Central Return Form Guidance

QMCW - Cancer Waiting Times - Monitoring the Targets

    Part Three - Guarantee of maximum one month wait from urgent GP referral to treatment

    Note: The same format is used for the three sections. The detailed description of Children's Cancer, below applies to the two subsequent sections for Testicular Cancer and Acute Leukaemia.

    Children's Cancer
  1. This line relates to all PATIENTS where the SOURCE OF REFERRAL FOR OUT-PATIENTS is 03 referral from a General Medical Practitioner or 92 General Dental Practitioner and the CANCER REFERRAL PRIORITY TYPE is 01 Urgent referral for suspected cancer from a General Medical Practitioner or General Dental Practitioner and a PRIMARY DIAGNOSIS (ICD) of Children's cancer has been made.

  2. Number of patients treated during the quarter within one month of the decision to refer by their GP
  3. This counts the number of PATIENTS where the number of days from the CANCER REFERRAL DECISION DATE to the date of the first definitive treatment is 31 or less.

  4. The date of the first definitive treatment depends on the type of treatment given. For admitted patients it is the START DATE (SURGERY HOSPITAL PROVIDER SPELL). For Radiotherapy it is the START DATE (BRACHYTHERAPY TREATMENT COURSE) or START DATE (TELETHERAPY TREATMENT COURSE) as appropriate. For Chemotherapy it is the START DATE (ANTI-CANCER DRUG REGIMEN). For Specialist Palliative Care it is the START DATE (SPECIALIST PALLIATIVE TREATMENT COURSE). For those patients for whom none of the defined treatment types apply, because either the patient refuses treatment or none is appropriate (see NO CANCER TREATMENT REASON for situations when treatment is not appropriate) and the patient is receiving symptomatic support and is being monitored it is the START DATE (ACTIVE MONITORING).

  5. To calculate adjustments in waiting times when the patient does not attend for, or defers, their treatment it is useful to view the waiting time as comprising three sections:

    WAITING TIME ADJUSTMENT (FIRST SEEN) records the number of days that should be removed from the derived waiting time between the CANCER REFERRAL DECISION DATE and DATE FIRST SEEN .
    WAITING TIME ADJUSTMENT (DECISION TO TREAT) records the number of days that should be removed from the derived waiting time between the DATE FIRST SEEN and DECISION TO TREAT DATE.
    WAITING TIME ADJUSTMENT (TREATMENT) records the number of days that should be removed from the derived waiting time between the DECISION TO TREAT DATE and start date of the FIRST DEFINITIVE TREATMENT PROVIDED.
  6. If the patient is responsible for the delay in the start date of the treatment for any of these waiting time periods, the waiting time is calculated as the start date of the first treatment minus the CANCER REFERRAL DECISION DATE minus the sum of the three waiting time adjustments above.

  7. Number of patients treated during the quarter NOT treated within one month.
  8. This counts the number of PATIENTS where the number of days from the CANCER REFERRAL DECISION DATE to the date of the first definitive treatment is more that 31. These counts are divided into those treated within 38, 48, 60 and more than 60 days.

  9. But treated within 38 days of the decision to refer by their GP
  10. This counts the number of PATIENTS where the number of days from the CANCER REFERRAL DECISION DATE to the date of the first definitive treatment is more that 31 but less than 39.

  11. The next three sections,

    'But treated between 39 and 48 days from the decision to refer by their GP'
    'But treated between 49 and 60 days from the decision to refer by their GP'
    'And not treated within 60 days of the decision to refer by their GP'

    are treated in the same way as described in Paragraph 6 above.

  12. Testicular Cancers
  13. This line relates to all PATIENTS where the SOURCE OF REFERRAL FOR OUT-PATIENTS is 03 referral from a General Medical Practitioner or 92 General Dental Practitioner and the CANCER REFERRAL PRIORITY TYPE is 01 Urgent referral for suspected cancer from a General Medical Practitioner or General Dental Practitioner and a PRIMARY DIAGNOSIS (ICD) of testicular cancer has been made.

    Acute Leukaemia
  14. This line relates to all PATIENTS where the SOURCE OF REFERRAL FOR OUT-PATIENTS is 03 referral from a General Medical Practitioner or 92 General Dental Practitioner and the CANCER REFERRAL PRIORITY TYPE is 01 Urgent referral for suspected cancer from a General Medical Practitioner or General Dental Practitioner and a PRIMARY DIAGNOSIS (ICD) of acute leukaemia has been made.

  15. The lines on Testicular Cancers and Acute Leukaemia are completed in the same way as the lines on Children's Cancers.