Health boards will put in place systems to measure and report capacity and demand for the following specialties and associated clinical conditions outlined in the table below, taking into account the following points:
•Paediatrics Patient Groups should only be used to record young
patients attending dedicated paediatric services that are labelled or promoted
as such. Where young patients attend services that are not labelled or promoted
as dedicated paediatrics services, they should be recorded in the most relevant
Patient Group for that Speciality.
•Other Patient Groups should be used where patients do not fit
into any other Patient Group within that Speciality. This would also include
young patients where there is not a dedicated paediatrics service in that
Speciality or any other relevant Patient Group for the young person.
•Routine and Urgent appointments should be included unless specifically stated in the relevant worksheet.
|
Speciality |
Patient Group |
|
Ophthalmology |
•Cataract (patients seen in dedicated cataract clinics as well as ‘general’ clinics) •Glaucoma (patients seen in dedicated Glaucoma clinics by a consultant/medic only. This includes those seen in subspecialist consultant led clinics and glaucoma seen in ‘general clinics’ AND IDENTIFIED as glaucoma •Glaucoma – ODTC (Glaucoma patients seen in ODTC (hospital or community based) clinics by non-ophthalmologist) •Diabetic Retinopathy (Patients seen in dedicated diabetic retinopathy clinics as well as ‘general’ clinics) •AMD (Patients seen in dedicated AMD clinics where there is a consultant lead present and other support personnel, which may include medical and non-medical staff. Intravitreal injections only (includes injections for Medical Retinopathy) •1Orthoptist – Paediatrics •1Orthoptist – Other •Other – Paediatrics •Other |
|
Orthopaedic |
•Major joints (hips and knee replacement) •Specialist knee (soft tissue i.e. any procedure or activity on the knee which is not a replacement) •Shoulder •Hand •Foot and ankle •Spine (Back) •Paediatrics •Other |
|
Ears Nose and Throat |
•Urgent suspected cancer (USC) •Hearing loss, tinnitus and vertigo (“audiology stream”) •Paediatrics •Other |
|
Urology |
•PSA •Haematuria •Paediatrics •Other |
|
Dermatology |
•Urgent suspected cancer (USC) •Paediatrics •Other |
1 Adults and paediatrics are not separated in Orthoptist waiting lists. Consequently, the separation of adults and paediatrics in Orthoptists relates to activity measures only.
Definitions (Retired)
New Outpatient:
Templated Capacity
This is a measure of new outpatient core capacity (both in terms of room availability and staff availability) which will be derived from existing templates for consultants and other professionals’ outpatient clinics together with adjustments for accepted capacity variance e.g. capacity lost due to sickness, maternity, emergency leave, etc.
Calculations however MUST look to account for capacity lost due to annual and study/professional leave, Bank holidays, audit, etc. in order not to artificially inflate potential service capacity.
Demand (Derived)
The difference between the two waiting list positions at the start and finish of the month + Activity (Core) + Additional Activity (internal) + Additional Activity (outsourced) + DNAs. This applies to new outpatient activity only.
Activity (Core)
This is a measure of new outpatient activity which has taken place from existing templates for consultants and other professionals’ outpatient clinics (including activity undertaken by visiting consultants). This should only include elective activity, i.e. excluding fracture clinics, eye casualty, etc.
Additional Activity (internal)
This is any new outpatient non-core activity that has been carried out within the health board, e.g. backfill, waiting list initiatives, etc. This should only include elective activity, i.e. excluding fracture clinics, eye casualty, etc.
Additional Activity (outsourced)
This is any new outpatient non-core activity that has been carried out outside of the health board, e.g. Spire, Nuffield etc. This should only include elective activity, i.e. excluding fracture clinics, eye casualty, etc.
DNA – Did Not Attend
This is the number of new outpatients who have not attended with no notice given.
This figure is included in the derived demand calculation as the capacity cannot be re-utilised.
For definitions of DNA and CNA, refer to Pars 66 -72 of the Revised Rules for Managing Referral to Treatment Waiting Times for Phased Implementation April 2017
ROTT – Removals Other Than Treatment
This is the number of new outpatients removed from the waiting list having not been seen in clinic, whether that be core, internal or outsourced activity.
