ADR Metadata Catalogue

ADR  > Referral to Treatment Times (RTTD) @ 349

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Monitoring the 26 week Referral to Treatment Time target.

Monthly return submitted by Local Health Boards.

Treatment/diagnostic intervention referral pathway, including welsh residents treated (or waiting for treatment) in England.

https://data.gov.uk/dataset/169ea19a-21e0-472a-8245-ec2d60c219f9/referral-to-treatment-times-for-wales

Approx 70-80% coverage of Welsh population through GP registrations.

SAIL Databank (Wales)

Digital Health and Care Wales (DHCW)

Current Referring Unit Code (3 character code), for referring organisations in Wales only. The code of the organisation of the General Medical Practitioner (GMP), General Dental Practitioner (GDP) and Consultant or Independent Nurse making the referral.

Note:
For the RTTD (Combined) return, this data item should only be used to capture the 3 character Organisation Code (Code of Provider) when a tertiary referral takes place from one secondary care organisation to another for Cardiac patients only – i.e. Treatment Function Code 170 (Cardiothoracic Surgery) or 320 (Cardiology). In all other cases, ‘X98’ should be submitted.

The ‘receiving’ organisation is responsible for submitting RTT (Combined) data for any Cardiac tertiary referrals they have received from another organisation.

REF_ORG_CURR_CD_WELSHONLY

The Referral to Treatment (RTT) data set contains waiting times data for Welsh residents on an RTT pathway at a Welsh health board.
The data set is an aggregate snapshot of the patients waiting on an RTT pathway as at the end of the month. The return includes patients that are on an open pathway and those patients whose pathway was closed during the month.
Private patients are excluded.
Definitional guidance around RTT can be found at: http://www.wales.nhs.uk/sitesplus/documents/867/TIPS%20what%20to%20do%20when%20you%20receive%20a%20comment.pdf
NHS Digital provide data on Welsh resident or registered patients treated in English NHS organisations

PATIENT_WAITING

Current Referring Organisation Name. The name of the organisation of the General Medical Practitioner (GMP), General Dental Practitioner (GDP) and Consultant or Independent Nurse making the referral.

Note:
For the RTTD (Combined) return, this data item should only be used to capture the 3 character Organisation Code (Code of Provider) when a tertiary referral takes place from one secondary care organisation to another for Cardiac patients only – i.e. Treatment Function Code 170 (Cardiothoracic Surgery) or 320 (Cardiology). In all other cases, ‘X98’ should be submitted.

The ‘receiving’ organisation is responsible for submitting RTT (Combined) data for any Cardiac tertiary referrals they have received from another organisation.

REF_ORG_CURR_NAME

Current Provider Organisation Name, for health care providers in Wales only. This is the organisation name of the health care provider. The provider code identifies the health care provider who is responsible for managing the treatment of the patient.

Notes:

1.  Healthcare providers may also act as commissioners when sub-contracting patient care services to other providers of health care.

2.  Although the healthcare provider identified in this data item is responsible for managing the patient’s treatment, it may not necessarily be where the treatment is actually conducted. For example, where the treatment has been sub-contracted to another healthcare provider.

3.  For OPRD (outpatient referral dataset), the Organisation Code (Code of Provider) is that of the organisation receiving the referral. If the provider is a Local Health Board/Trust, use the 3 character Local Health Board/Trust code with 2 zeros placed in the 4th and 5th character position.

4.  For RTTD (Referral to Treatment Times (Combined)), use the 3 character Local Health Board/Trust code.

PROV_ORG_CURR_NAME_WELSHONLY

Current Resident Health Organisation Name, for organisation in Wales only. Name of the Local Health Board (LHB) where the patient is a resident, identified via the NHS Postcode Directory. This ensures that the Local Health Board can receive information about the care given to its residents.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

RES_HEALTH_ORG_CURR_NAME_WELSHONLY

Local Sub Speciality Code. This is a locally or nationally defined division of clinical work which may cross specialty boundaries.

Note:
For RTTD, Referral to Treatment Times (Combined):
- Local Sub Specialty must always be submitted, noting that ‘000’ means no appropriate Local Sub Specialty;
- Codes for “Assessment” activity (i.e. 666, 166, 266, 366, and 966) are not permissible in the RTT (Combined) return.

