Format/length:	n2
HES item:
National codes
Default codes

Notes:
This is mandatory, whenever an adjustment is appropriate, for all malignancies that came through the urgent GP suspected cancer route, irrespective of whether a target is in place. This records the number of days that should be removed from the derived waiting time between the DATE FIRST SEEN and DECISION TO TREAT DATE of the PLANNED CANCER TREATMENT where the FIRST DEFINITIVE TREATMENT PLANNED is classification a. 'yes'. The adjustment will be due to one or more of the following:

a.	when a patient defers an in-patient admission; add the number of days from DATE FIRST SEEN or previous deferred OFFER OF ADMISSION to the deferred OFFERED FOR ADMISSION DATE
b.	when a patient cancels an out-patient appointment; add the number of days from the DATE FIRST SEEN or previous cancelled (by the patient) or missed OUT-PATIENT APPOINTMENT (Did Not Attend) to the cancelled OUT-PATIENT APPOINTMENT
c.	when a patient suspension from the elective admission list is made because they are medically unfit for treatment or when they are unavailable for treatment for a specified period because of family commitments, holidays or other reasons; add the number of days of the ELECTIVE ADMISSION SUSPENSION DETAIL
d.	when a patient fails to attend an in-patient admission; add the number of days from DATE FIRST SEEN or previous deferred OFFER OF ADMISSION to the deferred OFFERED FOR ADMISSION DATE
e.	when a patient does not attend an out-patient appointment or arrives late and could not be seen; add the number of days from the DATE FIRST SEEN or previous cancelled (by patient) or missed OUT-PATIENT APPOINTMENT to the missed OUT-PATIENT APPOINTMENT

 

This data element is also known by these names:

Context	Alias
plural	WAITING TIME ADJUSTMENTS (DECISION TO TREAT)