Programme
Sub-Prog/
Project
Prog. Director
NPO Contact
Author
Issue Date
DRAFT Process for National Clinic Type List for the
Choose and Book Directory of Services
NPFIT
Choose and Book
DOCUMENT ID KEY
NPFIT-EBS-PMG-DEL-0037
Clare Mitchell
John Rahtz
Arun Gupta/Luke
Davie/Steph reid
28/10/2004 Status Version 0.5
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National Clinic Type List for the Choose and Book Directory of Services
Amendment History:
Version
0.1
0.2
0.3
0.4
0.5
Date
28.10.04
Amendment History
NPFIT-EBS-DES-0053.01
28/10/04
Final version with comments from AG, TD and working group
Reviewers:
This document must be reviewed by the following.
Name Signature Title Date of Issue Version
Tom
Denwood
Approvals:
This document requires the following approvals.
Name Signature Title Date of Issue Version
Document Location
This document is only valid on the day it was printed. Please contact the Document
Controller for location details or printing problems.
This is a controlled document.
On receipt of a new version, please destroy all previous versions (unless a specified earlier version is in use throughout the project).
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National Clinic Type List for the Choose and Book Directory of Services
NPFIT-EBS-DES-0053.01
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Contents
1.
Purpose ............................................................................................................. 4
2.
Background ....................................................................................................... 4
3.
Overview of Specialty and Clinic Type ............................................................... 5
4.
Structure and Process for the Clinic Type list .................................................... 5
4.1.
Ownership ................................................................................................. 5
4.2.
Development and review of the lists ........................................................... 6
4.3.
Establish a process for the notification of changes ..................................... 6
4.4.
Future development considerations ........................................................... 7
4.5.
Diagram of Process for adding and activating items on lists ....................... 8
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National Clinic Type List for the Choose and Book Directory of Services
NPFIT-EBS-DES-0053.01
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This document details recommendations for a process to develop and maintain a national Choose and Book Clinic Type list.
‘Specialty’ and ‘clinic type’ form two lists which categorise clinical services so that referring clinicians using Choose and Book may more easily locate appropriate services when referring and booking patients. Services registered in the Directory of Services (DoS) are mapped to both clinic types and specialties.
The term ‘clinic type’ replaces previous terms ‘sub-specialty’ and ‘subcategory’.
In this document t he term ‘specialty’ is used interchangeably with the term
‘treatment function’ following the standard for Patient Administration System
(PAS) suppliers identified in DSCN 26/2003.
It is vital that both these lists are fit for purpose for Choose and Book. As a result of a meeting of the National Choose and Book Clinic Type Working
Group (July 20 th 2004), the following recommendations were made:
1. Continue using the national treatment function list as master reference list from which to derive any candidates for 'specialty' drop list in
Choose and Book.
2. Set up a review of the existing nhs.uk sub-specialty list and combine it with the current clinic type list produced by Early Adopters (EAs) to create a master reference list for all 'clinic types'.
3. Establish future meetings of a Working Group to provide an interface between the NHS, the manager of the cabclinictype@npfit.nhs.uk
account and National Clinical Reference Panel.
4. Agree and develop a process for the management of the Clinic Type list and a mechanism to inform the national specialty/treatment function list.
This document deals with point 4, and when the process is up and running it will cover off point 3.
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National Clinic Type List for the Choose and Book Directory of Services
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Specialties list
The development of the specialties list is the responsibility of the NHS
Information Standards Board (ISB). The current list of specialties in Choose and Book is a subset of treatment functions from the national treatment function list. As each Early Adopter and Early Implementer goes live in a new specialty the list in the Choose and Book application is expanded accordingly by taking the required treatment functions from the ISB maintained list and adding into the DoS. When defining their services in the DoS, Early Adopters and Early Implementers must use the national treatment function list as the master reference list against which to match their services.
Clinic type list
The development of the clinic type list is the responsibility of the Booking and
Choice Programme. Unlike the specialties list, the clinic type list that was developed for go live was not determined by a master reference list. Instead the list of clinic types used for go live in Choose and Book was produced by the Early Adopter sites by combining their suggestions for the most useful clinic type names. This list has formed the beginnings of a national list for the
NHS to categorise their services in the Directory of Services.
When additions to the list are requested by the NHS it is important that new terms are only added where necessary, that multiple terms do not exist for what is essentially the same clinic type, that a maximum number of clinic types is set, that any requests for additions/changes are managed effectively and the results communicated to the NHS.
4.1. Ownership
The clinic type list will be owned by the Choose and Book Clinical Reference
Panel. The Clinic Reference Panel will review, authorise and ratify the national
Clinic type list based on the recommendations of the Working Group, which performs the short listing and administrative support to the list.
