Terminology & Classifications News

  • Update to COVID-19 National Clinical Coding Standards and Guidance – nMABs

    Published November 2021

    Dear Colleague, 

    The COVID-19 National Clinical Coding Standards have been updated to include a coding standard for Neutralising monoclonal antibodies (nMABs) for the treatment of COVID-19 for episodes ending on or after 01 November 2021.

    The downloadable format of the COVID-19 National Clinical Coding Standards (01 November 2021) has been updated along with the summary of changes.

    Kind regards,

    Terminology & Classifications Delivery Service

    Read All News Articles

    By Greg Tait 5 weeks ago

    Read this article

  • Notification of SNOMED CT UK Clinical Edition MICRO release 03-Nov-2021

    NHS Digital intend to release an unscheduled SNOMED CT UK Clinical Edition MICRO release on 03-Nov-2021.

    This release is to support urgent COVID-19 pandemic requirements. The release contains 3 additional concepts.

    • Application for medical exemption from COVID-19 vaccination approved
    • Application for medical exemption from COVID-19 vaccination rejected
    • VITT - vaccine-induced immune thrombotic thrombocytopenia

    The release will be available on TRUD as normal and will have a Release ID of 32.6.0 with an Effective Time of 27-Oct-2021.

    Further information on the content of this release will be made available at the point of release.

    Kind regards, 

    Terminology and Classifications Delivery Service

    Read All News Articles

    By Claire Fennell 6 weeks ago

    Read this article

  • Advance notice of planned system downtime on the Digital Learning Solutions platform

    Dear Colleague,

     The DLS platform will be down between 7pm and 9pm on Monday 8 November, for site maintenance. This means that the system will be unavailable and users will be unable to access the system during this time. We apologise for any inconvenience caused by this and we appreciate your patience and understanding.

    Kind regards, 

    Terminology and Classifications Delivery Service 

    Read All News Articles

    By Claire Fennell 6 weeks ago

    Read this article

  • COVID-19 coded data review, England, 2020-21

    Dear Colleagues,

    Following publication of the COVID-19 National Clinical Coding Standards and guidance, we have analysed the coded data recorded in HES Admitted Patient Care 2020-21 to evaluate adherence to the standards. We have evaluated the coding of COVID-19 pneumonia and the implementation of the new OPCS-4.9 code E85.6 Continuous positive airway pressure. Our findings can be found here or via COVID-19 National Clinical Coding Standards and Guidance.

    This article is aimed at clinical coding professionals working in secondary care, and those with an interest in coded data, to highlight the importance of accurate and consistent clinical coding for quality COVID-19 data. We hope you find this information interesting. We intend to publish more of this type of information and we welcome feedback on the format and also suggestions for any other areas of interest you would like us to review.

     Kind regards

     Terminology and Classifications Delivery Service

    By Victoria Tudge 8 weeks ago

    Read this article

  • Terminology and Classifications Delivery Service external newsletter: September 2021

    Terminology and Classifications Delivery Service Newsletter

    4 dots

    Welcome to the September 2021 newsletter. In this issue, we feature:

    OPCS-4.10 Release Roadmap and extension of submission deadline.

    The OPCS-4 Release Roadmap has now been published. The roadmap provides information about key milestones for the release and indicates which dates are confirmed and which are subject to change.

    The deadline for submission of requests has been extended. Requests for content to be included in the OPCS-4.10 release must now be submitted via the Request Submission Portal by 1 December 2021.

    Please ensure that you submit requests correctly using the submission guidelines which are available on the Portal.

    The OPCS-4.10 datafiles will be published in October 2022 for implementation on 1 April 2023.

    SNOMED CT implementation - information and guidance

    We currently provide a range of information, guidance and support relating to SNOMED CT implementation, which can be accessed via this link.

    Information about the SNOMED CT Implementation Forum can be accessed via this link.

    These resources are designed for the whole NHS, rather than tailored to any specific care setting.

    If you would like to receive additional information or resources on any other areas related to SNOMED CT implementation, please contact us by emailing: snomed.implementation@nhs.net.

