NHS Information Authority

Data Standards Programme

Confusion arose over the wording of the entity ELECTIVE ADMISSION SUSPENSION DETAIL, in that it was felt to imply that a suspended patient could not be given an Offer of Admission during the period of suspension, even if the Admission date was after the suspension period. This was incorrect; a patient can be given an Offer of Admission while they are suspended, as long as the admission date is later than the known end of the suspension.

This DSCN clarifies this point.

ELECTIVE ADMISSION SUSPENSION DETAIL

A period of time during which a PATIENT on an ELECTIVE ADMISSION LIST should not be given an OFFER OF ADMISSION due to medical or patient-initiated reasons.A period of time during which a PATIENT on an ELECTIVE ADMISSION LIST is unavailable for admission due to medical or patient-initiated reasons and therefore they should not be given an OFFER OF ADMISSION for that interval.

This class is also known by these names:

Context	Alias
plural	ELECTIVE ADMISSION SUSPENSION DETAILS

SUSPENDED PATIENT

Format/length:
HES item:
National Codes:
Default Codes:

Notes:
A PATIENT is suspended from the ELECTIVE ADMISSION LIST for medical reasons or is unavailable for admission for a specified period because of family commitments, holidays or other reasons During this period of suspension, an OFFER OF ADMISSION should not be made. A PATIENT is suspended from the ELECTIVE ADMISSION LIST for medical reasons or is unavailable for admission for a specified period because of family commitments, holidays or other reasons. During this period of suspension, a PATIENT on an ELECTIVE ADMISSION LIST is unavailable for admission and therfore should not be given an OFFER OF ADMISSION for that interval. Note that a PATIENT cannot be suspended from the elective waiting list after an OFFER OF ADMISSION has been made.

Periods of suspension are normally deducted from the waiting time from the DECIDED TO ADMIT DATE (for this provider). However if the PATIENT has self-deferred, the period of suspension will be deducted from the date offered for admission which was refused.

In some instances, a Patient who is medically unfit for treatment could be removed from the waiting list altogether, but it should be stressed that this would need to be a clinical judgement made locally. PATIENTS on an ELECTIVE ADMISSION LIST should be those who need treatment and who are likely to be fit for surgery when offered admission. The Waiting List Action Team Handbook: Getting Patients Treated (August 1999) issued by the DH states that only PATIENTS who are clinically ready to undergo surgery should be placed on a waiting list for surgery. However, PATIENTS can become medically unfit for treatment while already on an ELECTIVE ADMISSION LIST. They may develop conditions, such as diabetes or obesity, that need to be treated before surgery can take place.

Once the period of suspension has passed, the PATIENT is restored to valid membership of an ELECTIVE ADMISSION LIST.

This data element is also known by these names:

Context	Alias
plural	SUSPENDED PATIENTS

kh06 1

Central Return Form Guidance

KH06 - Demand for Elective Admission: Events Occurring during the Quarter (Provider Based)

Contextual Overview

Contextual Overview

1. The Department requires performance management measures of waiting times by HQ and Regional Offices.

1. The Department requires performance management measures of waiting times by HQ and Regional Offices.

2. Information on the return is used in Public Expenditure Survey (PES) negotiations and supports, risk analysis, the production of in-patient and out-patient modelling and Departmental accountability.

2. Information on the return is used in Public Expenditure Survey (PES) negotiations and supports, risk analysis, the production of in-patient and out-patient modelling and Departmental accountability.

3. The Department also uses this information to help monitor national waiting list trends. These are used to develop policies and indicate changes which can enable ELECTIVE ADMISSION LIST to be managed more effectively.

3. The Department also uses this information to help monitor nationalwaiting list trends. These are used to develop policies and indicate changes which can enable ELECTIVE ADMISSION LIST to be managed more effectively.

4. Information based on the return is not published directly; however the details are used to confirm the provider based waiting list statistics.

4. Information based on the return is not published directly; however the details are used to confirm the provider based waiting list statistics.

