Midwife Episode

A Midwife Episode is an ACTIVITY GROUP.

A Midwife Episode is a continuous period of time a PATIENT uses a Hospital Bed  or Delivery facility as part of a Hospital Provider Spell or Care Home Stay (Midwife Care), under the direct care of a MIDWIFE. This may be during a Maternity Episode or Labour and Delivery for the mother but may also be for a baby following a REGISTRABLE BIRTH.

The MIDWIFE with overall responsibility for a Midwife Episode must be identified. If the responsible MIDWIFE changes then a new Midwife Episode or Consultant Episode (Hospital Provider) begins.

General medical care during the Midwife Episode is the responsibility of the PATIENTS own GENERAL MEDICAL PRACTITIONER who is acting as a CONSULTANT.

An Emergency Care Attendance  should be recorded where a PATIENT  who is admitted to a Hospital Provider Spell  and Care Professional Admitted Care Episode  at the same Health Care Provider, is taken to the Emergency Care Department  for treatment because, for example, the required resources are not available on the WARD to which the PATIENT  is admitted. The Hospital Provider Spell  and Care Professional Admitted Care Episode  are not interrupted by an Emergency Care Attendance  of this nature. The Emergency Care Attendance  record should identify the appropriate URGENT AND EMERGENCY CARE ATTENDANCE SOURCE (SNOMED CT)   SNOMED CT  concept for a PATIENT  attending an Emergency Care Department  from a WARD  setting.

Health Care Providers  should note, however, that before they commence such recording of Emergency Care Attendances  for admitted PATIENTS, they should discuss this with their commissioners (e.g. Integrated Care Board). If the commissioner is not willing to fund the Emergency Care Attendance  in addition to the Care Professional Admitted Care Episode, then the Emergency Care Data Set Version 4  record must be excluded from the National Tariff Payment System  process. This is done by following the guidance on the NHS SERVICE AGREEMENT IDENTIFIER  data element in the relevant Emergency Care Data Set Version 4  record.