Request

I am trying to ascertain the level of NHS orthodontic activity in Huddersfield. VSRYE 2020-21 and VSROQ for April 2021- Dec 2021. My request is limited to Huddersfield where I am a resident. 01/04/2020 – 31/12/2021 This is the period of the new contract following procurement and mobilization of the new service provider in Huddersfield.

On 03 February 2022, you clarified the following:

However, to clarify, my FOI request should be limited to the activity relating to 1015180000. I wish to establish the level of NHS activity in Huddersfield which includes the number of new patients taken into the practice from the eRMS since April 2020 by quarter.

Response

A copy of the information is attached.

Guidance Notes

This report contains the details from FP17Os processed in England for the reporting year 2020/2021 period of 202004-202106 & 2021/2022 period of 202104-202201. The information within the report includes the data items and descriptions listed below.

Contract Number: This is a unique 10 character number which identifies a contract.

Commissioner Code: This is the 3 character code associated with the Commissioning Organisation. This a generic term used to denote health bodies, either Area Teams in England or Health Boards in Wales. Also known as Primary Care Organisations (PCOs)

Commissioner Name: This is the name associated with the Commissioning Organisation. This is a generic term used to denote health bodies, either Area Teams in England or Health Boards in Wales. Also known as Primary Care Organisations (PCOs)

Region Description: Latest name associated with the Region.

Country Name: The country name where the contract is located

Forms With Assess & Appliance Fitted: This is a count of the number of forms submitted where the assess and accept box has been ticked and the date treatment began has been entered on the FP17O. In effect, this is the number of treatment starts.

Forms With Assessment & Review: This is a count of the number of forms submitted where the assessment and review box in part 5 has been ticked.

Forms With Assess & Refuse Treatment: This is a count of the number of forms submitted where the assess and refuse treatment box in part 5 has been ticked on the FP17O.

Forms with Treatment Abandoned: This is a count of the number of forms where the treatment abandoned box in part 6 of the FP17O has been ticked. Treatment can be abandoned if the patient failed to return or at the patient’s request.

Forms with Treatment Discontinued: This is a count of the number of forms where the treatment discontinued box in part 6 of the FP17O has been ticked. This occurs when performer (dentist) decides active treatment is to be discontinued. A date of last visit and IOTN score or IOTN not applicable must be present.

Year Month: Used throughout the system to identify the specific year and month that the data relates to, i.e. for forms, it would be the month that the activity was scheduled. This is in the format 'YYYYMM' e.g. 201804 for April 2018.

% of all assessments that were assess and fit appliances: This is a percentage of all assessments that were assess and fit appliances.

% of all assessments that were assess and review: This is a percentage of all assessments that were assess and review.

% of all assessments that were assess and refuse: This is a percentage of all assessments that were assess and refuse.

% of terminated courses where treatment was abandoned or discontinued: This is a percentage of terminated courses where treatment was abandoned or discontinued.

% of case starts with a reported IOTN: This is a percentage of IOTN score that were assess and fit appliances.

Aesthetic Component Description: The aesthetic component value entered in part 5 of the FP17O. Aesthetic component value returns values 1 to 10 or is empty. The aesthetic component consists of a 10-grade scale which represent three treatment categories: ‘no treatment need’ (grades 1–4), ‘borderline treatment need’ (grades 5–7), and ‘great treatment need’ (grades 8–10)

% of Case starts with a reported IOTN of 3 and Aesthetic Component of 6 or above: This is a the percentage of IOTN score that were assess and fit appliances with an Aesthetic component above 6.

% of case starts with a reported IOTN of 3 and Aesthetic Component of 5 or below: This is a thepercentage of IOTN score that were assess and fit appliances with an Aesthetic component below 5.

Reporting Year: The financial year which the activity relate to. Year-end methodology will include all activity data (including amendments) collected from FP17s scheduled in any of the fifteen schedule months from April to June, where the date of completion is on or between 1 April and 31 March of the year. For example 2018-19 will include all activity data (including amendments) collected from FP17s scheduled in any of the fifteen schedule months from April 2018 to June 2019, where the date of completion is on or between 1 April 2018 and 31 March 2019. Where FP17s do not have a date of completion, e.g. where the patient has failed to return to complete the treatment, the date of acceptance is used.

