1. (a)With regard to the following Accident and Emergency Diagnosis Code (and/or treatment Code; whichever is applicable): ‘8582’ what is the specific name of the respective coding database/data set and the corresponding version and the applicable date range when the Trust used this code?
(b) What is the corresponding full diagnosis descriptor and/or if relevant, treatment descriptor?
(c) Please provide the corresponding word descriptor for each of the numbers within the code “8582”.
2. (a) with regard to the Accident and Emergency diagnosis descriptor:
‘Other Soft Tis Inj. Neck,’
what is the specific name of the database/data set and the corresponding version and applicable date range when the Trust used this diagnosis descriptor?
(b) What is the corresponding code used within the Trust’s patient records?
(c) What is the corresponding code used within Trust information reported to the Secondary Use Service (SUS) and the Hospital Episode Statistics (HES) data?
3. (a) With regard to the Accident and Emergency diagnosis descriptor:
‘Other Soft Tis Inj. Neck, Not applicable’
what is the specific name of the respective database/data set used in 2012 and the corresponding version and applicable date range in which the above diagnosis descriptor was used by the Trust?
(b) What is the corresponding Accident and Emergency diagnosis code relevant to the above diagnosis descriptor within the same database/dataset which was used within patient records by the Trust at the time?
(c) What is the corresponding code used within Trust information reported to the Secondary Use Service (SUS) and the Hospital Episode Statistics (HES) data in 2012?
4(a) With regard to the Accident and Emergency Investigation descriptor:
‘X-ray or Blood tests’
what is the specific name of the database/data set and the corresponding version and applicable date range when this Investigation descriptor was used by the Trust?
(b) What is the corresponding code relevant to the above Investigation descriptor within the same database/dataset?
(c) What is the corresponding code used within Trust information reported to the Secondary Use Service (SUS) and the Hospital Episode Statistics (HES) data?
5(a) With regard to the Accident and Emergency Investigation descriptor:
‘X-ray plain film’
what is the specific name of the database/data set and the corresponding version and applicable date range when the above Investigation descriptor was used by the Trust?
(b) What is the corresponding code relevant to the above Investigation descriptor within the same database/dataset?
(c) What is the corresponding code used within Trust information reported to the Secondary Use Service (SUS) and the Hospital Episode Statistics (HES) data;
6(a) with regard to the possible Accident and Emergency diagnosis descriptor:
‘Other Soft Tis Inj. Shoulder,’
If this is a historically identified diagnosis descriptor, please confirm whether the Trust has ever used this and if so, what is the specific name of the database/data set and the corresponding version and applicable date range when the Trust used this diagnosis descriptor?
(b) If applicable, what is the corresponding code used within the Trust’s patient records?
(c) If applicable, what was the corresponding code used within Trust information reported to the Secondary Use Service (SUS) and the Hospital Episode Statistics (HES) data from April 2012 onwards?
7(a) with regard to the Accident and Emergency diagnosis descriptor:
‘Acute limb injury*, leg,’ *ALI what is the specific name of the database/data set and the corresponding version and applicable date range when the Trust used this diagnosis descriptor?
(b) What is the corresponding code used within the Trust’s patient records?
(c) What is the corresponding code used within Trust information reported to the Secondary Use Service (SUS) and the Hospital Episode Statistics (HES) data?
8(a) with regard to the Accident and Emergency diagnosis descriptor:
‘Whiplash’ what is the specific name of the database/data set and the corresponding version and applicable date range when the Trust used this diagnosis descriptor?
(b) What is the corresponding code used within the Trust’s patient records?
(c) What is the corresponding code used within Trust information reported to the Secondary Use Service (SUS) and the Hospital Episode Statistics (HES) data?
9(a) with regard to the Accident and Emergency diagnosis descriptor:
‘Acute torticollis,’
what is the specific name of the database/data set and the corresponding version and applicable date range when the Trust used this diagnosis descriptor?
(b) What is the corresponding code used within the Trust’s patient records?
(c) What is the corresponding code used within Trust information reported to the Secondary Use Service (SUS) and the Hospital Episode Statistics (HES) data?
10.(a) What is the corresponding descriptor for Code 19153 (which may be a LOCAL SUB-SPECIALTY CODE within CDS Trust use only?
11. Who, within the Trust, is responsible for the following?
(a) updating accident and emergency data bases
(b) managing and accessing archived data bases/sets
12. (a) who has authorised access to* historical individual patient records stored on the Trust’s onsite systems?
*including the facility to amend historical patient personal data
13. Who within the Trust is currently responsible for:
(a) investigating alleged breaches of the data legislation?
(b) rectifying inaccurate and incomplete personal data?
14. (a) What software system was in use by the Trust in December 2020, in respect of onsite storage, retrieval and printing of historical patient records?
(b) In what data format are historical patient records, which are held onsite, accessed, processed and printed off?
15. (a) Were all Accident & Emergency recorded patient diagnoses reported as diagnostic codes to the Secondary Use Service (and when applicable, the Hospital Episode Statistics) from April 2012 onwards?
(b) Within the Trust’s Accident and Emergency computer system used in April 2012, was there only the facility to record the ‘Primary Diagnosis’ and ‘Diagnosis Comments’, and no facility within the software to record specific secondary and third diagnoses when inputting the data in real time, other than within the ‘Diagnosis Comments’ field?
16. How many historical patient letters*, when copied and sent to patients under a Subject Access Request (SAR) or FOI Request, have been reported to the Trust as containing a different or missing diagnosis descriptor, and/or a different investigation descriptor, to that contained within the corresponding original letter?
*(which were originally written pre-2017 data changes).

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