Recording of Residential Institute Codes
Written: 6th October 2024
We wished to highlight the need for practices to accurately record Residential Institute (RI) Codes for patients who reside in either a care home or residential home, in order to ensure an accurate Global Sum weighting is applied to such patients.
Many colleagues may have seen the results of a survey undertaken by the IGPM of their members which found that nearly 70% of respondents identified discrepancies between their practice’s register of RI patients and those recognised in their quarterly global sum statement for weighting purposes, an issue they felt connected to the methodology applied when extracting data from clinical systems when using the Residential Institute code.
Historically there were a number of variations of locally assigned RI codes to identify these cohorts, however, these were streamlined nationally in several years ago. Whilst PCSE guidance advised that practices need not recode all the previously used RI codes, there was an expectation that the new codes would be applied to new registrations moving forwards.
The correct application of RI codes remains the responsibility of the practice and ensures practices are remunerated at a higher value level than the normal weighted capitation payment. Care home and residential home patients who have an assigned residential institute (RI) code attract a factor of 1.43 to the global sum payment, which is an uplift of 43% due to the increase in associated workload. This weighting is only one part of the Carr-Hill Formula.
Further information can be found here:
- PCSE website: Patient Registrations | PCSE (england.nhs.uk)
- PCSE downloadable guide (see page 9): pcse-patient-registrations-full-guide-v20-july-2021.pdf (england.nhs.uk)
- EMIS Configuration: >Configuring Residential Institute codes in EMIS Web
- EMIS Guidance: The impact of nursing home registration and how to solve the problem – Primary Care IT
- TPP SystmOne Configuration: TPP SystmOne: Frailty Data Harmonisation Search Guide
- TPP SystmOne Guidance: Residential Institute Codes and Read Codes
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Updated on Thursday 19 December 2024
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