Cardiac RTT is defined differently from the rest of RTT; please refer to the Referral to treatment time quality report for further details. The Strategic Data Collection Service (SDCS) is a secure data collection system used by health and social care organisations to submit data to NHS Digital. Change my preferences RTT 52+ Week Breaches 0 25 14 16 13 14 14 9 17 43 130 275 454 648 797 0 148/199 Total Waiting List 31205 28587 29313 29118 28351 28078 29672 29552 28516 25877 25518 25265 27512 28810 RTT Backlog Clearance Time (in weeks) 3.0 3.3 3.1 3.0 3.0 3.2 3.0 3.2 4.4 6.9 10.3 9.5 7.6 This quick guide contains ideas and examples that will help commissioners and providers effectively manage the increasing demand for elective care services. The maximum waiting times are described in the Handbook to the NHS Constitution. Let us know if this is OK. We’ll use a cookie to save your choice. The NHS Intensive Support Team (NHS IST) have produced a guide to the management of elective care pathways designed to explain the essential elements of a Referral to Treatment (RTT) pathway; from pre-referral advice and outpatients, all the way through diagnostics to patient admissions. Tested data quality. reporting of the referral to treatment time (RTT) target. The planned recovery is described and supported by action plans at specialty level approved by Management Board in February and May 2015. Our advice for clinicians on the coronavirus is here. S. internal Serious Mental Illness (SMI) The report set out a number of proposed changes to existing constitutional standards, including A&E, Referral to Treatment (RTT) and cancer waiting-time standards. 26. The RTT period will begin when the referral is passed on from the RMC and received in secondary or tertiary care. I'm OK with analytics cookies. Monthly RTT waiting times data has been published since March 2007. The NHS Constitution gives patients the right to access services within maximum waiting times, or for the NHS to take all reasonable steps to offer you a range of suitable alternative providers if this is not possible.. Referral to Treatment - 18 Weeks Performance Indicators. It will also help ensure that those patients who need surgical treatment are seen as quickly as possible and in line with their right under the NHS Constitution. The demand and capacity models are freely available via the NHS IMAS website. This audit raised questions about the integrity of the data within the Trust’s Lorenzo PAS system and NHS Improvement issued a report which set out matters that needed to be investigated and addressed. INTEGRATED PERFORMANCE REPORT . The submission window opens on the first working day every month and remains open for 13 working days. This guide was published on 16 August 2016 and updated on 19 December 2016. Access Dashboards and Reports. As set out in the NHS Operating Framework and NHS Constitution patients have a right to start consultant-led treatment within a maximum of 18 weeks. WHHT is not currently compliant with the national RTT standards which require 95% of non-admitted and 90% of admitted patients to receive their elective care within 18 weeks of referral. On going validation down to 18 weeks and less. We use this information to improve our site. The published data set includes data for all providers and commissioners and can be found at: Consultant-led Referral to Treatment (RTT) Waiting Times, Our advice for clinicians on the coronavirus is here, recording and reporting RTT guidance and FAQs, Request for exclusion of data from national collection, Maximum waiting times – guidance for commissioners, Elective Care – summary of some actions CCGs can take, Managing RTT pathways with an uncertain status, Managing Did Not Attends (DNAs) and cancellations, 4 June 2015 letter from Sir Bruce Keogh ‘Making waiting time standards work for patients’, Letter setting out the operational arrangements to enact the changes recommended by Sir Bruce Keogh, The NHS Standard contract 2015/16: Consultation on National Variation to change RTT sanctions, Consultant-led Referral to Treatment (RTT) Waiting Times. Adjusted admitted RTT pathway data was published from March 2008 to September 2015. Guidance on recording and reporting RTT waiting times is available. This report details A letter from NHS England and NHS Improvement in March 2020 confirmed that monitoring and management of standards such as the four-hour accident and emergency wait and 18-week elective care referral to treatment (RTT) targets will continue. It will not, however, detect errors of the kind identified by the National Audit Office without independent validation of … ... Due to this, the trust does not have access to the November 2017 FFT data and so is unable to report on this; commissioners and NHS Digital are aware. Although the NHS will wish to maintain a local record of delays resulting from patient choice – to aid good waiting list management and to ensure patients are treated in order of clinical priority – they will not affect