If the ESD/CRT team had no contact with the patient, for example the patient refused therapy or died before contact could be made, the record should be revoked back to the previous team. The previous team can change the discharge destination to “discharged home” or “discharged to a care home”, as appropriate, and record the referral to an ESD/CRT team in 7.7 or 7.8.
If the ESD/CRT team did have contact with the patient and the patient was deemed applicable for therapy but died before therapy could be given, then the ESD/CRT team should record the applicability in Q4.4 ‘Was the patient considered to require this therapy at any point in this admission?’; and record 0 days for Q4.5 ‘On how many days did the patient receive this therapy across their total stay in this hospital/team?’. The date the patient no longer required therapy (Q4.4.1) should be recorded as the same day the patient arrived at the team. The death and date of death can then be recorded in section 7.
We suggest to record the date the patient no longer required therapy as the same as admission so it does not negatively impact any results.