Ztest standard4
Summary
- Collections
- Extractions
- Information standards
- Technical standards and specifications
- All publishers of standards
- Everyone
- Access to records
- Accessibility
- Adult
- Age
- Appointment / scheduling
- Architecture, Models and Frameworks
- Artificial intelligence
- Authentication
- British Standards Institute (BSI)
- Care
- Care records
- Child
- Clinical decision support
- Clinical safety
- Coding
- Continuity of care
- Cyber security
- Data
- Data definitions and terminologies
- Data governance
- Date and Time
- Demographics
- Design
- Digital Imaging
- Dispensing
- Electronic Health Record
- Equality
- European
- Financial management
- Form
- GS1
- Genetic and Genomic
- Good practice
- Government
- Health
- Health Level 7 (HL7)
- Holistic and Traditional
- ISO Technical Committee 215 (ISO/TC 215)
- Information Technology (IT) Infrastructure
- Information codes of practice
- Information governance
- International Standardization Organisation (ISO)
- International Standards
- Interoperability
- Interoperability - Knowledge
- Interoperability - Organisation / Service
- Interoperability - Semantic
- Interoperability - Skills
- Interoperability - Structural
- Interoperability - Syntactic
- Interoperability - Technical
- Key care information
- Learning Health Systems
- Local
- Location
- Medical devices
- Medical products
- Messaging
- Metadata
- Naming and Number
- Open
- Orchestration
- Organisation
- Patient communication
- Personalised Digital Health
- Pharmacy, Medicines and Prescribing
- Product management
- Professional
- Provider
- Public health
- Publicly Available Specification
- Race and Ethnicity
- Record
- Reference data
- Referrals
- Requests, Orders and Observation
- Security, Safety and Privacy
- Service
- Sex and Gender
- Sexual orientation
- Technical Report
- Technical Specification
- Telehealth and Virtual Care
- Tests and diagnostics
- Vaccination
- Web
- Women's health
- Workforce
- Worldwide Web Consortium (W3C)
- Ambulance (Urgent and Emergency Care)
- Care home
- Community health
- Dentistry
- GP / Primary care
- Home
- Hospital
- Maternity
- Mental health
- Military
- Pharmacy
- Prison
- School
- Social care
- Transport / Infrastructure
- Urgent and Emergency Care
- Walk in centre
- ztest standard 4
- Test standard 4
Contact Point
Warning Callout 1
Warning Callout 2
Documentation
Flowchart diagram - accessible
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Explain the example flowchart diagram
During Christmas, you receive money and decide to go shopping. As you consider your options, you reach a decision point where you think about what to buy. You have three choices: purchasing a laptop, buying an iPhone, or selecting an unspecified third option. This flowchart represents the simple decision-making process of spending money received during the holiday season.
Mindmap - accessible when not paired with Sankey diagram due to duplicate ids (node-1)
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Explain the NHS Number standard mindmap
This diagram shows how the NHS Number is used across the health and care system to help keep your information safe, accurate, and easy to find. It explains that using the NHS Number is required by law for NHS services, and it’s already used by nearly all of them. It helps link your records when you go to different places for care—like your GP, hospital, or mental health services—so staff can see the right details about you. The diagram also shows how the NHS Number connects to other important rules and standards that protect your data and support good care. Overall, it helps make sure everyone involved in your care is on the same page.
Standards Directory Roadmap (2024 - 2026) Gantt chart - accessible
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Explain the Standards Directory roadmap
This chart shows the plan for improving the NHS Standards Directory from early 2025 to spring 2026. It starts with making documents easier to read and fully accessible by May 2025. During the year, important content like international and open standards was added, and the information was better organised using clear categories. Helpful features like search suggestions, email updates, and easier navigation were added throughout 2025. A system to manage content was put in place by early 2026. The project reaches a major milestone in March 2026 with official GDS live certification and completed business plans.
Pie chart - accessible
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Entity relationship diagram - accessible
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Explain the example Entity relationship diagram
This diagram shows how different parts of an online shopping system are connected. It starts with the customer, who can place orders, receive invoices, and has one or more delivery addresses. Each delivery address can be linked to several orders. Every order includes order items, and each order item is linked to a product. Products belong to a product category, which helps group similar items together. An invoice is linked to the order it covers, and customers are responsible for their invoices. The diagram helps explain how customers, products, orders, and delivery information all work together in a shopping system.
Class diagram - accessible
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Explain the example Class diagram
This class diagram shows how different animals are grouped and what features they have. At the top is a general group called Animal, which includes all animals in the diagram. Every animal has an age (a number), a gender (a word), and two actions they can do: isMammal, which checks if the animal is a mammal, and mate, which means to have babies. There are three types of animals shown: Duck, Fish, and Zebra. Each one belongs to the Animal group but also has its own special features. Ducks have a beak colour and can swim and quack. Fish have a size in feet (which is private) and can eat. Zebras have a wild or not setting and can run. This diagram helps explain how animals can be sorted into a general group with shared traits, while still keeping their unique features.
