Format/length:	n3
HES item:
National codes
Default codes

Notes:
This records the number of days that should be removed from the derived waiting time between the CANCER REFERRAL DECISION DATE and DATE FIRST SEEN. The adjustment will be due to one or more of the following:

a.	when a patient cancels an out-patient appointment; add the number of days from the CANCER REFERRAL DECISION DATE or previous cancelled (by the patient) or missed OUT-PATIENT APPOINTMENT (Did Not Attend) to the cancelled OUT-PATIENT APPOINTMENT
b.	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 CANCER REFERRAL DECISION DATE or previous cancelled (by patient) or missed OUT-PATIENT APPOINTMENT to the missed OUT-PATIENT APPOINTMENT
c.	When a patient refuses an appointment within two weeks before an offer of an appointment is made. If the REFERRAL REQUEST has a TWO WEEK WAIT EXCLUSION INDICATOR classification of b. 'Excluded - PATIENT refused an appointment within 2 weeks before being offered an appointment' an adjustment must be made so that the wait is calculated from the DATE FIRST SEEN and not CANCER REFERRAL DECISION DATE i.e. in this case the calculated wait will always be 0 days and the adjustment will be the number of days between CANCER REFERRAL DECISION DATE and DATE FIRST SEEN.

 

This data element is also known by these names:

Context	Alias
plural	WAITING TIME ADJUSTMENT (FIRST SEEN)