    Back to Top

    Updated "SNOMED CT UK Edition: Governance and Change Request Process" guidance

    We have recently updated the "SNOMED CT UK Edition: Governance and Change Request Process” guidance. The new version can be found within the “Requesting changes” section of the SNOMED CT area on Delen , or via this link to the SNOMED CT Request Submission Portal.

    The revised guidance aims to clarify the criteria and minimum requirements for new or change requests. We are asking requestors to familiarise themselves with the guidance so they understand how to provide as much evidence – and justification – as possible within their initial submissions, to assist the process. The clinical authoring team’s role is to review 

    submissions to evaluate their suitability for authoring and modelling in the SNOMED CT UK Edition, rather than to actively seek evidence to support the request. This underlines the importance of requestors submitting well-researched and comprehensive requests.

    Back to Top

    NHS Digital receives approval for the Pathology Information Standards

    The Pathology team at NHS Digital are delighted to announce the approval of the Pathology Information Standards by the Data Alliance Partnership Board (DAPB). 

    As part of NHS England’s CCIO7 workstreams, NHS Digital is delivering the future standard for sharing pathology data across health and care. This is a significant milestone in delivering the future of pathology and improving patient care.  

    We would like to thank everyone who has contributed to the development of the Pathology Information Standards, both internally, within NHS Digital, and externally, without whose input and guidance the approval of our standards would not have been possible. Although our contributors are too numerous to mention, we would like to give special thanks to our strategic partners as part of the wider NHS family, our governance boards, the Professional Records Standards Body (PRSB), the royal colleges and all of our stakeholders, including national user group members, who have lent us their time and subject matter expertise.

    To meet future NHS needs for interoperability and secondary care use within the pathology domain, three inter-related specifications have been identified based on relevant component parts of international standards, namely:

    Unified Test List (UTL) – a national catalogue of pathology test requests and results to replace the Pathology Bounded Code List (PBCL), based on SNOMED CT

    Units of Measure (UoM) – an unambiguous representation of commonly used units, aligned with the UTL, based on Unified Code for Units of Measure (UCUM)

    Pathology Message Specification – for interoperable data exchange of pathology information, based on Health Level 7 (HL7) Fast Healthcare Interoperability Resources (FHIR) 

    Together, as an information standard, they enable the future communication and exchange of tests, results, quantities, and units used in the pathology domain across the NHS. The full standard is intended for use within laboratories, secondary care and social care (where applicable), GP systems, LIMS, order communications, pathology middleware and clinical research.

    The Information Standards Notice and supporting documentation can be found via this link  and the full announcement can be viewed on the “Latest news” area of the NHS Digital website.

    For further information about our work, please visit the Pathology information standards collaborative workspace

    Back to Top

    Terminology and Classifications Delivery Service – annual customer survey report

    For several years, we have held an annual customer survey to seek feedback about our products and services and to gain an understanding of the ways in which we can improve. We planned to open last year’s survey in April 2020 but delayed the launch due to the effects of COVID-19 on the professional lives of so many of our customers. We continued to monitor the situation, went live in December 2020 and kept the survey open until 31 March 2021 to give customers more time to respond in light of the impact of the pandemic. We have produced a report of the survey results, which can be accessed via this link.

    Back to Top

    By Claire Fennell 2 months ago

    Read this article

  • CCAP May/CCTP June 2021 Summaries of Common Errors now available

    Dear Colleague, 

    The Clinical Coding Auditor Programme (CCAP) and Clinical Coding Trainer Programme (CCTP) Summary of Common Errors documents - following the assessment days held in May and June 2021, respectively - are now available for anyone thinking of applying for the next available assessment day for either programme.  Both documents are available in the Publications and Resources section.

