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  • Terminology and Classifications Delivery Service Newsletter: February 2019

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    Terminology and Classifications Delivery Service Newsletter


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    Welcome to the February Newsletter. In this issue we feature:

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    NHS Digital, Data and Technology Standards Framework

    In October 2018, Secretary of State for Health and Social Care, Matt Hancock, published a policy paper entitled The future of healthcare: our vision for digital, data and technology in health and careThis paper announced that "our ambition should be for the use of the best technology available for the NHS and social care sector". The vision is underpinned by a commitment to the development and use of standards that allow the full potential of modern technology to be put in the service of health and care.

    On the page you will see a number of icons that link to the current draft documents which are structured in a format that allows you to comment on each section and view the comments provided by other reviewers. Please note that although comments are anonymous, they will be visible to anyone who visits the site.

    The Clinical Information Standards Specification focusses specifically on SNOMED CT and the Clinical Classifications ICD-10, ICD-11 and OPCS-4 and we strongly recommend you read this information so that you are aware of the vision for Clinical information standards and provide your comments on the vision.

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    Annual Survey and Service Improvement Plan

    After each customer annual survey, we produce a Service Improvement Plan to address important issues identified in the responses. You can review the commitments within the plan – and the ongoing updates – via this link.

    We are currently finalising the content of our 2019 survey which we expect to go live in March. The survey will be hosted on Delen and we will issue a communication to announce the launch.

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    Delen Refresh

    In our 2018-19 Service Improvement Plan, we committed to making Delen more accessible. Over the next few weeks, we will incorporate a number of significant improvements to both content and structure and these will be contained in "Beta" pages that exist alongside the current pages.

    This will allow you to carry on using the familiar navigation, while also being able to see and become familiar with the developing design. In addition to seeing the work in progress, each Beta page will contain a feedback link, so you can tell us what you like or don't like. 

    We intend to complete the work by the end of March 2019 and switch to the new design on April 1st.

    Our aim is to provide you with a fresh Delen experience that enables you to get to the content you need within two or three clicks and to help you see all that is available across the Delen platform. We hope you enjoy seeing the new pages develop and - if you can spare a few minutes - please do give your feedback on how we're doing.

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    New Delen Workspaces

    We have recently launched two new Delen workspaces to help members of the clinical coding community connect with each other and share information.

    The Mental Health Unification Group provides a dedicated space for Mental Health clinical coders to manage their Unification Group meetings, discuss ideas and share documents.

    The Clinical Coding Managers' Workspace provides a similar place for coding managers across the country to connect with each other, engage in discussions on matters such as professional development, staff training and implementation of coding standards and to share examples of best practice.

    Within the Clinical Coding Managers' Workspace, we are also creating dedicated spaces for regional coding groups, to help manage meetings, reduce email traffic and streamline document reviews and action tracking. We are delighted that our colleagues in the South West Clinical Coding Reference Group have chosen to be early adopters of this functionality.

    The new Workspaces can be reached via the above links but users will need to register first to gain access. To register, follow the above links and 'contact the site owner' to request access.

    Note: Only Clinical Coding Managers and members of the Mental Health Unification Group will be granted access.

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    New Community Database of Clinical Coding Resources 

    One of the reasons for creating Delen was to help our clinical coding colleagues across the NHS to find the information they need to carry out their work. We hope that we have succeeded in making our own materials more accessible, but we would also like to provide a way for you to highlight other resources that you think would be useful to your colleagues.

    In the next few weeks we will launch a new service that will allow you to submit details of websites, documents, services, tools and other resources that you have come across (or even ones you have produced) that you think would be of value to your fellow clinical coders. We will add the details of submitted resources to a searchable database so that people can quickly find and use them.

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    National Clinical Coding Training Material update

    The training team are currently updating the following materials for release to approved clinical coding trainers for use from 1 April 2019:

    • Clinical Coding Standards Course
    • Clinical Coding Standards Refresher Course – a totally new suite of materials for this version
    • NCCQ (UK) Revision Programme

    We will start to issue these documents from the end of February. To speed up the process, we will release course materials as they are ready rather than wait until all course content is available. We will stagger the release to approved clinical coding trainers throughout March.

    We will also update the copyright and version number details for the Mental Health Clinical Coding Standards and Standards Refresher Courses. Please note that the content will be updated during 2019/20 in consultation with the mental health clinical coding community.

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    OPCS-4.9 update

    We are currently developing OPCS-4.9. We have received more than double the number of requests that were received for the update to OPCS-4.8 and many of the requests are very complex.

    The intended implementation date for OPCS-4.9 is 1 April 2020. The list below outlines the provisional dates for release of the OPCS-4.9 deliverables (dates are subject to change):

    Publication of OPCS-4.9 products

    • July 2019

    Draft Summary of Changes published for consultation

    • October 2019

    Information Standards Notice

    Implementation Guidance

    Final Summary of Changes

    • November 2019

    Electronic data files and specifications distributed via the Technology Reference-data Update Distribution Service (TRUD)

    • January 2020

    OPCS-4.8 Online Classification

    OPCS-4.9 Tabular List and Index Manuals via TSO

    OPCS-4.9 National Clinical Coding Standards (NCCS) reference book

    OPCS-4.9 Training materials

    OPCS-4.9 Key Learning Points

    • Mid-March 2020

    Maps from SNOMED CT to OPCS-4.9

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    Publication of National Clinical Coding Standards reference books 2019

    The National Clinical Coding Standards ICD-10 and OPCS-4.8 reference books (2019), for use from 1 April 2019, are now available to download from the Main Publications page on Delen.

