Every CYP201 Care Contact record must have an associated CYP101 referral record included in a submission file.
A large amount of the information collected for the National Obesity Audit pertains to patient attendances and the data which is captured during these attendances. Within CSDS this is captured in tables CYP201 Care Contact and CYP202 Care Activity. Each CYP201 Care Contact record should have one or more associated CYP202 Care Activity records submitted.
While the majority of the technical detail is within the specific CYP201 and CYP202 sections please find a summary of the requirements for tier 2 and 3 services here:
For tier 2 weight management services there are 2 possible approaches to submitting care contact and care activity data:
1. Ideally providers would submit every care contact that a service user attends during their referral to the service along with:
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- an associated SNOMED code reporting a height recording at each attendance (self-reported or validated by a health-care professional – see OBSERVATION SCHEME IN USE (COMMUNITY CARE) in the Care Activities section
- an associated SNOMED code reporting the overall duration of the weight management programme at the first attendance (see OBSERVATION SCHEME IN USE (COMMUNITY CARE) in the Care Activities section)
- an associated SNOMED code reporting a weight recording at each attendance where this is recorded (self-reported or validated by a health-care professional – see OBSERVATION SCHEME IN USE (COMMUNITY CARE) in the Care Activities section)
- a code communicating the consultation mechanism/medium used in each care contact (see Consultation Medium Used section below)
- a group therapy indicator (see below) to report whether a contact was with an individual or in a group context
2. We recognise that the above may be challenging for some providers who may choose to use the following abridged approach instead: rather than submitting every care contact with a service user (contained in CYP201 and 202) we would ask you to submit the initial care contact and then the care contact at the end of a service user’s intervention (eg week 12 for a 12 week long intervention). Specifically, it would be necessary to submit the following:
With the first care contact (CYP201 and 202)
- an associated SNOMED code reporting a height recording at the first attendance (self-reported or validated by a health-care professional – see codes within the Care Activity Section);
- an associated SNOMED code reporting a weight recording at the first attendance (self- reported or validated by a health-care professional – see codes within the Care Activity Section);
- an associated SNOMED code reporting the planned number of weeks attendance at weight management programme (code 149901000000106);
- a code communicating the consultation mechanism/ medium used (see below) (only one code can be submitted with each CYP201 submission therefore the code used here should reflect the most commonly used consultation mechanism used during the intervention as a whole: eg if it is purely digital delivery then this would be ‘98’ (see below) whereas if the intervention is a blended delivery model including face to face (60%) and virtual (40%) then you would mark ‘01’ here (see below);
- a group therapy indicator (see below) to report whether a contact was with an individual or in a group context: the indicator used should be Y if the weight management service is delivered partly or entirely in group settings and N if delivered entirely in individual settings.
With the final care contact
- an associated SNOMED code reporting the number of weeks that an individual engaged with the weight management service (eg if an individual engaged in weeks 1,2 and 4 only then this would be recorded as 3 weeks)
- an associated SNOMED CT code reporting the last height (self-reported or validated by a health-care professional – see codes within the Care Activity Section) recorded during the service user’s engagement with the weight management service
- an associated SNOMED code reporting the last weight (self-reported or validated by a health- care professional - see codes within the Care Activity Section) recorded during the service user’s engagement with the weight management service
- an associated SNOMED code reporting the date when that last weight recording was occurred (see codes within the Care Activity Section)
- a code communicating the consultation mechanism used (see CONSULTATION MECHANISM section below) (the code used here should reflect the second most commonly used consultation mechanism used during the intervention as a whole: eg if it is purely digital delivery then this would be ‘98’ (see below) whereas if the intervention is a blended delivery model including face to face (60%) and virtual (40%) then you would mark ’01 or 11’ here (see below)
- a group therapy indicator (see below) to report whether a contact was with an individual or in a group context (the indicator used should be: Y if the weight management service is delivered entirely in group settings and N if delivered partly or entirely in individual settings)
For tier 3 weight management services, providers are required to submit every care contact that was attended during a patient’s referral for weight management intervention along with the associated data items that are detailed below that are required for the NOA. We have not at present made an alternative approach available, as per tier 2 services, because tier 3 services are in general longer interventions and the additional data will facilitate the NOA in measuring engagement and driving improvements to the quality of care provided to patients.
For ALL services, each CYP201 Care Contact record that is submitted should have associated CYP202 Care Activity records submitted, with each separate CYP202 record detailing the patient’s height and weight where these have been captured as part of the care contact.