Quadrant diagram - accessible
///mermaid %%{init: { "theme": "default", "themeVariables": { "quadrant1Fill": "#007f3b", // NHS Green – positive (We should expand) "quadrant2Fill": "#005eb8", // NHS Blue – strategic (Need to promote) "quadrant3Fill": "#8a1538", // NHS Dark Red – warning (Re-evaluate) "quadrant4Fill": "#768692", // NHS Dark Grey – neutral (May be improved) "textColor": "#ffffff", // High contrast white text "fontSize": "14px" } }}%% quadrantChart accTitle: Example quadrant diagram accDescr: This quadrant chart shows how six campaigns are performing based on two things: how many people saw them (reach) and how many interacted with them (engagement). Both scores range from 0 to 1, where 1 is the highest possible score, meaning the campaign reached or engaged with everyone in the target group. The chart is split into four areas to make it easier to understand. Campaign C (0.57 reach, 0.69 engagement) and Campaign F (0.35, 0.78) are in the top right, showing high reach and high engagement — these fall under “We should expand.” Campaign A (0.3, 0.6) has strong engagement but lower reach, so it’s in the “Need to promote” area. Campaign D (0.78, 0.34) has good reach but low engagement and may need improving. Campaigns B (0.45, 0.23) and E (0.40, 0.34) have lower scores for both and may need to be re-evaluated. title Reach and engagement of campaigns x-axis Low Reach --> High Reach y-axis Low Engagement --> High Engagement quadrant-1 We should expand quadrant-2 Need to promote quadrant-3 Re-evaluate quadrant-4 May be improved Campaign A: [0.3, 0.6] Campaign B: [0.45, 0.23] Campaign C: [0.57, 0.69] Campaign D: [0.78, 0.34] Campaign E: [0.40, 0.34] Campaign F: [0.35, 0.78]
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Explain the example Quadrant diagram
This quadrant chart shows how six campaigns are performing based on two things: how many people saw them (reach) and how many interacted with them (engagement). Both scores range from 0 to 1, where 1 is the highest possible score, meaning the campaign reached or engaged with everyone in the target group. The chart is split into four areas to make it easier to understand. Campaign C (0.57 reach, 0.69 engagement) and Campaign F (0.35, 0.78) are in the top right, showing high reach and high engagement — these fall under “We should expand.” Campaign A (0.3, 0.6) has strong engagement but lower reach, so it’s in the “Need to promote” area. Campaign D (0.78, 0.34) has good reach but low engagement and may need improving. Campaigns B (0.45, 0.23) and E (0.40, 0.34) have lower scores for both and may need to be re-evaluated.
Xy bar line chart - accessible
///mermaid %%{init: {'look': 'handDrawn', 'theme': 'neutral', 'themeVariables': {'primaryColor': '#005EB8'}}}%% xychart-beta accTitle: Example bar chart accDescr: This XY bar chart shows the amount of time spent training each day over the course of a week. The x-axis represents the days of the week, from Monday to Sunday, and the y-axis shows the time trained in minutes, ranging from 0 to 300 minutes. The chart shows that on Monday, 60 minutes were spent training, Wednesday had 120 minutes, Thursday had 180 minutes, Friday had 230 minutes, and Saturday had the most time trained with 300 minutes. Tuesday and Sunday had no training time, both showing 0 minutes. title "Training progress" x-axis [mon, tues, wed, thur, fri, sat, sun] y-axis "Time trained (minutes)" 0 --> 300 bar [60, 0, 120, 180, 230, 300, 0]
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Explain the example Bar chart
This XY bar chart shows the amount of time spent training each day over the course of a week. The x-axis represents the days of the week, from Monday to Sunday, and the y-axis shows the time trained in minutes, ranging from 0 to 300 minutes. The chart shows that on Monday, 60 minutes were spent training, Wednesday had 120 minutes, Thursday had 180 minutes, Friday had 230 minutes, and Saturday had the most time trained with 300 minutes. Tuesday and Sunday had no training time, both showing 0 minutes.