TREAT_LOCAL_SPEC_CD

LAST_UPDATED

REF_PARENT_CURR_NAME

Current Country Name where the patient is resident.

RES_HEALTH_ORG_CURR_COUNTRY_NAME

Data Reference Description. Description defining the record type within a return.

DATA_REF_DESC

Current Provider Organisation Name. This is the organisation name of the health care provider. The provider code identifies the health care provider who is responsible for managing the treatment of the patient.

Notes:

1.  Healthcare providers may also act as commissioners when sub-contracting patient care services to other providers of health care.

2.  Although the healthcare provider identified in this data item is responsible for managing the patient’s treatment, it may not necessarily be where the treatment is actually conducted. For example, where the treatment has been sub-contracted to another healthcare provider.

3.  For OPRD (outpatient referral dataset), the Organisation Code (Code of Provider) is that of the organisation receiving the referral. If the provider is a Local Health Board/Trust, use the 3 character Local Health Board/Trust code with 2 zeros placed in the 4th and 5th character position.

4.  For RTTD (Referral to Treatment Times (Combined)), use the 3 character Local Health Board/Trust code.

PROV_ORG_CURR_NAME

Referring Unit Code (3 character code). The code of the organisation of the General Medical Practitioner (GMP), General Dental Practitioner (GDP) and Consultant or Independent Nurse making the referral.

Note:
For the RTTD (Combined) return, this data item should only be used to capture the 3 character Organisation Code (Code of Provider) when a tertiary referral takes place from one secondary care organisation to another for Cardiac patients only – i.e. Treatment Function Code 170 (Cardiothoracic Surgery) or 320 (Cardiology). In all other cases, ‘X98’ should be submitted.

The ‘receiving’ organisation is responsible for submitting RTT (Combined) data for any Cardiac tertiary referrals they have received from another organisation.

REF_ORG_CD

Resident Health Unit Code (3 character code). The code for the Local Health Board (LHB) where the patient is a resident, identified via the NHS Postcode Directory. This ensures that the Local Health Board can receive information about the care given to its residents.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

RES_HEALTH_ORG_CD

Current Resident Health Unit Code (3 character code), for organisations in Wales only. The code for the Local Health Board (LHB) where the patient is a resident, identified via the NHS Postcode Directory. This ensures that the Local Health Board can receive information about the care given to its residents.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

RES_HEALTH_ORG_CURR_CD_WELSHONLY

Derived Local Sub Speciality Code. This is a locally or nationally defined division of clinical work which may cross specialty boundaries.

Note:
For RTTD, Referral to Treatment Times (Combined):
- Local Sub Specialty must always be submitted, noting that ‘000’ means no appropriate Local Sub Specialty;
- Codes for “Assessment” activity (i.e. 666, 166, 266, 366, and 966) are not permissible in the RTT (Combined) return.

TREAT_LOCAL_SPEC_DERIVED_CD

Indiactes whether or not the census date is valid.

CENSUS_DT_VALID

Current Resident Health Unit Code (3 character code). The code for the Local Health Board ()LHB where the patient is a resident, identified via the NHS Postcode Directory. This ensures that the Local Health Board can receive information about the care given to its residents.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

RES_HEALTH_ORG_CURR_CD

REF_PARENT_CURR_CD

RTT_STAGE_ID_E

Treatment Function Code. This is the specialty under which the patient will be or is treated. This may either be the same as the specialty function recorded as the consultant's main specialty or a different specialty function which will be the consultant's interest specialty function. Note that both the main specialty function and the interest specialty function should be based on one of the Royal College specialties.

TREAT_SPEC_CD

Treatment Function Description. This is the specialty under which the patient will be or is treated. This may either be the same as the specialty function recorded as the consultant's main specialty or a different specialty function which will be the consultant's interest specialty function. Note that both the main specialty function and the interest specialty function should be based on one of the Royal College specialties.

TREAT_SPEC_DESC

This is the numeric field showing number of patients in each time band.

COUNT_PAT_WAITING

Census Date. This relates to the date on which the list is measured, that is, last day of the month to which the return relates. This is also known as the census date.

CENSUS_DT

Current Referring Unit Code (3 character code). The code of the organisation of the General Medical Practitioner (GMP), General Dental Practitioner (GDP) and Consultant or Independent Nurse making the referral.

