18 Weeks Referral to Treatment Standard. Clinic Outcome Codes Recording

Size: px
Start display at page:

Download "18 Weeks Referral to Treatment Standard. Clinic Outcome Codes Recording"

Transcription

1 18 Weeks Referral to Treatment Standard Clinic Outcome Codes Recording

2 Document purpose Guidance for implementation of NHS Boards Local Delivery Plans. Title 18 weeks: The Referral To Treatment Standard Clinic Outcome Code Recording Issue 2.0 Author Scottish Government Health Directorates 18 Weeks RTT Information Delivery Team Issue Date July 2009 Target audience Circulation list Description NHS Staff with involvement in reducing waiting times, and Scottish Government policy leads. NHS Board Chief Executives, SG Health Directors This document sets out the principles and definitions for Clinic Outcome Code Recording that will underpin the scope of the 18 weeks Referral to Treatment Standard. Cross references 18 Weeks: The Referral to Treatment Standard, Scottish Government (2008). Superseded docs 18 Weeks: The Referral To Treatment Standard Clinic Outcome Code Recording Draft version

3 Introduction and Background The goal of measuring the total patient pathway remains an imperative and work should be progressed to achieve this as an improvement measure until data is robust to use for performance management purposes. This change will put greater emphasis on NHSScotland to manage the gap between the two agreed stages of treatment measures. It is understood that a significant element of this gap is diagnostics, along with repeat OP attendances for further assessment. A significant part of this work is the preparation of a working definition of clinic outcome codes recording and measuring treatment events. We know from the experience in health systems in England and Wales that providing such a definition is essential to allow local progress of RTT pathway development, and the implementation of measurement processes needs to include clinic outcome codes recording and measuring treatment events. We also know that such definitions are likely to require discussion and amendment. NHS Boards must continue to progress clinical outcome recording to capture the next step in the patient journey. In doing so, NHS Boards will be acting on the recommendations made by Audit Scotland in their Report Day Surgery in Scotland, September There is a requirement to consider the inclusion of outpatient treatments within the 9 week (IP/DC) treatment element of the journey. At present these procedures, often undertaken in an outpatient setting during a return appointment are not captured. However, regardless of treatment setting, they form part of the 18 weeks journey, and clear systems for measurement and recording must therefore be established. The enclosed document has been developed by a working group of the Information Delivery Team which included an extensive period of consultation with contributions from clinicians, patient representatives, NHS information and general managers, ISD and SG Health Delivery. Further enquiries should be directed through the Programme website NSS.isd18wkRTT@nhs.net or via Joyce Wardrope, Health Information Consultant, Access Support Team, Directorate of Health Delivery on Joyce.Wardrope@scotland.gsi.gov.uk

4 Outpatient Clinical Outcome Recording General Guidance for completion of Outpatient Clinical Outcome Form One Outcome Code must be selected for every patient seen at the Outpatient Clinic (New or Return appointment). All codes on the left hand side of the form have an outcome which will cause the patient s clock to stop. i.e. the patient has reached the end of his / her patient pathway. This is the date on which the patient starts the treatment that is most appropriate for the patient s disease, condition or injury. All codes on the right hand side of the form have an outcome where the patient s clock will continue to tick, will pause or be set back to zero waiting time. Code Outcome for Patient Clock Stopped Code Outcome for Patient Clock still Ticking / Paused / Zeroed 01 Therapeutic treatment commenced / Medical treatment prescribed by clinician today 02 Medical treatment to be prescribed by GP 03 Patient fitted with a medical device today 04 Decision taken to start active monitoring / watchful waiting 101 Add to Waiting list for admission / OP procedure for treatment (includes for admission today) 102 Admit today for diagnostic Tests / diagnostic OP Procedure carried out today awaiting results 103 Refer for diagnostic test 104 Refer for treatment to Nurse / AHP 05 Patient declined treatment 105 Refer for investigation / treatment to another clinician same condition Retain responsibility for patient care 06 No treatment required / Patient Discharged 106 Refer for investigation / treatment to another clinician same condition Transfer of care to another clinician 07 Patient DNA no further appointment 107 Return OP Appointment continuing management pre treatment 08 Return OP Appointment treatment already started / complete 108 Patient considering options 109 Patient DNA further appointment

5 Definitions Outcome Clock Stops Code 01 : Therapeutic treatment commenced / Medical treatment prescribed by clinician today The clock will stop on the date that therapeutic treatment commences. If therapeutic treatment commences at the outpatient appointment then the clock will be stopped. However if a course of treatment is recommended by the clinician then the clock will stop on the date of the first session of the treatment and an alternative code should be chosen. E.g. Code 104 If, at the clinic, the clinician prescribes medical treatment as the most appropriate treatment at this point in time, then the patient s clock will stop. Case Study 01 Mrs A is referred to the consultant led Glaucoma Service at her local hospital. At the first outpatient appointment Mrs A is examined by the ophthalmic nurse practitioner who diagnoses glaucoma and commences treatment. Mr A attends the Renal Clinic. The clinician decides that the most appropriate treatment is to prescribe medication rather than start dialysis. Master A is referred by his GP for assessment of a skin condition to a Dermatology Outpatient Clinic. A course of phototherapy is recommended and Master A receives his first session at the clinic. Code 01 should be used and the patient s clock will stop. Code 02 : Medical treatment to be prescribed by GP This code is similar to Code 01 in that the clock will stop if the clinician decides that medical treatment is the most appropriate treatment at this point in time. Where the clinician does not prescribe the medication but advises the patient to attend their GP for the prescription, then Code 02 should be used and the clock will stop on the date the letter is sent out informing the GP of the recommended treatment. For the purposes of the Outpatient Clinical Outcome Form it is to be assumed that the letter is sent out on the same day as the clinic is held. Case Study 02 Mrs B is referred by her GP to the Orthopaedic Department for investigation of a sore toe. The consultant advises the patient that the most appropriate treatment in this case is the application of an antifungal cream and advises the patient to attend her GP for the prescription. In this case code 02 should be used and the patient s clock will stop on the date the letter is sent out to the patient s GP informing him/her of this decision.

