18 Weeks Referral To Treatment Waiting Times Standard Joyce Wardrope Health Information Consultant

RTT - Whole Journey From date referral received to date of commencement of definitive treatment Inclusive of: OP attendance + DC/IP procedure

18 weeks from referral to treatment for 18 week Measure OP + Diagnostics + IP/DC 18 weeks from referral to treatment for ALL source referrals

What we need to measure Starting point – date referral received End point – date treatment commenced One journey

18 week RTT where we are now Principles and Definitions – Jan’09 Under review to include Dental, Fitting of Devices, LTC, 1 Stop services, Aesthetic exclusions etc ‘Frequently Asked Questions’ from T&F Groups Recording Clinic Outcome Codes July‘09 Methodology for Measurement of AP & NAP Unique Care Pathway Number – from referral Minimum Data Set for onward referrals Jan’10

18WRTT Clinic Outcome Recording 8 Clock stops codes Therapeutic treatment commenced Medical treatment to be prescribed by GP Patient fitted with medical device Patient declined treatment No treatment required / patient discharged Patient DNA – no further appointment Return OP appointment – treatment already started /complete

18WRTT Clinic Outcome Recording 9 Clock still ticking codes Add to waiting list (including admission today) Admit today for diagnostic test or test result Refer for diagnostic test Refer for treatment to Nurse / AHP Refer for investigation/ treatment to another clinician same condition & retain responsibility for care Refer for investigation/ treatment to another clinician same condition & transfer responsibility for care Return OP appointment - continuing management pre treatment Patient considering options Patient DNA – further appointment

Diagnostics Challenges Using existing systems to their full potential Knowing what is diagnostic investigation and definitive treatment UCPN Recording 18WRTT Clinic outcomes Agree what you need to collect Developing 18WRTT reporting process

Questions?