{"text_format":"1","workbook":"xlsx","n_sheets":5,"sheets":["Information ","Patient data","Scale Sheet","Reference sheet","Change log"],"not_rendered":{"charts":0,"images":0,"macros":1,"external_links":0,"defined_names":0,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Information ","index":0,"n_rows":16,"n_cols":4,"rows_kept":16,"cut":false,"hidden":false,"merged":[[4,2,4,3],[6,2,6,3],[13,2,13,3],[15,2,15,3],[8,2,8,3]]}
[]
[]
[null,null,"COVID-19 speech and language therapy data collection "]
[]
[null,null,"The RCSLT has developed this dataset to support the speech and language therapy profession with capturing data on the management of patients with confirmed and suspected COVID-19. This data will help us to understand the impact on patients and those that care for them, be that in an acute, clinic or community setting. The dataset includes fields to collect information about patient outcomes, and the impact of interventions and on service delivery. The RCSLT COVID-19 Data Collection Tool has been developed to enable SLT services to submit their data to the national database and access reports on their data. Collating data gathered by teams/services across the UK will support the profession to clarify lessons learned and inform preparations for future events. "]
[]
[null,null,"An accompanying document has been developed for use alongside this spreadsheet, which contains information about using the spreadsheet, along with a detailed set of definitions that accompany the dataset. This is available to download from the RCSLT COVID-19 Data Collection Tool at https://cdct.rcslt-root.org.  "]
[]
[null,null,"Please note: "]
[null,null,"•","When opening this spreadsheet, you may be asked whether you want to ‘enable macros’ or ‘enable editing’. This will allow you to use to use select multiple options for some fields. If your organisation prevents the enabling of macros the multi-select functions may not work. In this instance you should contact root@rcslt.org to request an alternative version of the spreadsheet."]
[null,null,"•","It is not necessary to collect all of the suggested data fields contained in this dataset. The mandatory columns are shaded in dark blue and indicated by two asterisks (**). You will need to complete these for every patient if you wish to submit data to the RCSLT COVID-19 Data Collection Tool. Locally, you may wish to identify which of the remaining fields are most relevant to your local needs (the columns shaded in green with one asterisk (*) are 'desirable' and those in white are 'optional'). It may be helpful to 'hide' any columns you are not going to use. To do this, select the column, right-click and select 'hide'. Please do not delete any columns. "]
[null,null,"•","This template is an amended version of the COVID-19 speech and language therapy dataset. It has been revised in response to feedback from speech and language therapists who have been using earlier versions of the template. The changes that have been made include amendments to the columns and improvements to aid usabilty. Where possible, please discontinue use of any previous templates and start using this version. Please be reassured that data collected on earlier versions of the templates can still be submitted to the RCSLT COVID-19 Data Collection Tool and you will not need to transfer the data into this new template."]
[]
[null,null,"Please contact root@rcslt.org with any feedback about this work."]
[]
[null,null,"Last updated: 15 May 2020"]

{"sheet":"Patient data","index":1,"n_rows":6,"n_cols":80,"rows_kept":6,"cut":false,"hidden":false,"merged":[[4,5,5,5],[4,7,5,7],[4,8,5,8],[4,9,5,9],[4,0,5,0],[4,1,5,1],[4,2,5,2],[4,3,5,3],[4,4,5,4],[4,6,5,6],[4,63,5,63],[4,64,5,64],[4,62,5,62],[3,55,3,59],[4,55,5,55],[4,59,5,59],[4,60,5,60],[4,61,5,61],[4,56,5,56],[4,57,5,57],[4,58,5,58],[3,79,5,79],[4,65,4,69],[4,70,5,70],[4,72,5,72],[4,73,5,73],[4,75,5,75],[4,76,5,76],[4,74,5,74],[4,71,5,71],[4,54,5,54],[4,53,5,53],[4,52,5,52],[4,51,5,51],[4,44,5,44],[4,45,5,45],[4,49,5,49],[4,50,5,50],[4,48,5,48],[4,47,5,47],[4,26,5,26],[4,27,5,27],[4,28,5,28],[4,43,5,43],[4,46,5,46],[4,29,5,29],[4,40,5,40],[4,41,5,41],[4,42,5,42],[4,34,4,38],[4,32,5,32],[4,31,5,31],[4,33,5,33],[4,39,5,39],[4,30,5,30],[3,0,3,10],[3,11,3,22],[3,23,3,27],[0,32,2,32],[0,34,2,47],[3,46,3,54],[0,48,2,48],[0,50,2,63],[0,64,2,64],[0,66,2,79],[0,0,2,0],[0,2,2,15],[0,16,2,16],[0,18,2,31],[4,10,5,10],[4,11,5,11],[4,13,5,13],[4,12,5,12],[4,14,5,14],[4,15,5,15],[4,16,5,16],[3,60,3,76],[3,77,3,78],[5,77,5,78],[3,28,3,29],[3,30,3,45],[4,17,5,17],[4,19,5,19],[4,20,5,20],[4,21,5,21],[4,23,5,23],[4,22,5,22],[4,18,5,18],[4,24,5,24],[4,25,5,25]]}
