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
Attribute ACTIVITY GROUP TYPE references in description Hospital Provider Spell
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
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 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
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
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 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
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
Supporting Information Glossary of Terms references in description Hospital Provider Spell
Data Element HEALTHCARE RESOURCE GROUP CODE (HOSPITAL PROVIDER SPELL) references in description Hospital Provider Spell
Data Element HOSPITAL PROVIDER SPELL NUMBER 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
NHS Business Definition Hospital at Home Service 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
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 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
Data Element PLANNED DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL) 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
Data Element REFERRER CODE references in description Hospital Provider Spell
Attribute RESTRICTIVE INTERVENTION TYPE 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 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
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