Git diagram - accessible
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Explain the example Progress diagram
This release diagram shows the timeline of key stages in the development and release of a project. It starts with the "Front door" stage, marki
Benefit 1
- NHS Data - Improving health and care - Improving patient outcomes and experience of care
- NHS Data - Improving health and care - Protecting and improving public and population health
- NHS Data - Improving data capabilities - Enabling improved data access, analysis and outputs
Benefit 2
- NHS Data - Supporting research activities - Reporting, consultation, collaboration and training
- NHS Data - Supporting research activities - Research findings and outputs
Requirement 1
- Ambulance (Urgent and Emergency Care)
- Care home
- Community health
- Dentistry
- GP / Primary care
- Home
- Hospital
- Maternity
- Mental health
- Military
- Pharmacy
- Prison
- School
- Social care
- Urgent and Emergency Care
- Walk in centre
- Access to records
- Clinical decision support
- Clinical safety
- Data
Requirement 2
- Hospital
- Maternity
- Coding
- Design
- Interoperability - Technical
Document 1
Paragraph 1
National Workforce Data Set (NWD) Version 3.6 – Requirements Specification
Document Reference: DAPB1067 Amd 2/2025
Publication Date: 18 February 2025
Authors: Jill Clark, Lalita Wakde
Owner: Alyson Whitmarsh
Status: Final
Glossary of Terms
- AHP: Allied Health Professions
- ESR: Electronic Staff Record
- HR: Human Resources
- NHSE: NHS England
- Third Sector: Charities, voluntary orgs, CICs
- Trac: NHS recruitment platform
- WIRG: Workforce Information Review Group
- wMDS: Workforce Minimum Data Set
1. Overview
1.1 Background and Context
The NWD facilitates the capture of consistent NHS workforce data via structured data definitions. It supports the wMDS and is embedded in operational systems like ESR and Trac.
Key data items include:
- Staff Group
- Job Role
- Area of Work
- NHS Occupation Code
///mermaid graph TD StaffGroup --> JobRole JobRole -->|Flexible relationship| AreaOfWork JobRole --> NHSOccupationCode StaffGroup -->|Constrained| JobRole
Data values must be kept current to ensure appropriate role combinations. NWD supports a wide range of use cases, including HR, training, diversity monitoring, and planning.
1.2 Supporting Documents
- NWD3.6 Implementation Guidance
- NWD3.6 Data Set Specification
- NHS Occupation Code Manual v22
1.3 Scope
NWD is a reference data standard, not a data flow. It can be embedded in various HR systems across providers of NHS-funded care.
1.3.1 Users of the NWD
The following groups use NWD:
- NHS HR and Workforce planners
- Trusts, GPs, PCNs
- Regulators, e.g. CQC
- Third Sector, Social Enterprises
- NHS England & regions
///mermaid graph LR NHS_England -->|Implements| NWD HR -->|Uses| NWD Planners -->|Uses| NWD GP_Practices -->|Uses| NWD ThirdSector -->|Uses| NWD
1.3.2 Exclusions
NWD does not:
- Act as a data collection mechanism
- Define full HR systems
- Replace postgraduate deanery systems
- Define local organisation structures
1.3.3 Future Development
Ongoing developments target improved coverage for:
- DDaT workforce (Digital, Data and Tech roles)
- Equality monitoring fields
- Retirement of outdated matrices
1.4 Related Standards
- DCB0028: Treatment Function
- DAPB0011: Mental Health Services Data Set
- DAPB1069: Community Services Data Set
- DAPB4034: Primary Care Network Workforce Data
Paragraph 2
2. Requirements
This section outlines the responsibilities for Health and Care organisations, IT system suppliers, and NHS England in implementing the NWD Standard.
2.1 Health and Care Organisations – Requirements
- NWD must be used for:
- Workforce Minimum Data Set submissions (e.g. R00433, DAPB4034)
- Earnings surveys and sickness/absence returns
- Workforce Planning, Equality Standards reporting
- Compliance is required by 1 March 2026, with systems updated by 1 September 2025.
- NWD should also be used for local, regional, and national workforce planning.
///mermaid flowchart TD A[Health & Care Orgs] --> B[NWD Use in HR & Planning] B --> C[wMDS, Sickness, Earnings Surveys] B --> D[Workforce Planning Reports]
2.1.1 Conformance Criteria – Health and Care Organisations
- Staff awareness of ISN 2/2025 by September 2025
- Staff training completed by March 2026
- System values updated by September 2025
- Internal processes aligned by March 2026
- Implementation monitored through query and complaint volumes
2.2 IT Systems – Requirements
All system suppliers (e.g. ESR, Trac, NHS Jobs) must update their systems to reflect changes described in the Information Standards Notice (ISN) within six months of its publication.