Completing Return KH06 - Demand for Elective Admission: Events Occurring during the Quarter

5. The return KH06 is provider-based and is submitted by NHS TRUST and No reference found for this link regardless of where the PATIENT live. The returns are for all PATIENT waiting for admission to NHS hospitals, excluding planned admissions i.e. it includes PATIENT who are:

   -	private patients
   -	PATIENT from overseas

6. KH06 relates to ELECTIVE ADMISSION LIST events - that is, all the ELECTIVE ADMISSION LIST ENTRY added as the result of a DECISION TO ADMIT, and all the removals from the ELECTIVE ADMISSION LIST during the period. The return is sub-divided into ordinary admissions and admissions that are intended to be day case admissions. Admissions are classified by SPECIALTY FUNCTION CODE.

5. The return KH06 is provider-based and is submitted by NHS TRUSTS and PRIMARY CARE TRUSTS regardless of where the PATIENTS live. The returns are for all PATIENTS waiting for admission to NHS hospitals, excluding planned admissions i.e. it includes PATIENTS who are:

-	private patients
-	PATIENTS from overseas

6. Note that PATIENT waiting for tissue or organ transplants are classified as suspended patients and are excluded from the central return.

6. KH06 relates to ELECTIVE ADMISSION LIST events - that is, all the ELECTIVE ADMISSION LIST ENTRY added as the result of a DECISION TO ADMIT, and all the removals from the ELECTIVE ADMISSION LIST during the period. The return is sub-divided into ordinary admissions and admissions that are intended to be day case admissions. Admissions are classified by SPECIALTY FUNCTION CODE.

7. Suspended patients are PATIENT who have been suspended from the ELECTIVE ADMISSION LIST for medical reasons or who are unavailable for admission for a specified period because of family commitments, holidays or other reasons. During this period, an OFFER OF ADMISSION should not be made.

7. Note that PATIENTS waiting for tissue or organ transplants are classified as suspended patients and are excluded from the central return.

8. A table is provided with the return KH06 to help you make consistency checks with KH07 and KH07A. The difference line should be zero if all the data are consistent.

8. Suspended patients are PATIENTS who have been suspended from the ELECTIVE ADMISSION LIST for medical reasons or who are unavailable for admission for a specified period because of family commitments, holidays or other reasons. During this period of suspension a PATIENT on an ELECTIVE ADMISSION LIST is unavailable for admission and therefore should not be given an OFFER OF ADMISSION for that interval.

9. The return relates to a three month period, the first quarter starting on 1 April and the last quarter ending on 31 March. All four quarterly returns require data collected at SPECIALTY FUNCTION CODE level. Returns must be submitted by the fifteenth working day after the end of the quarter.

10. The return relates to a three month period, the first quarter starting on 1 April and the last quarter ending on 31 March. All four quarterly returns require data collected at SPECIALTY FUNCTION CODE level. Returns must be submitted by the fifteenth working day after the end of the quarter.

kh06r 1

Central Return Form Guidance

KH06R - Demand for Elective Admission: Events Occurring during the Quarter (Responsible Population Based)

Contextual Overview

1. The Department requires performance management measures of waiting times, by HQ and Regional Offices. The Department uses this information to help monitor national waiting list trends. These are used to develop policies and indicate changes which can enable ELECTIVE ADMISSION LISTS to be managed more efficiently.

2. Information on the return is also used in Public Expenditure Survey (PES) negotiations and supports, risk analysis, the production of in-patient and out-patient modelling and Departmental accountability.

3. Information based on the return is not published directly; however, the details are used to confirm the responsible population based waiting list statistics.

Completing Return KH06R - Demand for Elective Admission: Events Occurring During the Quarter

4. The KH06R return is submitted by HEALTH AUTHORITIES and is based on the population for which the Health Authority is responsible This includes all patients registered with GPs who form part of PRIMARY CARE GROUPS and PRIMARY CARE TRUSTS for which the Health Authority is responsible, including those who are not resident within the Health Authority's geographical area. If a patient waiting for admission to hospital does not have an NHS GP, the responsible Primary Care Group or Primary Care Trust is determined by the postcode of the patient's home. The Health Authority's geographical area is divided up among its Primary Care Groups and Primary Care Trusts for this purpose. The responsible Health Authority is then determined from the Primary Care Group's or Primary Care Trusts's line of accountability, as usual. PATIENTS treated under out of area treatments (OATs) are exceptions, who should be counted by the 'main commissioner'. This is normally the HA with the highest value of Service Agreements with the NHS Trust.

