LD Census Questions Data item MHMDS field name Matching HES item Notes Proposed modification (if any) Amended notes (if any) 1 Name of Patient Local use only unless NHS Number cannot be provided Collect for use by local commissioners to check lists of known patients Uncoded 2 NHS Number PTID? LOPATID? Essential identifier. In cases where it cannot be provided a tracing service will be carried out by HSCIC New 3 Providers Organisational Code PROCODE PROCODE Your organisation’s code – for Independent hospitals, this is your registration code from the Healthcare Commission or Care Quality Commission No change 4 Organisational Code of Commissioner PURCODE There is a search facility on the Census website. Please inform us if you cannot find a code you need. It is the code for the organisation commissioning or paying for the patient or bed. See Protocol for codes for insurance or private patients No change 5 Postcode of Patient’s Usual Address POSTCODE HOMEADD Full post code of home address if in hospital less than 1 year. Please see Protocol for default codes. Full post code of last known address before admission to hospital if known. Default codes? 6 Address details if PC not known If postcode not known, enter details of address (e.g. town) No change Uncoded 7 Patient Gender SEX SEX No change 8 Patient Date of Birth DOB DOB Only the year is required but the spreadsheet will accept dd/mm/yyyy. Date of Birth will be a required value but guidance can stipulate in cases where approx. date only available then this should be before or after census date but no free text permitted No change Ethnic Category ETHNIC Standard NHS codes Way Ethnicity Assessed Self assessment of ethnicity otherwise not known/not stated 9 Legal Status at census date LSTATUS Classification Code – On Census Day Legal Status at census date No change 10 Legal Status at admission date LSTATUS START DATE leglstat Classification Code – On admission Legal Status at admission date No change
11 Source of Referral REFERRAL Uses existing MHMDS codes plus some additional codes including Court Liaison & Diversion Services. Existing records may need checking. No change 12 Date of Admission - Start date of this admission IPEP STARTDATE Date of admission to this hospital spell with this provider Start date of this admission No change 14 Reason for hospitalisation: Mental Illness The Census includes people with mental health problems and people with learning disabilities and some who have both. It also includes people who have a personality disorder. But which of these is the main reason this patient is in hospital? More than one can be selected. This year the Census includes only people in beds provided primarily for people with a learning disability. However they may have been admitted primarily because of a mental illness, or they may have a mental illness which importantly complicates their condition. But which of these is the main reason this patient is in hospital? More than one can be selected. Slightly modified item - three questions - each answered 0. Not present or does not require hospital treatment 1. Present and requires hospital treatment 2. Main reason for patient currently being in hospital 15 Reason for hospitalisation: Learning Disability As for 14 16 Reason for hospitalisation: Challenging behaviour As for 14 New option 17 Reason for hospitalisation: Personality Disorder or self harm or other As for 14 18 Consent Status Old question: ‘Is the patient informal or subject to the Mental Health Act? On 31 March are they consenting to receiving treatment?’ New question: ‘Is the patient receiving treatment authorised without their consent by a Second Opinion Approved Doctor under section 58 of the Mental Health Act?’ Changed wording. The old question seems confused partly to duplicate Q9 but in a way partially conflated with another issue about MHA Section 58 powers. 19 Disability: Sight impairment No change 20 Disability: Hearing impairment No change
21 Disability: Learning disability No change 22 Disability: autistic spectrum disorder (inc Asperger’s) No change 23 Disability: Mobility impairment No change 25 Recorded incidents of Self harm How many of the following kinds of incident have been recorded for this patient during this hospital spell, or within the last three months (if hospital spell is longer)? Select from number bands rather than giving a precise count. (0, 1, 2-4, 5-9, 10+) No change 26 Recorded incidents Accidents As 25 No change 27 Recorded incidents of Physical assault on the patient As 25 No change 28 Recorded incidents of Hands on restraint As 25 No change 29 Recorded incidents of Seclusion As 25 No change 30 Ward Gender Designation (MO/FO/Mxd) No change 31 If Mixed ward, is there Single Sex Sleeping area? No change 32 If Mixed ward, is there Single Sex bathing areas? No change 33 If Mixed ward, is there Single Sex dayspace? No change 34 Hospital (site) Location Name Small independent hospitals with only one location can enter hospital site code For identification Site code 35 Hospital (site) Location postcode 36 37 Service Type (MH or LD) Is this predominantly a • Mental Health or • Learning Disability Ward? No change 38 Ward Age Range No change