- System owners should subscribe to standard ISN communications
- Changes must be implemented by 1 September 2025
2.2.1 Conformance Criteria – IT Systems
- Systems must reflect updated values within six months of ISN
- Suppliers must work with stakeholders to ensure updates are correct
- Guidance documentation must inform any local extensions
///mermaid graph LR A[ISN Published] --> B[Suppliers Update Systems] B --> C[NWD Values Available in UI] C --> D[Data Captured at Source] D --> E[Compliance by Sept 2025]
2.3 NHS England – Requirements
- Must provide updated guidance by August 2025
- Must issue communications plan by August 2025
- Must monitor uptake and report issues to stakeholders
2.3.1 Conformance Criteria – NHS England
- Effective guidance and communication visible by drop in queries/complaints
- Feedback from ESR HR SIG and stakeholders used to verify success
///mermaid flowchart TD NHS_England -->|Publishes| Guidance NHS_England -->|Notifies| Suppliers & Users NHS_England -->|Monitors| Progress NHS_England -->|Responds to| Feedback
3. Information Governance Assessment
As NWD is a reference standard and contains no patient data, a Privacy Impact Assessment is not required.
4. Patient Safety Assessment
The NHS England Clinical Safety team confirmed that NWD changes do not impact clinical safety as they relate only to staff data.
5. Points of Contact
For queries or change requests:
- Email: enquiries@nhsdigital.nhs.uk (Subject: "National Workforce Data Set")
- Phone: 0300 303 5678
6. Useful Resources
Document 2
Paragraph 1
What are mandatory Information Standards
- A mandatory Information Standard is a standard in relation to the processing of information. They set out requirements that must be followed when health and adult social care information is used, processed and shared. - Information Standards also relate to information technology (IT), or IT services used, or intended to be used, in connection with the processing of information.Paragraph 2
What is the legal basis for publishing an information standard
- Information Standards are published under section 250 of the Health and Social Care Act 2012, as amended by the Health and Care Act 2022 and the Data (Use and Access) Act 2025. - NHS England (on behalf of the Department of Health and Social Care) maintains a list of published Information Standards which are approved for publication by the Data Alliance Partnership Board (on behalf of Secretary of State). - The publication of an Information Standards Notice sets out the legal basis for an Information Standard, the nature of the legal duty and to whom it applies. An Information Standards Notice is accompanied by a suite of supporting documents to assist with the successful implementation of an Information Standard. - Providers should be aware that as amendments made by the Health and Care Act 2022 have now commenced, you could be asked to provide information on your compliance with an Information Standard for the purposes of monitoring and compliance.Paragraph 3
How has the law changed
- Previously, public health and adult social care providers had a statutory duty to “have regard” to Information Standards but were not obliged to comply if there was a justification. - However, the law has now changed which means both public and private health and adult social care providers will have a statutory duty to comply with any mandatory Information Standards that apply to them. - The legislative changes will also allow for monitoring and enforcement action to be taken against private health and adult social care providers where they fail to comply. - NHS bodies are required to comply with a mandatory Information Standard as a condition of the Provider License. These legislative changes are part of a wider suite of reform. Forthcoming changes will also make compliance with Information Standards mandatory for providers of information technology, IT services or processing of information using IT in the provision of health care and adult social care. This will ensure that both providers and IT suppliers are working towards a consistent set of rules – making seamless and safe information exchange possible across the health and adult social care system.Paragraph 4
Why were these changes necessary
- Providers and IT suppliers have told us that they would welcome greater clarity on priority Information Standards and where they should apply. - Inconsistent adoption of Information Standards continues to limit seamless data sharing between health and adult social care providers. - By strengthening previous legislation, we can enforce compliance with priority Information Standards and ensure that information can be shared more effectively across our health and adult social care system.Paragraph 5
What do providers need to do
An Information Standard Notice will set out the statutory duty that is placed on providers. Providers are then required to meet their statutory duty to comply with a mandatory Information Standard within the specified timeframes. Providers should be aware that they could be asked to provide information on their compliance with Information Standards for the purposes of monitoring compliance. NHS bodies are required to comply with an Information Standard Notice as a condition of the Provider License. In the future, private providers may face enforcement action if they fail to evidence compliance with mandatory Information Standards within the specified timeframes. Enhanced assurance of Information Standards will ensure that consideration has been given to how conformance will be monitored and enforcement action taken - and to ensure that the statutory duty that is being placed on providers is realistic and achievable. Who to contact for more information Please contact england.standards.assurance@nhs.net to understand more about these legislative changes and what they mean for you.Document 3
Review & Status
- Hippo Digital
- Answer Digital
- Metadataworks
- Clinical Audit Platform (CAP)
- Calculating Quality Reporting Service (CQRS)
- Data Collection Framework online platform (DCF)
- Data Landing Platform (DLP)
- Federated Data Platform (FDP)
- General Practice Extraction Service (GPES)
- General Practice IT System Suppliers
- NHS England Estates and Facilities Management
- Public Health England (PHE)
Registration
Legal Authority 1
- Section 250 of the Health and Social Care Act 2012
- Section 251 of the Health and Social Care Act 2012
- Section 259 of the Health and Social Care Act 2012