Terminology & Classifications News

Terminology and Classifications Delivery Service Newsletter: February 2023


Terminology and Classifications Delivery Service Newsletter


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






NHS Digital merger with NHS England

On 1 February 2023, NHS Digital merged with NHS England. NHS England will assume responsibility for all activities previously undertaken by NHS Digital. This includes running the vital national IT systems which support health and social care, as well as the collection, analysis, publication and dissemination of data generated by health and social care services, to improve outcomes. 

NHS Digital’s systems and services, functions, processes and structures will continue to operate as normal and contracts will automatically transfer to NHS England, with terms and conditions unchanged. 

We will work together over the first half of 2023/24 to develop the new, more streamlined structures and processes that will support our NHS. 

 As a single organisation, this new NHS England will be more responsive to the biggest challenges and opportunities of the system. It will become the single non-departmental government body responsible for digital technology, data and health service delivery in the NHS.

Visit our website to learn more about the merger.

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Launch of classification surveys

The Terminology and Classifications Delivery Service have produced the NHS Classifications Browser as part of the transition from printed hard copy volumes to electronic versions and digitally enabled classifications. It provides a way to browse and search classifications content for:

  • OPCS-4 Classification of Interventions and Procedures (OPCS-4)
  • WHO International Statistical Classification of Diseases and Related Health Problems 5th Edition (ICD-10)

The browser includes links to the national clinical coding standards that support consistent application of the classification codes by clinical coders. It is freely available online to anyone with an internet connection.

The World Health Organization (WHO) are also moving to digitally enabled tools and have stopped providing hard copy volumes of ICD.

The use of electronic classifications for the clinical coding process may present difficulties for some coding departments. We value your input to these two short surveys to gather feedback on:

  1. requirements for ICD-10 printed volumes 1-3

This survey is open to heads of clinical coding departments and clinical coding managers in England and Wales. Access the ICD-10 Volumes 1-3 Printed Books Survey for more details and to submit your feedback.

     2. evolution and improvement of the NHS Classifications Browser

This survey is open to anyone in England, Northern Ireland and Wales. Access the NHS Classifications Browser Survey for more details and to submit your feedback.

The surveys will close on Friday 10 March 2023. The feedback will be analysed, and a summary of findings published.

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ICD-10 and OPCS-4 National Clinical Coding Standards 2023

The ICD-10 and OPCS-4 National Clinical Coding Standards reference books 2023 for use from 1 April 2023 are available for download from the Resource Library.

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ICD-10 and OPCS-4 content changes 2023

The ICD-10 and OPCS-4 Content Changes 2023 has been updated for use from 1 April 2023 and is available for download from the Resource Library.

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OPCS-4.10 update

  • OPCS-4.10 key learning points and supplementary information

The OPCS-4.10 Key Learning Points and Supplementary Information OPCS-4.10 2023 are available for download from the Resource Library.

  • OPCS-4.10 in the classifications browser and eVersion

OPCS-4.10 content, the OPCS-4 2023 reference book and updated NCCS links are available in the Classifications Browser. The ICD-10 2023 reference book will be added and NCCS links updated on 1 April 2023.

OPCS-4.10 content and the ICD-10 and OPCS-4 2023 reference books for import into eVersions are available to download from TRUD.

  • OPCS-4.10 system data files

The OPCS-4.10 system data files and specifications (including XML format), to support OPCS-4.10 implementation on 1 April 2023, are available for download from TRUD subject to registration and acceptance of the licence agreement.

The data files are designed for NHS information departments and /or NHS system suppliers to upload into PAS systems. They are not designed or intended for training purposes.

Implementation guidance and other information and resources for OPCS-4.10 are available on the OPCS-4 page on Delen.

The Information Standards Notice (ISN) describes the mandate for the NHS and NHS suppliers to implement OPCS-4.10 on 1 April 2023.

  • OPCS-4.10 printed books

The OPCS-4.10 printed books are now available to purchase from The Stationary Office (TSO). They are priced at £150 for a set containing volumes 1 and 2 and are available with a 70% discount for the NHS. 

Information on how to order can be found on the TSO website.

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SNOMED CT to OPCS-4.10 classification maps

The 32.10.0 – 23 February 2023 SNOMED CT clinical edition release will include maps from SNOMED CT to ICD-10, OPCS-4.9 and OPCS-4.10.

The OPCS-4.10 maps (which will be identified in the files with ‘refsetid’ 1382401000000109) are being provided as early as possible, to assist with implementation but must not be used in live systems until 1 April 2023.

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2023-24 clinical coding auditor and trainer schedule

We have published our 2023-24 Auditor and Trainer Courses and Events Schedule to allow individuals and organisations to begin necessary planning.

The admission assessment, courses and events are designed for accredited and experienced clinical coders trained in the use of OPCS-4 and ICD-10 classifications.

The applications/booking forms will be published in February 2023 at which time the booking process will be opened.

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Changes to dm+d and SNOMED CT UK drug extension content in 2023

The Interoperable Medicines Programme is making changes to the NHS Dictionary of Medicines and Devices (dm+d) and the SNOMED CT UK Drug Extension, to reduce the potential for clinical errors across NHS clinical IT systems.

Several changes will be made to the two terminologies during 2023, to bring them into closer alignment in terms of content and availability.

This will:

  • improve safety and efficiency
  • reduce transcription and clinical errors
  • allow staff to focus more on care
  • provide patients with a better experience.

Additional information and resources for the specific changes are available on our website.

A 20-minute video explaining the changes is also available, designed to provide guidance to NHS trusts.

If you have any queries about this work, please contact nhsdigital.ukmeds@nhs.net

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SNOMED CT implementation programme updates

The SNOMED implementation team have launched a new programme updates page, designed as a central point for SNOMED CT implementation related news.

Visit the page to keep up to date with our latest developments and to find out more about our tooling and resources.

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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 by emailing information.standards@nhs.net, providing details of what you would like us to cover in future editions.

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