Joyce Wardrope

1

18 Weeks Referral To Treatment Waiting Times
Standard

• Joyce Wardrope
• Health Information Consultant

2
RTT - Whole Journey

• From date referral received to date of
  commencement of definitive treatment
• Inclusive of
• OP attendance DC/IP procedure

3
18 week Measure
OP
Diagnostics
IP/DC
18 weeks from referral to treatment for ALL
source referrals
4
What we need to measure

• Starting point date referral received
• End point date treatment commenced
• One journey

5
18 week RTT where we are now

• Principles and Definitions Jan09
• Under review to include Dental, Fitting of
  Devices, LTC, 1 Stop services, Aesthetic
  exclusions etc
• Frequently Asked Questions from TF Groups
• Recording Clinic Outcome Codes July09
• Methodology for Measurement of AP NAP
• Unique Care Pathway Number from referral
• Minimum Data Set for onward referrals Jan10

6
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

7
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

8
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

9

• Questions?