a patient’s RTT ‘clock’, and there is no provision to report pauses or suspensions in RTT waiting time clocks in monthly RTT returns to NHS England under any circumstances. The measured period of time between a clock start and a clock stop, under RTT NHS England guidance about this data collection. The purpose of this guide is to provide a framework for Trusts to use when making the transition to a contextual elective care training strategy comprising training, awareness, engagement, competency and compliance. We have detected that you are using Internet Explorer to visit this website. Access meeting agenda to cover:- RTT pathways: incomplete, admitted and non admitted Chair: RTT Lead. (b) The figures for patients waiting under 36 weeks for treatment include those waiting under 26 weeks and between 26 and 36 weeks for treatment. Consultant led referral to treatment waiting times (RTT). Clock stop before breach date. IRIS Report run 15/07/2020 08:00:06 Information Reporting Intelligence System Referral to Treatment - Average Waiting Times Current average waiting times in weeks, grouped by main specialty First appointment figures derived from the average wait for an appointment between Apr-2020 and Jun-2020, sourced from WPAS outpatient activity Resuming mandatory RTT reporting This document contains guidance, produced by the NHS Interim Management and Support Intensive Support Team (IST), to assist non-reporting trusts in ... (RTT) waiting times is mandatory for all NHS trusts and foundation trusts. We publish a detailed quality report on NHS Wales Referral to treatment time statistics. The NHS Constitution gives patients the right to access services within maximum waiting times, or for the NHS to take all reasonable steps to offer you a range of suitable alternative providers if this is not possible.. The statutory NHS body RTT period The waiting time will be monitored using the concept of a clock, which will start and stop according to the events and transactions that occur along the course of the patient pathway. This report covers the processes leading up to the publication of the Referral to Treatment (RTT) waiting times statistics and also considers issues of quality such as: coverage, strength and limitations of the data, relevance and comparability. The traditional pathway for elective surgery is complex and disjointed, with considerable variation in surgical operation rates. In England, under the NHS Constitution, patients 'have the right to access certain services commissioned by NHS bodies within maximum waiting times, or for the NHS to take all reasonable steps to offer a range of suitable alternative providers if this is not possible'. Fixed PAS snags. The report set out a number of proposed changes to existing constitutional standards, including A&E, Referral to Treatment (RTT) and cancer waiting-time standards. Some patients may be measured on more than one RTT period during the management of their condition in secondary or tertiary care. These models can act as a helpful starting point for organisations to better understand demand and plan capacity accordingly. NHS England collects and publishes monthly referral to treatment (RTT) data, which are used to monitor NHS waiting times performance against the standards set out in the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012, and the 2015 amendment. CONTENTS. The national NHS bodies’ view of the RTT target in 2017/18 NHS system leaders have adopted a different approach to the RTT target in 2017/18, as set out in two documents: Government’s mandate to NHS England for 2017-18 (the 2017/18 Mandate) and Next steps on … NHS Wales Referral to Treatment Times. For further information please visit the NHS England website. •NHS England published the “linically-led review of NHS access standards: Interim report from the NHS national medical director” during Mar-19. Manage and validate Referral to Treatment 18 weeks patient pathway effectively. NHS Referral to Treatment (RTT) Waiting Times Statistics for England - Annual Report 2010. Non-admitted pathway data (patients whose RTT pathways ended for reasons other than admission for treatment) has been published since August 2007. The Interim report proposed an average wait target for people on the waiting list as a potential alternative to the current 18-week threshold target. NHS Providers is the representative body of NHS hospital, ambulance, community and mental health services. Internet Explorer is now being phased out by Microsoft. This evidence has been gathered through this . The NHS IST has created a series of good practice information sheets to assist organisations: NHS IST presentation aimed at individuals supporting Trusts in the development of the review and sign-off of a Local Access Policy: writing an access policy. treatment [RTT] target). The RTT Rules Suiteaims to set out clearly and succinctly the rules and definitions for referral to treatment consultant-led waiting times to ensure that each patient’s waiting time clock starts and stops fairly and consistently. NHS England has set out clear guidance regarding the The October 2015 Referral to treatment consultant-led waiting times Rules Suit… It also suggests methods for reviewing and reporting waits longer than 18 weeks in order to understand the causes and drive further improvements in patient experience. SUS Data Quality Dashboard Reports are accessed via the NHS Digital SharePoint Online site. The NHS Constitution sets out that patients should wait no longer than 18 weeks from GP referral to treatment. NHS Protect Page 2 of 48 March 2015 Please note this report provides an overall risk to delivery rating on the Plan on a Page for each transformational programme which will provide the Governing Body with a clearer understanding of progress. These send information about how our site is used to a service called Google Analytics. The guide also covers a number of key areas which support the operational delivery of a good RTT pathway, including demand and capacity planning, elective access policies, performance management and reporting. Use the calculator to find out when the breach date will be Background The National Audit Office undertook a review of NHS waiting times 2012-13, publishing their mand-data-report-pol.pdf). Incomplete RTT pathway with a decision to admit for treatment data and New RTT period data has been published since October 2015. Report for trust board to support delivery of elective care, to include more than just the three national standards, eg breach volumes, clearance times and narrative on pressure points. The primary focus in the Trust during January and February 2015 was to reduce … These statistics are used to inform debate, decision-making and research both within government and by the wider community. This includes information on definitions and coverage, as well as other aspects of quality such as timeliness, relevance and comparability, and details of users and uses of our statistics. Developing and Implementing an RTT Training Strategy – Guide, The monthly RTT data is published routinely each month. In August, Imperial College Healthcare NHS Trust reported it was addressing “some challenging issues” with data quality after deploying Cerner Millennium. Ceased reporting. Non-admitted pathway data (patients whose RTT pathways ended for reasons other than admission for treatment) has been published since August 2007. Upgraded to latest version of PAS – Jan 17[huge undertaking with detailed BC plans] Returned to reporting Feb 17. NHS England collects and publishes monthly referral to treatment (RTT) data, which are used to monitor NHS waiting times performance against the standards set out in the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012, and the 2015 amendment. 18 Weeks Pathway breach date calculator for NHS staff. The maximum waiting times are described in the Handbook to the NHS Constitution. NHS England publishes these data each month. The October 2015 Rules Suite reflects this change. How could this website work better for you. The RTT Rules Suite aims to set out clearly and succinctly the rules and definitions for referral to treatment consultant-led waiting times to ensure that each patient’s waiting time clock starts and stops fairly and consistently. RTT Exception Report 1. North Bristol NHS Trust . Some features on this site will not work. On 1 October 2015, the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) (No.2) Regulations 2015 came into effect, removing the provision for a patient pause. Validated. The October 2015 Referral to treatment consultant-led waiting times Rules Suite is the current version of this document. February 2019 (presenting January 2019 data) 2 CONTENTS ... (RTT) in December (38 ... NHS Choices ratings for both Southmead and Cossham Hospitals is 4.5 stars (max 5). We chose the starting point because all the data produced by NHS England follows the same format from that date, and it also includes independent providers so there is a complete picture of Purpose To provide a summary of factors impacting on 18 week RTT performance and a revised forecast of red rated performance for Quarter 2 2015/16 for the admitted pathway. wide RTT training programme, operational process improvements and the reduction of long waiting patients on patient tracking lists. If you are a member of the public looking for health advice, go to the NHS website. 2. General guidance for NHS England collections for data providers and commissioners. The RTT standard is a key performance standard indicating how trusts are delivering on a patient's right to receive treatment within 18 weeks of being referred to a consultant-led service. As part of the assessment cycle, ISD is required to evidence an understanding of how the RTT . Note: Health Foundation analysis of NHS Digital: Referral to Treatment (RTT): 18 Weeks RTT waiting times data following Findlay’s methods and NHS Digital Reference cost data. Please refer to the guidance section below for registration instructions and service guidance. The Demand Management Good Practice Guide is intended to provide a list of initiatives and actions that CCGs should consider implementing locally, in collaboration with providers and other organisations to effectively manage the increasing demand for elective care services (particularly to reduce unnecessary outpatient appointments). Initially data was only published for patients whose RTT pathways ended in admission for treatment (admitted pathways). Initially data was only published for patients whose RTT pathways ended in admission for treatment (admitted pathways). Representing 97% of NHS foundation trusts and trusts, we set out in the briefing below: • Details of the target, including current performance; • What is happening to the target in 2017/18; and The full annual statistical report on consultant-led RTT waiting times can be found via the Department of Health website. IRIS Report run 15/07/2020 08:00:06 Information Reporting Intelligence System Referral to Treatment - Maximum Waiting Times Current maximum waiting times in weeks, grouped by main specialty Figures derived from the national monthly RTT submission of open RTT pathways produced for … A review of NHS access standards began in 2019. The system of checks that NHS England uses should spot some errors and inconsistencies, as well as discrepancies between trusts’ current and past reported performance. As a result, NHS Digital no longer supports any version of Internet Explorer for our web-based products, as it involves considerable extra effort and expense, which cannot be justified from public funds. You can read more about our cookies before you choose. NHS Wales Referral to Treatment Times This report covers the processes leading up to the publication of the Referral to Treatment (RTT) waiting times statistics and also considers issues of quality such as: coverage, strength and limitations of the data, relevance and comparability. Mile stones. The guide is supplemented by case studies and links to further help and advice. RTT is the period of time from referral by a GP or other medical practitioner to hospital for treatment in the NHS in Wales. In England, under the NHS Constitution, patients ‘have the right to access certain services commissioned by NHS bodies within maximum waiting times, or for the NHS to take all reasonable steps to offer a range of suitable alternative providers if this is not possible’. RTT reporting at the Royal Free London The Royal Free London is always working hard to ensure that the data we use to report our performance on key standards is of the highest quality. RTT Programme Meeting. Take a look at our current recording and reporting RTT guidance and FAQs. An annual report, showing the latest Referral to Treatment (RTT) waiting times statistics and trends over time, has been released with the December figures. And if you are looking for the latest travel information, and advice about the government response to the outbreak, go to the GOV.UK website. 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 the Royal United Hospital Bath. This guidance, published by the Department of Health, sets out the benefits of reviewing the pathways of patients who have waited longer than 18 weeks before starting their treatment. NHS England, TDA and Monitor have published mandatory guidelines setting out the responsibilities of providers of NHS services who want to suspend the reporting of mandatory data including RTT. Effective implementation of these initiatives and actions will help ensure that those patients who do need to be referred for treatment to hospitals are seen as quickly as possible and in line with their right under the NHS Constitution. (a) This includes patients who are waiting for cardiac treatment. RTT Assurance Paper 1. A debate has been tabled in the House of Lords for Wednesday 6 September on the appropriateness and process of relaxing the requirement for 92% of patients to be treated within 18 weeks of referral (the 18 week referral to treatment [RTT] target). If you have difficulty installing or accessing a different browser, contact your IT support team. Information on referral to treatment (RTT) waiting times, reported by Local Health Boards. Report Title Performance and Quality Improvement Report Report Author ... NHS Improvement / England • CQC – Care Quality Commission EXECUTIVE SUMMARY ... Elective RTT - Number of patients on incomplete pathways MHCC MFT PAHT 51,525 98,814 8,293 53,186 102,211 8,641 Swindells names and shames NHS trusts not submitting RTT reports NHS England’s National Director of Operations and Information has publicly named and shamed a number of trusts that he claimed were failing to submit referral to treatment (RTT) reports. data is gathered and processed at NHS Boards. Incomplete RTT data has been published for several years1. Through its experience of working with NHS Trusts and commissioners, the NHS IST has developed a series of demand and capacity models designed to help organisations achieve an appropriate balance between demand and capacity, and to ensure that waiting lists are of an appropriate size. The NHS 111 weekly situation report is a national mandatory collection and monitors demand and the capability of providers. We’d also like to use analytics cookies. Note: Health Foundation analysis of NHS Digital: Referral to Treatment (RTT): 18 Weeks RTT waiting times data following Findlay’s methods and NHS Digital Reference cost data. We have extracted data since April 2013 to map current trends and forecast possible future directions. You should use a modern browser such as Edge, Chrome, Firefox, or Safari. In July 2009, the former Barts and the London NHS Trust also suspended its RTT data reporting after going live with Cerner Millennium. Guidance on recording and reporting RTT waiting times is available.. This report includes a more in depth report on the actions being taken to address the We’ve put some small files called cookies on your device to make our site work. NHS England guidance has been published to inform commissioners of their legal duties around waiting times, provide a brief overview of the maximum waiting times rights and supply resources to support implementation. This will include patients who have a planned sequence treatment13. Data Quality Assurance (DQA) audit of NHS Board administrative processes. The guidance aims to provide information to support the process of accurate recording and reporting of referral to treatment waiting times. Monthly RTT waiting times data has been published since March 2007. •NHS England published the “linically-led review of NHS access standards: Interim report from the NHS national medical director” during Mar-19. A debate has been tabled in the House of Lords for Wednesday 6 September on the appropriateness and process of relaxing the requirement for 92% of patients to be treated within 18 weeks of referral (the 18 week referral to treatment [RTT] target). Specialist Survey ( NDA ISS )... ( RTT ) waiting times data has published! Can be found via the NHS Constitution sets out that patients should wait no longer than 18 and! 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To reduce … North Bristol NHS Trust also suspended nhs rtt report RTT data is published routinely each month ISD is to! Each month and February 2015 was to reduce … North Bristol NHS Trust reported it was addressing “ some issues. Or tertiary care decision to admit for treatment ( RTT ) waiting times statistics for England - annual report.! Look at our current recording and reporting RTT waiting times Rules Suite is the current 18-week threshold.... Who have a planned sequence treatment13 our current recording and reporting RTT waiting times are described in the Handbook the... Trust reported it was addressing “ some challenging issues ” with data after. Organisations to better understand demand and capacity models are freely available via the NHS 111 weekly situation report a. Serious mental Illness ( SMI ) RTT Programme Meeting SMI ) RTT Programme.... Refer to the referral to treatment time quality report on consultant-led RTT waiting times can be found the! Detailed quality report for further information please visit the NHS Constitution sets out that patients should wait no longer 18! Reporting RTT guidance and FAQs cardiac RTT is defined differently from the rest of RTT ; please refer the! Nhs Constitution sets out that patients should wait no longer than 18 weeks nhs rtt report GP referral treatment. ( admitted pathways ) to the NHS Constitution Serious mental Illness ( SMI ) RTT Programme Meeting you have installing! Report proposed an average wait target for people on the waiting list a... Suite is the period of time from referral by a GP or other practitioner! A GP or other medical practitioner to hospital for treatment data and New RTT period data been! Freely available via the NHS Constitution Rules Suite is the current 18-week threshold target of this.. Waiting list as a helpful starting point for organisations to better understand demand and plan accordingly. Organisations to better understand demand and the capability of providers on the coronavirus is.! Should wait no longer than 18 weeks from GP referral to treatment time RTT... Models are freely available via the Department of health website and supported by action plans at specialty approved! Report is a national mandatory collection and monitors demand and capacity models are freely available via the NHS national director”... A planned sequence treatment13 a cookie to save your choice accurate recording and reporting of the public looking for advice... Going live with Cerner Millennium undertaking with detailed BC plans ] Returned reporting. The RMC and received in secondary or tertiary care is used to a called! Part of the referral to treatment been published since October 2015 since March 2007 that you are using Explorer! Going live with Cerner Millennium published since March 2007 models can act as potential!