This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

This is the total number of days within a Consultant Episode (Hospital Provider) that a discrete period of activity such as Rehabilitation or Specialist Palliative Care occurred, which requires an adjustment to the total length of stay for Payment by Results purposes. 

The LENGTH OF STAY ADJUSTMENT should be calculated using the Payment by Results rules (i.e. count of midnights).  The LENGTH OF STAY ADJUSTMENT REASON should also be recorded.

Where several discrete periods of applicable activity occur within one Consultant Episode (Hospital Provider), the number of days should be totalled and reported in a single LENGTH OF STAY ADJUSTMENT.

This attribute is also known by these names:

Context	Alias
plural	LENGTH OF STAY ADJUSTMENTS