Allied Health Professionals Operational Measures Dataset

Transcription

1 Allied Health Professionals Operational Measures Dataset August 2017 Dataset Document Version: 1.0

2 Contents AHP Operational Measures Data Summary... 3 SECTION 1: Person Demographics Person ID Community Health Index (CHI) Surname Forename Date of Birth (DOB) Postcode Sex Ethnicity... 8 SECTION 2: Episode and Request for Assistance/Referral Information Date Request for Assistance/Referral Received Source of Request for Assistance/Referral Date of Discharge Discharge Reason Episode ID SECTION 3: Contact Information Contact ID AHP Profession Date of Contact Attendance Status Time Contact Started Time Contact Ended Duration of Contact Location ID Location of Contact Contact Purpose Service Type Provision Type Person Status Contact Activity Related To Contact Type Contact Category Contact Mode Joint Contact Joint Contact Attendees Reason for Joint Contact

3 AHP Operational Measures Data Summary Section 1: Person Demographics 1.1 Person ID 1.2 Community Health Index (CHI) 1.3 Surname 1.4 Forename 1.5 Date of Birth (DOB) 1.6 Postcode 1.7 Sex 1.8 Ethnicity Section 2: Episode and Request for Assistance/Referral Information 2.1 Date Request for Assistance/Referral Received 2.2 Source of Request for Assistance/ Referral 2.3 Date of Discharge 2.4 Discharge Reason 2.5 Episode ID Section 3: Contact Information 3.1 Contact ID 3.2 AHP Profession 3.3 Date of Contact 3.4 Attendance Status 3.5 Time Contact Started 3.6 Time Contact Ended 3.7 Duration of Contact 3.8 Location ID 3.9 Location of Contact 3.10 Contact Purpose 3.11 Service Type 3.12 Provision Type 3.13 Person Status 3.14 Contact Activity Related To 3.15 Contact Type 3.16 Contact Category 3.17 Contact Mode 3.18 Joint Contact Joint Contact Attendees 3.24 Reason for Joint Contact To find out more about the AHPOM journey and dataset development please see the following documents: Consultation Response: References/Allied-Health-Professionals-National-Dataset/_docs/Consultation-Feedback-v1.xls Interim summary Report: References/Allied-Health-Professionals-National-Dataset/_docs/ AHP-Op-Measures- Phase2-Interim-Report-v1.pdf 3

4 SECTION 1: Person Demographics Demographic data will be returned for all persons who have had a contact with an Allied Health Professional (AHP) or AHP Assistants/Support Workers within the reporting period or where a request for assistance/referral has been received within the reporting period. Demographics will be required for every submission. 1.1 Person ID Optional Common Names: A unique reference number which may be used across multiple systems to identify an individual. This number may be national or local to each area. Patient/Client ID; System Number/ID; Unique Identifier; Social Care ID. Alpha Numeric Field Length: 20 If CHI is recorded, then providing the CHI number is preferable for data linkage purposes. 1.2 Community Health Index (CHI) Required The Community Health Index (CHI) is a population register which is used in Scotland for health care purposes. The CHI number uniquely identifies a person on the index. Numeric Field Length: 10 CHI is a required field when 1.3 Surname, 1.4 Forename, 1.5 DOB, 1.6 Postcode & 1.7 Gender are not recorded. 4

5 1.3 Surname Required Common Names The surname of a person represents that part of the name of a person which indicates the family group of which the person is part. This will be the surname at point of contact. Second Name; Family Name; Last Name. Alpha Free Text Field Length: 35 Required if 1.2 CHI is not recorded. 1.4 Forename Required Common Name: The first forename of a person represents that part of the name of a person which after the surname is the principal identifier of a person. This will be the forename at point of contact. First Name; Given Name. Alpha Free Text Field Length: 35 Required if 1.2 CHI is not recorded. 5