5. KH06R requires information only about waiting list admissions and booked admissions. Do not include planned admissions.

6. The Health Authority return indicates the experience of PATIENTS for whom the HEALTH AUTHORITY is responsible in terms of their waiting times for admission to hospital, and includes NHS funded PATIENTS waiting for admission either to private or to other non-NHS establishments.

7. Note that PATIENTS waiting for tissue or organ transplants are classified as suspended patients and are excluded from the central return.

8. Suspended patients are PATIENTS who have been suspended from the ELECTIVE ADMISSION LISTS for medical reasons or who are unavailable for admission for a specified period because of family commitments, holidays or other reasons. During this period, an OFFER OF ADMISSION should not be made.

8. Suspended patients are PATIENTS who have been suspended from the ELECTIVE ADMISSION LISTS for medical reasons or who are unavailable for admission for a specified period because of family commitments, holidays or other reasons. During this period of suspension a PATIENT on an ELECTIVE ADMISSION LIST is unavailable for admisison and therefore should not be given an OFFER OF ADMISSION for that interval.

9. The return excludes:

-	private patients
-	PATIENTS from overseas.

10. HA based returns should count a PATIENT once, whether or not the PATIENT is on the waiting lists of two or more NHS Trusts for the same condition.

11. The return relates to a three month period, the first quarter starting on 1 April and the last quarter ending on 31 March. All four quarterly returns require data at SPECIALTY FUNCTION CODE level. Returns must be submitted by the thirtieth working day after the end of the quarter.

kh07 1

Central Return Form Guidance

KH07 - Demand for Elective Admission: Position at the End of the Quarter (Provider Based)

Contextual Overview

1. The Department requires performance management measures of waiting times by HQ and Regional Offices on a HEALTH CARE PROVIDER basis. The information is used for monitoring HAs and Trusts. The resulting statistics on 'waiting times' are used to help develop policies and indicate changes that enable ELECTIVE ADMISSION LIST to be managed more efficiently.

2. Information on the return is also used in Public Expenditure Survey (PES) negotiations and supports, risk analysis, the production of in-patient and out-patient modelling and Departmental accountability.

3. Information on the return is published in the Quarterly Review, Hospital Waiting List Statistics: England, Health and Personal Social Services, and the Annual Reports.

Completing the Return KH07 - Demand for Elective Admission: Position at the End of the Quarter

4. The return KH07 is provider-based and is submitted by NHS TRUST and PRIMARY CARE TRUST regardless of where the PATIENTS live. The returns are for all PATIENTS waiting for admission to NHS hospitals, i.e. include PATIENTS who are:

-	private patients
-	PATIENTS from overseas

5. KH07 gives the status of the waiting list showing the number of PATIENTS awaiting elective admission at the end of a three month period - on 30 June, 30 September, 31 December and 31 March at 12 midnight.

6. Note that PATIENTS waiting for tissue or organ transplants are classified as suspended patients and are excluded from the central return.

7. Suspended patients are PATIENTS who have been suspended from the ELECTIVE ADMISSION LIST for medical reasons or who are unavailable for admission for a specified period because of family commitments, holidays or other reasons. During this period, an OFFER OF ADMISSION should not be made.

7. Suspended patients are PATIENTS who have been suspended from the ELECTIVE ADMISSION LIST for medical reasons or who are unavailable for admission for a specified period because of family commitments, holidays or other reasons. During this period of suspension a PATIENT on an ELECTIVE ADMISSION LIST is unavailable for admission and therefore should not be given an OFFER OF ADMISSION for that interval.

8. A table is provided with the return KH06 to help you make consistency checks with KH07 and KH07A. The difference line should be zero if all the data are consistent.

9. All four quarterly returns require data collected at SPECIALTY FUNCTION CODE level. Returns must be submitted by the fifteenth working day after the end of the quarter.

kh07a 1

Central Return Form Guidance

KH07A - Demand for Elective Admission: Number of Patients who have deferred admission waiting at the end of the Quarter (Provider Based)

Contextual Overview

1. The Department requires performance management measures of waiting times on a HEALTH CARE PROVIDER basis. The Department uses the information from this return to help monitor national waiting list trends. These are used to develop policies and indicate changes which can enable ELECTIVE ADMISSION LISTS to be managed more effectively.