["Key: ","Required","Please note:\n• You will need to 'enable macros'/'enable editing' to use the drop-down functions in this spreadsheet. Please refer to the 'Introduction' sheet for more information.\n• Please insert any new columns for use locally at the end of the template (i.e. after column CB). Please do not remove any columns. To hide a column, select the column, right-click and select 'hide'. \n• You can expand/collapse the sections on 'Intubation/tracheostomy status' and 'FEES & VFSS' by clicking on the [+] and [-] buttons above the column headings.\n• Before submitting your data to the RCSLT COVID-19 Data Collection Tool, please ensure that any patient identifiable data is removed. ",null,null,null,null,null,null,null,null,null,null,null,null,null,"Key: ","Required","Please note:\n• You will need to 'enable macros'/'enable editing' to use the drop-down functions in this spreadsheet. Please refer to the 'Introduction' sheet for more information.\n• Please insert any new columns for use locally at the end of the template (i.e. after column CB). Please do not remove any columns. To hide a column, select the column, right-click and select 'hide'. \n• You can expand/collapse the sections on 'Intubation/tracheostomy status' and 'FEES & VFSS' by clicking on the [+] and [-] buttons above the column headings.\n• Before submitting your data to the RCSLT COVID-19 Data Collection Tool, please ensure that any patient identifiable data is removed. ",null,null,null,null,null,null,null,null,null,null,null,null,null,"Key: ","Required","Please note:\n• You will need to 'enable macros'/'enable editing' to use the drop-down functions in this spreadsheet. Please refer to the 'Introduction' sheet for more information.\n• Please insert any new columns for use locally at the end of the template (i.e. after column CB). Please do not remove any columns. To hide a column, select the column, right-click and select 'hide'. \n• You can expand/collapse the sections on 'Intubation/tracheostomy status' and 'FEES & VFSS' by clicking on the [+] and [-] buttons above the column headings.\n• Before submitting your data to the RCSLT COVID-19 Data Collection Tool, please ensure that any patient identifiable data is removed. ",null,null,null,null,null,null,null,null,null,null,null,null,null,"Key: ","Required","Please note:\n• You will need to 'enable macros'/'enable editing' to use the drop-down functions in this spreadsheet. Please refer to the 'Introduction' sheet for more information.\n• Please insert any new columns for use locally at the end of the template (i.e. after column CB). Please do not remove any columns. To hide a column, select the column, right-click and select 'hide'. \n• You can expand/collapse the sections on 'Intubation/tracheostomy status' and 'FEES & VFSS' by clicking on the [+] and [-] buttons above the column headings.\n• Before submitting your data to the RCSLT COVID-19 Data Collection Tool, please ensure that any patient identifiable data is removed. ",null,null,null,null,null,null,null,null,null,null,null,null,null,"Key: ","Required","Please note:\n• You will need to 'enable macros'/'enable editing' to use the drop-down functions in this spreadsheet. Please refer to the 'Introduction' sheet for more information.\n• Please insert any new columns for use locally at the end of the template (i.e. after column CB). Please do not remove any columns. To hide a column, select the column, right-click and select 'hide'. \n• You can expand/collapse the sections on 'Intubation/tracheostomy status' and 'FEES & VFSS' by clicking on the [+] and [-] buttons above the column headings.\n• Before submitting your data to the RCSLT COVID-19 Data Collection Tool, please ensure that any patient identifiable data is removed. "]
[null,"Desirable",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Desirable",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Desirable",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Desirable",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Desirable"]
[null,"Optional",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Optional",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Optional",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Optional",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Optional"]
