Table 1.

Exclusions from PbR emergency readmissions policy. When any of these exclusions apply to an emergency readmission (following elective or non-elective admission) providers will be reimbursed for the episode of care.

(a) any readmission which does not have a national tariff

(b) maternity and childbirth

(c) cancer, chemotherapy and radiotherapy – where initial admission or readmission includes a spell first mentioned or primary diagnosis of cancer

(d) young children – patient aged under 4 years at time of readmission

(e) patients readmitted having self-discharged against clinical advice

(f) emergency transfers of an admitted patient from another provider

(g) cross border activity – where the initial admission or readmission is in the devolved administrations

(h) patients receiving renal dialysis

(i) patients readmitted subsequent to a transplant