Hospital Provider Spell
A Hospital Provider Spell is the total continuous stay of a PATIENT using a Hospital Bed on premises controlled by a Health Care Provider during which medical care is the responsibility of one or more CONSULTANTS, or the PATIENT is receiving care under one or more Nursing Episodes or Midwife Episodes in a WARD.
Description
A Hospital Provider Spell is an ACTIVITY GROUP.
A Hospital Provider Spell is the total continuous stay of a PATIENT using a Hospital Bed on premises controlled by a Health Care Provider during which medical care is the responsibility of one or more CONSULTANTS, or the PATIENT is receiving care under one or more Nursing Episodes or Midwife Episodes in a WARD. During Nursing Episodes and Midwife Episodes general medical care is the responsibility of their own GENERAL MEDICAL PRACTITIONER, who is not acting as a CONSULTANT. The Hospital Provider Spell may be as a result of an ELECTIVE ADMISSION LIST ENTRY.
During the Hospital Provider Spell, the PATIENT may be subject to more than one ADMINISTRATIVE CATEGORY PERIODS. The PATIENT may be subject to one or more CRITICAL CARE PERIODS.
The Hospital Provider Spell starts when a CONSULTANT, NURSE or MIDWIFE assumes responsibility for care following the DECISION TO ADMIT the PATIENT. This may be before formal admission procedures have been completed and the PATIENT transferred to a WARD. For example, if a PATIENT is brought into hospital as an emergency and dies in the OPERATING THEATRE before being transferred to a WARD, the PATIENT would have started a Hospital Provider Spell.
In some circumstances a PATIENT may take Home Leave, or Mental Health Leave of Absence for a period of 28 days or less, or have a current period of Mental Health Absence Without Leave of 28 days or less, which does not interrupt the Hospital Provider Spell, Consultant Episode (Hospital Provider), Nursing Episode, Midwife Episode or Hospital Stay.
Each admission as part of a series of regular day/night admissions generates a separate Hospital Provider Spell and Consultant Episode (Hospital Provider). An admission is the start of the PATIENT's Hospital Provider Spell and the first Consultant Episodes (Hospital Provider), Midwife Episode or Nursing Episode within the spell. If the PATIENT is on a Hospital Site the admission will also start the first Hospital Stay and, unless the PATIENT has to spend time as a LODGED PATIENT, the admission will also start the first Ward Stay within that Hospital Provider Spell. If the PATIENT is in a Care Home the admission will start the first Care Home Stay (Consultant Care) within the Hospital Provider Spell. Any admission of a PERSON liable to be detained under the Mental Health Act 1983 cannot be in a Care Home and must be a Hospital Provider Spell.
A discharge will be the end of the last Consultant Episode (Hospital Provider), Midwife Episode or Nursing Episode, and the end of the last Care Home Stay (Consultant Care) or Hospital Stay and Ward Stay within that Hospital Provider Spell.
If there is any time spent as a LODGED PATIENT before transfer to a WARD this is included in the Hospital Provider Spell.
A Hospital Provider Spell starts with a Hospital Provider admission and ends with a Hospital Provider discharge.
There may be one or more Mental Health Delayed Discharge Periods recorded for any Consultant Episode (Hospital Provider) within the Hospital Provider Spell.
Also Known As
This NHS business definition is also known by these names:
| Context | Alias |
|---|---|
| Plural | Hospital Provider Spells |
Where Used
| Type | Link | How used |
|---|---|---|
| Data Element | ACTIVITY LOCATION TYPE CODE | references in description Hospital Provider Spell |
| Attribute | ADDITIONAL UNPLANNED PROCEDURE REQUIRED INDICATOR | references in description Hospital Provider Spell |
| Attribute | ADMINISTRATIVE CATEGORY CODE | references in description Hospital Provider Spell |
| Data Element | ADMINISTRATIVE CATEGORY CODE (ON ADMISSION) | references in description Hospital Provider Spell |
| Attribute | ADMISSION METHOD | references in description Hospital Provider Spell |
| Data Element | ADMISSION METHOD CODE (MOTHER LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Attribute | ADMISSION SOURCE | references in description Hospital Provider Spell |
| Data Element | ADMISSION SOURCE (HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Data Element | AMBULANCE INCIDENT NUMBER | references in description Hospital Provider Spell |
| NHS Business Definition | Activity End Date (Contract Monitoring) | references in description Hospital Provider Spell |
| NHS Business Definition | Activity Start Date (Contract Monitoring) | references in description Hospital Provider Spell |
| Data Element | CANCER CARE SETTING (TREATMENT) | references in description Hospital Provider Spell |
| Attribute | CANCER CARE SETTING FOR TREATMENT | references in description Hospital Provider Spell |
| Data Set | CDS V6-2 Type 170 - Admitted Patient Care - Detained and or Long Term Psychiatric Census CDS | references in description Hospital Provider Spell |
| Attribute | CRITICAL CARE LEVEL | references in description Hospital Provider Spell |
