Mandatory reporting map

A proof-of-concept register for mapping mandatory and statutory returns — who owns them, where data comes from, and where assurance is strong or weak.

Demonstration caveat: This is a personal demonstration site using synthetic data. It is not an official Dorset HealthCare report and does not contain confidential or patient-identifiable information. All owners, statuses and sources are illustrative placeholders.

What this register demonstrates

A business partner needs more than a calendar of deadlines. This register maps each return by:

Mandate source — statutory, contractual, regulatory or national standard
Service trigger — which service line or pathway drives the return
Owner — accountable team (not just "BI")
Cadence — monthly, quarterly, annual or ad hoc
Data source — warehouse, manual return, corporate system, etc.
Production status — in production, needs validation, manual, under review
Risk — consequence of error or delay
Confidence — how sure we are about owner and process
Documentation — link to authoritative guidance (placeholder in demo)

See also the Mandatory Returns Assurance Log report for deadline and validation tracking.

Filter and search

Mandatory returns register

Return name	Recipient	Mandate / source	Service trigger	Owner / team	Cadence	Example local source	Status	Risk	Notes	Confidence	Documentation
MHSDS	NHS England	Statutory	All age MH services	Performance & BI	Monthly	Data warehouse	In production	Medium	Monthly submission validated against MHSDS guidance	Confirmed	Documentation
CSDS	NHS England	Statutory	Community services	Performance & BI	Monthly	Data warehouse	In production	Medium	Community metrics require coding QA each month	Confirmed	Documentation
NHS Talking Therapies	NHS England	Contractual	IAPT / Talking Therapies	MH Performance Team	Monthly	Manual + DWH	In production	Low	Recovery target tracking in place	Likely	Documentation
ECDS / urgent care	NHS England	Statutory	Urgent care / ED	Urgent Care BI	Monthly	ED system extract	Needs validation	High	ECDS scope needs local confirmation for demo	Conditional	Documentation
KH03 bed occupancy	NHS England	Statutory	Inpatient beds	Bed Management / BI	Quarterly	Bed management system	In production	Low	KH03 reconciled with bed state each quarter	Confirmed	Documentation
RTT	NHS England	Statutory	Elective / diagnostics	Performance & BI	Monthly	Data warehouse	Needs validation	High	RTT incomplete for some pathways — validation ongoing	Conditional	Documentation
DM01 audiology/diagnostics	NHS England	Statutory	Audiology / diagnostics	Diagnostics PMO	Monthly	DM01 portal + manual	Manual process	Medium	Audiology DM01 partially manual	Likely	Documentation
CYP eating disorder waits	NHS England	National standard	CYP ED pathway	CYP Performance	Monthly	CYP pathway system	In production	High	National ED access standard — high scrutiny	Confirmed	Documentation
Out of Area Placements	NHS England	Statutory	MH/LD placements	LD & MH Commissioning	Quarterly	Manual return	Manual process	Medium	Placement costs tracked separately	Likely	Documentation
KO41a complaints	NHS England	Statutory	All services	Complaints Team	Quarterly	Complaints system	In production	Low	KO41a aligned with complaints policy	Confirmed	Documentation
FFT	NHS England	Statutory	All services	Patient Experience	Monthly	FFT platform	In production	Low	FFT response rates monitored	Confirmed	Documentation
ERIC	NHS England	Statutory	Estates / facilities	Estates & Facilities	Annual	Estates system	Under review	Low	ERIC annual cycle — estates lead	Likely	Documentation
DSPT	NHS England	Statutory	All Trust	IG / IT Security	Annual	Corporate IG system	In production	Medium	DSPT annual assessment	Confirmed	Documentation
CQC notifications	CQC	Regulatory	Regulated activities	Quality & Governance	Ad hoc	Manual notification	Manual process	High	CQC notifications require clinical sign-off	Confirmed	Documentation
LFPSE	NHS England	Statutory	Patient safety	Patient Safety	Monthly	Incident system	In production	Medium	LFPSE linked to incident reporting	Likely	Documentation
Quality Account	Trust Board / public	Statutory	Trust-wide	Corporate Affairs	Annual	Corporate compilation	In production	Low	Published externally	Confirmed	Documentation
Annual Report and Accounts	Trust Board / NHSE	Statutory	Trust-wide	Finance	Annual	Finance system	In production	Low	Audited accounts process	Confirmed	Documentation
WRES / WDES / EDS	NHS England	Statutory	Workforce / EDI	Workforce / OD	Annual	ESR + manual	In production	Low	Workforce data from ESR	Confirmed	Documentation
Prevent return	Home Office / NHSE	Statutory	Prevent programme	Safeguarding	Quarterly	Safeguarding team	Manual process	Medium	Small numbers — aggregate only	Likely	Documentation
Wheelchair services return	NHS England	Contractual	Wheelchair services	Community Equipment	Quarterly	Manual return	Not applicable without service confirmation	Low	Service confirmation needed for local applicability	Needs owner confirmation	Documentation