6 1.5 Date of Birth (DOB) Required The date on which a person was born or is officially deemed to have been born. Date DDMMCCYY Field Length: 8 Required if 1.2 CHI is not recorded. 1.6 Postcode Required The postcode is a basic unit for identifying geographic locations. A postcode is associated with each address in the UK. This will be the place of residence at time of contact for the person. Alpha Numeric Field Length: 8 Required if 1.2 CHI is not recorded. 6

7 1.7 Sex Required Common Name: The state of being male or female. Gender. Numeric Field Length: 1 Required if 1.2 CHI is not recorded. 1.7 Sex - Codes and Values Code Value Explanatory Notes 0 Not Known The sex of the person cannot be determined for physical reasons, e.g. a new born or unborn baby, indeterminate gender or intersex. 1 Male 2 Female 9 Not Specified The sex of the person is not provided in the personal details i.e. the data has not been supplied and sex cannot be ascertained from the data provided. 7

8 1.8 Ethnicity Optional A statement made by the person about their current ethnic group. This will be the ethnicity at point of contact. Alpha Numeric Field Length: Ethnicity - Codes and Values Code Value White 1A 1B 1C 1K 1L 1Z Scottish Other British Irish Gypsy/Traveller Polish Other white ethnic group Mixed of Multiple Ethnic Groups 2A Any mixed or multiple ethnic groups Asian, Asian Scottish or Asian British 3F 3G 3H 3J 3Z Pakistani, Pakistani Scottish or Pakistani British Indian, Indian Scottish or Indian British Bangladeshi, Bangladeshi Scottish or Bangladeshi British Chinese, Chinese Scottish or Chinese British Other Asian, Asian Scottish or Asian British 8

9 1.8 Ethnicity - Codes and Values Continued African 4D 4Y African, African Scottish or African British Other African Caribbean or Black 5C 5D 5Y Caribbean, Caribbean Scottish or Caribbean British Black, Black Scottish or Black British Other Caribbean or Black Other Ethnic Group 6A 6Z Arab, Arab Scottish or Arab British Other ethnic group Other 98 Refused/Not provided 99 Not Known 9

10 SECTION 2: Episode and Request for Assistance/Referral Information General Guidance for Section 2: An AHP episode is the care provided to a person over a period of time by an AHP or their assistant. The care may take place in any setting. The episode comprises of one or a series of contacts which are initiated by an AHP request for assistance/referral or re-request for assistance/re-referral and ended by an AHP discharge. For the purposes of this dataset 2.1 date request for assistance/referral received will be considered the episode start date. A request for assistance/referral is a request to an AHP or their team to provide appropriate health or social care to a person. A request/referral may be made by an individual on behalf of a person, or a person may refer themselves. We would request data on all requests/referrals received by the AHP, if they were inappropriate then you would complete the appropriate discharge information. Referrals/Request from the same profession should only be recorded when they are out with the same service (e.g MSK Physio to Orthopaedics Physio). Same service referrals should be recorded only when the referral is from a different profession (e.g Orthotics to Physiotherapy). 10

11 2.1 Date Request for Assistance/Referral Received Required The date on which the profession receives a request for assistance/referral. Date DDMMYYYY Field Length: 8 Recording Guidance/Additional Information A referral/request can be received in various forms : Letter - the date that the letter is stamped when received in the service should be the date that is recorded the date that the is received. If the was sent out with the profession s normal working hours, the next working day should then be recorded Telephone call the date that the call was received should be recorded Call centre the date that the initial call was received should be recorded. ereferral the date that the ereferral was received should be recorded For blanket or assertive referrals the date that the person was admitted to the ward or the initial contact should be recorded depending on local guidelines. 11

