Wednesday 03 July 2024
Internal Reference Number: FOI_7889
Date Request Received: 15/04/2024 00:00:00
Date Request Replied To: 29/04/2024 00:00:00
This response was sent via: By Email
Request Summary: Planned Care and Follow-up Appointments
Request Category: Companies
| Question Number 1: 1a. Does your organisation follow the guidance set out in Section 5 (Recording RTT waiting times: Planned patients) of NHS England’s ‘Recording and reporting referral to treatment (RTT) waiting times for consultant led elective care’?: “Planned care means an appointment /procedure or series of appointments/ procedures as part of an agreed programme of care which is required for clinical reasons to be carried out at a specific time or repeated at a specific frequency. Planned activity is also sometimes called ‘surveillance’, ‘re-do’ or ‘follow-up'.” … “When patients on planned lists are clinically ready for their care to commence and reach the date for their planned appointment, they should either receive that appointment or be transferred to an active waiting list and a waiting time clock should start (and be reported in the relevant waiting time return). The key principle is that where patients' treatment can be started immediately, then they should start treatment or be added to an active waiting list.” 1b. If so, do you follow the guidance with respect to the following types of planned patient (as defined in the guidance): • Follow-up outpatients • Cancer surveillance patients • Active monitoring patients 1c. If so, at what point does your organisation place patients waiting for planned care (as defined in the guidance) on an active RTT waiting list? (e.g. the RTT clock starts as soon as a patient’s care becomes ‘overdue’, or after a defined time period or tolerance following a patient’s care becoming ‘overdue’?) 1d. If such patients are placed on an active RTT waiting list, do you report them on i) the Referral to Treatment statistics to NHS England which are published monthly as National Statistics, and/or ii) the Waiting List Minimum Data Set (WLMDS)? | |
| Answer To Question 1: 1a) No we do not currently adhere to this part of the RTT guidance however we are working towards complying with this for our RTT and DM01 surveillance patients. b) Not applicable, as above. c) Not applicable d) Yes, as and when patients become active RTT they are included in our monthly RTT NHSE statistics and WLMDS. | |
| Question Number 2: 2a. How many patients on your active RTT waiting list have been placed on this waiting list having been transferred from a planned care list (as defined in the guidance)? Please provide the most recent available figures and state the date of those figures. 2b. How long have these patients been on an active RTT waiting list? i. 0-4 weeks (0-28 days) ii. >4 -12 weeks (29-84 days) iii. >12-18 weeks (85 days-126 days) iv. >18-36 weeks (127 days-252 days) v. >36-52 weeks (253 days-364 days) vi. >52-104 weeks (365 days – 728 days) vii. >104 weeks (729 days or more) viii. No date recorded. 2c. How many of these patients are on an active RTT waiting list for the following RTT treatment functions? i) General Surgery Service ii) Urology Service iii) Trauma and Orthopaedic Service iv) Ear Nose and Throat Service v) Ophthalmology Service vi) Oral Surgery Service vii) Neurosurgical Service viii) Plastic Surgery Service ix) Cardiothoracic Surgery Service x) General Internal Medicine Service xi) Gastroenterology Service xii) Cardiology Service xiii) Dermatology Service xiv) Respiratory Medicine Service xv) Neurology Service xvi) Rheumatology Service xvii) Elderly Medicine Service xviii) Gynaecology Service xix) Other - Medical Services xx) Other - Mental Health Services xxi) Other - Paediatric Services xxii) Other - Surgical Services xxiii) Other - Other Services xxiv) Unknown | |
| Answer To Question 2: 2a. We are not currently able to monitor how many patients move from planned waiting list to an active RTT waiting list. b. As above c. As above | |
| Question Number 3: How many planned patients (as defined in the guidance), in each of the following categories, do not have a date that allows their overdue date to be calculated ( e.g. a due-by / latest clinically appropriate date): • Follow-up outpatients • Cancer surveillance patients • Active monitoring patients | |
| Answer To Question 3: As of 25/04/2024, there are 518 planned patients that we are aware of that do not have a date that allows their overdue date to be calculated. These are all Active Monitoring patients. | |
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