     Kind regards, 

    Terminology and Classifications Delivery Service

    By Claire Fennell 2 months ago

    Read this article

  • Terminology and Classifications Delivery Service external newsletter: June 2021

    nhs_d_logo

    Terminology and Classifications Delivery Service Newsletter

    4 dots

    Welcome to the June 2021 Newsletter. In this issue, we feature:

    4 dots line

    OPCS-4.9 development

    This is a reminder that, subject to approval by the Data Alliance Partnership Board, OPCS-4.10 will be scheduled for release to systems suppliers in October 2022, for NHS implementation on 1 April 2023.

    Change requests to be considered for inclusion in the OPCS-4.10 release, must be submitted via the Request Submission Portal by 1 October 2021. Please submit your requests as early as possible, so that we can carry out the necessary research and engagement.

    When you visit the Request Submission Portal, please take a moment to review the OPCS-4 requests that have already been submitted before submitting your own, in case your request is covered by an existing one.

    Back to Top

    4 dots line

    Normal’ training service resumed?

    On 19 May 2021, the Clinical Classifications training team delivered the first face-to-face event since having to abandon the Train the Trainer Course as the first official lockdown was about to be announced in March 2020. The event was the Clinical Coding Auditor Programme (CCAP) Assessment Day – a real test of face-to-face contact, after all this time with 42 participants. It was a very surreal experience for everyone and the additional precautions put in place to ensure everyone’s safety on the day were considerable, including visiting the venue to assess safety precautions prior to the assessment day, having four smaller groups instead of three, quarantining assessment papers before and after the event, placing them in individual envelopes and assessment day packs for each candidate to minimise any contact on the day, directing candidates straight to their seats instead of the usual ‘meet and greet’ process, wearing masks (and gloves / hand sanitisers for the facilitators) all day which reduced the ability to have more relaxing conversations with people. Everyone did their utmost to maintain the 1-2m social distancing rules throughout the day. Even getting back on public transport was a renewed and daunting experience for some. You could say that a stressful day at the best of times was even more challenging for everyone. We would like to express our sincere thanks to all the CCAP assessment day candidates for their cooperation throughout the day. We have now also held the corresponding Trainer Assessment Day and our trainers look forward to being able to deliver the planned Auditor Workshops and Train the Trainer courses in a classroom environment throughout the rest of 2021/22. We will, however, continue enhancing our online delivery skills and use of online platforms with planned  online delivery of our Trainer Refresher courses and Trainer Forums to further assess how these events work in an online format. We hope the return to face to face training can continue, where appropriate, as we feel it still has a very important role for training of clinical coders in the post-pandemic world!

    4 dots line

    Back to Top

      Changes to 2021/22 SNOMED CT releases

    After a very active and dynamic period responding to COVID-19 priorities, we have taken stock of our Terminology Service and introduced changes to the 2021/22 release schedule whilst we build greater resilience, stabilise our release processes after significant process changes during the pandemic, and both enhance and grow our team.

    The following approach has been introduced:

    • pause SNOMED CT International Edition uplifts (effective immediately following the May 2021 major release) until further notice (for a minimum of 12 months)
    • reduce the frequency of the SNOMED UK Clinical Edition updates for UK clinical content. the next releases will be: 14 July 2021, 6 October 2021, 1 December 2021, 23 February 2022
    • phase SNOMED CT content / backlog requests across releases planned in 2021 and 2022; the Request Submission Portal remains open 24/7
    • prioritise maintenance of key clinical terminology reference sets which may also mean new developments are put on hold

    These changes will continue until we are in a better position to resume full service levels.

    There are no changes to the SNOMED CT UK Drug Extension release schedule. The SNOMED CT Release Schedule is published on Delen.

    4 dots line

    Back to Top

    SNOMED CT Forum

    Following a pause in 2020, the SNOMED Implementation forum has now been reinstated. The decision to pause the forum reflected the:
     

    • significant COVID-19 pressures faced by forum members e.g. NHS staff and system suppliers, as well as by NHS Digital terminology and implementation teams
    • new communication pathways we adopted to allow us to work directly with key stakeholders to manage publication of purely COVID-related content, making us less reliant on the forum at that time.

