Change Request
 
NHS Information Authority


Data Standards and Information Programme


Reference: Change Request 413
Version No: 1.5
Subject: Cancer Waiting Times - Anti-Cancer Surgery
Type of Change: Changes to descriptions
Effective Date: 1 March 2004
Reason for Change: Anti-cancer surgery includes enabling or palliative interventions. These changes have been introduced to clarify Cancer Waiting Times monitoring.

Background:

DSCN 22/2002 National Cancer Waiting Times Monitoring introduced the central electronic collection of patient level information. The Cancer Action Team has recently issued the Cancer Waiting Targets - A guide (Version 3) which clarifies that First Definitive Treatment includes palliative or enabling surgery eg colostomy or stent, as these interventions form part of the planned treatment package.

This DSCN updates the data standards to clarify the scope of anti-cancer surgery.

More information about Cancer Waiting Times and the guide can be found at:
http://www.nhsia.nhs.uk/cancer/pages/waiting/documentation.asp

Summary of changes:

 
Attribute Definitions
FIRST DEFINITIVE TREATMENT PLANNED    Change to Description
FIRST DEFINITIVE TREATMENT PROVIDED    Change to Description
PLANNED DEFINITIVE TREATMENT    Change to Description
 
Data Elements
START DATE (SURGERY HOSPITAL PROVIDER SPELL)    Change to Description

Name: Kevin Shine
Date: 18 May 2004
Sponsor: Cancer Action Team and Cancer Data Group

Note: Additions shown in highlighted with a blue background. Deletions are shown using strikeout.

Click here for a printer friendly view of this page.

FIRST DEFINITIVE TREATMENT PLANNED
Change to Attribute: Change to Description

This is an indicator that the PLANNED CANCER TREATMENT is the planned first definitive treatment or intervention to be given which is intended to remove or shrink a cancer tumour and/or to palliate the effects of the cancer. This is an indicator that the PLANNED CANCER TREATMENT is the planned first definitive treatment or intervention to be given which is intended to remove or shrink a cancer tumour, to enable an anti-cancer treatment and/or to palliate the effects of the cancer.

Classification:

a. first definitive treatment planned
b. not first definitive treatment planned

References: The NHS National Cancer Waiting Times, DH, DSCN 22/2002.





This attribute is also known by these names:
Context Alias
plural FIRST DEFINITIVE TREATMENT PLANNED





top
FIRST DEFINITIVE TREATMENT PROVIDED
Change to Attribute: Change to Description

This is an indicator that the PLANNED CANCER TREATMENT was the provided first definitive treatment or intervention given which was intended to remove or shrink a cancer tumour and/or to palliate the effects of the cancer. This is an indicator that the PLANNED CANCER TREATMENT was provided as the first definitive treatment or intervention which was intended to remove or shrink a cancer tumour, to enable an anti-cancer treatment and/or to palliate the effects of the cancer.

Classification:

a. first definitive treatment provided
b. not first definitive treatment provided

References: The NHS National Cancer Waiting Times, DH, DSCN 22/2002.





This attribute is also known by these names:
Context Alias
plural FIRST DEFINITIVE TREATMENT PROVIDED





top
PLANNED DEFINITIVE TREATMENT
Change to Attribute: Change to Description

This is an indicator that the PLANNED CANCER TREATMENT is a definitive treatment or intervention given which is intended to remove or shrink a cancer tumour and/or to palliate the effects of the cancer. This is an indicator that the PLANNED CANCER TREATMENT is a definitive treatment or intervention given which is intended to remove or shrink a cancer tumour, to enable an anti-cancer treatment and/or to palliate the effects of the cancer.

Classification:

a. planned definitive treatment
b. not definitive treatment

References: The NHS National Cancer Waiting Times, DH, DSCN 22/2002.





This attribute is also known by these names:
Context Alias
plural PLANNED DEFINITIVE TREATMENTS





top
START DATE (SURGERY HOSPITAL PROVIDER SPELL)
Change to Data Element: Change to Description

Format/length: n8 - ccyymmdd
HES item:  
National codes
Default codes

Notes:
START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the same as attribute START DATE. This should be recorded if the first definitive treatment is surgery.

START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the START DATE of the HOSPITAL PROVIDER SPELL the PATIENT was admitted to for the anti-cancer surgery to be performed and where the PLANNED CANCER TREATMENT is for PLANNED CANCER TREATMENT TYPE National Code 01 'Surgery' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the START DATE of the HOSPITAL PROVIDER SPELL the PATIENT was admitted to for the anti-cancer surgery, including enabling or palliative intervention, to be performed and where the PLANNED CANCER TREATMENT is for PLANNED CANCER TREATMENT TYPE National Code 01 'Surgery' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.





This data element is also known by these names:
Context Alias
plural START DATES (SURGERY HOSPITAL PROVIDER SPELL)





top