12 2.2 Source of Request for Assistance/Referral Required The individual or service that initiated a request or referral. Alpha Numeric Field Length: 1 The request/referral is from the point of request /referral and not the point where the person is assigned / triaged. Please record the referring individual where possible. If this is not possible, please record the service that is the closest fit (e.g. a private care Physiotherapist should be recorded as an AHP; a medic within the Military should be recorded as a Medic) 2.2 Source of Request for Assistance/Referral - Codes and Values 1 GP Includes: GPs only. Excludes: all other GP Surgery staff. 5 Self Includes: the Person; Parent/Guardian; Power of Attorney; GP suggested self referral 7 Criminal Justice Service Includes: Forensics; Custody; Courts ;Judicial Services, B C Optometrist/Optician Allied Health Professional (AHP) Includes: Arts Therapies Staff; Dietitians; Occupational Therapist; Orthotists; Orthoptists; Physiotherapists; Podiatrists; Prosthetists; Diagnostic Radiographers; Therapeutic Radiographers; Speech and Language Therapists; Paramedics. Includes: Private AHP; Blanket or Assertive request / referrals; Non registered AHP staff. 12

13 2.2 Source of Request for Assistance/Referral - Codes and Values Continued D Dental Practitioner F Medic Includes: Consultants; Medical Doctors in any setting; Registrars; Surgeons; Psychiatrists; Ophthalmologists; Physician-Associate Excludes: GPs. G Government Service Includes: Department for Work and Pensions (DWP); Elected Officials. N NHS 24 Please ensure any NHS 24 nurses or AHPs are coded under their relevant profession, and only those that do not fit otherwise are listed here. M Nursing & Midwifery Includes: Acute and Community Nurses & Midwives; Health Visiting; Specialist Nursing; District Nurses; School Nurses; Practice Nurse; Community Psychiatric Nurse P Personal Includes: Relations; Friends; Childminder; Carers; Leisure or other activity on behalf of the person; Employer; Community Alarm; 999 calls(sas); Technology Enabled Care S Social Care Includes: Social Work U Education Includes staff from: Nurseries; Schools; Colleges; Universities; Educational Psychology. Includes: Local and Private. V Voluntary/Third Sector/ Includes: Independent sector. X Emergency Services Includes: Non-paramedic SAS; Fire; Police; Mountain Rescue; Aeronautical Rescue Co-Ordination Centre; Coastguard 13

14 2.2 Source of Request for Assistance/Referral - Codes and Values Continued Y Housing Includes Non Health or Social care professional within: Care Homes; Housing Associations; Residential Care Homes; Private Care Homes; Sheltered Housing Z Clinical Psychology/Psychology H Hospital SAS only K Healthcare Professional SAS only J Pharmacist Include: Hospital and Community Pharmacies 2.3 Date of Discharge Optional Also known as The date on which a person is discharged by the AHP. End /Close of active involvement (Social Care) Date DDMMCCYY Field Length: 8 Only required once discharge occurs. This may not match the hospital discharge date. 14

15 2.4 Discharge Reason Optional Also known as: The reason why the person is discharged from AHP care. Resource Cleared Reason (SAS) Integer Field Length: 2 Only required once discharge occurs Discharge Reason - Codes and Values 01 Goals Achieved 02 Person did not attend 03 Person unable to attend/ could not attend Person provided notice that they would not be able to attend 06 Inappropriate request/referral 07 Transferred to other service/profession Includes: Onward referral;person moved out of area 10 Planned course of contacts complete 11 Care/Intervention no longer appropriate Includes: Inappropriate behavior; noncompliance; AHP support not having an impact; Medically Unwell; Person ends care; Needs changed; Did Not Opt In 12 Deceased 15

16 2.5 Episode ID Required A system generated code to uniquely identify an episode of care. Alpha-Numeric Field Length: 13 This is required to link contact information to an episode. This would be IT generated. 16

