This field contains a code which identifies previous psychiatric care for psychiatric patients. It applies only to patients admitted or transferred to a consultant in one of the psychiatric specialties during a spell in hospital. It is recorded for the first such consultant episode but not for subsequent psychiatric consultant episodes or any non-psychiatric episodes.

This field is used to indicate the turnover for psychiatric patients, and identify first time psychiatric admissions and re-admissions. Where a patient has a history of admission to several hospital providers, priority is given to the current hospital provider (code 1), regardless of whether the preceding admission was to the same hospital provider.

This field replaces special (UK NHS specific) diagnosis codes commencing U69 (1 April 2025 to 31 March 2025) and U51 (1 April 2025 to 31 march 2025), and also the HES derived V code indicator data item.

0 = No known previous hospital provider spell with a consultant episode having a psychiatric specialty within any health care provider

1 = One or more previous hospital provider spells with a consultant episode having a psychiatric specialty within this health care provider

2 = One or more previous hospital provider spells with a consultant episode having a psychiatric specialty within another health care provider, but none with this healthcare provider

8 = Not applicable: the patient is not receiving admitted patient care under a consultant in a psychiatric specialty

9 = Not known: the patient is receiving admitted patient care under a consultant in a psychiatric specialty but the information is not available. This constitutes a validation error