["Background information ",null,null,null,null,null,null,null,null,null,null,"Intubation/tracheostomy status \n(click +/- to expand/collapse)",null,null,null,null,null,null,null,null,null,null,null,"Referral to speech and language therapy ",null,null,null,null,"Activity Prior to or During Initial Assessment",null,"Outcome Measures for Initial Assessment\n(Please complete at least one)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FEES & VFSS\n(click +/- to expand/collapse)",null,null,null,null,null,null,null,null,"Therapy",null,null,null,null,"Outcome measures at discharge\n(Please complete at least one)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Comments (local use only) "]
["**Local patient identifier (NOT NHS number) ","**Location ","**Year of birth","**Gender","Hospital Admission Date","**Primary medical diagnosis on admission/\nreferral","**Past Medical History ","*Pre-existing Dysphagia (Fluids)","*Pre-existing Dysphagia (Diet)","Date COVID +ve confirmed","Date COVID \n-ve confirmed","Date(s) of intubation","Date(s) of extubation","Grade(s) of intubation","*Total number of endotracheal tubes (ETT)","*Total number of days intubated","Date of trache insertion","Percutaneous or Surgical","Trache size (initial tube)","Trache downsized as part of the weaning process? ","Type of Trache","Date of decannulation","*Total number of days with tracheostomy","Date of Referral to SLT ","**Response time (from referral to assessment) ","*Reason for delay in SLT assessment (where relevant)","**Reason for referral (select as many reasons as apply)","**SLT Diagnosis (select as many diagnoses as apply)","Remote activity (select as many as apply)","Face to face activity (select as many as apply)","**Date of initial SLT assessment ","**COVID-19 status (at initial assessment)","*Respiratory support at initial assessment ","*Dysphonia TOM: impairment - initial score (if applicable)","GRBAS score - initial (if applicable)",null,null,null,null,"*Dysphagia TOM: impairment - initial score (if applicable)","*Functional Oral Intake Scale (if applicable)","*Communication AAC TOM: Activity - initial score  (if applicable)","*Trache TOM: impairment - initial score (if applicable)","*Oral hygiene TOM: impairment - initial score (if applicable)","*Fluid Recommendations (initial assessment)","*Food Recommendations (initial assessment)","FEES indicated?","FEES completed?","Reason for being unable to complete FEES (Please select main reason) ","Penetration Aspiration Scale (FEES)",null,"VFSS indicated?","VFSS completed?","Reason for being unable to complete VFSS (Please select main reason) ","Penetration Aspiration Scale (VFSS)","** Care pathway (objective of intervention) ","**Therapy implemented",null,"*Type of Therapy (select as many as apply)","Other intervention - please state: ","**Date of discharge from SLT","**Reason for discharge from SLT ","*COVID-19 status (on discharge) ","Respiratory support at discharge from SLT","*Dysphonia TOM: impairment - final score (if applicable)","GRBAS score - final (if applicable)",null,null,null,null,"*Dysphagia TOM: impairment - final score (if applicable)","*Functional Oral Intake Scale (if applicable)","*Communication AAC TOM: Activity - final score  (if applicable)","*Trache TOM: impairment - final score (if applicable)","*Oral hygiene TOM: impairment - final score (if applicable)","*Fluid Recommendations (discharge)","*Food Recommendations (discharge)","Time involved in activities related to this individual patient ","Total number of contacts"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"*Grade","*Roughness","*Breathiness","*Asthenia","*Strain",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"*Grade","*Roughness","*Breathiness","*Asthenia","*Strain",null,null,null,null,null,null,null,"If you wish to complete these columns please choose the one that is most relevant to you. It is not necessary to complete both. "]

{"sheet":"Scale Sheet","index":2,"n_rows":99,"n_cols":3,"rows_kept":99,"cut":false,"hidden":false,"merged":[]}
[null,"Scale Sheet"]
[]
[null,"Dysphonia TOM (Impairment) - Enderby and John (2019) ","Description"]
[null,"0 Profound","Severe persistent aphonia: unable or does not phonate"]
[null,"1 Severe consistent dysphonia","Occasional phonation. May be dysphonic with aphonic episodes"]
[null,"2 Moderate dysphonia","Can phonate but frequent episodes of marked vocal impairment."]
[null,"3 Moderate/mild dysphonia","Less frequent episodes of dysphonia, for example occurs some time each day/or slight persistent “huskiness”."]
[null,"4 Mild dysphonia","Occasional episodes of dysphonia occurring, for example on a weekly basis or less."]
[null,"5 No dysphonia","Appropriate/modal voice consistently used."]