17 SECTION 3: Contact Information General Guidance for Section 3: A contact is any interaction between an AHP team and a person or their representative (direct contact) or with another individual regarding the person (indirect contact). This includes any interaction with other professionals about a specified person (e.g. case conferences, Multi-Disciplinary Team (MDT) meeting). A contact can be face to face or via other communication channels (e.g. telephone, video conference, ). Any interaction attributed to the care of an identifiable person should be recorded as a contact, this includes report writing or further action undertaken for that person to coordinate care. Any initial conversations prior to accepting a duty of care would be included as a contact. Should a person not undertake further AHP team contact, then please complete the discharge data items. 3.1 Contact ID Required A system generated code to uniquely identify a contact. Alpha-Numeric Field Length: 10 This is required to uniquely identify a contact. 17

18 3.2 AHP Profession Required AHP Profession that the person is interacting with. Alpha Numeric Field Length: 3 All non-registered AHP staff would be included under their overall profession, for example an OT Assistant would complete as R4, OT. Codes and Values RU1 RU2 RU3 RU4 R3 R4 RF2 RJ R5 R1 RF1 RK RL R6 Art Therapy Drama Therapy Music Therapy Dance Movement Therapy Dietetics Occupational Therapy Orthotics Orthoptics Physiotherapy Podiatry Prosthetics Diagnostic Radiography Therapeutic Radiography Speech and Language Therapy 18

19 3.2 AHP Profession Codes and Values Continued. RP RZ Paramedic Multi Professional Assistant Practitioners Includes: Therapy Support Workers not assigned to a specific profession. 3.3 Date of Contact Required The date that the contact occurred. Also known as Date DDMMCCYY Field Length: Attendance Status Optional Indicates whether the person attended was present or was seen. Integer Field Length: 1 Attendance Status is only applicable for pre-arranged contacts between an AHP and the person or with another individual on that person s behalf. If you are completing for report writing, or another activity where the person was not present, please leave blank. 19

20 3.4 Attendance Stats Codes and Values 1 Person Was Seen 2 Person Cancelled Includes: Unable To Attend (UTA); Could Not Attend (CNA); Person Declines 4 Staff Cancelled Includes: Appointment Cancelled due to Staff Sickness; Emergency Personal Circumstances; Unforeseen Travel Disruptions; Staffing Issues; Service Needs or Urgent Clinical Situations Elsewhere. 5 Person Attended but was not seen (CNW: could not wait) 8 Person Did Not Attend (DNA) Includes: Failed visits at persons home; Failed visits in a hospital/clinic setting 3.5 Time Contact Started Optional Common Name: A record of the time the contact began. Time of Visit; Time Visit Started. Also Known As: hh:mm (24hr clock) Field Length: 5 Duration or times of contact includes preparation, tidying up and notes. Do not include travel time. At least two of the following three data items should be recorded: 3.5 Time Contact Started, 3.6 Time Contact Ended or 3.7 Duration of Contact 20

21 3.6 Time Contact Ended Optional Common Name: A record of the time the contact ended. Time Visit Ended; Also Known As: hh:mm (24hr clock) Field Length: 5 Duration or times of contact includes preparation, tidying up and notes. Do not include travel time. At least two of the following three data items should be recorded: 3.5 Time Contact Started, 3.6 Time Contact Ended or 3.7 Duration of Contact 3.7 Duration of Contact Optional Common Name: The length of time contact occurred. Length of Contact; Length of Visit. mmm (minutes) Field Length: 3 Duration or times of contact includes preparation, tidying up and notes. Do not include travel time. At least two of the following three data items should be recorded: 3.5 Time Contact Started, 3.6 Time Contact Ended or 3.7 Duration of Contact 21

22 3.8 Location ID Optional Locations in Scotland, at which events pertinent to public service take place can have a location code. This can be applied for via ISD. Locations include hospitals; health centres; clinics; NHS board offices; private nursing homes; homes for the elderly; Local Government buildings; children s homes and schools. Common Names: Location Code. Alpha Numeric Field Length: 5 If the person and the AHP are not in the same location (i.e. a phone contact), complete for the location of the AHP Location ID OR 3.9 Location of Contact MUST be submitted. 3.9 Location of Contact Optional The location where the contact took place. Alpha Numeric Field Length: 1 If the person and the AHP are not in the same location (i.e. a phone contact), complete for the location of the AHP. 3.8 Location ID OR 3.9 Location of Contact MUST be submitted. 22

