Draft social care data standards: feedback block one

This page contains the first block of draft social care data standards, which are now open for feedback.

We've organised the standards into use cases, which reflect different situations where information needs to be recorded and shared. Each use case contains a number of proposed data items, together with suggested names and definitions.

We'd like you to review the draft standards and tell us whether they're clear, reflect practice and contain the information needed to support the sharing of information across social care.

This first block includes:

front door – information about referrals to social care, such as a person's initial or subsequent contact with the front door to social care services
hospital discharge – information needed to support a person’s safe and timely discharge from hospital into an appropriate care setting
reablement – information needed to identify people who could benefit from reablement and support them to access a short-term reablement service
case closure - information that needs to be recorded when a person’s social care record is formally closed.

Open feedback form

Use our online form to record your feedback as you review the draft data standards below.

You can also download a copy of the form at the bottom of this page if you'd prefer to work offline.

Front door

These tables set out the proposed data items, names and definitions for the front door use case. The use case includes information about referrals to social care, such as a person's initial or subsequent contact with social care services.

Each table below sets out:

ID - the unique code we've given each data item. You can use this code when providing feedback so we know which data item you're referring to
Name - the proposed name of the data item (such as given name, family name or date of birth)
Definition - the proposed definition of the data item
Values - where relevant, the options that can be used for the data item (for example, 'yes' or 'no', or a list of local authorities). For some data items, we've linked to an external source of options rather than listing all available values.

We want your feedback on the proposed data items, their names and definitions.

All of the use cases we're asking for your feedback on will also include information about the person, their relations, carers and referrers. This includes things like name, date of birth, gender and ethnicity.

Because of this, we've collected all of these data items together in their own 'demographics' use case, which we'll ask for feedback on as part of a later block. We've listed the demographics data items relevant to this use case in the dropdown below for reference.

View list of demographic data items - click to expand

Subject of referral

NHS number
Unique pupil number
Title
Family name
Given name
Known as
Date of birth
Gender
Ethnicity
Primary language
Address
Postcode
Contact telephone
Communication needs
Interpreter required

Personal relationships

Family name
Given name
Known as
Date of birth
Relationship type
Address
Postcode
Contact telephone
Contact email
Parental responsibility

Referrer

Family name
Given name
Referrer ID
Referrer organisation
Referrer telephone
Referrer email

Referral details

ID	Name	Definition	Values (where relevant to the data item)
UC001-DE001	Anonymity required	Whether the referrer wishes to remain anonymous.
UC001-DE002	Referral date	Date and time referral or contact was made (this is the date that starts any statutory count).
UC001-DE003	Date received	Date the local authority opens the referral addition. The date received is generated by the system when it reaches the inbox.
UC001-DE004	Referral source category	Category of referral source.	Self, Relative, Friend or neighbour, Early intervention or prevention service (step-up), Health, Education, Housing, Police, Probation, Third sector organisation, Local authority, Independent hospital, Ambulance service, Care regulator, Provider, Advocate, Other, Internal (social worker or another team)
UC001-DE005	Reason for contact	Primary reason for the referral or contact.
UC001-DE006	Referrer expectations	Expected outcome or action as a result of making a contact.
UC001-DE007	Consent	Has the person consented to information sharing, subject to safeguarding or legal exemptions?
UC001-DE008	Current social care status	Any existing social care status to be included as part of transferred cases, for example Deprivation of Liberty Safeguards, Child Protection or Child Looked After.
UC001-DE009	Additional statuses	Examples of information to include: registered disabilities, education details, housing status, general practitioner details, council tax information available in the relevant systems, faith or religion, benefits and allowances.

Part 2: Information captured by the local authority as part of processing

Outcome

ID	Name	Definition	Values (where relevant to the data item)
UC001-DE010	Contact outcome	Outcome of the initial contact.	No further action, Information and advice only, Signposted to universal services, Proportionate assessment initiated, Full assessment initiated, Section 47 enquiry, Team Around the Family or early help referral
UC001-DE011	No further action reason	Reason no further action was taken.	Not eligible for care and support, Universal or community services sufficient, Person declined service, Matter resolved before assessment, Duplicate contact, Other
UC001-DE012	Onward referral destination	Organisation or team to which the person was signposted or referred.
UC001-DE013	Safeguarding flag	Whether there is an open or recent safeguarding concern.
UC001-DE014	Priority	Priority assigned to the contact.	Urgent, Standard, Low

Worker details

ID	Name	Definition
UC001-DE015	Worker name	Name of the professional handling the case.
UC001-DE018	Team name	Name of the team to which the worker belongs.
UC001-DE019	Authoriser name	Name of person authorising the outcome decision.
UC001-DE020	Authoriser team	Name of the team to which the authoriser belongs.