[]
[null,"Dysphagia TOM (Impairment) - Enderby and John (2019)","Description"]
[null,"0 Profound","Aphagia: Not safe to swallow due to cognitive status/no bolus control/aspiration/absence of oral/pharyngeal swallow. Clinical signs of aspiration. No effective cough reflex. May need regular suction."]
[null,"1 Severe dysphagia","Weak oral movements/no bolus control/inadequate/inconsistent swallow reflex. High and constant risk of aspiration."]
[null,"2 Severe/Moderate dysphagia","Cough/swallow reflexes evident but abnormal or delayed. Uncoordinated oral movements. At regular risk of aspiration"]
[null,"3 Moderate dysphagia","Swallow and cough reflex present. May have poor oral control. At occasional risk of aspiration."]
[null,"4 Mild oral/pharyngeal dysphagia","incoordination but no clinical risk or evidence of aspiration"]
[null,"5 No evidence of dysphagia","-"]
[]
[null,"Functional Oral Intake Scale - Crary et al (2015)"]
[null,"Level 1 Nothing by mouth"]
[null,"Level 2 Tube-dependent with minimal attempts of food or liquids"]
[null,"Level 3 Tube-dependent with consistent oral intake of food or liquids"]
[null,"Level 4 Total oral diet of a single consistency"]
[null,"Level 5 Total oral diet with multiple consistencies but requiring special preparations or compensations"]
[null,"Level 6 Total oral diet with multiple consistencies without special preparation but with specific food limitations"]
[null,"Level 7 Total oral diet with no restrictions"]
[]
[null,"Tracheostomy TOM (Impairment) - Enderby and John (2019)"]
[null,"0 Cuffed tracheostomy. Cuff up all the time","May have a suction aid. Requires frequent suctioning. Heavily dependent on oxygen (> 4l for 24 hours). May require medication to aid secretion or respiratory management. (e.g. hyoscine/nebulisers/). May require physiotherapy input."]
[null,"1 Cuff partially deflated or periods of cuff deflation","Requires regular suctioning. Moderate 02 oxygen requirements (<4l for 24 hours). May require medication to aid secretion or respiratory management. May require physiotherapy input."]
[null,"2 Tolerating continuous cuff deflation or cuffless tracheostomy in situ","Minimal suction and 02 required (daily but not continuous). May require medication to aid secretion or respiratory management."]
[null,"3 Cuff deflated/cuffless tube. Tolerating one way valve continuously","May require occasional suction. May require medication to aid secretion/respiratory management."]
[null,"4 Cuff deflated/cuffless tube. Tolerates capping trials","Minimal/ no suction required. May require medication to aid secretion/respiratory management. 4.5 Decannulated. May require assistance to manage secretions (e.g. hyocine/nebulisers/ oral suction)."]
[null,"5 Decannulated","No tracheostomy required. Stable respiratory function. Independently maintaining airway. No suction required."]
[]
[null,"Communication AAC TOM (Impairment) - Enderby and John (2019)"]
[null,"0 No consistent functional communication","Functioning at pre-intentional level"]
[null,"1 Limited functional communication","Using some purposeful responses to indicate limited needs or feelings with informed/familiar communication partners within limited contexts. Can communicate 'yes' and 'no'. Limited communicative intent"]
[null,"2 Communicates basic needs and information","to informed/familiary communication partners. Consistent attempts at purposeful communication in limited contexts. Some communicative intent"]
[null,"3 Consistent level of communication","relating to subjects outside the immediate context. Can transfer more complex message. May be limited in output relating to restricted access to symbol set or other barriers to vocabulary. Some inconsistency. Communicates beyone here and now with familiar persons and in some contexts. Consistent communicative intent"]
[null,"4 Functional communication","available to the individual in most circumstances and with broad range of individuals. Only occasional difficulty. Access to extensive vocabulary which meest needs. May have difficulty/reticence in some environments. Consistent communicative intent. "]
[null,"5 Able to communicate with anyone","in any circumstance using broad range of communication modes"]
[]
[null,"Oral hygiene TOM (Impairment) - Enderby and John (2019)"]
[null,"0 Profoundly unhealthy oral mucosa, with evidence of widespread wet or dried, thick mucous and/or blood plaques or food debris. Open ulcerations/bleeding, blistered tongue. Clinical signs of infection."]
[null,"1 Severely unhealthy oral mucosa, with evidence of persistent generalized plaques, food debris, thick coating of mucous or blood on oral structures, recurrent ulcers/ blisters. High and constant risk of infection."]
