Guideline for recoding activity data for the Barking and Dagenham PCT

GP practices in Barking and Dagenham are required to collect and report on data for all Directed, Local and National Enhanced Services. This guideline enables the practice to capture the data in each of the Enhanced Services. Compiled by Dr Teotia

Enhanced Service Specifications - B/D LMC Website * click to access the Website*

Enhanced Services specifications, claim forms and updates can be viewed at the B/D LMC website. Double click on the website below.

<HTML><a HREF="http://www.barkingandhaveringlmc.org.uk">Barking and havering LMC website</A></HTML>

Directed Enhanced Service

DES04: Minor surgery

All All other Clinical Data Records in Descending order Where READ_CODE = "987A.00 " OR READ_CODE = "9879.00 " OR READ_CODE = "7L19100 " OR READ_CODE = "85BD.00 " OR READ_CODE = "7K62200 " OR READ_CODE = "7K6Z300 "

Minor surgical procedures and joint injections

Double click to record the READ code

63987A.003Minor surgery done - excision 639879.003Minor surgery done - incision 637L191003Injection of steroid for local action NEC 6385BD.003Peri articular injection 637K6Z2003Injection of therapeutic substance into joint 637K6Z3003Injection into joint NEC

Locally Enhanced Services

LES01: Adhoc vaccinations

At present MMR & Men C for university students, Neonatal Hep B
and Flu vac for staff working at risk groups (health and social care worker).

All All other Clinical Data Records in Descending order Where READ_CODE = "6571.00 " All Medical History Records in Descending order Where READ_CODE = "9k7..00 " OR READ_CODE = "9k3..00 " OR READ_CODE = "ZV06400 "

Double click to record the READ code

639k3..003Childhood immunisation - enhanced services administration 639k7..003Influenza immunisation - enhanced services administration 63ZV064003[V]Measles-mumps-rubella (MMR) vaccination 63657I.003Single meningitis C vaccination

LES02 : Post-operative suture removal & Wound dressings

All All other Clinical Data Records in Descending order Where READ_CODE = "ZV58312 " OR READ_CODE = "8P0..00 " OR READ_CODE = "7G22.00 " OR READ_CODE = "9N7H.00 " OR READ_CODE = "81H..00 "

Suture removal after minor and day case surgery, complex inpatient operation,
dressings originating out of practice & post-op dressings- maximum 5.

Double click to record the READ code

63ZV583123[V]Removal of sutures 638P0..003Removal of skin sutures/clips 637G22.003Removal of repair material from skin 639N7H.003Suture removal generated from secondary care done by practic 6381H..003Dressing of wound

LES3: Common Mental Health Disorders-Register Setup

All All other Clinical Data Records in Descending order Where READ_CODE = "9HA0.00 " OR READ_CODE = "9H8..00 " OR READ_CODE = "9H6..00 " OR READ_CODE = "6896.00 "

Double click to record the READ code

639HA0.003On depression register 639H8..003On severe mental illness register 639H6..003On national service framework mental health register 636896.003Depression screening using questions

LES4: Nursing Home Patients

All All other Clinical Data Records in Descending order Where READ_CODE = "13F6100 "

Patient living in a Nursing Home.

Double click to record the READ code

6313F61003Lives in a nursing home

LES32: Patient Register set-up

All All other Clinical Data Records in Descending order Where READ_CODE = "E23..00 " OR READ_CODE = "F20..00 " OR READ_CODE = "9H6..00 " OR READ_CODE = "9H8..00 " OR READ_CODE = "9HA0.00 " OR READ_CODE = "388A.00 "

Double click to record the READ code

63E23..003Alcohol dependence syndrome 63F20..003Multiple sclerosis 639H6..003On national service framework mental health register 639H8..003On severe mental illness register 639HA0.003On depression register 63388A.003Coronary heart disease risk

LES34: Advanced Diabetic Care

All All other Clinical Data Records in Descending order Where READ_CODE = "66AP.00 "

Advanced Diabetic care by the practice resulting no hospital admissions
or Out Patient attendance in a year - payment by results. Insulin-for-life
programme training is mandatory.

Double click to record the READ code

6366AP.003Diabetes: practice programme

LES35: Administration of Hormone Implant -Zoladex etc

All All other Clinical Data Records in Descending order Where READ_CODE = "7G2A600 " OR READ_CODE = "7G2A500 " OR READ_CODE = "7G2A400 " OR READ_CODE = "7G2AC00 "

Insertion of hormone implants. (Contraceptive injections
and contraceptive hormone implants are NOT INCLUDED in LES 35)

Double click to record the READ code

637G2A6003Insertion of hormone implant 637G2A5003Insertion of testosterone implant 637G2A4003Insertion of oestrogen implant 637G2AC003Insertion of gonadorelin analogue implant

LES: Learning Disability

All All other Clinical Data Records in Descending order Where READ_CODE = "13Z4E00 " or "918e"

Double click to record the READ code

6313Z4E003Learning difficulties 63918e.003On learning disability register

LES01: Anti-coagulation Monitoring

All All other Clinical Data Records in Descending order Where READ_CODE = "66Q..11 " OR READ_CODE = "66Q..00 " OR READ_CODE = "66QZ.00 "

Level one monitoring

Double click to record the READ code

6366Q..113Anticoagulant monitoring 6366Q..003Warfarin monitoring 6366QZ.003Warfarin monitoring NOS

LES18: GP Shared care (Substance misuse)

All Medical History Records in Descending order Where READ_CODE = "9k5..00 " OR READ_CODE = "9k50.00 " OR READ_CODE = "E25..00 " OR READ_CODE = "E25yz00 " OR READ_CODE = "E25..00 "

Shared care for drug misusers with Specialist Drug Srvices to
offer stabilisation and detoxification.

