LD004 - Learning Disabilities register (Retired v50 2025/26)

The codes referenced in this article are taken from the NHS Technology Reference Update Distribution (
TRUD). Not all of these may be present or selectable in all clinical systems.

This indicator
was retired in the contract year 2025/26 and replaced by LD005 to allow exclusions of patients from the registerIndicator definition
Indicator ID | |
LD004 | The contractor establishes and maintains a register of patients with learning disabilities.
|
What are the criteria for this indicator?
In order to be included in LD004, patients must:
- have a diagnosis of a learning disability
What are the common pitfalls/what do I need to watch out for?

In November 2023 the NHS updated the reference set LD_COD, adding 300 diagnosis codes. Some 'new' codes have unexpectedly added patients onto the register. Patients with codes of Dysequilibrium syndrome or Sjogren-Larsson Syndrome are included on the register even if they do not have a learning impairment.
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