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    Classifications Online

    Over the past year, we have been developing an online version of the Classifications to replace the current eVersion. The Classifications Online will bring a number of benefits and improvements on the eVersions. The improved features include:

    • accessibility from any computer with an internet connection
    • no requirement to download or install software
    • fast and effective search facility, which includes:
      • a filter to search on individual sections of the classification
      • "wildcard" and "fuzzy" searches
      • search history
      • ability to minimise and maximise search results
      • visual display of the section in which search results are located
    • links from Chapters, Categories and Codes to relevant clinical coding standards which, when selected, open the standard within the reference book

    Our user group has been testing Classifications Online and providing us with feedback. The group has been invaluable in the development of the application as we have been able to ensure that the tool meets user needs. The group has also given us some highly practical suggestions for improvements and enhancements, and we would like to thank them for sparing their time and for their excellent ideas.

    We aim to release a browsable and searchable version of the Classifications Online around April which will contain OPCS-4.8. This will not be the final version as we will enhance and refine the application over the coming year and add the facility to create and share notes and annotations. We intend to include ICD-10 and will include OPCS-4.9 when this is released. We will release more information, including details of how you can access Classifications Online, in the next few months.

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    ICD-11 update

    We completed the third round of the ICD-11 Field Trials in November last year and are currently reviewing and analysing the data. You can find summary figures on the third round on the ICD-11 page on Delen. We aim to publish a report on the field trials later this year. You can access the report on our findings from rounds One and Two of the field trials on the ICD-11 page on Delen.

    If you are still not familiar with ICD-11, please read the ICD-11 Overview that we have produced. It sets out why and how ICD-11 is being produced, its benefits and the main changes between ICD-10 and ICD-11. We have also produced overviews describing how to use the two ICD-11 electronic tools; the Coding Tool and Browser, which are accessible in different formats on the ICD-11 page on Delen.

    There is currently no decision on the implementation of ICD-11 in England, however we are undertaking a number of activities, including the field trials (and chapter reviews described below), that will help inform the decision on implementation, build up our knowledge on ICD-11, and help us understand what effect ICD-11 will have on our products and services, coders and the wider NHS.

    ICD-11 Chapter Reviews

    We undertook an initial review of all ICD-11 Chapters around 18 months ago and are keen to further explore the major changes to the chapters now that ICD-11 is considered stable. We would like to involve clinicians to review chapters pertinent to their specialist area. We are currently working to produce individual papers that outline the major changes to relevant chapters and working through chapters where we have already received interest from clinicians and working groups. We want to give clinicians the opportunity to review these chapters and provide us with their feedback.

    In order to perform the chapter reviews, we have produced a very brief list of simple questions based on the questions asked by WHO in the earlier chapter reviews, that will allow us to identify any specific issues and explore the completeness of the chapter, e.g. if there are any missing conditions, illnesses or diagnoses.

    If you are a clinician or you know a clinician who would like to contribute, please send expressions of interest to icd-11@nhs.net and we will send you more information when this is available.

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    Have your say

    If you would like more information about any aspect of our products or 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.

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    By Katy Park 3 years ago

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  • Important Clarifications to the Scope of the Clinical Coding Helpdesk

    Published: February 2019

    We would like to inform the users of our clinical coding product support service of some important clarifications to the scope of this service to avoid delay in response or rejection of a query.

    Kind regards

    Terminology and Classifications Delivery Service

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    By Katy Park 3 years ago

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  • National Tariff Chemotherapy Regimens and High Cost Drugs lists 2019/20

    Published: February 2019

    We are currently in discussions with NHS England and NHS Improvement regarding the National Tariff Chemotherapy Regimens and High Cost Drugs lists for 2019/20 , however a definite decision is yet to be made. Once a decision is made, we will communicate the outcome via the blog.

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    By Katy Park 3 years ago

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  • Release of the National Clinical Coding Standards reference books (2019)

    Published: February 2019

    The National Clinical Coding Standards ICD-10 and OPCS-4.8 reference books (2019), for use from 1 April 2019, are now available to download from the Main Publications page on Delen.

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    By Mandy Hudson 3 years ago

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  • Change to the file names within the UK Drug Extension, RF2 release

    Published: February 2019

    Please be advised, to align with SNOMED International requirements there has been file name changes to the latest 26.5.0 UK Drug Extension, RF2 release. The changes are “en-GB” to “en”. This is within the Full, Snapshot and Delta packs.  An example of this change is shown below.

    1. SnomedCT_UKDrugRF2_PRODUCTION_20190123T000001Z\Full\Refset\Language.

    And the files changed are,

    • OLD: der2_cRefset_LanguageFull-en-GB_GB1000001_20181226
    • NEW: der2_cRefset_LanguageFull-en_GB1000001_201901226
    1. 5.0_20190123\SnomedCT_UKDrugRF2_PRODUCTION_20190123T000001Z\Full\Terminology

    And the files changed are,

    • OLD: sct2_TextDefinition_Full-en-GB_GB1000001_20190123
    • NEW: sct2_TextDefinition_Full-en_GB1000001_20190123
    • OLD: sct2_Description_Full-en-GB_GB1000001_20190123
    • NEW: sct2_Description_Full-en_GB1000001_20190123

    Going forward this will remain in place including the next UK Drug Extension, RF2 26.6.0 release.

    If you have any questions regarding the above you can contact us by sending an e-mail to information.standards@nhs.net. This is the preferred form of communication.

    Regards

    NHS Digital

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    By Mandy Hudson 3 years ago

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