6 Code 03 : Patient fitted with a medical device today If a clinician (or Audiologist) decides at the clinic that the most appropriate treatment for the patient consists of fitting a medical device, the clock will stop on the date of the supplying and fitting of the device rather than the date at which the patient is assessed or measured for the device. If supplying and fitting is done at this outpatient appointment then Code 03 should be used and the patient s clock will stop otherwise the clinician will refer the patient on to the appropriate service and the clock will continue to tick an alternative code should be used e.g. Code 104. Case Study 03 Miss C approaches her local Audiology Service complaining that her hearing has deteriorated. She attends the Audiology Clinic where her hearing is assessed. The clinical decision is that Miss C requires a hearing aid. If Miss C is fitted and supplied with her new hearing aid at this appointment then the clock will stop otherwise the clock will continue to tick until Miss C has her new hearing aid supplied and fitted. Code 04 : Decision taken to start active monitoring / watchful waiting The clock will stop on the date that the decision is taken that the most clinically appropriate option for the patient is to be actively monitored over a period of time, rather than to undergo any further tests, treatments or other clinical interventions at this time. Stopping a patient s clock for active monitoring requires careful consideration on a case by case basis and its use needs to be consistent with the patient s perception of their wait. N.B. Active monitoring stops a patient s 18wRTT clock and it will not be restarted as part of this episode of care. It should be used where a long period of active monitoring is anticipated before any further action is needed. Patient s should not be recorded as commencing a period of active monitoring if the reason is that the patient is not medically fit to undergo treatment. In such cases the patient should be recorded as being Unavailable and the clock should be paused under the New Ways definitions of medical and social unavailability. Case Study 04 Mr D sees the vascular surgeon and is given a diagnosis of an aortic aneurysm. At the appointment Mr D and the consultant discuss the possibility of surgery, but agree that at this stage the aneurysm is too small for surgery. Therefore Mr D agrees to commence a period of active monitoring. During this period, regular ultrasound tests will be carried out to measure the size of the aneurysm and lifestyle changes are addressed to minimise the risk of rupture to the patient. Code 04 should be used and the patient s clock will stop.

7 Code 05 : Patient declined treatment If, at the outpatient clinic the patient declines the treatment that has been offered as being the most appropriate by the clinician, Code 05 should be used and the patient s clock will stop. The clinician will have explained to the patient that he / she will now be discharged back to the care of the referrer. A letter should be sent to both the patient and the patient s GP informing him / her of the patient s decision. Should the patient change this / her mind after a period of reflection then a new referral would have to be made by the GP. If the patient has any doubts at all about proceeding with the recommended treatment then Code 108 Patient considering options should be used. Case Study 05 Mrs E is referred by her GP to the Orthopaedic Clinic with a painful hip. After having X rays taken she returns to the OP Clinic and is advised by the consultant that the most appropriate treatment in her case would be a hip replacement. Mrs E, who is 80 years old, decides that she would rather manage the pain than proceed with the operation. At the outpatient appointment Mrs E informs the consultant of her decision and acknowledges the fact that she will be placed back in the care of her GP. Code 05 should be used and the patient s clock will stop. Two months later, after having a discussion with her daughter, Mrs E contacts her GP to say that she has changed her mind and would like to go ahead with the operation. Mrs E is re referred to the Orthopaedic Clinic for her condition to be reassessed. Code 06 : No treatment required / Patient Discharged If the clinician at the outpatient clinic decides that No Treatment is required or that Treatment is no longer required then Code 06 should be used and the patient s clock will stop. The patient will then be discharged from the system and the referrer notified of this decision. Where the decision is made not to treat, but to retain clinical responsibility for the patient (for regular follow ups etc) then it may be more appropriate to record this as active monitoring, using Code 04, which will in turn stop the clock. Case Study 06 Mr F is referred to Oral Surgery by his dentist for the investigation of a white patch inside his cheek.. At the outpatient appointment the consultant informs Mr F that his white patch is harmless and the result of biting his cheek. No treatment is deemed necessary and Mr F is discharged. Code 06 should be used and the patient s clock will stop on the date that the decision not to treat is communicated to the patient.

8 Code 07 : Patient DNA no further appointment The patient s clock will stop if the patient does not attend the outpatient clinic for his/her appointment and the decision is made by the clinician at the clinic to offer no further appointment. Both the patient and the referrer should be informed in writing of this decision along with the reason why the patient is being removed from the waiting list. N.B. If the clinician is undecided at the outpatient clinic whether to offer the patient a further appointment or not then the Outpatient Clinic Outcome Form should not be completed at the clinic and the patient s notes should be put to the side along with the form. When a decision has been reached the Outpatient Clinic Outcome Form should then be completed. Case Study 07 Miss G is referred by her dentist to the Orthodontic Clinic at her local hospital for consideration of treatment to correct squint teeth. Miss G fails to attend her outpatient appointment. After considering the options the consultant decides that Miss G should not be given a further appointment. In this case Code 07 should be used and the patient s clock will stop. Miss G should be removed from the waiting list and both patient and referrer should be notified in writing of the patient s removal from the waiting list and why. The patient may be re referred by the original referrer and a new appointment offered but waiting time will start from the date the new referral is received. Code 08 : Return OP Appointment treatment already started / complete If a patient returns to an outpatient clinic for a review after treatment has already been started / completed then Code 08 should be used. N.B. The patient s clock will already have stopped on the date that treatment commenced. However, a Clinical Outcome code must be applied for every patient attending the clinic. Case Study 08 Mr H was referred to his local hospital by his GP in August. He was diagnosed by a consultant physician as suffering from Diabetes in September and placed on appropriate medication at that time. In October he received a letter inviting him to attend a Retinopathy Clinic in April the following year. The patient s clock stopped in September when active treatment commenced. Subsequent elective care by the patient s consultant will be scheduled appropriate to the ongoing management of his chronic disease and a new clock will not be started. Code 08 should be used for any subsequent appointments relating to the patient s condition up until the time the patient is discharged in which case Code 06 should be used.

9 Outcome Clock Still ticking / clock paused / clock zeroed Code 101 : Add to Waiting List for admission for treatment / OP procedure for treatment (includes for admission today) The patient s clock will continue to tick if the clinician decides at the outpatient clinic appointment that the most appropriate treatment for managing the patient s condition involves a procedure or treatment as an inpatient, day case or outpatient. The patient should be added to the waiting list and the patient s clock will continue to tick. If the patient is admitted for treatment straight from clinic as either an inpatient or daycase then the clock will continue to tick until the patient is admitted. Case Study 101 Master J is referred by his GP to the ENT Clinic for investigation of frequent nose bleeds. The clinician at the outpatient appointment decides that the best way to treat the patient s epistaxis is by cauterizing the nasal passages. In this case code 101 should be used and the patient s clock will continue to tick. Normally, the clinician would have added the patient to the Return Outpatient Waiting List for an Outpatient Procedure but as Master J is a nervous 7 year old boy, the clinician decides to add his name to the daycase waiting list to have the procedure done under a general anaesthetic. Mr J is referred by his GP to the Surgical OP Department for investigation of a suspected hernia. When Mr J presents himself at the clinic, he is in severe pain and the clinician realises that his condition has deteriorated to the extent that Mr J requires to be admitted that day for urgent hernia surgery. In this case, code 101 should be used and the patient s clock will continue to tick until he is admitted to the appropriate surgical ward. Code 102 : Admit today for diagnostic Tests / Diagnostic OP Procedure carried out today awaiting results Code 102 should be applied and the patient s clock will continue to tick if the patient is admitted directly from the outpatient clinic for a diagnostic test. Similarly, if a Diagnostic procedure has taken place at the outpatient appointment and the clinician requires to see the results before deciding whether a further appointment is necessary or not, the patient s clock will continue to tick until the patient either starts the treatment that is decided to be that most appropriate for the patient or the patient is informed that no treatment is required.. Case Study 102 Mrs K is referred by her GP to the Urology Department of her local hospital. At the outpatient appointment the clinician performs a Cystoscopy with biopsy. Mrs K will have to wait for the results of this procedure before knowing whether any treatment is required or not. Code 102 should be used and the patient s clock will continue to tick. Mr K is referred by his GP to a General Medicine Clinic at his local hospital with abdominal pain. At the outpatient clinic the physician decides that the best course of action is to admit Mr K today as a daycase in order that a colonoscopy can be performed by a gastroenterologist. Code 102 should be used and the patient s clock will continue to tick until the results of the diagnostic test are known.