| Class | CRITICAL CARE PERIOD | references in description Hospital Provider Spell |
| NHS Business Definition | Care Home Stay (Consultant Care) | references in description Hospital Provider Spell |
| NHS Business Definition | Care Professional Admitted Care Episode | references in description Hospital Provider Spell |
| NHS Business Definition | Care Professional Out-Patient Episode | references in description Hospital Provider Spell |
| NHS Business Definition | Consultant Episode (Hospital Provider) | references in description Hospital Provider Spell |
| NHS Business Definition | Consultant Out-Patient Episode | references in description Hospital Provider Spell |
| Data Element | DATE FIRST SEEN | references in description Hospital Provider Spell |
| Data Element | DATE OF ASSAULT ON PATIENT | references in description Hospital Provider Spell |
| Data Element | DATE OF SELF-HARM | references in description Hospital Provider Spell |
| Attribute | DESTINATION OF DISCHARGE | references in description Hospital Provider Spell |
| Data Element | DESTINATION OF DISCHARGE (HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Data Element | DISCHARGE DATE (BABY POST DELIVERY HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Data Element | DISCHARGE DATE (HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Data Element | DISCHARGE DATE (MOTHER POST LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Attribute | DISCHARGE DESTINATION | references in description Hospital Provider Spell |
| Data Element | DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Data Element | DISCHARGE DESTINATION CODE (MOTHER POST DELIVERY HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Attribute | DISCHARGE METHOD | references in description Hospital Provider Spell |
| Data Element | DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Data Element | DISCHARGE METHOD CODE (MOTHER POST DELIVERY HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Data Element | DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Data Element | DISCHARGE TIME (BABY POST DELIVERY HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Data Element | DISCHARGE TIME (HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Data Element | DISCHARGE TIME (MOTHER POST LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Attribute | DISCHARGED TO HOSPITAL AT HOME SERVICE INDICATOR | references in description Hospital Provider Spell |
| Attribute | DISCHARGED TO NHS AT HOME SERVICE INDICATOR | references in description Hospital Provider Spell |
| Data Element | DURATION OF CARE TO PSYCHIATRIC CENSUS DATE | references in description Hospital Provider Spell |
| NHS Business Definition | Discharge Date | references in description Hospital Provider Spell |
| NHS Business Definition | Discharge Ready Date | references in description Hospital Provider Spell |
| NHS Business Definition | Discharge Time | references in description Hospital Provider Spell |
| Class | ELECTIVE ADMISSION LIST | references in description Hospital Provider Spell |
| Attribute | ELECTIVE ADMISSION LIST REMOVAL DATE | references in description Hospital Provider Spell |
| Data Element | EPISODE NUMBER | references in description Hospital Provider Spell |
| NHS Business Definition | Elective Admission List | references in description Hospital Provider Spell |
| Data Set | Electronic Prescribing And Medicines Administration Data Set - Medicines Administration | references in description Hospital Provider Spell |
| Data Set | Electronic Prescribing And Medicines Administration Data Set - Prescribing | references in description Hospital Provider Spell |
| NHS Business Definition | Emergency Care Attendance | references in description Hospital Provider Spell |
| NHS Business Definition | Estimated Discharge Date (Hospital Provider Spell) | references in description Hospital Provider Spell |
| Data Element | FINANCIAL MONTH | references in description Hospital Provider Spell |
| Data Element | FINANCIAL YEAR | references in description Hospital Provider Spell |
| Data Set | Female Genital Mutilation Data Set | references in description Hospital Provider Spell |
| Data Element | HEALTHCARE RESOURCE GROUP CODE (HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Attribute | HOSPITAL PROVIDER SPELL COMPLETION STATUS FOR PATIENT LEVEL INFORMATION COSTING | references in description Hospital Provider Spell |
| Data Element | HOSPITAL PROVIDER SPELL IDENTIFIER | references in description Hospital Provider Spell |
| Data Element | HOSPITAL PROVIDER SPELL NUMBER | references in description Hospital Provider Spell |
| NHS Business Definition | Hospital At Home Service | references in description Hospital Provider Spell |
| NHS Business Definition | Hospital Provider Spell | references in description Hospital Provider Spell |
| NHS Business Definition | Hospital Stay | references in description Hospital Provider Spell |
| Data Element | LAST EPISODE IN SPELL INDICATOR CODE | references in description Hospital Provider Spell |
| Attribute | LAST EPISODE IN SPELL INDICATOR CODE | references in description Hospital Provider Spell |
| Class | MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION | references in description Hospital Provider Spell |
