The-Strategy-Unit / The-Strategy-Unit/open-plan-docs
Review classification of SDEC activity
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Description
We currently classify SDEC with aedepttype = 05 but recognise that this might not work for all trusts.
From @paulseamer in https://github.com/The-Strategy-Unit/open-plan-docs/issues/14
There is uncertainty around defining and identifying SDEC activity. I think our default position has been activity type = 05 in ECDS. But we know not all trusts/sites record SDEC activity in ECDS. The latest guidance is especially confusing. Guidance dated 25 Nov 2025 states SDEC activity should in the future be reported in APC (not ECDS as previously advised); later guidance dated 10 Feb 2026 states that "the updated guidance will not apply to patient care delivered by Emergency Medicine within the Emergency Department, including ambulatory emergency medicine care, which will remain on Emergency Care Dataset (ECDS)". Can't pretend I can make any sense of this!
https://digital.nhs.uk/services/secondary-uses-service-sus/secondary-uses-service-sus-what-s-new#:~:text=A%20decision%20has%20been%20taken,this%20is%20implemented%20from%20SpringUtlimately, I think however we choose to classify SDEC will be wrong for some trusts. The best we can do is to be consistent across all our NHP products with some supporting rationale but expect this not to work for all trusts, and be ready to change our approach as the consensus evolves.
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First steps
- Read the whole issue, then the project's contributing guide.
- Comment on the issue to say you are picking it up — it saves two people doing the same work.
- Fork the repository and make your change on a branch.
- Open a pull request that references the issue number.
Research direction
Start by reviewing the current SDEC classification as aedepttype = 05 and the linked discussion in open-plan-docs issue 14. Read the cited NHS guidance on ECDS and APC reporting; done means agreeing and documenting a consistent classification rationale that accounts for differing trust practices and future guidance changes.
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Assessment
- Domain
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- Issue type
- Feature
- Difficulty
- 4/5
- Estimated time
- 3-5 days
- Activity status
- Quiet
- Clarity
- Needs clarification
- Newbie friendliness
- 35/100