10 Code 103 : Refer for diagnostic test The patient s clock will continue to tick if the clinician decides at the outpatient clinic appointment that the patient must undergo a diagnostic test as an inpatient, day case or outpatient before the most appropriate treatment for managing the patient s condition can be decided. Case Study 103 Rev L is referred by his GP to the Rheumatology Outpatient Clinic with a stiff neck. After examination, the consultant decides that Rev L requires an X ray of his neck before a diagnosis can be made. Code 103 should be used and the patient referred to Radiology. The patient s clock will continue to tick. Code 104 : Refer for treatment to Nurse / AHP Code 104 should be applied if, at the outpatient clinic appointment, the clinician decides that the most appropriate course of action is to refer the patient to a Nurse or AHP for treatment of the patient s condition. (This includes fitting of some medical devices and some therapeutic treatments.) Case Study 104 Master M suffers from mild cerebral palsy. He is referred to the Orthopaedic Clinic by his GP. The Orthopaedic consultant decides at the outpatient clinic that Master M would benefit from wearing a splint on his leg. The clinician refers Master M to the Orthotic Department for assessment and measurement. Code 104 should be used and the patient s clock will continue to tick until the orthotist has fitted Master M with his new orthosis. Code 105 : Refer for investigation / treatment to another clinician same condition Retain responsibility of Care The clock will continue to tick if the clinician decides at the outpatient clinic appointment to refer the patient to another clinician for investigation / treatment of the same condition while continuing to be the clinician responsible for the care of the patient. Case Study 105 Mrs N is referred by her GP directly to Audiology with a suspected hearing loss. At her Audiology appointment the audiologist decides to refer Mrs N to a consultant in ENT because Mrs N has an ear infection which requires investigation before a hearing assessment can be carried out. Code 105 should be used and the patient s clock will continue to tick. Responsibility for care of the patient will not be transferred to the ENT consultant as the audiologist still has to investigate the suspected loss of hearing for which Mrs N was referred.

11 Code 106 : Refer for investigation / treatment to another clinician same condition Transfer of care to another clinician The clock will continue to tick if the clinician decides at the outpatient clinic appointment to transfer the responsibility of care for the patient to another clinician for the same condition. Note : The clinician may be transferring the care of the patient to someone in the same NHS Organisation that is better informed to make the decision relating to the most appropriate treatment of the patient s condition or the clinician may be transferring the care of the patient to another NHS Organisation better equipped to treat the patient. Case Study 106 Miss O attended her GP after an onset of severe headaches. Her GP decided to refer her to a consultant physician at the local hospital. Miss O attended the outpatient clinic where the physician referred Miss O for a CT scan of the head. At the return outpatient appointment the physician informs Miss O that she is going to transfer the care of Miss O to a consultant neurologist who would be better advised on how to treat Miss O s condition. At this clinic Code 106 should be used and the patient s clock will continue to tick. Code 107 : Return OP Appointment continuing management pre treatment The clock will continue to tick if the clinician decides at the outpatient clinic appointment that a further outpatient appointment is required before a diagnosis can be made or before deciding on the most appropriate treatment for the patient s disease, condition or injury. Alternatively, the consultant may already have decided on the most appropriate treatment for the patient and the patient is already sitting on a waiting list waiting to be admitted for that treatment. In the meantime further appointments may be required for the consultant s continuing management of the patient s symptoms prior to treatment. Case Study 107 Mrs P has been a strict vegetarian for many years and suffers from pernicious anaemia. Her 4 year old daughter is beginning to show symptoms of the disease and her GP decides to refer her to the Medical Paediatrician at her local hospital for further investigation. At the outpatient clinic appointment the paediatrician takes bloods and requests that a further appointment be made for a review of the results and to repeat the tests if necessary. In this case code 107 should be used and the patient s clock will continue to tick. Mr P is already sitting on the inpatient waiting list for a knee replacement. His consultant has decided that during the period of wait for his operation, Mr P should return to the outpatient department every 2 weeks for a review of his condition and if necessary have steroid injections administered to relieve his painful symptoms. In this case Code 107 should be used and the patient s clock will continue to tick until Mr P is admitted for his surgical procedure.

12 Code 108 : Patient considering options If, at the outpatient clinic appointment, the clinician discusses the most appropriate treatment for the patient s condition and the patient requests time to consider the available options, then the patient s clock will be paused and Unavailability should be applied from the date of the outpatient clinic appointment. If after the period of indecision the patient decides to go ahead with the treatment, then the clock should restart from the date the patient informs the hospital of his / her decision. The patient should then be added onto the appropriate waiting list for treatment. If the patient decides not to go ahead with the treatment then the clock (and the period of Unavailability) should stop from the date the patient informs the hospital of this decision. A letter should be sent out to both the patient and the GP informing him / her of the patient s decision Case Study 108 In Case Study 05, after discussing the various options with her consultant, Mrs E made the decision at the Orthopaedic Outpatient Clinic appointment not to have her hip replaced but to manage the pain herself and her clock was duly stopped. Instead of making this decision right away, Mrs E could have asked the consultant for some time to consider the options. In this case Code 108 should be used and the patient s clock should be paused during the period of indecision. Code 109 : Patient DNA further appointment The patient s clock will be zeroed if the patient does not attend the outpatient clinic for his/her appointment and the decision is made by the clinician at the clinic to offer a further appointment. N.B. If the clinician is undecided at the outpatient clinic whether to offer the patient a further appointment or not then the Outpatient Clinic Outcome Form should not be completed at the clinic and the patient s notes should be put to the side along with the form. When a decision has been reached the Outpatient Clinic Outcome Form should then be completed. Case Study 109 Miss Q is suffering periodic pains in her side and is referred by her GP to see a medical paediatrician at her local hospital. Miss Q fails to attend her outpatient appointment. The paediatrician decides that Miss Q should be given a further appointment. Code 109 should be used and the patient s clock will be set to zero from the date of the DNA d appointment. The original referral received date remains. The DNA should be verified with the patient by letter or telephone with a letter being copied to the patient s GP.