Ready to tell us what you think?

Use our online feedback form to share your thoughts about the draft data standards.

Hospital discharge

This table sets out the proposed data items, names and definitions for the hospital discharge use case. The use case includes information needed to support a person’s safe and timely discharge from hospital into an appropriate care setting.

The table below sets out:

ID - the unique code we've given each data item. You can use this code when providing feedback so we know which data item you're referring to
Name - the proposed name of the data item (such as given name, family name or date of birth)
Definition - the proposed definition of the data item
Values - where relevant, the options that can be used for the data item (for example, 'yes' or 'no', or a list of local authorities). For some data items, we've linked to an external source of options rather than listing all available values.

We want your feedback on the proposed data items, their names and definitions.

View list of demographic data items - click to expand

NHS number
Family name
Given name
Date of birth
Gender
Address
Ethnicity
Primary language
Contact telephone

ID	Name	Definition	Values (where relevant to the data item)
UC002-DE002	Allergy	Any known allergy relevant to care planning.	Source: SNOMED Allergy Codes
UC002-DE003	Allergy severity	Severity of the recorded allergy.	Mild, Moderate, Severe, Life-threatening
UC002-DE004	Adverse reaction	Any known intolerance or adverse reaction relevant to care planning.
UC002-DE005	Medication name	Name of each current prescribed or other medication.	Source: NHS Dictionary of Medicines and Devices (dm+d)
UC002-DE006	Medication dose	Dose, frequency and duration of each medication.
UC002-DE007	Medication route	Route of administration.	Oral, Topical, Intravenous, Intramuscular, Subcutaneous, Inhaled, Transdermal, Rectal, Sublingual, Other
UC002-DE008	Medical device	Medical device in use relevant to ongoing care.
UC002-DE009	Substance use	Any known substance use or dependencies, recreational or otherwise.	Source: Digital Health and Care Wales Substance Misuse Drug Names and Codes (version 1.0)
UC002-DE010	Alcohol use	Any known alcohol use or dependency.
UC002-DE011	Primary diagnosis admission	Primary diagnosis giving rise to admission.	Source: International statistical classification of diseases and related health problems ICD10
UC002-DE012	Functional status discharge	Functional status on discharge.	Source: SNOMED Codes
UC002-DE013	Reason for delay	Barriers to discharge from hospital.
UC002-DE014	Relevant past medical conditions	Past medical conditions relevant to ongoing care planning.	Source: International statistical classification of diseases and related health problems ICD10
UC002-DE015	Secondary diagnoses	Other relevant diagnoses or comorbidities.	Source: International statistical classification of diseases and related health problems ICD10
UC002-DE016	Do not attempt cardiopulmonary resuscitation (DNACPR)	Whether there is an active do not attempt cardiopulmonary resuscitation (DNACPR).	For cardiopulmonary resuscitation (finding), Not for cardiopulmonary resuscitation (finding)
UC002-DE017	Mental capacity status	Whether the person has been assessed as having mental capacity under the Mental Capacity Act 2005.	Has mental capacity, Lacks mental capacity, Not yet assessed
UC002-DE018	Best interests meeting completed	Whether a best interest meeting has been completed.	Yes, No, Unknown
UC002-DE019	Lasting power of attorney in place	Whether lasting power of attorney is in place.	Yes, No, Unknown
UC002-DE020	Mental Health Act Section 117 status	Whether the person has Section 117 status.	Yes, No, Unknown
UC002-DE021	Deprivation of Liberty Safeguards status	Whether a Deprivation of Liberty Safeguards authorisation is in place or being considered.	No authorisation in place, Standard authorisation in place, Urgent authorisation in place, Application pending, Court of Protection order in place
UC002-DE022	Safeguarding status	Whether there are current or recent safeguarding concerns.	No concerns, Active concerns, Recent concerns resolved
UC002-DE023	Child protection plan in place	Whether the child is on a current child protection plan or on the child protection register.	Yes, No
UC002-DE024	Child legal status	The legal status of a child.	Interim care order (C1), Full care order (C2), Placement order granted (E1), Accommodated under agreed series of short-term breaks (V1), Single period of accommodation under section 76 of the 2014 Act (V2), Under police protection and in local authority accommodation (L1), Emergency protection order (L2), Under child assessment order and local authority accommodation (L3), Remanded to local authority accommodation or to youth detention accommodation (J1), Detained in LA accommodation under PACE (J2), Wardship granted in High Court and child in LA accommodation (W1)