[null,"2 Severe/moderately unhealthy status of oral mucosa, has specific severe difficulty in maintaining more than one element of healthy oral mucosa, e.g., widespread oral thrush, cracked lips, inflammation, food debris. At regular risk of infection."]
[null,"3 Moderately unhealthy status of oral mucosa requires regular oral hygiene programme. May have specific more severe difficulty in maintaining one element of healthy oral mucosa, e.g., food debris, coated tongue, dry lips, localized oral thrush or debris to one structure."]
[null,"4 Mild status of oral mucosa, healthy oral mucosa but may require increased frequency of mouth care."]
[null,"5 Healthy oral mucosa, pink, perfuse, moist and clean."]
[]
[null,"Penetration Aspiration Scale - Rosenbek et al (1996)"]
[null,"1 Material does not enter the airway"]
[null,"2 Material enters the airway, remains above the vocal folds and is ejected from the airway"]
[null,"3 Material enters the airway, remains above the vocal folds, and is not ejected from the airway"]
[null,"4 Material enters the airway, contacts the vocal folds, and is ejected from the airway"]
[null,"5 Material enters the airway, contacts the vocal folds, and is not ejected from the airway"]
[null,"6 Material enters the airway, passes below the vocal folds, and is ejected into the larynx or out of the airway"]
[null,"7 Material enters the airway, passes below the vocal folds, and is not ejected from the trachea, despite effort"]
[null,"8 Material enters the airway, passes below the vocal folds, and no effort is made to eject"]
[]
[null,"GRBAS - Hirano (1981)"]
[null,"Grade"]
[null,"0 Normal"]
[null,"1 Mild "]
[null,"2 Moderate"]
[null,"3 Severe"]
[]
[null,"Roughness"]
[null,"0 Normal"]
[null,"1 Mild "]
[null,"2 Moderate"]
[null,"3 Severe"]
[]
[null,"Breathiness"]
[null,"0 Normal"]
[null,"1 Mild "]
[null,"2 Moderate"]
[null,"3 Severe"]
[]
[null,"Asthenia"]
[null,"0 Normal"]
[null,"1 Mild "]
[null,"2 Moderate"]
[null,"3 Severe"]
[]
[null,"Strain"]
[null,"0 Normal"]
[null,"1 Mild "]
[null,"2 Moderate"]
[null,"3 Severe"]
[]
[]
[null,"References"]
[]
[null,"Crary, M. A., Mann, G. D. C., & Groher, M. E. (2005). Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Archives of physical medicine and rehabilitation, 86(8), 1516-1520."]
[null,"Enderby, P., John, A. (2019) Therapy Outcome Measure User Guide. Croydon: J & R Press Ltd. "]
[null,"Hirano, M. (1981) Clinical Examination of Voice. New York, NY: Springer-Verlag."]
[null,"Rosenbek, J. C., Robbins, J. A., Roecker, E. B., Coyle, J. L., & Wood, J. L. (1996). A penetration-aspiration scale. Dysphagia, 11(2), 93-98."]

{"sheet":"Reference sheet","index":3,"n_rows":50,"n_cols":21,"rows_kept":50,"cut":false,"hidden":true,"merged":[]}
["Type of Tracheostomy","SLT Diagnosis","Pre-existing Dysphagia (Fluids)","Pre-existing Dysphagia (Diet)","Reason for discharge","Reason for referral","F2F activity","Remote activity"," respiratory support","pre-existing dysphagia","Laryngeal Pathology","Response time","Reason for Delay","Tracheostomy","Type of Therapy","Delivered by","Time involved in activities related to this individual patient ","Gender","Location "]
["No subglottic suction port","PED (post-extubation dysphagia)","No pre-existing Dysphagia","No pre-existing Dysphagia","Advice only","Dysphagia","Swallow assessment","Directed swallow screen","Oxygen via nasal specs","None","None","Patient seen within 1 working day of referral ","Staff availability","Surgical","Mendelsohns","SLT","Less than 1 hour","Male","ICU"]
["Subglottic suction port","Dysphagia","Level 0 Thin","Level 3 Liquidised","Resolved","Trache wean","Communication assessment","Diet or fluid recommendation","HFNO","Modified diet","Granuloma","Patient seen within 2 working days of referral ","Medically unwell","Percutaneous","CTAR","SLT assistant","1 - 3 hours","Female","Acute wards"]
["Adjustable flange without subglottic port","Dysarthria","Level 1 Slightly Thick","Level 4 Pureed","New baseline","Trache + Dysphagia","Instrumental assessment","Proxy strategies","CPAP hood/helmet","Modified fluids","Mucosal trauma","Patient seen within 3 working days of referral ","Aerosol concerns","Not applicable","Shaker","Family","4 - 6 hours","Other","Outpatient "]
