Use the appropriate function under which the patient is treated

990

Joint Consultant Clinics

Pre 28th December 1995

31st March 2016

Not a Treatment Function