Information for patients

Information for patients Information for patients 18-Weeks Maximum Waiting Time from Referral to Treatment (RTT): What does this mean for you? Your rights under the NHS Constitution You have the right to access NHS services within

More information

Ayrshire and Arran NHS Board

Ayrshire and Arran NHS Board Paper 12 Ayrshire and Arran NHS Board Monday 9 October 2017 Planned Care Performance Report Author: Fraser Doris, Performance Information Analyst Sponsoring Director: Liz Moore, Director for Acute Services

More information

Author: Kelvin Grabham, Associate Director of Performance & Information

Author: Kelvin Grabham, Associate Director of Performance & Information Trust Policy Title: Access Policy Author: Kelvin Grabham, Associate Director of Performance & Information Document Lead: Kelvin Grabham, Associate Director of Performance & Information Accepted by: RTT

More information

Patient Access Policy

Patient Access Policy Working together to make best use of specialist hospital services Patient Access Policy (Draft 8 May 2006) A policy for NHS Highland staff and patients May 2006 2 CONTENTS Page 1. INTRODUCTION AND AIM

More information

Diagnostics FAQs. Frequently Asked Questions on completing the Diagnostic Waiting Times & Activity monthly data collection

Diagnostics FAQs. Frequently Asked Questions on completing the Diagnostic Waiting Times & Activity monthly data collection Diagnostics FAQs Frequently Asked Questions on completing the Diagnostic Waiting Times & Activity monthly data collection First published: October 2006 Updated: 02 February 2015 Prepared by Analytical

More information

Report by Margaret Brown, Head of Service Planning & Donna Smith, Divisional General Manager, Patient Services, Raigmore

Report by Margaret Brown, Head of Service Planning & Donna Smith, Divisional General Manager, Patient Services, Raigmore Highland NHS Board 4 June 2013 Item 5.4 NHS HIGHLAND REVISED LOCAL ACCESS POLICY Report by Margaret Brown, Head of Service Planning & Donna Smith, Divisional General Manager, Patient Services, Raigmore

More information

18 Weeks Referral to Treatment Guidance (Access Policy)

18 Weeks Referral to Treatment Guidance (Access Policy) 18 Weeks Referral to Treatment Guidance (Access Policy) CATEGORY: Guidelines CLASSIFICATION: Clinical PURPOSE: To provide guidance on the management of the 18 week referral to treatment pathway Controlled

More information

PATIENT RIGHTS ACT (SCOTLAND) 2011 ACCESS POLICY FOR TREATMENT TIME GUARANTEE

PATIENT RIGHTS ACT (SCOTLAND) 2011 ACCESS POLICY FOR TREATMENT TIME GUARANTEE NHS Board Meeting Tuesday 16 October 2012 Chief Operating Officer (Acute Services Division) Board Paper No. 12/45 PATIENT RIGHTS ACT (SCOTLAND) 2011 ACCESS POLICY FOR TREATMENT TIME GUARANTEE Recommendation:

More information

18 Weeks Referral to Treatment (RTT) Waiting times

18 Weeks Referral to Treatment (RTT) Waiting times Patient Access Policy 18 Weeks Referral to Treatment (RTT) Waiting times King s College Hospital NHS Foundation Trust is committed to providing timely access to services and treatment for all patients

More information

RTT Assurance Paper. 1. Introduction. 2. Background. 3. Waiting List Management for Elective Care. a. Planning

RTT Assurance Paper. 1. Introduction. 2. Background. 3. Waiting List Management for Elective Care. a. Planning RTT Assurance Paper 1. Introduction The purpose of this paper is to provide assurance to Trust Board in relation to the robust management of waiting lists and timely delivery of elective patient care within

More information

NOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST. PATIENT ACCESS MANAGEMENT POLICY (Previously known as Waiting List Management Policy) Documentation Control

NOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST. PATIENT ACCESS MANAGEMENT POLICY (Previously known as Waiting List Management Policy) Documentation Control NOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST PATIENT ACCESS MANAGEMENT POLICY (Previously known as Waiting List Management Policy) Documentation Control Reference CL/CGP/026 Approving Body Senior Management

More information

Clinical Sub Category Review date February 2016 Distribution Who the policy will be Distributed to senior staff as defined by directors

Clinical Sub Category Review date February 2016 Distribution Who the policy will be Distributed to senior staff as defined by directors Document Details Title Patient Access Policy Incorporating the management of appointments and Did Not Attend (DNA) Trust Ref No 1613-24356 Local Ref (optional) Main points the document To ensure the effective

More information

NHS Dumfries and Galloway Patient Access Policy

NHS Dumfries and Galloway Patient Access Policy NHS Dumfries and Galloway Patient Access Policy Printed copies must not be considered the definitive version DOCUMENT CONTROL POLICY NO. Policy Group Author Version no. 1.3 Reviewer Waiting Times Group

More information

Reducing Elective Waits: Delivering 18 week pathways for patients. Programme Director NHS Elect Caroline Dove.

Reducing Elective Waits: Delivering 18 week pathways for patients. Programme Director NHS Elect Caroline Dove. Reducing Elective Waits: Delivering 18 week pathways for patients Programme Director NHS Elect Caroline Dove What I will cover 1. Why 18 Weeks is different 2. Where are we now 3. New models of delivery

More information

Diagnostic shoulder arthroscopy

Diagnostic shoulder arthroscopy Diagnostic shoulder arthroscopy The aim of this leaflet is to help answer some of the questions you may have about having a diagnostic shoulder arthroscopy. It explains the benefits, risks and alternatives

More information

Patient Access and Waiting Times Management. NHS Tayside Access Policy

Patient Access and Waiting Times Management. NHS Tayside Access Policy Tayside NHS Board Report 25 th October 2012 APPENDIX 1 Patient Access and Waiting Times Management NHS Tayside Access Policy Policy Manager Kerry Wilson Policy Group Policy Established September 2012 Policy

More information

Referral Guidance DIRECT REFERRAL SERVICE FOR THE ELDERLY DEAF

Referral Guidance DIRECT REFERRAL SERVICE FOR THE ELDERLY DEAF Referral Guidance A & E GPs are strongly requested to contact the specialty teams DIRECTLY WHEN APPROPRIATE to avoid unnecessary delays for their patients in A & E. Relevant non-urgent conditions can be

More information

THE FUTURE OF YOUR HOSPITALS: Planned Care site

THE FUTURE OF YOUR HOSPITALS: Planned Care site THE FUTURE OF YOUR HOSPITALS: Planned Care site We have a real opportunity to shape healthcare in Shropshire for future generations. Care Centres. Doctors, nurses and other healthcare professionals are

