Chemotherapy regimens and high cost drugs lists
The NHS Classifications Service work with the Department of Health and NHS Information Centre on the use of OPCS-4 within national data collections
DH Chemotherapy Regimens list 2011
The Chemotherapy Regimens List is owned by the Department of Health - Payment by Results team and is produced by the NHS Information Centre with its Oncology Regimens Steering Group (ORSG). The list is updated by members of the steering group, pharmacists, paediatric oncologists and cost accountants to ensure it is accurate and fit for purpose. The chemotherapy regimens have been mapped to OPCS-4.6 codes to support data collection for secondary uses. The OPCS-4 codes are utilised in Healthcare Resource Groups (HRG) - the unit of currency used in England to support Payment by Results.
DH High Cost Drugs list 2011
The DH High Cost Drugs List is controlled and owned by the Department of Health - Payment by Results team. The High Cost Drugs List is reviewed and updated annually by the Payment by Results team in collaboration with the NHS Information Centre and its High Cost Drugs Steering Group. Members of the steering group include operational NHS pharmacists and clinicians. The maps to OPCS-4.6 categories X81 to X97 and their subcategories are provided to produce the DH High Cost Drugs List. The NHS Classification Service works with the DH to ensure the OPCS-4 codes are valid and to develop / release new OPCS-4 categories or subcategories where required.
The listed drugs are excluded from Payment by Results and therefore the National Tariff. Consequently, Trusts are required to negotiate reimbursement through local funding arrangements.
Clinical coding guidance
clinical coding guidance on the use of these lists and DH mapping table to ensure consistent application of OPCS-4.6 codes in line with national coding standards.
The NHS Classifications Service is the national organisation responsible the classifications and setting national coding standards in use in the NHS.
Chemotherapy Regimens and High Cost Drugs lists updated for 2011
The Department of Health Chemotherapy Regimens, High Cost Drugs lists for 2011 and clinical coding guidance documents are available for download via the Technology Reference data Update Distribution (TRUD) Service.
The files and supporting documentation are available from TRUD are as follows:- DH 2011-12 Chemotherapy Regimens List
- Chemotherapy Regimens Clinical Coding Guidance OPCS-4.6
- DH 2011-12 High Cost Drugs List
- High Cost Drugs Clinical Coding Guidance OPCS-4.6
The NHS Information Centre have made a number of changes to the lists since first published in March 2011 which has required re-release of the files and documentation. Those that accessed the files via TRUD will have automatically have been notified of the updates. However, we are unable to specifically notify anyone that has downloaded from our website.
For this reason the above files have been removed from the website and the sole distribution mechanism will be via TRUD which is the platform for the distribution of licensed reference data files.
For more information and to register visit the TRUD website.
Chemotherapy Regimens requests for change
The Department of Health provide a Chemotherapy Regimens requests portal for changes to the chemotherapy regimens.
High Cost Drugs requests for change
The Department of Health provide a High Cost Drugs requests portal for changes to the high cost drugs.