["Adjustable flange with subglottic port","Dysphonia","Level 2 Mildly Thick","Level 5 Minced & Moist","Deteriorated","Communication (incl. AAC)","Weaning support","Indirect notes review","Trache and ventilated","Modified fluids+diet","Vocal fold palsy","Patient seen within 4-7 working days of referral ","Awaiting testing outcome",null,"Masako","Nursing staff","7 - 9 hours",null,"Domiciliary "]
["Not applicable","Aphasia","Level 3 Moderately Thick","Level 6 Soft and Bite-sized","Transferred (to another service/hospital)","End of life","Joint MDT session","Mouthcare advice","Trache and oxygen","NBM","Erythema","Patient seen after more than 7 working days of referral ","Lack of PPE",null,"Oral exercises","HCA","10 - 15 hours",null,"Care home"]
["Not known ","Cognitive Communication Disorder","Level 4 Extremely Thick","Level 7 Easy to Chew","Died","Risk Feeding decision","Mouthcare","Advice and support to patient/family","Trache and room air","Not applicable","Oedema","Not applicable","Staff expertise",null,"Voice exercises","Other AHP","16 - 20 hours",null,"Other"]
[null,"Dyspraxia","Not known ","Level 7 Regular","End of life/risk feeding ","Coughing on oral intake","Communication intervention","Advice and support to staff/others","High flow face mask ",null,"Secretions",null,"Not applicable",null,"EMST","Not applicable","More than 20 hours"]
[null,"Not applicable","Not applicable","Not known ","Not applicable","Dysphonia","Swallowing intervention","Telehealth assessment/management","Low flow face mask",null,"Other",null,null,null,"FOTT"]
[null,null,null,"Not applicable",null,"Mental capacity assessment ","Secretion management","None","Not applicable",null,"Not applicable",null,null,null,"NMES"]
[null,null,null,null,null,"Not applicable","Cuff deflation trials","Not applicable",null,null,null,null,null,null,"Pharyngeal Electrical Stimulation"]
[null,null,null,null,null,null,"PMV or OWV trials",null,null,null,null,null,null,null,"sEMG"]
[null,null,null,null,null,null,"Mental capacity assessment ",null,null,null,null,null,null,null,"AAC intervention"]
[null,null,null,null,null,null,"Above Cuff Vocalisation",null,null,null,null,null,null,null,"Communication therapy"]
[null,null,null,null,null,null,"AAC",null,null,null,null,null,null,null,"Breathing exercises"]
[null,null,null,null,null,null,"Advice and support to patient/family",null,null,null,null,null,null,null,"Not applicable"]
[null,null,null,null,null,null,"Risk feeding advice/interventions",null,null,null,null,null,null,null,"Other (please state)"]
[null,null,null,null,null,null,"None"]
[null,null,null,null,null,null,"Not applicable"]
["Dysphonia TOMS (impairment)","Fluid Recommendations","Food Recommendations","Dysphagia TOMs (Impairment)","Functional Oral Intake Scale","Tracheostomy TOMs (Impairment)","Communication AAC TOM (Impairment)","PAS","Size of tracheostomy ","Oral hygiene TOMs (impairment) ","COVID-19 status ","Grade of intubation ","GRBAS","Reason for being unable to complete FEES","Reason for being unable to complete VFSS","FEES indicated/FEES completed/Therapy implemented","Care pathway ","Trache downsized as part of the weaning process? ","Therapy implemented","Medical diagnosis ","Past Medical History "]
["0 Profound","No Fluids Orally","No Food Orally","0 Profound","Level 1 Nothing by mouth","0 Cuffed tracheostomy. Cuff up all the time","0 No consistent functional communication","1 Material does not enter the airway","Portex size 6.0/6.5","0 Profoundly unhealthy oral mucosa","Positive","Grade I","0 Normal","Lack of access to equipment","Lack of access to equipment","Yes","Improvement ","Yes","Yes ","Aspiration pneumonia","Benign conditions of the larynx "]
[0.5,"Limited quantities of water only","Limited quantities of Level 3/4 only",0.5,"Level 2 Tube-dependent with minimal attempts of food or liquids",0.5,0.5,"2 Material enters the airway, remains above the vocal folds and is ejected from the airway","Portex size 7.0/7.5",0.5,"Negative ","Grade II","1 Mild ","Lack of access to trained staff","Lack of access to trained staff","No","Sustain","No","No ","Benign conditions of the larynx","Brain injury"]
["1 Severe consistent dysphonia","Unlimited quantities of water only","Level 3 Liquidised","1 Severe dysphagia","Level 3 Tube-dependent with consistent oral intake of food or liquids","1 Cuff partially deflated or periods of cuff deflation","1 Limited functional communication","3 Material enters the airway, remains above the vocal folds, and is not ejected from the airway","Portex size 8.0/8.5","1 Severely unhealthy oral mucosa","Suspected","Grade III","2 Moderate","National advice against conducting FEES","National advice against taking COVID-19 positive patients to VFSS","Not applicable ","Managed decline","Don’t know","Not required","Brain injury","Cardiac & cardiovascular"]