23 Codes and Values 1 Hospital Includes: Day Hospitals. 2 Health Centre Includes: GP Surgery. 4 Clinic Out with hospitals. 5 Nursing Home / Care Home 6 Person s home / residence Includes: Carer s/ Relative s Residence. 7 Day Centre C Community Location Includes: Leisure Centre; Community Centre; Cafes; Street. L Local Authority Building Includes Social Workers offices (excludes schools). P Judicial Establishment Includes: Prisons W Work Place / Job Centre / Employment Services Includes: Educational Institutions such as Schools or Colleges; Childminders; Private Childcare or Nurseries N Other Health Location Resource centre. 23

24 3.10 Contact Purpose Required Common Name: The agreed high level purpose of a contact between the AHP and person / carer/ other individuals. This should be the primary or main purpose. Reason for Contact; Aim of Contact. Integer Field Length: 2 Please select the primary or main purpose of the contact. This would be the purpose of the actual contact, not the previously planned purpose. Supplying of goods is a task and the equipments purpose should be coded. Codes and Values 01 Diagnose/Investigate/Assess Includes: Assess; Evaluate; Needs Analysis; Initial Conversation leading to assessment; Re-evaluate/review; Investigation. 03 Educate or Providing Information Includes: Communicate; Liaise; Reinforce or Retrain; Signposting to relevant information for self-management; Providing Advice; Reassurance; Supporting; Adjustment. 04 Enable/Facilitate Includes: Facilitate Change; Self-Caring and Self- Management; Motivate; Empower; Sustain; Manage or Crisis Intervention; Rehabilitation; Improve; Reablement; Wound Management; Housing Adaptations; Delivery of Training; Improve Condition; Reduce Symptoms; Maximise Potential; Vocational Rehab; Participation; Improvement; AAC. 24

25 08 Resolve Includes: Cure; Resolve Symptoms; Resolution Contact Purpose Codes and Values Continued. 09 Prevent Includes: Anticipatory Care Planning; Admission Prevention; Stabilise; Maintain. 10 Palliative/End of Life Includes: Improve Quality of Life; Make Comfortable; Comfort; Carer Support; Carer Advice Service Type Optional Service type seeing the person. Integer Field Length: 1 Recording Guidance This refers to the service provided regardless of the person s age (e.g. 20 year old with Developmental Coordination Disorder being seen within the children s service because of required skills of the professional) or a person who is yet to transition to adult services. Values are not defined by age ranges but should reflect your local service. Codes and Values 1 Children and Young People Includes: Paediatrics. 2 Adult Services 3 Older Person Includes: Geriatric; Elderly Specific Services Only. 4 Universal Service This is for a universal service that sees all categories of person. 25

26 3.12 Provision Type Optional Level of service provision Integer Field Length: 1 Recording Guidance Universal contacts are not included in this phase of the dataset development as all data collected are attributed to an individual person. Contacts not attributable to a specific person(s) will be included in future development phases, at which time collection of universal contacts will be reviewed Codes and Values 1 Targeted The AHP does not have an open duty of care for the person. This level can include the provision of specific advice, programmes, workshops, learning and support to promote participation, self-management, build resilience and improve health and well-being. This can be completed with the person but can also be completed with someone on their behalf (e.g. with a family member, carer, teacher, co-worker or colleague). The advice given is general in nature. 2 Specialist The AHP has an open duty of care for the person. This level is for those whose health and well-being needs cannot be fully met through targeted provision. It would usually involve episodes of direct or indirect intervention which is tailored specifically to the person. 26

