Same Day Emergency Care Attendance

A Same Day Emergency Care Attendance is a CARE CONTACT.

A Same Day Emergency Care Attendance is the physical or virtual attendance of a PATIENT  at an Urgent and Emergency Care Service for the provision of Same Day Emergency Care.

A Same Day Emergency Care Attendance may be initiated following Emergency Care Streaming or Emergency Care Triage where the PATIENT has been assessed face to face or virtually by an appropriate CARE PROFESSIONAL.

For further guidance for Emergency Departments on Initial Assessment and Patient Flow, see the NHS England  website at: Guidance for emergency departments: initial assessment.

A Same Day Emergency Care Attendance may also be initiated following direct referral for Same Day Emergency Care by alternative routes, such as:

• A direct REFERRAL REQUEST from a GENERAL MEDICAL PRACTITIONER

• A direct transfer from an Emergency Ambulance

• A direct REFERRAL REQUEST from the NHS 111 Service

For a face to face Same Day Emergency Care Attendance (where the CONSULTATION MECHANISM (URGENT AND EMERGENCY CARE) is National Code 'Face to face'), the Urgent and Emergency Care Activity Start Date and Time is the date and time that the PATIENT arrived in person or in an Emergency Ambulance at the Urgent and Emergency Care Service for the provision of Same Day Emergency Care.

For a Same Day Emergency Care Attendance undertaken virtually (where the CONSULTATION MECHANISM (URGENT AND EMERGENCY CARE) is National Codes 'Telephone', 'Video Consultation' or 'Chat Room (Synchronous)'), the Urgent and Emergency Care Activity Start Date and Time is the date and time that contact was made with the PATIENT by a CARE PROFESSIONAL from a Same Day Emergency Care  Service who is qualified to deliver virtual clinical care.

During a face to face Same Day Emergency Care Attendance, a PATIENT may reside in a Hospital Bed where this is necessary as a result of their condition, but should NOT be counted as having had a Hospital Provider Spell for statistical purposes. All CARE ACTIVITY taking place in a Same Day Emergency Care Attendance is recorded as a single CARE CONTACT, not a Care Professional Admitted Care Episode; and is submitted in Emergency Care Data Set Version 4  and not the Admitted Patient Care Commissioning Data Sets (CDS TYPES 130 Finished General Episode or 190 Unfinished General Episode).

Any CLINICAL INTERVENTIONS, including Observable Entities, Findings, Clinical Investigations and Patient Procedures, which are undertaken during a Same Day Emergency Care Attendance, must be recorded in the ELECTRONIC HEALTH RECORD and submitted in Emergency Care Data Set Version 4.

A Same Day Emergency Care Attendance, either face to face or virtual, and scheduled or unscheduled, may occur as a CARE CONTACT within an open Urgent and Emergency Care Extended Care Episode. In this circumstance, the URGENT AND EMERGENCY CARE ACTIVITY IDENTIFIER which identifies the open Urgent and Emergency Care Extended Care Episode must be linked to the Same Day Emergency Care Attendance in the ELECTRONIC HEALTH RECORD system, and submitted in the Emergency Care Data Set Version 4 record relating to the Same Day Emergency Care Attendance.

For a face to face Same Day Emergency Care Attendance (where the CONSULTATION MECHANISM (URGENT AND EMERGENCY CARE) is National Code 'Face to face'), the Urgent and Emergency Care Activity End Timestamp is the end date, time and time zone that the PATIENT leaves the Same Day Emergency Care premises and responsibility for their clinical care is no longer the responsibility of the Same Day Emergency Care Service.

For a Same Day Emergency Care Attendance undertaken virtually (where the CONSULTATION MECHANISM (URGENT AND EMERGENCY CARE) is National Codes 'Telephone', 'Video Consultation' or 'Chat Room (Synchronous)'), the Urgent and Emergency Care Activity End Timestamp is the date, time and time zone that all CARE ACTIVITIES undertaken by the responsible CARE PROFESSIONAL relating to the Same Day Emergency Care Attendance are completed.

A Same Day Emergency Care Attendance (face to face or virtual) outcome may include:

• The PATIENT leaves the Same Day Emergency Care Service following formal discharge, with no further clinical care planned as part of the Same Day Emergency Care Attendance (however, if the PATIENT  has an open Urgent and Emergency Care Extended Care Episode for ongoing care which has not been closed during the Same Day Emergency Care Attendance, the Urgent and Emergency Care Extended Care Episode continues)

• A decision to admit to a Hospital Provider Spell is taken by the responsible CARE PROFESSIONAL

• The PATIENT is assessed during the Same Day Emergency Care Attendance  as requiring ongoing clinical care from the same Urgent and Emergency Care Service, which is to be delivered under a Urgent and Emergency Care Extended Care Episode

• The clinical care of the PATIENT is transferred to a different Health Care Provider and the PATIENT leaves the Same Day Emergency Care premises.

During a Same Day Emergency Care Attendance, a clinical decision may be taken that the PATIENT no longer requires ongoing care from the Urgent and Emergency Care Service. The time that the clinical decision made is recorded in the URGENT AND EMERGENCY CARE CLINICALLY READY TO PROCEED TIMESTAMP.

If during the Same Day Emergency Care Attendance the PATIENT leaves the Same Day Emergency Care premises (if being seen face to face), or does not continue engagement with assigned CARE PROFESSIONAL during virtual care, and this is against clinical advice, then the Same Day Emergency Care Attendance is completed and the URGENT AND EMERGENCY CARE ACTIVITY END TIMESTAMP should record the date, time and time zone at which the CARE PROFESSIONAL responsible for the Same Day Emergency Care Attendance made the clinical decision to provide no further care.