Provider Name: The name of the provider

Financial Year: The financial year associated with the 'Year Month' dimension in the format 'YYYY/YYYY' e.g. 2018/2019 for 201804.

Principal Practice Address - Lines 1-5 and Postcode: This is address line 3 of the main address used for correspondence between the NHSBSA and the dental contract, it is not necessarily the address where treatment takes place. The Principal Practice and Correspondence address is calculated based upon a number of rules applied in sequence: 1. If there is only one treatment location recorded in CoMPASS, then this will be assigned as the PP&C address. 2. If at the 30th of the month there is only one live treatment location, then this will be assigned as the PP&C address. 3. If there are multiple open treatment locations for the contract, the treatment location with the earliest submission of FP17/O activity will be used. 4. If there are no open treatment locations at the 30th of the month, the historic principal practice address from POL will be used. 5. If there are no open treatment locations at the 30th of the month, the address with the most FP17/O activity will be used. 6. If there are no open treatment locations but one existed and had associated FP17/O activity when the contract was live, then this address will be used. 7. Contracts that have an end date before 01/04/2013 are assigned a address. 8. For a new contract where no treatment location addresses have been entered onto CoMPASS, they are assigned a blank address. 9. If there are no FP17/O records after April 2013, the location with the most FP17/Os with no time restrictions is used. 10. Contracts that have no FP17 records are assigned a blank address.

UDA Performance Target: The contracted units of dental activity to be achieved for the year, as entered on CoMPASS by the PCO.

UOA Performance Target: The contracted units of orthodontic activity to be achieved for the year, as entered on CoMPASS by the PCO.

UDA Financial Value: The financial value associated with the UDA performance target for the financial year, as entered on CoMPASS by the PCO.

UOA Financial Value: The financial value associated with the UOA performance target for the financial year, as entered on CoMPASS by the PCO.

UOA Delivered: The units of orthodontic activity scheduled for the time period selected, relating to the financial year, excluding FD UDA for English contracts and and including UDA for Welsh contracts.

UDA Delivered: The units of dental activity scheduled for the financial year to date for the period selected, relating to the financial year e.g. in December this will cover the scheduled months of April to December, excluding FD UDA for English contracts and and including UDA for Welsh contracts.

UDA Carry Forward: The number of UDAs carried forward from the previous year, as entered on CoMPASS by the PCO.

UOA Carry Forward: The number of UOAs carried forward from the previous year, as entered on CoMPASS by the PCO.

% Delivered UDA: UDA Delivered-UDA Carry Forward/UDA Performance Target

% Delivered UOA: UOA Delivered-UOA Carry Forward/UOA Performance Target

Balance of UDA: UDA Delivered-UDA Carry Forward-UDA Performance Target

Balance of UOA: UOA Delivered-UOA Carry Forward-UOA Performance Target

Unique Patient Count: This is a count of the unique patient identities on forms scheduled. A patient may have attended more than once in the time period and received different treatment, so the total figure has been adjusted for duplicate patient IDs. Patient identities are counted for all valid FP17 transactions – including amendment, deletion and withdrawn records. Therefore, it is possible for the count of patient identities to be greater than the count of FP17s.

Reattendance Description: Reattendance intervals are the whole days between the date of acceptance and the most recent date of completion (or date of acceptance if the date of completion is missing) from the two most recent FP17s scheduled in the same or a previous schedule month (back to the April 2014 schedule) for the same patient ID. There are the following descriptions: 1 to 28 days, 1 to 3 months (29 - 92 days), 3 to 9 months (93 - 276 days), 9 to 24 months (277 - 730 days), 24+ months (Greater than 730 days) and No previous visit.

New Patients: In this case a reattendance interval of 24+ months (Greater than 730 days) and no previous visit.

Please note that this request and our response is published on our Freedom of Information disclosure log at:

https://opendata.nhsbsa.net/dataset/foi-22298

Data Queries

If you have any queries regarding the data provided, or if you plan on publishing the data please contact nhsbsa.foirequests@nhs.net ensuring you quote the above reference. This is important to ensure that the figures are not misunderstood or misrepresented.

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http://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/

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