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 weeks from referral to treatment for
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 – 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

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?