    As COVID pressures have eased to a degree, we felt that it was appropriate to relaunch the forum, which we plan to use for consultation and dialogue, to ensure that we develop a deeper understanding of our target audience and their requirements.

    We are currently looking at ways to make the forum as effective as possible and of making the most of the huge expertise and specialist knowledge among forum members. We will work with the Terminology and Classifications Delivery Service and with our forum colleagues over the coming weeks to help with this. If you have any thoughts or suggestions or would like to receive an invitation to the next scheduled event, please email SNOMED.Implementation@nhs.net

    Back to Top

    4 dots line

    National Interim Clinical Imaging Procedure (NICIP) code set

    Updates and releases of the National Interim Clinical Imaging Procedure (NICIP) code set have been placed on hold with immediate effect to allow the outcome of the following:

    • a formal position is being sought from NHSX on the strategic direction of NICIP and the long-term intention to move to the use of a single terminology of SNOMED CT
    • NHS England and Improvement are looking to commission a piece of discovery work that aims to identify how to improve the collection, utility, and dissemination of the Diagnostic Imaging Dataset: this could include reviewing opportunities and impacts of updating NICIP and / or transition to SNOMED CT

    In the meantime, NICIP code requests can continue to be submitted to the Request Submission Portal where these will be logged until we are in a position to process them.

    If you have any questions, please contact the Information Standards Service Desk at information.standards@nhs.net

    Back to Top

    4 dots line

    Terminology and Classifications Delivery Service - annual customer survey

    Following deferred publication to reflect the pressures of COVID-19, our most recent survey ran from 16 December 2020 to 31 March 2022 and we received 57 responses.  This represents just 26% of the 219 responses we received in 2019.  It seems likely that the pandemic directly and / or indirectly affected the survey response rate. We are very grateful to all who participated and are currently reviewing both the numerical ratings and the in-depth comments and considering how best to use the survey feedback. We will provide a further update shortly.

    4 dots line

    Back to Top

    Have your say

    If you would like more information about any aspect of our products and services, please let us know. Just write to us at information.standards@nhs.net, quoting “T+CD Newsletter” in the “Subject” field and providing details of what you would like us to cover.

    4 dots line

    Read All News Articles

    By Claire Fennell 5 months ago

    Read this article

  • Changes to 2021/22 SNOMED CT and NICIP releases

    Published June 2021

    Dear Colleague,

    After a review of our Terminology Service we’ve introduced some changes to 2021/22 SNOMED CT UK Clinical Edition and National Interim Clinical Imaging Procedure (NICIP) releases.

    Please find more information here

    Kind regards,

    Terminology and Classifications Delivery Service.

    Read All News Articles

    By Claire Fennell 6 months ago

    Read this article

  • NCCQ(UK) Syllabus, Framework and Bibliography

    Published April 2021

    Dear Colleague, 

    The SNOMED CT resources and publications for Examination Paper Two within the NCCQ(UK) Syllabus, Framework and Bibliography 2021-22 have been updated.

    The SNOMED CT awareness for clinical coders presentation has been updated to include up to date screenshots and additional useful information. The link to the SNOMED CT Delen page has been updated to direct to the SNOMED CT to Classifications Maps page after a comprehensive update to the main SNOMED CT Delen page to provide a more useful resource for clinical coders studying for the NCCQ(UK) Examination.

    Kind regards, 

    Terminology and Classifications Delivery Service

    Read All News Articles

    By Greg Tait 7 months ago

    Read this article

  • Update to April 2021 Coding Clinic

    Dear Colleague,
    The April 2021 Coding Clinic has been republished with corrections to 'Suspension, mesh, infracoccygeal vault' on page 37 and 'Removal of mesh implanted during previous repair of vaginal vault prolapse, partial' on page 41 and is available to download from the Publications & Resources page on Delen.
    Kind regards,
    Terminology and Classifications Delivery Service

    By Victoria Tudge 8 months ago

    Read this article

Older articles

About

Browse through our blog articles or select the relevant categories below to find the information you're looking for.