More information

Example Care Pathways

Example Care Pathways Example Care Pathways Introduction The following care pathways have been adapted from those developed to sustain provision of general surgery for children in Scotland. We have tried to avoid being too

More information

Whitby and the surrounding area

Whitby and the surrounding area Frequently Asked Questions Whitby and the surrounding area 1. What is the Fit 4 the Future programme for Whitby? There are two aspects to the Whitby Fit 4 the Future programme: 1. Transformation of Community

More information

Inpatient, Day case and Outpatient Stage of Treatment Waiting Times

Inpatient, Day case and Outpatient Stage of Treatment Waiting Times Publication Report Inpatient, Day case and Outpatient Stage of Treatment Waiting Times Monthly and quarterly data to 30 June 2016 Publication date 30 August 2016 A National Statistics Publication for Scotland

More information

62 days from referral with urgent suspected cancer to initiation of treatment

62 days from referral with urgent suspected cancer to initiation of treatment Appendix-2012-87 Borders NHS Board PATIENT ACCESS POLICY Aim In preparation for the introduction of the Patients Rights (Scotland) Act 2011, NHS Borders has produced a Patient Access Policy governing the

More information

Guidelines for patients undergoing surgery as part of an Enhanced Recovery Programme (ERP)

Guidelines for patients undergoing surgery as part of an Enhanced Recovery Programme (ERP) Guidelines for patients undergoing surgery as part of an Enhanced Recovery Programme (ERP) Summary Helping you to get better sooner after surgery June 2012 Foreword These guidelines have been produced

More information

Understanding the 18 week elective pathway and referral process, your rights and responsibilities

Understanding the 18 week elective pathway and referral process, your rights and responsibilities Understanding the 18 week elective pathway and referral process, your rights and responsibilities Buckinghamshire Healthcare NHS Trust is committed to providing timely access to services and treatment

More information

WAITING TIMES AND ACCESS TARGETS

WAITING TIMES AND ACCESS TARGETS NHS Board Meeting Tuesday 17 December 2013 Lead Director (Acute Services Division) Board Paper No 13/60 Recommendation: WAITING TIMES AND ACCESS TARGETS The NHS Board is asked to note progress against

More information

Referral to Treatment (RTT) Validation and Assurance Standard Operating Procedure (SOP) Contents

Referral to Treatment (RTT) Validation and Assurance Standard Operating Procedure (SOP) Contents Referral to Treatment (RTT) Validation and Assurance Standard Operating Procedure (SOP) Classification: Standard Operating Procedure Lead Author: Toni Coyle, Senior Manager, Access, Booking & Choice Additional

More information

Descriptions: Provider Type and Specialty

Descriptions: Provider Type and Specialty Descriptions: Provider Type and Specialty PROVIDER TYPE/SPECIALTY ADULT PRIMARY CARE Provides care for adults by treating common health problems, performing check-ups and providing prevention services.

More information

Lanarkshire NHS board 14 Beckford Street Hamilton ML3 0TA Telephone Fax

Lanarkshire NHS board 14 Beckford Street Hamilton ML3 0TA Telephone Fax Agenda Item Meeting of Lanarkshire NHS Board 25 February 2009 Lanarkshire NHS board 14 Beckford Street Hamilton ML3 0TA Telephone 01698 281313 Fax 01698 423134 www.nhslanarkshire.co.uk WAITING TIMES 1.

More information

WAITING TIMES AND ACCESS TARGETS

WAITING TIMES AND ACCESS TARGETS NHS Board Meeting Tuesday 17 February 2015 Chief Officer (Acute Services) Board Paper No.15/08 WAITING TIMES AND ACCESS TARGETS Recommendation: The NHS Board is asked to note progress against the national

More information

Referral to Treatment Pathways for Surgical Carpal Tunnel Syndrome Patients

Referral to Treatment Pathways for Surgical Carpal Tunnel Syndrome Patients Referral to Treatment Pathways for Surgical Carpal Tunnel Syndrome Patients A Report from the Musculoskeletal Audit on behalf of the Scottish Government The information in this report is intended to be

More information

Open and Honest Care in your local Trust

Open and Honest Care in your local Trust Agenda Item: 3 Encl. 3.3 Open and Honest Care in your local Trust Open and Honest Report for Black Country Partnership NHS Foundation Trust February 2017 NHS England INFORMATION READER BOX Directorate

More information

NHS BORDERS PATIENT ACCESS POLICY

NHS BORDERS PATIENT ACCESS POLICY NHS BORDERS PATIENT ACCESS POLICY 1. BACKGROUND NHS Borders is required by Scottish Government to deliver a consistent, safe, equitable and patient centred service to Borders patients within national waiting

More information

Waiting Times Recording Manual Version 5.1 published March 2016

Waiting Times Recording Manual Version 5.1 published March 2016 Waiting Times Recording Manual published March 2016 Title: Waiting Times Recording Manual Date Published: March 2016 Version: V5.1 Document status: Final Author: Martin McCoy Owner: Service Access Waiting

More information

Committee is requested to action as follows: Richard Walker. Dylan Williams

Committee is requested to action as follows: Richard Walker. Dylan Williams BetsiCadwaladrUniversityHealthBoard Committee Paper 17.11.14 Item IG14_60 NameofCommittee: Subject: Summary or IssuesofSignificance StrategicTheme/Priority / Valuesaddressedbythispaper Information Governance

More information

Inpatient, Day case and Outpatient Stage of Treatment Waiting Times

Inpatient, Day case and Outpatient Stage of Treatment Waiting Times Publication Report Inpatient, Day case and Outpatient Stage of Treatment Waiting Times Monthly and quarterly data to 31 December 2016 Publication date 28 February 2017 A National Statistics Publication

More information

NHS BOLTON CLINICAL COMMISSIONING GROUP Public Board Meeting AGENDA ITEM NO: 12. Date of Meeting: 30 th March 2016

NHS BOLTON CLINICAL COMMISSIONING GROUP Public Board Meeting AGENDA ITEM NO: 12. Date of Meeting: 30 th March 2016 NHS BOLTON CLINICAL COMMISSIONING GROUP Public Board Meeting AGENDA ITEM NO: 12 Date of Meeting: 30 th March 2016 TITLE OF REPORT: AUTHOR: PRESENTED BY: PURPOSE OF PAPER: (Linking to Strategic Objectives)

More information

ACCESS POLICY FOR ELECTIVE CARE PATHWAYS

ACCESS POLICY FOR ELECTIVE CARE PATHWAYS ACCESS POLICY FOR ELECTIVE CARE PATHWAYS Policy Reference Number Version November 2014 Ratified By Trust Executive committee Date Ratified 19 November 2014 Name/title of originator/policy author(s) Jackie