| Data Element | MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE | references in description Hospital Provider Spell |
| Class | META CARE ACTIVITY | references in description Hospital Provider Spell |
| Attribute | METHOD OF ADMISSION | references in description Hospital Provider Spell |
| Attribute | METHOD OF DISCHARGE | references in description Hospital Provider Spell |
| Data Element | METHOD OF DISCHARGE (HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Data Element | METHOD OF DISCHARGE (MENTAL HEALTH HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| NHS Business Definition | Maternity Episode | references in description Hospital Provider Spell |
| NHS Business Definition | Mental Health Absence Without Leave | references in description Hospital Provider Spell |
| NHS Business Definition | Mental Health Delayed Discharge Period | references in description Hospital Provider Spell |
| NHS Business Definition | Mental Health Leave of Absence | references in description Hospital Provider Spell |
| NHS Business Definition | Mental Health Responsible Clinician | references in description Hospital Provider Spell |
| NHS Business Definition | Midwife Episode | references in description Hospital Provider Spell |
| Data Element | NEONATAL LEVEL OF CARE CODE | references in description Hospital Provider Spell |
| NHS Business Definition | NHS Allied Health Professional Service (Referral To Treatment Measurement) | references in description Hospital Provider Spell |
| NHS Business Definition | NHS At Home Service | references in description Hospital Provider Spell |
| NHS Business Definition | Neonatal Level Of Care Period | references in description Hospital Provider Spell |
| NHS Business Definition | Nursing Episode | references in description Hospital Provider Spell |
| Attribute | OFFERED FOR ADMISSION DATE | references in description Hospital Provider Spell |
| Data Element | ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN) | references in description Hospital Provider Spell |
| Supporting Information | Organisation Mergers | references in description Hospital Provider Spell |
| Attribute | PATIENT CLASSIFICATION | references in description Hospital Provider Spell |
| Attribute | PLANNED DESTINATION OF DISCHARGE | references in description Hospital Provider Spell |
| Data Element | POSTCODE OF DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Data Element | POSTCODE OF MAIN VISITOR | references in description Hospital Provider Spell |
| Attribute | PRESENT ON ADMISSION INDICATOR | references in description Hospital Provider Spell |
| Attribute | PSYCHIATRIC PATIENT STATUS | references in description Hospital Provider Spell |
| Data Element | PSYCHIATRIC PATIENT STATUS CODE | references in description Hospital Provider Spell |
| NHS Business Definition | Planned Discharge Date (Hospital Provider Spell) | references in description Hospital Provider Spell |
| Attribute | RADIOTHERAPY ADMITTED PATIENT INDICATOR | references in description Hospital Provider Spell |
| Data Element | REFERRER CODE | references in description Hospital Provider Spell |
| Data Element | RESTRICTIVE INTERVENTION INCIDENT IDENTIFIER | references in description Hospital Provider Spell |
| Attribute | RESTRICTIVE INTERVENTION REASON | references in description Hospital Provider Spell |
| Attribute | RESTRICTIVE INTERVENTION TYPE | references in description Hospital Provider Spell |
| Data Element | RESTRICTIVE INTERVENTION TYPE IDENTIFIER | references in description Hospital Provider Spell |
| Supporting Information | Restrictive Intervention Incident | references in description Hospital Provider Spell |
| Attribute | SOURCE OF ADMISSION | references in description Hospital Provider Spell |
| Data Element | SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Data Element | START DATE (HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Data Element | START DATE (MOTHER LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Data Element | START DATE AND TIME (HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Data Element | START TIME (HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Data Element | START TIME (MOTHER LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL) | references in description Hospital Provider Spell |
| Attribute | STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS CODE | references in description Hospital Provider Spell |
| NHS Business Definition | Same Day Emergency Care Attendance | references in description Hospital Provider Spell |
| Data Element | WAITING TIME ADJUSTMENT (TREATMENT) | references in description Hospital Provider Spell |
| Data Element | WAITING TIME ADJUSTMENT REASON (TREATMENT) | references in description Hospital Provider Spell |
| Data Element | WARD CODE | references in description Hospital Provider Spell |
| Attribute | WARD SETTING TYPE FOR MENTAL HEALTH | references in description Hospital Provider Spell |
| Data Element | WARD STAY IDENTIFIER | references in description Hospital Provider Spell |
| NHS Business Definition | Ward Stay | references in description Hospital Provider Spell |