[1.5,"Level 0 Thin","Level 4 Pureed",1.5,"Level 4 Total oral diet of a single consistency",1.5,1.5,"4 Material enters the airway, contacts the vocal folds, and is ejected from the airway","Portex size 9.0/9.5",1.5,"Not known","Grade IV","3 Severe","Not applicable","All VFSS has been stopped",null,"Not applicable ","Not applicable ",null,"Cardiac & cardiovascular ","Dementia"]
["2 Moderate dysphonia","Level 1 Slightly Thick","Level 5 Minced & Moist","2 Severe/Moderate dysphagia","Level 5 Total oral diet with multiple consistencies but requiring special preparations or compensations","2 Tolerating continuous cuff deflation or cuffless tracheostomy in situ","2 Communicates basic needs and information","5 Material enters the airway, contacts the vocal folds, and is not ejected from the airway","Shiley size 6.0/6.5","2 Severe/moderately unhealthy status of oral mucosa",null,"Not known ","Not assessed",null,"Not applicable",null,null,null,null,"Fall","Dermatological"]
[2.5,"Level 2 Mildly Thick","Level 6 Soft and Bite-sized",2.5,"Level 6 Total oral diet with multiple consistencies without special preparation but with specific food limitations",2.5,2.5,"6 Material enters the airway, passes below the vocal folds, and is ejected into the larynx or out of the airway","Shiley size 7.0/7.5",2.5,null,"Not applicable","Not applicable",null,null,null,null,null,null,"Febrile","Endocrine"]
["3 Moderate/mild dysphonia","Level 3 Moderately Thick","Level 7 Easy to Chew","3 Moderate dysphagia","Level 7 Total oral diet with no restrictions","3 Cuff deflated/cuffless tube. Tolerating OWV continuously","3 Consistent level of communication","7 Material enters the airway, passes below the vocal folds, and is not ejected from the trachea, despite effort","Shiley size 8.0/8.5","3 Moderately unhealthy status of oral mucosa",null,null,null,null,null,null,null,null,null,"Gastro-oesophageal & gastro-intestinal","Fabricated illness (safeguarding)"]
[3.5,"Level 4 Extremely Thick","Level 7 Regular",3.5,"Not assessed",3.5,3.5,"8 Material enters the airway, passes below the vocal folds, and no effort is made to eject","Shiley size 9.0/9.5",3.5,null,null,null,null,null,null,null,null,null,"General deterioration","Frailty"]
["4 Mild dysphonia","Not applicable","Not applicable","4 Mild oral/pharyngeal dysphagia","Not applicable","4 Cuff deflated/cuffless tube. Tolerates capping trials","4 Functional communication","Not assessed","Tracoe Twist size 6.0/6.5","4 Mild status of oral mucosa",null,null,null,null,null,null,null,null,null,"Head & neck tumour (including surgery)","Gastro-oesophageal"]
[4.5,null,null,4.5,null,4.5,4.5,"Not applicable","Tracoe Twist size 7.0/7.5",4.5,null,null,null,null,null,null,null,null,null,"Hepatological","General deterioration"]
["5 No dysphonia",null,null,"5 No evidence of dysphagia",null,"5 Decannulated","5 Able to communicate with anyone",null,"Tracoe Twist size 8.0/8.5","5 Healthy oral mucosa",null,null,null,null,null,null,null,null,null,"Major trauma","Head and neck tumour (including surgery)"]
["Not assessed",null,null,"Not assessed",null,"Not assessed","Not assessed",null,"Tracoe Twist size 9.0/9.5","Not assessed",null,null,null,null,null,null,null,null,null,"Neurological - non-progressive","Hearing and Auditory Processing Impairments"]
["Not applicable",null,null,"Not applicable",null,"Not applicable","Not applicable",null,"Other","Not applicable",null,null,null,null,null,null,null,null,null,"Neurological - progressive","Hepatological"]
