Offering assessment in hospital by seeking divine intervention? Not initially (1-6)

'offering assessment' is the definition.
The definition and answer can be both to do with communicating as well as being present participle verbs.
Maybe there's a link between them I don't understand?

'in hospital by seeking divine intervention? not initially' is the wordplay.
I cannot really understand how this works, but
'in' is found in the answer.
'by' could be 'x' (2 by 4 is 2 x 4) and 'x' is found in the answer.
This may be the basis of the clue (or it may be nonsense).

Can you help me to learn more?