2. Information based on the return is not published directly; however, the details are used to confirm the provider based waiting list statistics.

Completing the Return KH07A - Demand for Elective Admission: Number of Patients who have deferred admission waiting at the end of the Quarter

3. The return KH07A is provider-based and submitted by NHS TRUSTS and PRIMARY CARE TRUSTS regardless of where the PATIENTS live. The return includes all deferred and suspended patients, including those who are:

-	private patients
-	PATIENTS from overseas.

4. The return is sub-divided into deferred admissions and suspended patients each of which are then divided into those intended to be treated as ordinary admissions and those intended to be treated as day case admissions. Deferred admissions and suspended patients should be counted by SPECIALTY FUNCTION CODE.

Deferred admissions

5. Deferred admissions are PATIENTS with an ADMISSION OFFER OUTCOME of Patient failed to arrive or Admission cancelled by, or on behalf of, patient.

6. A PATIENT can only be included in the count of deferred admissions once the offered date for admission has passed. This means that PATIENTS who have self-deferred during the period but whose offered admission dates have not passed at the CENSUS DATE are not included. Note that PATIENTS who have self-deferred a planned admission are excluded from this return.

Suspended patients

7. Suspended patients are PATIENTS who have been suspended from the ELECTIVE ADMISSION LISTS for medical reasons or who are unavailable for admission for a specified period because of family commitments, holidays or other reasons. During this period, an OFFER OF ADMISSION should not be made.

7. Suspended patients are PATIENTS who have been suspended from the ELECTIVE ADMISSION LISTS for medical reasons or who are unavailable for admission for a specified period because of family commitments, holidays or other reasons. During this period of suspension a PATIENT on an ELECTIVE ADMISSION LIST is unavailable for admission and therefore should not be given an OFFER OF ADMISSION for that interval.

8. The inclusion of suspended patients in KH07A allows the data in KH06 and KH07 to be checked for consistency. PATIENTS waiting at the end of the period should be equivalent to PATIENTS waiting at the end of the last period plus the number of additions and minus the number of PATIENTS admitted in the period or removed from the ELECTIVE ADMISSION LISTS for other reasons. For the figures to balance, suspended patients must also be taken into account.

9. A table is provided with the return KH06 to help you make consistency checks with KH07 and KH07A. The difference line should be zero if all the data are consistent.

10. The return relates to a three month period, the first quarter starting on 1 April and the last quarter ending on 31 March. All four quarterly returns require data collected at SPECIALTY FUNCTION CODE level. Returns must be submitted by the fifteenth working day after the end of the quarter.

kh07ar 1

Central Return Form Guidance

KH07AR - Demand for Elective Admission: Number of Patients who have deferred admission waiting at the end of the Quarter (Responsible Population Based)

Contextual Overview

1. The Department requires HQ and Regional Offices to manage waiting time performance. The Department uses the information from this return to help monitor national waiting list trends. These are used to develop policies and indicate changes which can enable ELECTIVE ADMISSION LISTS to be managed more effectively.

2. Information on the return is not published directly; however, the details are used to confirm the responsible population based waiting list statistics.

Completing the Return KH07AR - Demand for Elective Admission: Number of Patients who have deferred admission waiting at the end of the Quarter

3. The return KH07AR is submitted by HEALTH AUTHORITIES and is based on the population for which the Health Authority is responsible. This includes all patients registered with GPs who form part of PRIMARY CARE GROUPS and PRIMARY CARE TRUSTS for which the Health Authority is responsible, including those who are not resident within the Health Authority's geographical area. If a patient waiting for admission to hospital does not have an NHS GP, the responsible Primary Care Group or Primary Care Trust is determined by the postcode of the patient's home. The Health Authority's geographical area is divided up among its Primary Care Groups and Primary Care Trusts for this purpose. The responsible Health Authority is then determined from the Primary Care Group's or Primary Care Trusts's line of accountability, as usual. PATIENTS treated under out of area treatments (OATs) are exceptions, who should be counted by the 'main commissioner'. This is normally the HA with the highest value of Service Agreements with the NHS Trust.

4. KH07AR requires information only about waiting list admissions and booked admissions. Planned admissions are excluded.

5. The return indicates the experience of PATIENTS for whom the HEALTH AUTHORITY is responsible in terms of their waiting times for admission to hospital, and includes NHS funded PATIENTS waiting for admission either to private or to other non-NHS establishments.

6. The return is sub-divided into deferred admissions and suspended patients each of which are then divided into those intended to be treated as ordinary admissions and those intended to be treated as day case admissions. Deferred admissions and suspended patients should be counted by SPECIALTY FUNCTION CODE.

Deferred admissions

7. Deferred admissions are patients with an ADMISSION OFFER OUTCOME of Patient failed to arrive or Admission cancelled by, or on behalf of, patient.

8. A PATIENT can only be included in the count of deferred admissions once the offered date for admission has passed. This means that PATIENTS who have self-deferred during the period but whose offered admission dates have not passed at the CENSUS DATE are not included. Note that PATIENTS who have self-deferred a planned admission are excluded from this return.

Suspended patients

9. Suspended patients are PATIENTS who have been suspended from the ELECTIVE ADMISSION LISTS for medical reasons or who are unavailable for admission for a specified period because of family commitments, holidays or other reasons. During this period, an OFFER OF ADMISSION should not be made. The return excludes:

9. Suspended patients are PATIENTS who have been suspended from the ELECTIVE ADMISSION LISTS for medical reasons or who are unavailable for admission for a specified period because of family commitments, holidays or other reasons. During this period of suspension a PATIENT on an ELECTIVE ADMISSION LIST is unavailable for admission and therefore should not be given an OFFER OF ADMISSION for that interval. The return excludes:

-	private patients
-	PATIENTS from overseas.

10. HA based returns should count a PATIENT once, whether or not the PATIENT is on the waiting lists of two or more NHS Trusts for the same condition.

11. The inclusion of suspended patients in KH07AR allows the data in KH06R and QF01 to be checked for consistency. PATIENTS waiting at the end of the period should be equivalent to PATIENTS waiting at the end of the last period plus the number of additions and minus the number of PATIENTS admitted in the period or removed from the ELECTIVE ADMISSION LISTS for other reasons. For the figures to balance, suspended patients must also be taken into account.

12. The return relates to a three month period, the first quarter starting on 1 April and the last quarter ending on 31 March. All four quarterly returns require data at SPECIALTY FUNCTION CODE level. Returns must be submitted by the thirtieth working day after the end of the quarter.

qf01 1

Central Return Form Guidance

QF01 - Demand For Elective Admission:Position at the End of the Quarter (Responsible Population Based)

Contextual Overview

1. The Department requires performance management measures of waiting times, by HQ and Regional Offices.

2. The information is used for monitoring HEALTH AUTHORITY. The resulting statistics on waiting times are used to develop policies and indicate changes which can enable ELECTIVE ADMISSION LIST to be managed more effectively.

2. The information is used for monitoring HEALTH AUTHORITIES. The resulting statistics on waiting times are used to develop policies and indicate changes which can enable ELECTIVE ADMISSION LIST to be managed more effectively.

3. Information on the return is also used in Public Expenditure Survey (PES) negotiations and supports, risk analysis, the production of in-patient and out-patient modelling and Departmental accountability.

4. Information based on the return is published in the statistics press notice and in the quarterly book, Hospital Waiting List Statistics (Responsible Population Based).

Completing Return QF01 - Demand For Elective Admission:Position at the End of the Quarter

5. The return QF01 is submitted by HEALTH AUTHORITY and is based on the population for which the Health Authority is responsible. This includes all patients registered with GPs who form part of PRIMARY CARE GROUP and PRIMARY CARE TRUST for which the Health Authority is responsible including those who are not resident within the Health Authority's geographical area. If a patient waiting for admission to hospital does not have an NHS GP, the responsible Primary Care Group or Primary Care Trust is determined by the postcode of the patient's home. The Health Authority's geographical area is divided up among its Primary Care Groups and Primary Care Trusts for this purpose. The responsible Health Authority is then determined from the Primary Care Group's or Primary Care Trust's line of accountability, as usual. PATIENT treated under out of area treatments (OATs) are exceptions, who should be counted by the `main commissioner'. This is normally the HA with the highest value of Service Agreements with the NHS Trust.

5. The return QF01 is submitted by HEALTH AUTHORITIES and is based on the population for which the Health Authority is responsible. This includes all patients registered with GPs who form part of PRIMARY CARE GROUP and HEALTH AUTHORITIES for which the Health Authority is responsible including those who are not resident within the Health Authority's geographical area. If a patient waiting for admission to hospital does not have an NHS GP, the responsible Primary Care Group or Primary Care Trust is determined by the postcode of the patient's home. The Health Authority's geographical area is divided up among its Primary Care Groups and Primary Care Trusts for this purpose. The responsible Health Authority is then determined from the Primary Care Group's or Primary Care Trust's line of accountability, as usual. PATIENTS treated under out of area treatments (OATs) are exceptions, who should be counted by the `main commissioner'. This is normally the HA with the highest value of Service Agreements with the NHS Trust.

6. QF01 requires counts only of those PATIENT on ELECTIVE ADMISSION LIST who have been classified as waiting list admissions and booked admissions. Planned admissions and suspended patients are excluded.

6. QF01 requires counts only of those PATIENTS on ELECTIVE ADMISSION LIST who have been classified as waiting list admissions and booked admissions. Planned admissions and suspended patients are excluded.

Waiting list admissions and booked admissions are identified by those PATIENT on ELECTIVE ADMISSION LIST with ELECTIVE ADMISSION LIST ENTRY where the ELECTIVE ADMISSION TYPE classification is Waiting list admission or Booked admission.Waiting list admissions and booked admissions are identified by those PATIENTS on ELECTIVE ADMISSION LIST with ELECTIVE ADMISSION LIST ENTRY where the ELECTIVE ADMISSION TYPE classification is Waiting list admission or Booked admission.

Planned admissions are identified by those PATIENT on ELECTIVE ADMISSION LIST with ELECTIVE ADMISSION LIST ENTRY where the ELECTIVE ADMISSION TYPE classification is Planned admission.Planned admissions are identified by those PATIENTS on ELECTIVE ADMISSION LIST with ELECTIVE ADMISSION LIST ENTRY where the ELECTIVE ADMISSION TYPE classification is Planned admission.

Suspended patients are identified by those PATIENT who have an ELECTIVE ADMISSION LIST ENTRY for which there is a current active ELECTIVE ADMISSION SUSPENSION DETAIL i.e. there is no END DATE which indicates that the period of suspension is still in force. During this period, an OFFER OF ADMISSION should not be made.Suspended patients are identified by those PATIENTS who have an ELECTIVE ADMISSION LIST ENTRY for which there is a current active ELECTIVE ADMISSION SUSPENSION DETAIL i.e. there is no END DATE which indicates that the period of suspension is still in force. During this period of suspension a PATIENTS on an ELECTIVE ADMISSION LIST is unavailable for admission and therefore should not be given an OFFER OF ADMISSION for that interval.

7. The Health Authority return indicates the experience of PATIENT for whom the Health Authority is responsible in terms of their waiting times for admission to hospital, and includes NHS funded PATIENT waiting for admission either to private or to other non-NHS establishments.

7. The Health Authority return indicates the experience of PATIENTS for whom the Health Authority is responsible in terms of their waiting times for admission to hospital, and includes NHS funded PATIENTS waiting for admission either to private or to other non-NHS establishments.

8. The return excludes:

-	Private patients
-	Patients from overseas.

9. HA based returns should count a PATIENT once, whether or not the PATIENT is on the waiting lists of two or more NHS Trusts for the same condition.

9. HA based returns should count a PATIENT once, whether or not the PATIENT is on the waiting lists of two or more NHS Trusts for the same condition.

10. The return relates to the position at the end of a three month period, the first quarter starting on 1 April, and the last quarter ending on 31 March. All four quarterly returns require data at SPECIALTY FUNCTION CODE level. Returns must be submitted by the fifteenth working day after the end of the quarter.

Central Return-Waiting Time Calculations for KH07+QF01

CENTRAL RETURNS

Waiting Time Calculations for KH07 and QF01

The following table provides a comparison of the waiting time calculations for Central Returns KH07 and QF01.

Please note that the Patient's charter column has been removed given that the Patient's Charter has now been replaced by "Your Guide to the NHS". However, the collection of the Patient's Original Decision To Admit continues to be an important performance management tool. Refer to "Your Guide to the NHS" for details of any new requirements.

Waiting List Event	Calculation needed for KH07 and QF01
Original Decision To Admit (DTA) The DTA is the DECIDED TO ADMIT DATE	Record DTA as start date
Patient on waiting list
Patient is transferred to another provider.	Count from DTA for new provider
Patient is unavailable for treatment (suspended) and offer of admission cannot be made.	Omit from KH07/QF01 (but include on KH07A and KH07AR). Count from DTA for this provider and deduct period of suspension from waiting time.
Patient is unavailable for treatment (suspended) and offer of admission cannot be made for that period.	Omit from KH07/QF01 (but include on KH07A and KH07AR). Count from DTA for this provider and deduct period of suspension from waiting time.
Patient offered admission
Patient offered a date for admission but refuses this for personal reasons in advance of the date (self-deferred).	Count from the admission date the patient refused.
Patient offered a date for admission but does not turn up and gives no advance warning (as for self-deferred).	Count from the admission date which the patient failed to attend.
Patient offered a date for admission but this is subsequently cancelled by the hospital.	Count from DTA for this provider
Patient admitted but treatment deferred. Patient sent home and new DTA made.	Count from new DTA for this provider.
Patient admitted and treatment completed.	Remove from waiting list.
Patient removed from waiting list (emergency admission for same condition, death, other reasons).	Remove from waiting list.

HP050

Model View Diagram - Overview

HP050 - ELECTIVE ADMISSION LISTS

1. This diagram shows entity types relevant to PATIENTS awaiting entry on to ELECTIVE ADMISSION LISTS.

2. When a DECISION TO ADMIT a PATIENT to hospital is made, the PATIENT will either immediately begin a HOSPITAL PROVIDER SPELL (if an emergency admission) or an ELECTIVE ADMISSION LIST ENTRY is made. A DECISION TO ADMIT (for a single condition) could lead to an entry being made on the ELECTIVE ADMISSION LISTS of more than one HEALTH CARE PROVIDER. It is also possible for a PATIENT to have more than one current ELECTIVE ADMISSION LIST ENTRY with a provider because they are awaiting treatment for more than one condition.

3. An ELECTIVE ADMISSION LIST will have one SPECIALTY FUNCTION. If it is intended that more than one CONSULTANT will manage the PATIENT, then the SHARED CARE CONSULTANT and shared care SPECIALTY FUNCTION (both are described in HP070) will be required for the ELECTIVE ADMISSION LIST ENTRY. An ELECTIVE ADMISSION LIST will also have a main CONSULTANT SPECIALTY FUNCTION and both the ELECTIVE ADMISSION LIST and ELECTIVE ADMISSION LIST ENTRY may have CONSULTANT SPECIALTY FUNCTIONS linked to them as treatment specialty interests.

4. An ELECTIVE ADMISSION LIST ENTRY may have a LOCAL SUB-SPECIALTY associated with it. The intended HOSPITAL SITE where treatment is planned may also be entered for an ELECTIVE ADMISSION LIST ENTRY.

5. An OFFER OF ADMISSION is made when a PATIENT is offered a date to come in to hospital. Each OFFER OF ADMISSION is specific to one ELECTIVE ADMISSION LIST ENTRY. Several OFFERS OF ADMISSION may be made before the PATIENT finally accepts and is admitted.

6. An ELECTIVE ADMISSION SUSPENSION DETAIL records when a PATIENT through medical or other reasons is suspended from an ELECTIVE ADMISSION LIST. During the period of suspension the PATIENT must not be given an OFFER OF ADMISSION.

6. An ELECTIVE ADMISSION SUSPENSION DETAIL records when a PATIENT through medical or other reasons is suspended from an ELECTIVE ADMISSION LIST. During this period of suspension a PATIENT on an ELECTIVE ADMISSION LIST is unavailable for admission and therefore should not be given an OFFER OF ADMISSION for that interval.

7. An ELECTIVE ADMISSION LIST may be maintained for a particular CONSULTANT.

8. When a PATIENT is admitted, a HOSPITAL PROVIDER SPELL will be initiated (see HP070).