Waiting Time Calculations for KH07 and QF01
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The following table provides a comparison of the waiting time calculations for Central Returns KH07 and QF01.
The collection of the Patient's Original Decision To Admit continues to be an important performance management tool.
|Waiting List Event||Calculation needed for KH07 and QF01|
|Original Decision To Admit||Record ORIGINAL DECIDED TO ADMIT DATE as start date. On the first ELECTIVE ADMISSION LIST ENTRY the ORIGINAL DECIDED TO ADMIT DATE will be the same as the DECIDED TO ADMIT DATE.|
|Patient on waiting list|
|Two providers agree to the transfer of a PATIENT (e.g. to speed up treatment, ensure continuity of care, etc..)||
Count from ORIGINAL DECIDED TO ADMIT DATE. (Note: the waiting time continues at the receiving provider and becomes their responsibility).
If the PATIENT is transferred to another provider the WAITING PERIOD EXCLUSION (their aggregate suspended and/or self-deferred periods) will be carried with them. This should be carried forward as a rolling total, if the PATIENT is transferred more than once.
|PATIENT removes him/herself from the waiting list of one provider and is subsequently added to the waiting list at another provider.||
Count from the DECIDED TO ADMIT DATE for the new provider.
In such cases the WAITING PERIOD EXCLUSION for the previous provider (their aggregated suspended and/or self-deferred periods) will not be carried with them.
|The provider that the PATIENT is waiting to be admitted to undergoes a merger with another organisation.||Count from the ORIGINAL DECIDED TO ADMIT DATE. (Note: the waiting time must continue and not be reset.)|
|PATIENT is unavailable for treatment (suspended) and offer of admission cannot be made for that period.||Omit from KH07/QF01 (but include on KH07A and KH07AR). Count from the ORIGINAL DECIDED TO ADMIT DATE and deduct period of suspension from waiting time.
PATIENTS can be 'suspended' from the active waiting list for short periods of time when they are unavailable for admission for social or medical reasons. However, the position of SUSPENDED PATIENTS must be reviewed regularly and if there is no prospect for them becoming available in the medium term consideration should be given to referring the PATIENT back to the GP.
|Patient offered admission|
PATIENT offered a reasonable date for admission but refuses this for personal reasons in advance of the date (self-deferred).
For a verbal admission date to be deemed reasonable, the PATIENT is to be offered a minimum of two admission dates, with at least three weeks notice before the first of these admission dates.
For a written offer to be deemed reasonable, the PATIENT is to be offered an admission date with a minimum of three weeks notice before the first of these admission dates.
Provided the date was a reasonable one, this is described as a 'self-deferral'.
For verbal offers, a self deferral is made if all dates offered are refused. In this case the waiting time is reset to zero from the earliest of the dates offered.
For written offers the waiting time is reset to zero from the date of the earliest admission the patient refused.
|PATIENT offered a date for admission but does not turn up and gives no advance warning (self-deferred).||The waiting time is reset to zero from the admission date which the PATIENT failed to attend. Therefore, the ORIGINAL DECIDED TO ADMIT DATE will no longer be used to calculate the start of the waiting time, and any WAITING PERIOD EXCLUSIONS from before the re-set waiting time date will be annulled, and should not be used for any further waiting time calculations.|
|PATIENT offered a date for admission but this is subsequently cancelled by the hospital.||Count from ORIGINAL DECIDED TO ADMIT DATE. The waiting time must continue until the PATIENT is admitted. However, any previous self-deferral(s) and periods of suspension must be taken into account.|
|PATIENT admitted but treatment deferred. PATIENT sent home and a new DECISION TO ADMIT made.||Count from ORIGINAL DECIDED TO ADMIT DATE. The waiting time must continue until the PATIENT is admitted. However, any previous self-deferral(s) and periods of suspension must be taken into account. The Cancelled Operations guarantee of 28 days must be followed.|
|PATIENT admitted and treatment completed.||Remove from waiting list on admission date.|
|PATIENT removed from waiting list (emergency admission for same condition, death, other reasons).||Remove from waiting list.|