UC002-DE025	Responsible local authority	Responsible local authority.	Blaenau Gwent, Bridgend, Caerphilly, Cardiff, Carmarthenshire, Ceredigion, Conwy, Denbighshire, Flintshire, Gwynedd, Isle of Anglesey, Merthyr Tydfil, Monmouthshire, Neath Port Talbot, Newport, Pembrokeshire, Powys, Rhondda Cynon Taf, Swansea, Torfaen, Vale of Glamorgan, Wrexham
UC002-DE026	Safeguarding details	Brief details of safeguarding concerns.
UC002-DE027	Hospital referrer	Name, role and contact details of the referring professional.
UC002-DE028	Discharge coordinator	Name and contact details of the hospital discharge coordinator.
UC002-DE029	Community occupational therapist or physiotherapist	Name and contact details of community occupational therapist or physiotherapist, or other.
UC002-DE030	Primary carer	Name and contact details of the primary unpaid carer.
UC002-DE031	Next of kin	Name and contact details of next of kin.
UC002-DE032	Referral date	Date and time of the referral.
UC002-DE033	Referral reason	Reason for the referral.
UC002-DE034	Hospital	Name of the hospital making the referral.	Source: NHS Hospital Codes
UC002-DE035	Ward name	Name of the ward.
UC002-DE036	Admission date	Date the person was admitted to hospital.
UC002-DE037	Planned discharge date	Planned date of discharge from hospital.
UC002-DE038	Actual discharge date	Actual date of discharge from hospital.
UC002-DE039	Discharge destination type	Location type to which the person will be discharged.	Own home, Care home - residential, Care home - nursing, Intermediate care facility, Another hospital, Hospice, Supported living, Sheltered housing, Other
UC002-DE040	Discharge destination address	The address which the person will be discharged to.
UC002-DE041	Discharge to assess pathway	Discharge to assess pathway classification.	Pathway 0 - simple discharge, no ongoing support, Pathway 1 - home with up to six weeks funded support, Pathway 2 - bed-based rehabilitation or short-term care, Pathway 3 - complex ongoing 24-hour care
UC002-DE042	Discharge conditions	Conditions that must be met before discharge.
UC002-DE043	Procedures undertaken	Procedures during admission relevant to ongoing care.	Source: SNOMED Procedure Codes
UC002-DE044	Clinical summary	Narrative summary of admission, clinical findings and treatment.
UC002-DE045	Treatments and interventions	Treatments and interventions provided or planned.
UC002-DE046	Living situation - lives alone or with others	Whether person lives alone, with family or others.	Lives alone, Lives with spouse/partner, Lives with family, Lives with others, Other
UC002-DE047	Living situation - has pets	Whether the person has a pet(s)? What are the arrangements?
UC002-DE048	Household composition	Details of who lives with the person, including any dependants or caring responsibilities.
UC002-DE049	Housing conditions - accessibility	Details of any housing accessibility issues or adaptations in place.
UC002-DE050	Housing conditions - accommodation issues	Details of any house issues that are not related to accessibility, for example damp.
UC002-DE051	Unpaid care arrangements	Details of people who support you.
UC002-DE052	Primary support reason	Primary support reason using the adult social care core record code set.	Physical support – personal care, Physical support – other, Sensory support – visual, Sensory support – hearing, Sensory support – dual, Support with memory and cognition, Learning disability support, Mental health support, Social support, Carer support – Adult social care core record primary support reason codes
UC002-DE053	Existing care package	Details of any package of care the person was receiving before admission to hospital.
UC002-DE054	Primary healthcare need	Is it a primary healthcare need?
UC002-DE055	NHS continuing healthcare required	Whether NHS continuing health care eligibility has been considered or is in progress.	Not considered, Under consideration, Assessment ongoing, Eligible, Not eligible, Fast-track eligibility
UC002-DE056	NHS continuing healthcare multidisciplinary team meeting	Date of multi-disciplinary team meeting.
UC002-DE057	NHS continuing healthcare decision support tool date	Date of decision support tool.
UC002-DE058	NHS continuing healthcare disputed	Whether there is an ongoing dispute.	No dispute (CHCD01), Person or family disputes CHC eligibility decision (CHCD02), Dispute between agencies (health board and local authority) (CHCD03), Independent review requested (CHCD04), Dispute resolved (CHCD05)