The national specialties/treatment function list is not owned by the Choose and Book Clinic Reference Panel. If required the Choose and Book Clinical
Reference Panel will request changes to national specialties/treatment function list through the NHS Information Standards Board and the Working
Group will link with the National Treatment Function Maintenance Group established by the NHS Information Authority.
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National Clinic Type List for the Choose and Book Directory of Services
4.2. Development and review of the lists
NPFIT-EBS-DES-0053.01
28/10/04
Any requests for new clinic types or changes to the clinic type list should be sent to Cabclinictype@npfit.nhs.uk
and must include the rationale for the addition/change together with contact details of the originator of the request as further information/discussions may be required to inform the decisions of the National Clinical Reference Panel. A form is provided with this document for this purpose.
The Clinic Type Working group will comprised of representatives from the
NHS Information Standards Board, Choose and Book Implementation
Reference Group, Choose and Book design team, implementation team,
Choose and Book clinicians and representatives from Early Adopters, Early
Implementers and clusters.
The group will review the current clinic type list to rationalise, develop clear terminology, consolidate similar and duplicate terms and limit any unnecessary proliferation of terms. The group will also review the current specialty list to ensure it is fit for purpose for Choose and Book.
The group will monitor and consider requests for additions and changes from the Service as collated or escalated by the manager of the cabclinictype@npfit.nhs.uk
account.
The group will meet monthly initially. The timing of meetings will be geared around the preparation of advice to the Clinical Reference Panel, which usually meets during the first week of every month. The need to meet may change during the course of the programme. It is envisaged that there will be periods where there are more change requests to the list e.g. as Wave 1 Early
Implementers prepare for first go live or when Early Adopters collectively go live in a new specialty etc. The frequency of meetings will be adjusted accordingly and the originators of requests for additions/changes to the list will be informed when their request is to be discussed by the Clinical Reference
Panel.
The working group will prepare recommended additions, consider the removal or consolidation of terms and escalate any issues to the Clinical Reference
Panel.
4.3. Establish a process for the notification of changes

The current clinic type list will be made available on the Choose and
Book website :
(http://nww.chooseandbook.nhs.uk/implementation/directory.asp).
They will be version controlled and clearly show the date of any change, what specialties and clinic types have been changed/added etc.
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National Clinic Type List for the Choose and Book Directory of Services
NPFIT-EBS-DES-0053.01
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
The posting of amended lists to the website will be also communicated to the NHS via a communiqué from the Booking and
Choice Team of NPfIT.

After go-live, any changes agreed to the list will also occur directly in the Choose and Book application.
4.4. Future development considerations
It is assumed that after an initial period of rapid development and change as more adopters prepare for and begin to implement Choose and Book, the content of the list will be come more stable.
At some point the process for updating the list may be more suitably managed by other bodies and communicated through existing mainstream means (e.g.
DSCNs).
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National Clinic Type List for the Choose and Book Directory of Services
NPFIT-EBS-DES-0053.01
4.5. Diagram of Process for adding and activating items on lists
28/10/04
Treatment
Function
Reference List
(pre-approved specialties)
Early Adopter / Early
Implementer plans to build a local service in DoS
EAs/EIs match service against existing
Treatment Function and
Clinic Type Reference
Lists on the Choose and
Book website
Clinic Type
Reference List
(pre-approved clinic types)
No
Clinic Type already on reference list?
Yes
Treatment
Function already on reference list?
Send email to cabclinictype@npfit.nhs.uk
- Complete Request Form including suggested new
Clinic Type and supporting rationale for its inclusion
Send email to cabclinictype@npfit.nhs.uk
- Complete Request Form including intended go live date to activate this
Treatment Function
No
Yes
I s there another
Treatment Function suitable for new local
Service?
No
Start appeal process for new treatment function via cabclinictype@npfit.nhs.uk
NCRP member filters requests received from cabclinictype@npfit.nhs.uk
Yes
Decision recommendation made?
No
Escalated to
Working Group for approval
Escalated to
Working Group for discussion and resolution
Decision
Yes recommendation made?
Working Group escalates to
NCRP for approval
No
Working Group escalates to
NCRP for discussion and resolution
New Clinic Type approved and added to Reference List
New Clinic Type activated
NCRP:
1) Sends notification to person who submitted the request
2) Requests Design team to have new Clinic
Type(s) added to national application
3) Requests Implementation team to update
Clinic Type list on
Choose and Book website and to cascade message re update of list to Clusters via communiqué
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