Information Requirements (Retired)

Definitions: General (Retired)

 

Topic

Definition

Calculating weeks wait

Weeks wait should be calculated using the existing NHS Wales Data Dictionary definition.

The day on which the referral is received is categorised as day 0.

 

General waiting list reporting

Standard national rules apply with regards to waiting list reporting i.e.  start/stop/DNA/CNA/adjustments.

 

 

Definitions: Metrics (Retired)

 

Waits

Measure

Definition

Total waiting

Total number of patients waiting for a first contact with the CMAT Service.

Total wait:  Up to 6 weeks

Total number of patients waiting up to and including 6 weeks for a first contact with the CMAT Service (waiting less or equal to 42 days).

Total wait:  Over 6 weeks and up to 14 weeks

Total number of patients waiting greater than 6 weeks and up to and including 14 weeks for a first contact with the CMAT Service (43 days – 98 days).

Total wait:  Greater than 14 weeks      

Total number of patients waiting greater than 14 weeks for a first contact with the CMAT Service (greater than or equal to 99 days).

Longest patient wait (weeks)

The longest patient waiting for initial assessment

Referrals removed other than treated (ROTT)

This is the number of new referrals removed from the waiting list

 

 

 

Contact Type

Measure

Definition

Total patient contacts in the period

Total number of new (initial assessment) and follow up patient contacts with the CMAT Service. This includes face to face and telephone contacts with the patient.

New patient contacts

Total number of new (initial assessment) patient contacts with the CMAT Service. This includes face to face and telephone contacts with the patient.

Follow up patient contacts

Total number of follow up patient contacts with the CMAT Service. This includes face to face and telephone contacts with the patient.

Total DNAs in the period

Total number of new and follow up patients who DNA their appointment. This includes face to face and telephone contacts (if pre-arranged) with the patient. Patients who DNA and are discharged should also be included in this number.

New patient DNAs

Total number of new patient DNAs. This includes face to face and telephone contacts (if pre-arranged) with the patient. Patients who DNA and are discharged should also be included in this number.

Follow up patient DNAs

Total number of follow up patient DNAs. This includes face to face and telephone contacts (if pre-arranged) with the patient. Patients who DNA and are discharged should also be included in this number.

 

 

 

Contact Outcome: Treated

Measure

Definition

Total number of steroid injections performed

Total number of contacts where intra or peri-articular injections were performed by the Service. If more than one injection is undertaken, report the total number per contact e.g. 3 injections at one visit should be reported as 3.

 

 

 

Contact Outcome: Diagnostic Request

Measure

Definition

Referrals to diagnostics: Total number made in the period

Total number of referrals to diagnostic services for each differing investigation should be reported as categorised below:

 

     Computerised Tomography (CT)

     Magnetic Resonance Imaging (MRI)

     Nerve Conduction Studies (NCS)

     Ultrasound

     X-ray

 

Multiple referrals for different investigations should be reported i.e. 1 contact may result in a referral for X-ray and NCS.  In this scenario, the number of referrals reported would be 2 (one in each category).                                                                                     

 

 

Contact Outcome: Onward Referral

Measure

Definition

Onward referrals from CMATS contact: Total number made in the period

Total number of onward referrals to each service pathway from each CMAT Service contact should be reported as categorised below:

 

     Core Musculoskeletal (MSK) Physiotherapy

     Interventional Radiology

     Lifestyle Services

     National Exercise Referral Scheme (NERS)/Joint Care Programme (JCP)/Community Programmes

     Orthopaedics

     Pain Management

     Rheumatology

     Therapies: Occupational Therapy

     Therapies: Podiatry

     Therapies: Orthotics

     Therapies: Dietetics

     Secondary Care Consultant (other than above)

     Other Service (not listed above)

 

Multiple referrals for different pathways should be reported i.e. 1 contact may result in a referral to Pain Management and Other Service. In this scenario, the number of referrals reported would be 2 (one in each category).                                                                                     

 

This includes patients discharged at the same contact.

Note that a patient may have an onward referral but still be required to be seen again by the CMAT Service.

 

 

Contact: Discharges

Measure

Definition

Total discharges from CMATS

Total number of discharges from the Service. Includes those that are 'referred on and discharged' from CMAT Service at the same contact and DNA discharges.

Total number of referrals received in the period

Total number of referrals received in the period by the CMAT Service for initial triage (i.e. prior to assessment) as categorised below:

 

     Total electronic referrals received for initial triage

     Total paper referrals received for initial triage

 

Includes those received via paper or electronic means.

Organisations should work towards full compliance with electronic referral.

 

 

Triage

Measure

Definition

Initial triage pathway selection (referrals received in the period)

Of the total referrals received (paper / electronic) in the period by the CMAT Service for initial triage (i.e. prior to assessment), report the number of referrals triaged to each pathway from the total received as categorised below:

 

     Clinical Musculoskeletal Assessment and Treatment Services (CMATS)

     Core Musculoskeletal (MSK) Physiotherapy

     National Exercise Referral Scheme (NERS)/Joint Care Programme (JCP)/Community Programmes

     Orthopaedics

     Pain Management

     Rheumatology

     Therapies: Occupational Therapy

     Other (not listed above)

Total number of referrals triaged within 5 working days

Of the total referrals received (paper / electronic) in the period by the CMAT Service, for initial triage (i.e. prior to assessment), report the number of referrals triaged within 5 working days.