Ready to tell us what you think?

Use our online feedback form to share your thoughts about the draft data standards.

Reablement

This table sets out the proposed data items, names and definitions for the reablement use case. The use case includes information needed to identify people who could benefit from reablement and support them to access a short-term reablement service.

The table below sets out:

ID - the unique code we've given each data item. You can use this code when providing feedback so we know which data item you're referring to
Name - the proposed name of the data item (such as given name, family name or date of birth)
Definition - the proposed definition of the data item
Values - where relevant, the options that can be used for the data item (for example, 'yes' or 'no', or a list of local authorities). For some data items, we've linked to an external source of options rather than listing all available values.

We want your feedback on the proposed data items, their names and definitions.

View list of demographic data items - click to expand

NHS number
Family name
Given name
Date of birth
Address

ID	Name	Definition	Values (where relevant to the data item)
UC003-DE001	Contact source	Source of reablement contact or referral.	Self, Relative, Friend or neighbour, Early intervention or prevention service (step-up), Health, Education, Housing, Police, Probation, Third sector organisation, Local authority, Independent hospital, Ambulance service, Care regulator, Provider, Advocate, Other, Internal (social worker or another team)
UC003-DE002	Contact date	Date the reablement contact or referral was received.
UC003-DE003	Contact reason	Clinical and functional reason for reablement contact or referral.
UC003-DE004	Planned start date	Planned start date of reablement period.
UC003-DE005	Actual start date	Actual start date of reablement period.
UC003-DE006	Reason for delay	Reason for delay starting reablement period.	Source: NHS Wales Data Dictionary
UC003-DE007	Planned end date	Expected end date of reablement period.
UC003-DE008	Actual end date	Date current period of reablement ended.
UC003-DE009	Target reablement outcome	Specific functional outcome agreed with the person.
UC003-DE010	Outcome target date	Target date for achieving the reablement outcome.
UC003-DE011	Activities supported	Activities of daily living where reablement support is being provided.	Personal care – washing and dressing, Meal preparation, Medication management, Mobility and transfers, Domestic tasks, Community access, Other – local code set or Systematized Nomenclature of Medicine – Clinical Terms
UC003-DE012	Weekly hours	Number of reablement support hours per week at commencement.
UC003-DE013	Provider name	Name of the reablement service provider.
UC003-DE014	Allocated worker	Name of the key worker or reablement coordinator.
UC003-DE015	Equipment provided	Equipment or assistive technology provided as part of reablement.
UC003-DE016	Adaptations identified	Home adaptions identified as required during reablement.
UC003-DE017	Planned review date	Planned date of formal reablement review.
UC003-DE018	Actual review date	Actual date of reablement review.
UC003-DE019	Outcome achievement	Were the outcomes set in your reablement plan achieved.	Fully achieved, Partially achieved, Not achieved
UC003-DE020	Outcomes	Outcomes achieved at the completion of reablement.	Reduced the need for support, Maintained the need for support, Mitigated the need for support, Neither reduced, maintained nor mitigated the need for support

Ready to tell us what you think?

Use our online feedback form to share your thoughts about the draft data standards.

Case closure

This table sets out the proposed data items, names and definitions for the case closure. The use case includes information that needs to be recorded when a person’s social care record is formally closed.