27 3.13 Person Status Optional Status of the person to whom the activity relates Integer Field Length: 1 Recording Guidance If a person attends Accident and Emergency and is seen by an AHP it should be recorded as an outpatient contact. If the person is then admitted to a hospital ward (or virtual ward), and seen they should be recorded as an inpatient. Codes and Values 1 Inpatient 2 Day Case An inpatient is a person who is admitted to an available staffed bed in a hospital (or virtual ward) at the time of the contact. A day case is a person who has an elective admission to a specialty for clinical care and requires supervised therapy / recovery in the place of treatment. The person is not expected to, and does not, remain overnight at the time of contact. 3 Outpatient / community An outpatient is a person who is not occupying a hospital bed at the time of the contact. The contact could occur in a hospital outpatient department, clinic, health centre, person s home or homely setting, step up / down or intermediate care facility, or any other community location. 27

28 3.14 Contact Activity Related To Required The main service/specialty that the contact activity is related to. Integer Field Length: 2 Please record the main category. Should the main service/specialty not be present, please choose the cause of the reason for contact. For example pain management could relate to MSK injury or orthopaedics. Codes and Values 01 Audiology 02 Burns 03 Cardiovascular Includes: Angina; Heart attack; Vascular. 04 Dermatology Includes: Tissue Viability. 05 Developmental Includes: Developmental Delay; Developmental Coordination Disorder; ASD; Learning Difficulty; Speech Sound Disorder; Language Disorder; Voice Disorder; Dysfluency 06 Falls Includes: Falls and/or Mobility. 07 Frailty 08 Gastroenterology Includes: Bowel incontinence 09 Mental Health Includes: Addiction; Dementia; Self Harm; Suicidal; Psychosis; Depression; Personality Disorder; Eating Disorder; PTSD and Forensic. 10 MSK Includes: Soft tissue injury; Joint Issues; Connective Tissue Issues; Soft Tissue Issues. 28

29 3.14 Contact Activity Related To - Codes and Values Continued 11 Neo-Natal 12 Neurology Includes: Stroke; Parkinson s Disease; Cerebral Palsy; Multiple Sclerosis (MS); Motor - Neuron Disease (MND); Neurosurgery; Spinal Cord Injury; Brain Injury; Guillain Barre; Encephalopathies; Functional Conditions 13 Nutritional Health and Wellbeing Includes: Nutrition; Food Allergy; Weight Management. 14 Obstetrics and Gynaecology 15 Ophthalmology 16 Oncology Includes: All Cancer Services. 17 Orthopaedics Includes: Fractures and Post-Operative Rehabilitation. 18 Palliative / End of Life Care Includes: End of life support; Bereavement Services; All Life Limiting Conditions; End Of Life Support. 19 Respiratory Includes: Chronic Obstructive Pulmonary Disease; Cystic Fibrosis; Respiratory Tract Infections; Pneumonia. 20 Rheumatology 21 Surgery Includes: Plastic Surgery; Vascular Surgery; Immediate Recovery Post Surgery for any surgery. 22 Urology 23 Learning Disability 29

30 3.15 Contact Type Optional How a contact between the AHP and a person / carer / other individual was delivered. Integer Field Length: 1 Codes and Values 1 Individual A one to one contact with a person or representative carried out in person or through other medium. This includes contacts where family members/ carers/ befriender are present for the person and not actively participating in the contact. 2 Group A contact as part of an arranged group session with other persons and / or carers. 3 Support A contact with multiple individuals from the persons support network for the regarding the person (who may or may not be present). All individuals will be actively involved in the session. 4 Professional Activity A contact with other professionals to discuss the care of the person. Includes: Case Conferences; Multi Disciplinary Team (MDT) Meetings; Documentation 30

31 3.16 Contact Category Required A contact may be categorised as direct or indirect. Integer Field Length: 1 Codes and Values 1 Direct A contact between an AHP and a person, their parent/guardian or power of attorney. This may be done face to face, over the phone, video link, or via any other medium. 2 Indirect Also known as a 'proxy' contact. This may be a contact between an AHP and another individual on behalf of, or about, a person (e.g. teacher or carer) where the person is not present. This may be done in person, over the phone, video link, or via any other medium. This also includes all other non-direct activity including interactions with other professions and report writing. 31