Waiting List
This is the total waiting list position for new outpatient appointments.
It should include both reportable and non-reportable RTT patients, i.e. all elective waiting list.
Outpatient Procedures (Treatments)
This is the number of new outpatients who have received a procedure as part of their outpatient attendance.
This figure should be included within the overall activity figure.
Follow Up Outpatient:
Templated Capacity
This is a measure of follow up outpatient core capacity (both in terms of room availability and staff availability) which will be derived from existing templates for consultants and other professionals’ outpatient clinics together with adjustments for accepted capacity variance, e.g. capacity lost due to sickness, maternity, emergency leave, etc.
Calculations however MUST look to account for capacity lost due to annual and study/professional leave, Bank holidays, audit, etc. in order not to artificially inflate potential service capacity.
Demand (Derived)
The difference between the two waiting list positions at the start and finish of the month + Activity (Core) + Additional Activity (internal) + Additional Activity (outsourced) + DNAs. This applies to follow-up outpatient activity only.
Activity (Core)
This is a measure of follow up activity which has taken place from existing templates for consultants and other professionals’ outpatient clinics (including activity undertaken by visiting consultants). This should only include elective activity, i.e. excluding fracture clinics, eye casualty, etc.
Additional Activity (internal)
This is any follow up non-core activity that has been carried out within the health board, e.g. backfill, waiting list initiatives, etc. This should only include elective activity, i.e. excluding fracture clinics, eye casualty, etc.
Additional Activity (outsourced)
This is any follow up non-core activity that has been carried out outside of the health board, e.g. Spire, Nuffield, etc. This should only include elective activity, i.e. excluding fracture clinics, eye casualty, etc.
DNA – Did Not Attend
This is the number of follow up patients who have not attended with no notice given.
This figure is included in the derived demand calculation as the capacity cannot be re-utilised.
For definitions of DNA and CNA, refer to Pars 66 -72 of the Revised Rules for Managing Referral to Treatment Waiting Times for Phased Implementation April 2017
ROTT – Removals Other Than Treatment
This is the number of follow up outpatients removed from the waiting list having not been seen in clinic, whether that be core, internal or outsourced activity.
Backlog
This is the total number of follow up patients waiting for a follow up appointment beyond their target date.
Outpatient Procedures (Treatments)
This is the number of follow up patients who have received a procedure as part of their outpatient attendance.
This figure should be included within the overall activity figure.
Treatment:
Templated Capacity
This is a measure of inpatient/day case core capacity (both in terms of room availability and staff availability) which will be derived from existing templates for consultants and other professionals’ inpatient/day case theatre slots together with adjustments for accepted capacity variance, e.g. capacity lost due to sickness, maternity, emergency leave, etc.
Calculations however MUST look to account for capacity lost due to annual and study/professional leave, Bank holidays, audit, etc. in order not to artificially inflate potential service capacity.
Demand (Derived)
The difference between the two waiting list positions at the start and finish of the month + Activity (Core) + Additional Activity (internal) + Additional Activity (outsourced) + DNAs. This applies to inpatient and daycase activity only.
Activity (Core)
This is a measure of inpatient/day case activity which has taken place from existing templates for consultants and other professionals’ theatre slots (including activity undertaken by visiting consultants). This should only include elective activity.
Additional Activity (internal)
This is any inpatient / day case non-core activity that has been carried out within the health board, e.g. backfill, waiting list initiatives, etc. This should only include elective activity.
Additional Activity (outsourced)
This is any inpatient / day case non-core activity that has been carried out outside of the health board, e.g. Spire, Nuffield, etc. This should only include elective activity.
DNA – Did Not Attend
This is the number of inpatient / day case patients who have not attended with no notice given.
This figure is included in the derived demand calculation as the capacity cannot be re-utilised.
For definitions of DNA and CNA, refer to Pars 66 -72 of the Revised Rules for Managing Referral to Treatment Waiting Times for Phased Implementation April 2017
ROTT – Removals Other Than Treatment
This is the number of inpatient / day case patients removed from the waiting list having not been admitted for treatment, whether that be core, internal or outsourced activity.
Waiting List
This is the total waiting list position for inpatient/day case admissions.
It should include both reportable and non-reportable RTT patients, i.e. all elective waiting list.