The table below sets out:

ID - the unique code we've given each data item. You can use this code when providing feedback so we know which data item you're referring to
Name - the proposed name of the data item (such as given name, family name or date of birth)
Definition - the proposed definition of the data item
Values - where relevant, the options that can be used for the data item (for example, 'yes' or 'no', or a list of local authorities). For some data items, we've linked to an external source of options rather than listing all available values.

We want your feedback on the proposed data items, their names and definitions.

View list of demographic data items - click to expand

NHS number
Family name
Given name
Date of birth

ID	Name	Definition	Values (where relevant to the data item)
UC004-DE001	Closure date	Date the case was formally closed.
UC004-DE002	Closure reason (adult)	Reason for case closure in relation to adult services.	Needs met – no ongoing support required, Person declined further support, Moved to another local authority, Admitted to hospital, Residential or nursing placement (self-funded), Deceased, Duplicate record, Other
UC004-DE003	Closure reason (children)	Reason for case closure in relation to children's services.	1. Service complete, 2. Transferred or moved to another local authority , 3. Step down to preventative services (and no longer requires ongoing care and support), 4. Transferred to the care of adult services , 5. Reached age 18, 6. Refused service , 7. Died , 8. Other Source: Children receiving care and support census 2026-27
UC004-DE004	Closure decision maker	Name and role of the practitioner authorising closure.
UC004-DE005	Outcomes at closure	Summary of outcomes achieved against the care and support plan.
UC004-DE006	Well-being outcomes	Well-being domains assessed at closure.	Physical health, Mental/emotional well-being, Domestic routines, Personal and social relationships, Economic well-being, Suitability of accommodation, Participation in work/education/training, Social inclusion, Carer well-being - SSWB Act 2014 / Care Act 2014 well-being domains
UC004-DE007	Carer situation at closure	Summary of the carer's situation at point of closure.
UC004-DE008	Death recorded	Whether the person has died.	Yes, No
UC004-DE009	Date of death	Date of death where person is deceased.
UC004-DE010	Post-closure review date	Date of any planned post-closure review.
UC004-DE011	Post-closure outcome	Outcome of the post-closure review.
UC004-DE012	Re-referral date	Date of any re-referral following case closure.
UC004-DE013	Re-referral reason	Reason for re-referral following case closure.
UC004-DE014	Signposting at closure	Details of signposting or referral to universal or community services.
UC004-DE015	Information and advice provided	Summary of information and advice provided at or before closure.
UC004-DE016	Closure type	The form of closure or cessation of involvement, distinguished from transfer or inactivity.	No further action, Episode closure, Care and support plan closure, Transfer, Safeguarding episode closure, Record enters retention
UC004-DE017	Closure authorisation date	Date on which required management or safeguarding authorisation was given.
UC004-DE018	Closure authorisation name	Name of authoriser.
UC004-DE019	Closure statement completed	Whether the statutory or locally required closure statement has been completed.	Yes, No, Not applicable
UC004-DE020	Remaining needs and continuing support	Needs remaining at closure and the arrangements for meeting or mentoring them.
UC004-DE021	Residual risks and outstanding action	Residual risks at closure and how each risk will be managed and any action going forward.
UC004-DE022	Closure notifications	People, carers, teams and partner agencies informed of the closure.
UC004-DE023	Closure communication date	Date closure was communicated to the person and other relevant recipients.
UC004-DE024	Legal or records hold applies	Whether disposal is suspended because of a legal, inquiry, complaint, investigation, safeguarding or preservation hold.	Yes, No
UC004-DE025	Hold type and reason	Type, scope and reason for the legal or records-management hold.
UC004-DE026	Hold review or release date	Next review date or formal release date for the hold.
UC004-DE027	Retention trigger	Event from which the retention period is calculated (start point).	Closure date, Date of birth, Date of death, Adoption order date, Last review date, Other prescribed event

Give your feedback

Now you've had a chance to review the first block of draft data standards, why not tell us what you think by using our online feedback form?

Microsoft Word form

Draft social care data standards feedback form - block one

WORD 136.784 KB

Please return any feedback provided through the Microsoft Word version of the form to data@socialcare.wales.