More information

NHS FORTH VALLEY. Access Policy Version 2.9

NHS FORTH VALLEY. Access Policy Version 2.9 NHS FORTH VALLEY Access Policy Version 2.9 Date of First Issue 01/06/2012 Approved 01/09/2012 Current Issue Date 01/04/2017 Review Date 01/04/2019 Version 2.9 EQIA Yes 16/01/2013 Author / Contact Roslyn

More information

REFERRAL TO TREATMENT ACCESS POLICY

REFERRAL TO TREATMENT ACCESS POLICY Directorate of Strategy & Planning REFERRAL TO TREATMENT ACCESS POLICY Reference: DCP175 Version: 7.0 This version issued: 17/12/15 Result of last review: Major changes Date approved by owner (if applicable):

More information

Post-operative and Discharge Pathways for PBM Claire L J Atterbury CNS Transfusion and Haematology

Post-operative and Discharge Pathways for PBM Claire L J Atterbury CNS Transfusion and Haematology Post-operative and Discharge Pathways for PBM Claire L J Atterbury CNS Transfusion and Haematology 1 Plan for the worst and hope for the best claire.atterbury@qehkl.nhs.uk 2 Where were we? What year? The

More information

Pre Assessment Policy. Trust Policy Forum March 2004

Pre Assessment Policy. Trust Policy Forum March 2004 Policy No: OP19 Version 1.0 Name of Policy: Pre Assessment Policy Effective From: March 2004 Approved by: Trust Policy Forum March 2004 Next Review Date: March 2005 Reviewed by: This policy supercedes

More information

Diagnostic Waiting Times

Diagnostic Waiting Times Publication Report Diagnostic Waiting Times Quarter ending 30 June 2011 Publication date 30 August 2011 A National Statistics Publication for Scotland Contents Contents... 1 About ISD... 2 Official Statistics...

More information

Policy for Patient Access

Policy for Patient Access Policy for Patient Access DOCUMENT CONTROL Revision Date Old Version 10/12/2014 1.0 01/07/2016 1.1 30/04/17 1.2 Amendment General Management Review General Management Review General Management Review Authored

More information

PATIENT ACCESS POLICY

PATIENT ACCESS POLICY PATIENT ACCESS POLIC Document Reference No. CORP002v9.9 Version No. 9.9 Issue Date June 2017 Review Date March 2020 Document Author Head of Access, Booking & Choice Document Owner Accountable Executive

More information

STATEMENT OF PURPOSE August Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008)

STATEMENT OF PURPOSE August Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008) 1. Trust Profile STATEMENT OF PURPOSE August 2015 Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008) 1.1 Worcestershire Acute Hospitals NHS Trust was formed on 1

More information

#NeuroDis

#NeuroDis Each and Every Need A review of the quality of care provided to patients aged 0-25 years old with chronic neurodisability, using the cerebral palsies as examples of chronic neurodisabling conditions Recommendations

More information

Trust Operational Policy. Elective Access

Trust Operational Policy. Elective Access Trust Operational Policy Elective Access Document Control Author/Contact Jo Henshaw, General Manager and Divisional Head of Performance, Scheduled Care Division. Document Reference 2077 Impact Assessment

More information

Document Management Section (if applicable) Previous policy number NA Previous version

Document Management Section (if applicable) Previous policy number NA Previous version Policy Title Patient Access Policy Version Policy Number 0059 5 number All administrative / clerical / managerial staff Applicable to involved in the administration of patient pathway. All medical and

More information

NORTH EAST ESSEX CLINICAL COMMISSIONING GROUP CONSULTANT TO CONSULTANT REFERRAL POLICY

NORTH EAST ESSEX CLINICAL COMMISSIONING GROUP CONSULTANT TO CONSULTANT REFERRAL POLICY PLEASE NOTE POLICY IS UNDER REVIEW NORTH EAST ESSEX CLINICAL COMMISSIONING GROUP CONSULTANT TO CONSULTANT REFERRAL POLICY Target Audience Brief Description (max 50 words) Action Required Providers, Commissioners

More information

Serious Incident Report Public Board Meeting 26 November 2015

Serious Incident Report Public Board Meeting 26 November 2015 Serious Incident Report Public Board Meeting 26 November 2015 Presented for: Presented by: Author Previous Committees Governance Yvette Oade, Chief Medical Officer Craig Brigg, Director of Quality None

More information

Diagnostic Waiting Times

Diagnostic Waiting Times Publication Report Diagnostic Waiting Times Quarter ending 30 September 2011 Publication date 29 November 2011 A National Statistics Publication for Scotland Contents Contents... 1 About ISD... 2 Official

More information

SWH Patient Access Policy

SWH Patient Access Policy Information and Performance The Trust s Intranet holds the current approved guidance documents. Notice to staff using a paper copy of this document. Staff must ensure that they are using the most up-to-date

More information

Patient information. Ankle Arthroscopy. Trauma and Orthopaedic Directorate PIF 713 / V4

Patient information. Ankle Arthroscopy. Trauma and Orthopaedic Directorate PIF 713 / V4 Patient information Ankle Arthroscopy Trauma and Orthopaedic Directorate PIF 713 / V4 Your Consultant / Doctor has advised you to have an ankle arthroscopy. The aim of surgery is to help to confirm a diagnosis

More information

Inpatient, Day case and Outpatient Stage of Treatment Waiting Times

Inpatient, Day case and Outpatient Stage of Treatment Waiting Times Publication Report Inpatient, Day case and Outpatient Stage of Treatment Waiting Times Monthly and quarterly data to 30 June 2017 Publication date 29 August 2017 A National Statistics Publication for Scotland

More information

Implementation of the right to access services within maximum waiting times

Implementation of the right to access services within maximum waiting times Implementation of the right to access services within maximum waiting times Guidance for strategic health authorities, primary care trusts and providers DH INFORMATION READER BOX Policy HR / Workforce

More information

WAITING TIMES 1. PURPOSE

WAITING TIMES 1. PURPOSE Agenda Item Meeting of Lanarkshire NHS Board 28 April 2010 Lanarkshire NHS board 14 Beckford Street Hamilton ML3 0TA Telephone 01698 281313 Fax 01698 423134 www.nhslanarkshire.org.uk WAITING TIMES 1. PURPOSE

More information

Diagnostic Waiting Times

Diagnostic Waiting Times Publication Report Diagnostic Waiting Times Monthly Data to 31 December 2014 Publication date 24 February 2015 A National Statistics Publication for Scotland Contents Introduction... 2 Key points... 3

More information

Diagnostic Waiting Times

Diagnostic Waiting Times Publication Report Diagnostic Waiting Times Quarter Ending 30 June 2016 Publication date 30 August 2016 A National Statistics Publication for Scotland Contents Contents... 1 Introduction... 2 Main points...

More information

Lean service redesign in GI: with productive outpatients

Lean service redesign in GI: with productive outpatients Dramatic Results Dramatic Results Dramatic Results Dramatic Dramatic Results Dramatic Lean service redesign in GI: with productive outpatients Project sponsor - Richard Cohen Project Lead - Esther Rainbow

More information

Diagnostic Waiting Times

Diagnostic Waiting Times Publication Report Diagnostic Waiting Times Quarter Ending 31 December 2015 Publication date 23 February 2016 A National Statistics Publication for Scotland Contents Introduction... 2 Key points... 3 Results

More information

Hospital Generated Inter-Speciality Referral Policy Supporting people in Dorset to lead healthier lives

Hospital Generated Inter-Speciality Referral Policy Supporting people in Dorset to lead healthier lives NHS Dorset Clinical Commissioning Group Hospital Generated Inter-Speciality Referral Policy Supporting people in Dorset to lead healthier lives PREFACE This Document outlines the CCG s policy in respect

More information

BNSSG Elective Care Access Policy

BNSSG Elective Care Access Policy BNSSG Elective Care Access Policy North Bristol Hospitals NHS Trust University Hospitals Bristol NHS Foundation Trust Weston Area Health NHS Trust NHS Bristol CCG NHS North Somerset CCG NHS South Gloucestershire

More information

Adult Practice Review Report

Adult Practice Review Report Adult Practice Review Report North Wales Safeguarding Adults Board (NWSAB) Concise Adult Practice Review Re: APR2/2016/Conwy 1. Brief outline of circumstances resulting in the Review 1.1 Patient A died

More information

PARTICULARS, SCHEDULE 2 THE SERVICES, A Service Specification. 12 months

PARTICULARS, SCHEDULE 2 THE SERVICES, A Service Specification. 12 months E09/S(HSS)/b 2013/14 NHS STANDARD CONTRACT FOR VEIN OF GALEN MALFORMATION SERVICE (ALL AGES) PARTICULARS, SCHEDULE 2 THE SERVICES, A Service Specification Service Specification No. Service Commissioner

More information

NHS GRAMPIAN. Local Delivery Plan - Section 2 Elective Care

NHS GRAMPIAN. Local Delivery Plan - Section 2 Elective Care NHS GRAMPIAN Local Delivery Plan - Section 2 Elective Care Board Meeting 01/12/2016 Open Session Item 7 1. Actions Recommended The NHS Board is asked to: Consider the context in which planning for future

More information

NEW WAYS of defining and measuring waiting times

NEW WAYS of defining and measuring waiting times NEW WAYS of defining and measuring waiting times Applying the Scottish Executive Health Department guidance Version 3.0 December 2007 NHS National Services Scotland / Crown Copyright 2007 Version 3.0 published

More information

Best Practice Tariff: Early Inflammatory Arthritis

Best Practice Tariff: Early Inflammatory Arthritis Best Practice Tariff: Early Inflammatory Arthritis Dear colleague, The Payment by Results team at the Department of Health has recently issued the 2013-14 road test package for comment. The purpose of

More information

Countess of Chester Hospital NHS Foundation Trust Access Policy

Countess of Chester Hospital NHS Foundation Trust Access Policy Countess of Chester Hospital NHS Foundation Trust Access Policy Written by: Supported by: Matt Butcher - BPM Access Gena Rothwell Access Hayley Carey Access Rena Erskine Access Denise Wood IMT Joe O Grady

More information

Report to NHS Greater Glasgow & Clyde

Report to NHS Greater Glasgow & Clyde www.pwc.co.uk Report to NHS Greater Glasgow & Clyde Internal Audit Report Waiting Times November 2012 FINAL REPORT Contents This report has been prepared solely for NHSGGC in accordance with the terms

More information

NHS LANARKSHIRE PATIENT ACCESS POLICY

NHS LANARKSHIRE PATIENT ACCESS POLICY NHS LANARKSHIRE PATIENT ACCESS POLICY 1. BACKGROUND NHS Lanarkshire is required by Scottish Government to deliver a consistent, safe, equitable and patient centred service to Lanarkshire patients within

More information

Oxfordshire Primary Care Commissioning Committee. Date of Meeting: 3 January 2017 Paper No: 9

Oxfordshire Primary Care Commissioning Committee. Date of Meeting: 3 January 2017 Paper No: 9 Oxfordshire Clinical Commissioning Group Oxfordshire Primary Care Commissioning Committee Date of Meeting: 3 January 2017 Paper No: 9 Title of Presentation: OCCG Primary Care Locally Commissioned Services

More information

Diagnostic Waiting Times

Diagnostic Waiting Times Publication Report Diagnostic Waiting Times Monthly Data to 30 June 2014 Publication date 26 August 2014 A National Statistics Publication for Scotland Contents Introduction... 2 Key points... 3 Results

More information

REFERRAL TO TREATMENT CONSULTANT-LED WAITING TIMES RULES DEFINITIONS

REFERRAL TO TREATMENT CONSULTANT-LED WAITING TIMES RULES DEFINITIONS REFERRAL TO TREATMENT CONSULTANT-LED WAITING TIMES RULES DEFINITIONS The aim of this document is to provide clear rules and definitions for RTT waiting times for consultant-led services. The guide on how

More information

Local Health Economy Elective Care Access Policy

Local Health Economy Elective Care Access Policy The Shrewsbury and Telford Hospital NHS Trust Shropshire Clinical Commissioning Group Telford and Wrekin Clinical Commissioning Group Local Health Economy Elective Care Access Policy Author Andrena Weston

More information

Question 1 a) What is the Annual net expenditure on the NHS from 1997/98 to 2007/08 in Scotland? b) Per head of population

Question 1 a) What is the Annual net expenditure on the NHS from 1997/98 to 2007/08 in Scotland? b) Per head of population NHS SPENDING - SCOTLAND Question 1 a) What is the Annual net expenditure on the NHS from 1997/98 to 2007/08 in Scotland? b) Per head of population Question 2 a) Annual real (GDP deflated) increase in net

More information

Policy for Vetting Surgical Referrals

Policy for Vetting Surgical Referrals Policy for Vetting Surgical Referrals Date: September 2017 Version number: 2 Author: Mr Gordon McFarlane Review Date: September 2020 If you would like this document in an alternative language or format,

More information

Diagnostic Waiting Times

Diagnostic Waiting Times Publication Report Diagnostic Waiting Times Quarter ending 30 September 2012 Publication date 27 November 2012 A National Statistics Publication for Scotland Contents Contents... 1 Introduction... 2 Key

More information

Elective Access Policy

Elective Access Policy Seamless Delivery and Excellence in Health Care and Outcomes Elective Access Policy April 2016 CG585 April 2016 Produced by RBFT Head of Access and Performance Target Audience Referrers, Patients, Commissioners

More information

The investigation of a complaint by Mrs X against Aneurin Bevan Health Board. A report by the Public Services Ombudsman for Wales Case:

The investigation of a complaint by Mrs X against Aneurin Bevan Health Board. A report by the Public Services Ombudsman for Wales Case: The investigation of a complaint by Mrs X against Aneurin Bevan Health Board A report by the Public Services Ombudsman for Wales Case: 201302660 Contents Page Introduction 3 Summary 4 The complaint 6 Investigation

More information

MSK AHP REFERRAL HUB (ADMIN)

MSK AHP REFERRAL HUB (ADMIN) This SOP supersedes all previous versions. Review Interval: Quarterly until further notice Prepared by: Name Ruth Currie Senga Cree Job Title Acting Physiotherapy MSK Manager Head and Professional Lead

More information

The Pulmonary Hypertension Service Specification (Adult)

The Pulmonary Hypertension Service Specification (Adult) Understanding the management of Pulmonary Hypertension in adults in the UK Short guide 2: The Pulmonary Hypertension Service Specification (Adult) This project was jointly developed by PHA UK and Actelion

More information

Statement of Purpose. June Northampton General Hospital NHS Trust

Statement of Purpose. June Northampton General Hospital NHS Trust Statement of Purpose June 2016 Northampton General Hospital NHS Trust The statement of purpose is made in compliance with Care Quality Commission (Registration) Regulations 2009: Regulation 12 and Schedule

More information

Defining the Boundaries between NHS and Private Healthcare. MECCG Policy Reference: MECCG142

Defining the Boundaries between NHS and Private Healthcare. MECCG Policy Reference: MECCG142 Defining the Boundaries between NHS and Private Healthcare MECCG Policy Reference: MECCG142 Target Audience Brief Description (max 50 words) Action Required Equality Impact Assessment Providers of private

More information

Statement of Purpose

Statement of Purpose Statement of Purpose Contents as set out in Schedule 3, The Care Quality Commission (Registration) Regulations 2009. Guy's and St Thomas' NHS Foundation Trust provides integrated hospital and community

More information

C-GALL PATIENT INFORMATION LEAFLET

C-GALL PATIENT INFORMATION LEAFLET C-GALL PATIENT INFORMATION LEAFLET The purpose of this study is to compare keyhole gall bladder surgery (laparoscopic cholecystectomy) with watchful waiting in people who suffer from pain due to gallstones

More information

Diagnostic Waiting Times

Diagnostic Waiting Times Publication Report Diagnostic Waiting Times Quarter ending 31 December 2011 Publication date 28 February 2012 A National Statistics Publication for Scotland Contents Introduction... 2 Key points... 3 Results

More information

Board of Directors Meeting

Board of Directors Meeting Board of Directors Meeting Date: 30 July 2008 Agenda item: 10.2, Part 1 Title: Prepared by: Presented by: Action required: Elaine Hobson, Director of Operations Elaine Hobson, Director of Operations The

More information

Statement of Purpose Kerry General Hospital 2013

Statement of Purpose Kerry General Hospital 2013 Statement of Purpose Kerry General Hospital 2013 Table of Contents Introduction...3 Description of Services Provided...3 Kerry General Hospital Services...4 Models of service delivery and aligned resources

More information

Diagnostic Waiting Times

Diagnostic Waiting Times Publication Report Diagnostic Waiting Times Quarter ending 31 March 2012 Publication date 29 May 2012 A National Statistics Publication for Scotland Contents Contents... 1 Introduction... 2 Key points...

More information

EAST CALDER & RATHO MEDICAL PRACTICE YOUR INFORMATION

EAST CALDER & RATHO MEDICAL PRACTICE YOUR INFORMATION EAST CALDER & RATHO MEDICAL PRACTICE YOUR INFORMATION East Calder & Ratho Medical Practice aims to ensure the highest standard of medical care for our patients. To do this we keep records about you, your

More information

Consultation on proposals to introduce independent prescribing by paramedics across the United Kingdom

Consultation on proposals to introduce independent prescribing by paramedics across the United Kingdom Patient and public summary for: Consultation on proposals to introduce independent prescribing by paramedics across the United Kingdom The full consultation document is available on the NHS England consultation

More information

Patient Access to Treatment. Policy and Procedure (RTT 18 weeks)

Patient Access to Treatment. Policy and Procedure (RTT 18 weeks) MAIDSTONE AND TUNBRIDGE WELLS NHS TRUST Patient Access to Treatment Policy and Procedure (RTT 18 weeks) Requested/ Required by: Main author: Other contributors: Document lead: Directorate: Specialty: Directorates

More information

THANK YOU FOR JOINING

THANK YOU FOR JOINING WELCOME KIT THANK YOU FOR JOINING Priority Private Care is New York s leading healthcare curator and urgent medical service provider. From our 24/7 facility on the Upper East Side, we provide our members

More information

Quick Reference Sheet for Elective Access Policy: EDM006 V5.1

Quick Reference Sheet for Elective Access Policy: EDM006 V5.1 Quick Reference Sheet for Elective Access Policy: EDM006 V5.1 Sets out how Trust staff manage patients referred for elective assessment and treatment including: o o o o Outpatient appointments Elective

More information

Having a staging laparoscopy

Having a staging laparoscopy Information for patients Having a staging laparoscopy Turnberg Building Upper GI General Surgery 0161 206 5062 Page 1 of 5 This booklet has four aims: l To help you and your family become better informed

More information

NHS QIS & NICE Advice. defi nitions & status

NHS QIS & NICE Advice. defi nitions & status NHS QIS & NICE Advice defi nitions & status NHS Quality Improvement Scotland 2006 First published August 2006 You can copy or reproduce the information in this document for use within NHSScotland and for

More information

Thoracic Surgery Unit Information for Patients Having an Examination of the Lymph Glands Inside the Chest

Thoracic Surgery Unit Information for Patients Having an Examination of the Lymph Glands Inside the Chest Thoracic Surgery Unit Information for Patients Having an Examination of the Lymph Glands Inside the Chest Cervical Mediastinoscopy (often simply Mediastinoscopy ) The following information has been prepared

More information

Excision of Submandibular Gland

Excision of Submandibular Gland Patient information Excision of Submandibular Gland Ear, Nose and Throat Directorate PIF 863 V5 Your consultant has advised that you have excision of submandibular gland. What is excision of submandibular

More information

Service Level Agreements for

Service Level Agreements for 99/06 Service Level Agreements for 2006 07 1. This paper summarises the outcome of discussions with commissioning PCTs for the year 2006 07. Whilst there are some areas of detail yet to be agreed with

More information

Referral-to-Treatment for Knee Arthroscopies

Referral-to-Treatment for Knee Arthroscopies Referral-to-Treatment for Knee Arthroscopies A Report from the Musculoskeletal Audit Interpretive text from Colin Howie (Consultant Orthopaedic Surgeon, Royal Infirmary Edinburgh; Chairman, Scottish Committee

More information