Nursing Episode

A Nursing Episode is an ACTIVITY GROUP.

A Nursing Episode is a continuous period of residential nursing care for a client (PATIENT) given on site 24 hours a day as part of a Hospital Provider Spell or Care Home Stay (Nursing Care), under the direct care of a NURSE.

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

During a Nursing Episode the PATIENT is either in a Care Home or in one or more WARDS of a Hospital Site. In some circumstances a PATIENT may take Home Leave, or Mental Health Leave of Absence for 28 days or less, or has a current period of Mental Health Absence Without Leave of 28 days or less, which does not interrupt the Nursing Episode.

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.