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Local Contracts

Items of Service & Event Count

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Local Contracts

Items of Service & Event Count

ℹ️ Introduction

This article explains the different reporting types used in Ardens Manager, including Item of Service (IoS) and Event Count, and how they influence how activity is recorded, monitored and paid. By the end of this article, Practices, PCNs and ICBs will understand how reporting logic works and how to ensure contract activity is captured correctly.

Background

Ardens Manager uses standardised reporting logic to ensure activity is counted consistently across organisations. Different services use different reporting types depending on contractual rules and payment structures.

The most common reporting types are:

  • Item of Service (IoS)

  • Event Count

Each reporting type measures activity differently, which can affect how activity must be recorded. Some services allow only one claim per patient or episode, while others count every qualifying event.

Understanding these differences ensures activity is recorded in line with contract requirements and reduces the risk of missed or incorrect claims.

How Ardens Can Help

Ardens Manager applies consistent, centrally‑maintained reporting logic across all dashboards to ensure:

  • Accurate and standardised counting of activity

  • Alignment with local and national contract requirements

  • Transparent logic for audit, payment validation and data quality

  • Reduced risk of duplicate, missing or incorrectly coded activity

✅Included in Ardens Manager Local Content package: Interested in finding out more or requesting a trial? Contact accounts@ardens.org.uk

⚙️ Reporting Types

Event Count

Event Count reporting measures the number of qualifying consultations containing the relevant activity code(s).

Key points:

  • The consultation is counted once, regardless of how many times the code appears within the same consultation.

  • Two wound‑care codes added in the same event = 1 event

  • The same wound‑care procedure recorded in two separate consultation events = 2 events

To count multiple activities of the same type, they must be entered as separate events.

Item of Service (IoS)

Item of Service (IoS) reporting counts activities completed within the practice during a face‑to‑face consultation.

IoS does not include:

  • Entries added by third‑party software

  • Activity recorded by admin teams relating to external providers

  • Code entries not linked to a qualifying face‑to‑face consultation/event

This ensures practices only claim for work genuinely completed in‑house.

IoS Requirements

To qualify for IoS reporting, activity must be recorded within a face‑to‑face consultation type.

Recording IoS activity using non‑qualifying types (for example, admin note or enterprise consultation) will exclude the activity from payment reports.

Below is a list of commonly recognised face-to-face consultation types by clinical system:

Ardens EMIS
  • Children's home visit note (63441000000115)

  • Clinic (1809171000006114)

  • Clinic note (62211000000111)

  • Emergency appointment (285368015)

  • Emergency consultation / Emergency appointment (1809181000006108)

  • Extended hours consultation (1809191000006106)

  • Face to face consultation (1672851000006116)

  • First attendance face to face (1850011000006102)

  • Follow up attendance face to face (1850001000006100)

  • GP Surgery (1672871000006114)

  • Home visit note (63341000000114)

  • Nursing home visit note (62241000000112)

  • Patient-initiated encounter (270427003)

  • Residential home visit note (62101000000117)

  • Routine appointment (2019541000006105)

  • Routine consultation (1809171000006105)

  • Same day appointment (1931821000006103)

  • Seen in rapid access clinic at GP surgery (1928501000006103)

  • Urgent consultation (1809161000006103)

  • Walk-in clinic (81234003)

  • Weekly care home ward round (1920731000006103)

  • Home Visit (Appointment)

  • Face-to-face (Appointment)

Ardens SystmOne
  • Face to face

  • Acute visit note

  • Children's Home Visit Note

  • Home Visit Note

  • Hotel Visit Note

  • Nursing Home Visit Note

  • Residential Home Visit Note

🔎 View Reporting Logic

You can review how any report is calculated within Ardens Manager by:

  • Open the relevant dashboard.

  • Navigate to the Rules tab.

  • Review the inclusions, exclusions and logic.

This provides full transparency on:

  • Which codes are included

  • How activity is counted

  • Any reporting limitations (for example, one claim per patient or consultation type restrictions)

📝 Data Entry Requirements

Correct data entry ensures activity is included in reporting and payment calculations.

Clinicians

  • Record activity during the consultation event wherever possible

  • Ensure procedural activity (e.g., ECG, phlebotomy, injections, wound care) is recorded using a qualifying face-to-face consultation type.

Admin Teams

When entering activity retrospectively, ensure:

  • It is added to the correct consultation

  • It is backdated to the original event date

  • It uses a qualifying consultation type where IoS rules apply

Multiple Activities

If multiple activities occur during an appointment, record them as separate events where required:

  • Complete the first consultation

  • Start a new consultation

  • Record the next activity

✍️ How to Record Activity

Ardens EMIS Web: Access Record Local Activity for EMIS Practices.

Ardens SystmOne: Access Record Local Activity for SystmOne.

🔎 Identify Reports 

  • Log into Ardens Manager

  • Navigate to the required dashboard

  • Locate IoS reports (1). These reports include IoS in the title

  • Locate event count reports (2)

  • Click View to open the single report breakdown screen to view the list of patients

IoS Data Quality

Ardens Manager includes data quality reports to identify events that do not meet IoS criteria.

To access data quality information:

  • Click View to open the report breakdown

  • Click the Benchmark tab

  • Locate the data quality reports beneath the benchmark table

  • Select the relevant data quality report. The dashboard will refresh

  • Click on the PATIENTS tab to access the patients

Review the patient record within the clinical system. If the activity is IoS eligible, amend the event entry to a qualifying face-to-face consultation type.

⚙️Mapped Consultations

Consultation types must be correctly mapped to national appointment slot types to support accurate reporting.

How to Map Consultations:

Ardens EMIS Web

Navigate to System Tools Legacy Data Mapping.

  • Click on Consultation Source

  • Ensure Unmapped Items is selected

  • This will list all unmapped items. Right-click on the consultation sources you want to map, click Consultation Source and search for the required source. For large numbers, we recommend mapping them to ‘GP Surgery Consultation’ or ‘Admin note’

Ardens SystmOne

In SystmOne, each consultation or data entry on the Journal will be recorded as an 'event' within Ardens Manager. The example below shows two distinct event entries for an ECG procedure. This will be considered as two separate ECGs for payment purposes.

The example below shows the ECG code added twice in the same event. This will only count as one ECG for payment purposes.

⭐ Best Practice Tips

  • Record all relevant activity during the consultation

  • Use a consultation event when adding codes retrospectively

  • Ensure the correct consultation mode is selected (for example, face-to-face for IoS).

  • Avoid recording claimable activity within admin notes

  • Provide training for clinicians, locums, and admin staff to ensure they are aware of how to record data

  • Run regular data quality checks before claim deadlines

❓FAQs

How does Ardens Manager count "event done here"?

Ardens Manager uses consultation logic and organisational settings to confirm whether activity was completed by your practice.

  • EMIS: ODS code of the user

  • SystmOne: Organisational unit of the event

Only qualifying consultation types are included in payment reports.

What happens if our consultation types are used incorrectly?

Incorrect types may lead to activity being excluded. Data quality reports help practices identify and correct these entries.

🏫 Additional Support

To further your understanding of the Ardens Manager platform: