Contextual Overview

As signalled in the 2008/09 NHS Operating Framework, Performance Sharing between all Health Care Providers on an 18 week referral to treatment PATIENT PATHWAY is being introduced to monitor the waits for PATIENTS on inter-provider pathways.  These PATIENTS include many with the most complex and demanding needs.  Currently, only the Health Care Provider treating the PATIENT reports the performance for that PATIENT PATHWAY.  Performance Sharing changes this.

The long-term solution for 18 week Peformance Sharing is for all Health Care Providers in a PATIENT PATHWAY to submit Referral To Treatment data to the Secondary Uses Service, which will allocate out the successes and breaches to all Health Care Providers involved in a REFERRAL TO TREATMENT PERIOD.   However it has been identified that an interim solution is required during the period that there is a mixed economy between Commissioning Data Set version 5 and version 6 submissions to the Secondary Uses Service, and until all Health Care Providers are submitting the Referral To Treatment data items in Commissioning Data Set version 6 format.   Performance Sharing reporting is available within the Secondary Uses Service Release 4.

The long-term solution for 18 week Peformance Sharing is for all Health Care Providers in a PATIENT PATHWAY to submit Referral To Treatment data to the Secondary Uses Service, which will allocate out the successes and breaches to all Health Care Providers involved in a REFERRAL TO TREATMENT PERIOD.   However it has been identified that an interim solution is required during the period that there is a mixed economy between Commissioning Data Set version 5 and version 6 submissions to the Secondary Uses Service, and until all Health Care Providers are submitting the Referral To Treatment data items in Commissioning Data Set version 6 format.   Performance Sharing reporting is available within the Secondary Uses Service Release 4.  Therefore to ensure that Performance Sharing is in place for individual Health Care Providers from January 2009, a voluntary monthly central return for Perfomance Sharing is required.

Scope

The Referral To Treatment Performance Sharing Data Set may be voluntarily submitted by any Health Care Provider recording a REFERRAL TO TREATMENT PERIOD END DATE where the PATIENT has transferred between Health Care Providers as part of a single REFERRAL TO TREATMENT PERIOD.   The information is submitted as aggregated data, by each referring Health Care Provider.  The central return shows only breaches apportioned between the last two Health Care Providers in the REFERRAL TO TREATMENT PERIOD.

Collections

The Health Care Provider recording the REFERRAL TO TREATMENT PERIOD END DATE may submit the following data:

a) NUMBER OF TRANSFERRED REFERRAL TO TREATMENT PERIODS COMPLETED BY ADMITTED PATIENT BREACHING 18 WEEKS (ADJUSTED)

b) NUMBER OF TRANSFERRED REFERRAL TO TREATMENT PERIODS COMPLETED BY NON-ADMITTED PATIENT BREACHING 18 WEEKS

c) NUMBER OF TRANSFERRED REFERRAL TO TREATMENT PERIODS WHERE INTER-PROVIDER TRANSFER INFORMATION MISSING

Submission

The data will be collected via the Unify2 internet data collection tool.  Queries about this tool should be made via email to the dedicated Unify2 mailbox: unify2@dh.gsi.gov.uk.  Details of the Unify2 submission template and guidance for completion can be found on the Unify2 website: http://nww.unify2.dh.nhs.uk.

Notes:

This is the number of REFERRAL TO TREATMENT PERIODS completed during the REPORTING PERIOD whereThis is the number of REFERRAL TO TREATMENT PERIODS received during the REPORTING PERIOD where:

• during the REFERRAL TO TREATMENT PERIOD there was a transfer of care from another Health Care Provider to the ORGANISATION providing First Definitive Treatment
• the REFERRAL TO TREATMENT PERIOD START DATE is unknown by the ORGANISATION CODE (RECEIVING) because the Inter-Provider Transfer Administrative Minimum Data Set is not sent at all, or key data items are missing.

Where the Inter-Provider Transfer Administrative Minimum Data Set is sent WITH the clinical referral letter it is considered to be complete if the following key data items are included:

NHS NUMBER

PATIENT PATHWAY IDENTIFIER

ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)

REFERRING ORGANISATION CODE

REFERRAL TO TREATMENT PERIOD START DATE

REFERRAL TO TREATMENT PERIOD STATUS (INTER-PROVIDER TRANSFER)

Where the Inter-Provider Transfer Administrative Minimum Data Set is sent independently of the clinical referral letter, ALL mandated Inter-Provider Transfer Administrative Minimum Data Set data items must be completed.