[null,null,null,null,null,null,null,null,"Not applicable",null,null,null,null,null,null,null,null,null,null,"Oncology","Immunology"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Renal","Infectious diseases"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Respiratory (including tracheostomy)","Learning Disability & Autism Spectrum Disorders"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Respiratory failure","Major Trauma"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Sepsis","Mental health (excluding dementia)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Spinal condition","Neurological – non-progressive"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Stroke","Neurological – progressive"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Other","Oncology"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Other Neurodevelopmental Disorders & Syndromes (including Cerebral Palsy and Craniofacial)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Prematurity"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Renal"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Respiratory (including tracheostomy)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Spinal condition"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Stroke"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Structural airway"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Visual Impairment"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Other"]

{"sheet":"Change log","index":4,"n_rows":37,"n_cols":3,"rows_kept":37,"cut":false,"hidden":true,"merged":[]}
["Date ","Nature of change","Description of change"]
["2020-05-15","Formatting ","Rows 1, 2 & 3 inserted"]
["2020-05-15","Terminology","Mandatory' changed to 'Required'"]
["2020-05-15","Terminology","Core' changed to 'Desirable'"]
["2020-05-15","Terminology","Desirable' changed to 'Optional'"]
["2020-05-15","Classification of field ","Hospital Admission Date' changed to optional "]
["2020-05-15","Field name","Medical diagnosis' changed to 'primary medical diagnosis on admission/referral'"]
["2020-05-15","Field type ","Primary medical diagnosis on admission/referral' changed to 'single-select' field "]
["2020-05-15","Drop down options","Primary medical diagnosis on admission/referral' "]
["2020-05-15","Formatting ","Past medical history moved to column G"]
["2020-05-15","Field type ","Past medical history' changed to 'single-select' field "]
["2020-05-15","Drop down options","Past medical history' "]
["2020-05-15","Classification of field ","Pre-existing Dysphagia (Fluids)' changed to desirable  "]
["2020-05-15","Classification of field ","Pre-existing Dysphagia (Diet)' changed to desirable "]
["2020-05-15","Field name","Size of trache' changed to 'Trache size (initial tube)'"]
["2020-05-15","Drop down options","Trache size (initial tube)' - new set of drop-down options "]
["2020-05-15","Additional column","Trache downsized as part of the weaning process? - single select, optional "]
["2020-05-15","Drop down options","Trache downsized as part of the weaning process?' - new set of drop-down options"]
["2020-05-15","Field name","Response time' changed to 'Response time (from referral to assessment)'"]
["2020-05-15","Classification of field ","Remote activity' changed to optional"]
["2020-05-15","Classification of field ","Face to face activity' changed to optional "]
["2020-05-15","Drop down options","Respiratory support at initial assessment'  - drop down list revised "]
["2020-05-15","Classification of field ","Fluid Recommendations (initial assessment)' changed to desirable "]
["2020-05-15","Classification of field ","Food Recommendations (initial assessment)' changed to desirable "]
["2020-05-15","Additional column","FEES completed?' - single select, optional "]
["2020-05-15","Drop down options","FEES completed?' - new set of options "]
["2020-05-15","Additional column","Penetration Aspiration Scale (FEES)' - single select"]
["2020-05-15","Drop down options","Penetration Aspiration Scale (FEES)' - new set of options "]
["2020-05-15","Field name","Care pathway' changed to 'Care pathway (objective of intervention)'"]
["2020-05-15","Drop down options","Therapy implemented' - options revised"]
["2020-05-15","Column removed","Delivered by' "]
["2020-05-15","Classification of field ","COVID-19 status (on discharge)' changed to desirable "]
["2020-05-15","Classification of field ","Respiratory support at discharge' from SLT changed to optional"]
["2020-05-15","Classification of field ","Fluid Recommendations (discharge)' changed to desirable "]
["2020-05-15","Classification of field ","Food Recommendations (discharge)' changed to desirable "]
["2020-05-15","Classification of field ","Time involved in activities related to this individual patient' changed to optional"]
["2020-05-15","Additional column","Total number of contacts - numerical, optional "]