Double click to record the READ code

639k5..003Drug misuse - enhanced services administration 639k50.003Drug misuse - enhanced service completed 63E25..003Nondependent abuse of drugs 63E25yz003Nondependent other drug abuse NOS 63E25..003Nondependent abuse of drugs

LES19: Nepnatal Examination

All All other Clinical Data Records in Descending order Where READ_CODE = "9kJ..00 " OR READ_CODE = "9kJ0.00 "

Only for those doctors who are an approved register for Neonatal Examination for new borns at Home .

Double click to record the READ code

639kJ..003Neonatal check - enhanced services administration 639kJ0.003Neonatal check - enhanced service completed

LES24: Alcohol Service

All All other Clinical Data Records in Descending order Where (READ_CODE = "9k11.00 " OR READ_CODE = "9k12.00 " OR READ_CODE = "8H7p.00 " OR READ_CODE = "66e..00 ") AND CATEGORY = "SED004 "

Double click to record the READ code

639k11.003Alcohol consumption counselling 639k12.003Alcohol misuse - enhanced service completed 638H7p.003Referral to community alcohol team 6366e..003Alcohol disorder monitoring

LES25: Specialized sexual Health

All All other Clinical Data Records in Descending order Where READ_CODE = "6776.12 " OR READ_CODE = "6776.13 " OR READ_CODE = "4JK9.00 " OR READ_CODE = "4JKA.00 " OR READ_CODE = "677L.00 " OR READ_CODE = "68K7.00 " OR READ_CODE= "677N.003"

Patients treated who have positive tests done by other agencies for STD,
Chlamydia testing and HIV, pre and post TOP counselling

Double click to record the READ code

636776.123TOP counselling 636776.133Termination counselling 634JK9.003Endocervical chlamydia swab 634JKA.003Urethral chlamydia swab 63677L.003Chlamydia screening counselling 63677N.003HIV screening counselling

LES26: Homeless

All Medical History Records in Descending order Where READ_CODE = "9k6..00 " OR READ_CODE = "9k60.00 " OR READ_CODE = "13D..11 "

Double click to record the READ code

639k6..003Homeless - enhanced services administration9k60.003Homeless - enhanced service completed13D..113Homeless

LES 29: Multiple Sclerosis

All All other Clinical Data Records in Descending order Where READ_CODE = "F20..00 " All Medical History Records in Descending order Where READ_CODE = "9kG..00 "

Double click to record READ code

639kG..003Spec serv for pat with multiple sclerosis - enh serv admin 63F20..003Multiple sclerosis

LES 30: Advanced Near patient Testing

All Medical History Records in Descending order Where READ_CODE = "9kD..00 " OR READ_CODE = "9kD0.00 "

Advanced level of enhanced care signed by the practice - level A or level B

Double click to record READ code

639kD..003Near-patient testing - enhanced services administration 639kD0.003Near-patient testing - enhanced service completed

National Enhanced Services

NES02: Near patient Testing

All Medical History Records in Descending order Where READ_CODE = "9kD..00 " OR READ_CODE = "9kD0.00 " All All other Clinical Data Records in Descending order Where READ_CODE = "9k6..00 " OR READ_CODE = "9k60.00 " OR READ_CODE = "13D..11 " or READ_CODE "66P8.003" or READ_CODE "66P7.003"

Shared care management of patients : level 1 to 4 . For full details see specifications.

Double click to record the READ code

6366P8.003High risk drug monitoring - shared care 6366P7.003High risk drug monitoring - primary care

NES03: IUCD/ Contrceptive Implant

All All other Clinical Data Records in Descending order Where READ_CODE = "ZV25100 " OR READ_CODE = "ZV25E00 " OR READ_CODE = "615K.00 " OR READ_CODE = "6154.00 " OR READ_CODE = "7G2AB00 " OR READ_CODE = "7G2H700 " OR READ_CODE = "7G2AB00 "

IUCD insertion, removal and contraceptive implants only.
(Contraceptive Depo- injections are NOT INCLUDED in this NES03 )

Double click to record the READ code

63ZV251003[V]Intrauterine contraceptive device insertion 63ZV25E003[V]Removal of intrauterine contraceptive device 63615K.003Intrauterine contraceptive device annual review 637G2AB003Insertion of subcutaneous contraceptive 637G2H7003Removal of subcutaneous contraceptive

NES08: Minor Injuries

All Medical History Records in Descending order Where READ_CODE = "9kB..00 " OR READ_CODE = "9kB0.00 "

Injuries and wounds occured within 48 hours. For full details see specifications.

Double click to record the READ code

639kB..003Minor injury - enhanced services administration 639kB0.003Minor injury - enhanced service completed