Healthcare Commissioning Forum

The PbR Guidance states that:

The definition of an emergency readmission is any readmission:
•   where the time between discharge from the initial admission and the readmission is equal to or less than 30 days;
•   that has an emergency admission method code; and
•   that has a national price.

Commissioners should continue to reimburse providers for readmitted patients when any of these exclusions apply. The excluded readmissions are:
•   any readmission which does not have a national price;
•   maternity and childbirth;
•   cancer, chemotherapy and radiotherapy;
•   patients receiving renal dialysis;
•   patients readmitted subsequent to an organ transplant;
•   young children – where the patient is under four years old at the time of readmission;
•   patients who are readmitted having self-discharged against clinical advice;