32 3.17 Contact Mode Optional Common Names Method of contact. Type of Contact. Numeric Field Length: Contact Mode - Codes and Values Code Value Explanatory Notes 1 Face to Face 2 Written documentation Includes: Letters; Reports; Activity Programmes 3 Telephone By means of a telephone conversation. 4 Video Link By means of a video link e.g. telemedicine (use of telecommunication to provide health care at a distance) 6 Telehealth Remote exchange of data between a person at home and their clinician to assist in diagnosis and monitoring of their condition i.e. Blood Glucose Monitoring. 7 Digital Messaging Includes ; Instant Messaging/Chat and Phone Texting. 8 Other Making/Adapting Equipment or Devices/Splints. 32

33 3.18 Joint Contact Optional A contact where multiple people are required. Integer Field Length: 1 This does not include staff training, shadowing or other development. Codes and Values Code Value 0 No 1 Yes 33

34 Joint Contact Attendees Optional Other individuals present at the contact and directly involved in the care for the person. Integer Field Length: 3 Record up to five additional attendees. Include only those individuals who are present for the person s need. A family member should only be recorded if they are assisting with the intervention. Any prison officer(s) in attendance should not be recorded as they are required for legal reasons. Does not include staff training, shadowing or other development. If students are actively involved in the care, they should be recorded under their profession. Military personnel present should be coded under relevant profession. For example a Military GP is a GP. Please include assistant s activity under the profession they are related too. Codes and Values RU1 RU2 RU3 RU4 R3 R4 RF2 Arts Therapists Drama Therapists Music Therapists Dance Movement Therapists Dietitians Occupational Therapists Orthotists 34

35 Joint Contact Attendees - Codes and Values Continued RJ R5 R1 RF1 RK RL R6 RP Orthoptists Physiotherapists Podiatrists Prosthetists Diagnostic Radiographers Therapeutic Radiographers Speech and Language Therapists Paramedics C AHP Support workers Includes: AHP Health Care Support Worker; AHP Technical 1 GPs Instructor and AHP Therapy Assistants. F Medics Includes: Consultants; Hospital Doctors; Registrars; Surgeons; Psychiatrists; Ophthalmologists, radiologist. P Personal Help Includes: Immediate Family Unit; Guardian; Other Relations; Friends; Childminder; Carers; Power of Attorney; Leisure or other activity on behalf of the person, Advocacy. 7 Criminal Justice Service Includes: Forensics; Custody; Courts. B D Optometrists / Opticians Dental Practitioners G Government Service Includes: Department for Work and Pensions (DWP); Elected Officials. M Nurses / Midwives Includes: Acute and Community Nurses & Midwives; Health Visiting; Specialist Nursing; District Nurses; School Nurses, practice nurse, nursing assistants S Social Care Includes: Social Work. 35

36 Joint Contact Attendees - Codes and Values Continued U Education Includes: Nurseries; Schools; Colleges; Universities; Educational Psychology. V Voluntary / Third Sector Includes: Independent sector. X Emergency Services Includes: Non-paramedic SAS; Fire; Police; Mountain Rescue. Y Housing Includes: Care Homes; Housing Associations; Residential Care Homes; Private Care Homes. Z Clinical Psychology/Psychology RA Pharmacist Include: Hospital and Community Pharmacies 11 Translation Services H Other health care provider 36

37 3.24 Reason for Joint Contact Optional Reason for a joint contact to be undertaken. Integer Field Length: 1 Codes and Values 1 Procedural Multiple individuals generally of the same profession required for the contact. Includes: Supporting the Person; Additional Staff for Equipment Usage; Assessments Requiring 2 or More professionals. 2 Multi-Disciplinary Input Multiple professionals required for assessment or intervention; Second opinions; Collaborative Working. 3 Other staff or person need Risk/Safety; translations; Chaperones. 37