Cancer Waiting Times Standards (A brief guide to the changes to cancer wait times)

Cancer Waiting Times Standards There are 8 Cancer Waiting Times Standards in total that the trust reports on monthly. TWW (referral to first seen) Breast Symptomatic TWW (referral to first seen) 62 Day (referral to first treatment) 31 Day (DTT to first treatment) 31 Day Subsequent Surgery (DTT to Treatment) 31 day Subsequent Drug Treatment (DTT to Treatment ) 62 Day Screening (referral to first treatment) 62 Day Upgrade (upgrade to treatment, monitored only) Fines for anything above tolerance other than 62 day

Recent and Future Changes? Breach Reallocation and Future 28 Diagnostic Target Why and the impact The current system is 15 years old and needed updating. Support direct to test models and earlier diagnosis. To make performance reporting fairer (for example in the past if a patient was referred to NBT after the 62 day target we would be unable to prevent the breach but we would still be help accountable for half a breach.) To develop timed pathways to ensure patients are treated in a timely manner To support the transfer of patients to specialist tertiary centres for investigation and treatment in a more timely manner

Inter-Provider Transfers The key days to remember are day 38 and day 24 All 2WW patients should be referred to the treating provider before day 38. All patients should be treated within 24 days of a referral being received (if the treatment date will fall outside of 62 days). If we receive a referral after day 38 we should still aim to treat by day 62 if we can.

How will breaches/treatments be reallocated

What if there is more than two providers?

What constitutes a full and correct IPT All paperwork received or patient signed over to UHB on the Cancer register. All staging complete (unless specified in an agreed pathway) Able to progress the patient. Referred for treatment and not MDT discussion only.

Current Cancer Performance

Any questions ?