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| Type: | Change Request |
| Reference: | 1323 |
| Version No: | 1.0 |
| Subject: | National Cancer Waiting Times Monitoring Data Set Update for "Delay Reason To Treatment For Cancer" |
| Effective Date: | Immediate |
| Reason for Change: | Change to Attribute Note |
| Publication Date: | 2 November 2012 |
Background:
Information Standards Notice (ISN) ISB 0147 Amd 23/2011 detailed changes to the National Cancer Waiting Times Monitoring Data Set from 1 July 2012.
An error has been identified in the notes for the Attribute "Delay Reason To Treatment For Cancer".
The note:
"National Codes 04, 05, 15 and 22 can only be used where the treatment was delivered in an admitted care setting i.e. where the CANCER CARE SETTING (TREATMENT) is National Code 01 or 02"
should read
"National Codes 04, 05, and 21 can only be used where the treatment was delivered in an admitted care setting i.e. where the CANCER CARE SETTING (TREATMENT) is National Code 01 or 02"
This Change Request corrects this by removing the codes 15 and 22 and adding 21 to the note.
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Summary of changes:
| Attribute Definitions | |
| DELAY REASON TO TREATMENT FOR CANCER | Changed Description |
| Date: | 2 November 2012 |
| Sponsor: | Gerard Hetherington, Director of Clinical Programmes, Department of Health |
Note: New text is shown with a blue background. Deleted text is crossed out. Retired text is shown in grey. Within the Diagrams deleted classes and relationships are red, changed items are blue and new items are green.
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Change to Attribute: Changed Description
The reason why a Cancer Care Spell Delay was experienced with regard to a Cancer Care Spell.
The national codes to be used are the same for delays between:
This is the reason why the Health Care Provider was unable to offer a DATE within the service standard (31 days between DECISION TO TREAT DATE and TREATMENT START DATE FOR CANCER, and CONSULTANT UPGRADE DATE and TREATMENT START DATE FOR CANCER; or 62 days between the CANCER REFERRAL TO TREATMENT PERIOD START DATE and TREATMENT START DATE FOR CANCER).
National Codes:
| Delays relating to diagnostic and pre-treatment events | |
| 01 | Clinic cancellation |
| 02 | Out-patient capacity inadequate (i.e. no cancelled clinic, but not enough slots for this PATIENT) |
| 03 | Administrative delay |
| 07 | Complex diagnostic pathway (many, or complex, diagnostic tests required) |
| 08 | Delay due to referral between Trusts (Retired 1 July 2012) |
| 11 | Diagnosis delayed for medical reasons (PATIENT unfit for diagnostic episode, excluding planned recovery period following diagnostic test) |
| 13 | Delay due to recovery after an invasive test (PATIENT DIAGNOSIS or treatment delayed due to planned recovery period following an invasive diagnostic test) |
| 17 | PATIENT choice delay relating to first outpatient APPOINTMENT |
| 18 | Health Care Provider initiated delay to diagnostic test or treatment planning |
| 19 | PATIENT initiated (choice) delay to diagnostic test or treatment planning, advance notice given |
| 20 | PATIENT Did Not Attend an APPOINTMENT for a diagnostic test or treatment planning event (no advance notice) |
| 98 | Other reason |
| Delays relating to treatment in an admitted care setting | |
| 04 | Elective cancellation (for non-medical reason) |
| 05 | Elective capacity inadequate (PATIENT unable to be scheduled for treatment within standard time) |
| 06 | Delay to diagnostic test or treatment planning (Retired 1 July 2012) |
| 10 | Treatment delayed for medical reasons (PATIENT unfit for treatment episode, excluding planned recovery period following diagnostic test) |
| 21 | PATIENT failed to present for elective treatment (choice) |
| 22 | PATIENT care not commissioned by the English NHS (waiting time standard does not apply) |
| 98 | Other reason |
| Delays relating to treatment in a non-admitted care setting | |
| 01 | Clinic cancellation |
| 02 | Out-patient capacity inadequate (i.e. no cancelled clinic, but not enough slots for this PATIENT) |
| 10 | Treatment delayed for medical reasons (PATIENT unfit for treatment episode, excluding planned recovery period following diagnostic test) |
| 14 | PATIENT Did Not Attend treatment APPOINTMENT |
| 16 | PATIENT Choice (PATIENT declined or cancelled an offered APPOINTMENT DATE for treatment) |
| 22 | PATIENT care not commissioned by the English NHS (waiting time standard does not apply) |
| 98 | Other reason |
| 99 | Other reason (Retired 1 July 2012) |
Notes:
- If National Code 98 'Other reason' is used, the reason must be explained within DELAY REASON COMMENT (CONSULTANT UPGRADE), DELAY REASON COMMENT (REFERRAL TO TREATMENT) or DELAY REASON COMMENT (DECISION TO TREATMENT) as appropriate.
- National Code 03 'Administrative delay' should not be used to record delays linked to a ‘Did Not Attend’ (DNA) event where a waiting time adjustment has been entered into the PATIENT record.
National Codes 04, 05, 15 and 22 can only be used where the treatment was delivered in an admitted care setting i.e. where theCANCER CARE SETTING (TREATMENT)is National Code 01 or 02.- National Codes 04, 05 and 21 can only be used where the treatment was delivered in an admitted care setting i.e. where the CANCER CARE SETTING (TREATMENT) is National Code 01 or 02.
- National Codes 14 and 16 can only be used where the treatment was delivered in a non-admitted care setting i.e. where the CANCER CARE SETTING (TREATMENT) is National Code 03 or 04.
- National Code 17 should only be used where DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS) is also present in the PATIENT record.
- National Code 20 should not be used for any Did Not Attend (DNA) event relating to DATE FIRST SEEN. Events of this type should not constitute a delay as they can be accounted for by entering a value for WAITING TIME ADJUSTMENT (FIRST SEEN) in the PATIENT record.
- National Codes 07, 11, 13, 17, 18, 19 and 20 should only be used for Referral to Treatment type pathways, therefore these should not be used to record a value for DELAY REASON COMMENT (DECISION TO TREATMENT).
- National Code 22 'PATIENT care not commissioned by the English NHS (waiting time standard does not apply)' should only be used in instances where the non-English administration has commissioned a cancer service with similar ‘target times’ and data item attributes. This is to allow different commissioning arrangements to be supported by a single local administrative and clinical system.
- If a delay to the pathway is due to an administrative delay in the transfer of a PATIENT from one Health Care Provider to another (an Inter-Provider Transfer or IPT) this should be recorded as National Code 03 'Administrative delay' with appropriate supporting detail given in either DELAY REASON COMMENT (REFERRAL TO TREATMENT) or DELAY REASON COMMENT (CONSULTANT UPGRADE).
For enquiries about this Change Request, please email datastandards@nhs.net