Central Return Form Guidance

QMCW - Cancer Waiting Times - Monitoring the Targets

    Part Four - Guarantee of maximum one month wait from diagnosis to treatment for breast cancer
  1. This section relates to all PATIENTS with a diagnosis of breast cancer who are treated in the quarter, including those referred by the GP with an URGENT CANCER REFERRAL TYPE of 01 Suspected breast cancer.

  2. Total number of patients treated during the quarter
  3. This section is subdivided into the following.

  4. GP urgent referrals
  5. This counts the number of PATIENTS who are the subject of a REFERRAL REQUEST with an URGENT CANCER REFERRAL TYPE of 01 Suspected breast cancer and a CANCER REFERRAL PRIORITY TYPE of 01 - Urgent referral for suspected cancer from a General Medical Practitioner or General Dental Practitioner who have been treated in the quarter.

  6. Other referrals
  7. This counts all PATIENTS with a PRIMARY DIAGNOSIS (ICD) of breast cancer other than those with a REFERRAL REQUEST where the CANCER REFERRAL PRIORITY TYPE of 01 - Urgent referral for suspected cancer from a General Medical Practitioner or General Dental Practitioner, who have been treated in the quarter.

  8. Number of patients treated during the quarter within one month of the date of a clinical diagnosis being made by a responsible specialist
  9. This counts the number of patients where the number of days from the DECISION TO TREAT DATE to the date of the first definitive treatment is 31 or less.

  10. 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).

  11. Waiting Time Calculations
  12. If the patient fails to attend or defers their treatment a WAITING TIME ADJUSTMENT (TREATMENT) is made. This records the number of days that should be removed from the derived waiting time between DECISION TO TREAT DATE and start date of the FIRST DEFINITIVE TREATMENT PROVIDED.

  13. The waiting time is calculated as the start date of the first treatment minus the DECISION TO TREAT DATE minus the WAITING TIME ADJUSTMENT (TREATMENT).

  14. Number of patients treated during the quarter NOT treated within one month of the date of the clinical diagnosis being made by a responsible specialist.
  15. This counts the number of PATIENTS where the number of days from the DECISION TO TREAT DATE to the date of the first definitive treatment is more than 31. These counts are divided into those treated within 38, 48, 60 and more than 60 days.

  16. But treated within 38 days of the date of that same clinical diagnosis
  17. This counts the number of PATIENTS where the number of days from the DECISION TO TREAT DATE to the date of the first definitive treatment is more than 31 but less than 39.

  18. The next three sections,

    'But treated between 39 and 48 days from the date of that same clinical diagnosis'
    'But treated between 49 and 60 days from the date of that same clinical diagnosis'
    'And not treated within 60 days of the date of that same clinical diagnosis'

    are treated in the same way as described in Paragraph 9 above.