Note:
For the RTTD (Combined) return, this data item should only be used to capture the 3 character Organisation Code (Code of Provider) when a tertiary referral takes place from one secondary care organisation to another for Cardiac patients only – i.e. Treatment Function Code 170 (Cardiothoracic Surgery) or 320 (Cardiology). In all other cases, ‘X98’ should be submitted.

The ‘receiving’ organisation is responsible for submitting RTT (Combined) data for any Cardiac tertiary referrals they have received from another organisation.

REF_ORG_CURR_CD

Data Reference Code. Code defining the record type within a return.

DATA_REF_CD

Local Sub Speciality Description. This is a locally or nationally defined division of clinical work which may cross specialty boundaries.

Note:
For RTTD, Referral to Treatment Times (Combined):
- Local Sub Specialty must always be submitted, noting that ‘000’ means no appropriate Local Sub Specialty;
- Codes for “Assessment” activity (i.e. 666, 166, 266, 366, and 966) are not permissible in the RTT (Combined) return.

TREAT_LOCAL_SPEC_DESC

Date when the data made available i.e. date of loading

AVAIL_FROM_DT

Referring Organisation Name. The name of the organisation of the General Medical Practitioner (GMP), General Dental Practitioner (GDP) and Consultant or Independent Nurse making the referral.

Note:
For the RTTD (Combined) return, this data item should only be used to capture the 3 character Organisation Code (Code of Provider) when a tertiary referral takes place from one secondary care organisation to another for Cardiac patients only – i.e. Treatment Function Code 170 (Cardiothoracic Surgery) or 320 (Cardiology). In all other cases, ‘X98’ should be submitted.

The ‘receiving’ organisation is responsible for submitting RTT (Combined) data for any Cardiac tertiary referrals they have received from another organisation.

REF_ORG_NAME

Stage of Pathway Description. Along an entire patient pathway, ‘Stage of Pathway’ is used to identify the point at which a patient is currently waiting in respect of their overall diagnosis and treatment.

Note: Whilst in the majority of patient pathways patients move from one stage to the next in sequence, there is no expectation that this must always be the case. Changes in clinical practice may introduce more variation over time. Therefore, these stages are not intended to be seen in chronological order only, as patients may commence their pathway at any one of the possible stages.

STAGE_OF_PATHWAY_DESC

Current Referring Organisation Name, for referring organisations in Wales only. The code of the organisation of the General Medical Practitioner (GMP), General Dental Practitioner (GDP) and Consultant or Independent Nurse making the referral.

Note:
For the RTTD (Combined) return, this data item should only be used to capture the 3 character Organisation Code (Code of Provider) when a tertiary referral takes place from one secondary care organisation to another for Cardiac patients only – i.e. Treatment Function Code 170 (Cardiothoracic Surgery) or 320 (Cardiology). In all other cases, ‘X98’ should be submitted.

The ‘receiving’ organisation is responsible for submitting RTT (Combined) data for any Cardiac tertiary referrals they have received from another organisation.

REF_ORG_CURR_NAME_WELSHONLY

Stage of Pathway Code. Along an entire patient pathway, ‘Stage of Pathway’ is used to identify the point at which a patient is currently waiting in respect of their overall diagnosis and treatment.

Note: Whilst in the majority of patient pathways patients move from one stage to the next in sequence, there is no expectation that this must always be the case. Changes in clinical practice may introduce more variation over time. Therefore, these stages are not intended to be seen in chronological order only, as patients may commence their pathway at any one of the possible stages.

STAGE_OF_PATHWAY_CD

Current Resident Health Organisation Name. The name of the Local Health Board (LHB) where the patient is a resident, identified via the NHS Postcode Directory. This ensures that the Local Health Board can receive information about the care given to its residents.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

RES_HEALTH_ORG_CURR_NAME

The time bands for reporting the waiting time counts, some values of which vary between returns developed for different purposes.

Note:
For reporting purposes a week’s wait is a value of x and refers to "Over x weeks and up to x+1 weeks". 
The calculation from days to weeks wait reported is Integer value of (days-1)/7 or zero, whichever is greater.
For example, to calculate the weeks wait for 277 days; use the calculation (days-1)/7: -
(277-1)/7 = 39.428 (equivalent to 39 weeks and 4 days). This will be recorded under the 'Over 39 weeks and up to 40 weeks (Day 274 – 280)' Time Band.

Note:
The count of waiting time will start from the waiting list date and end on the census date, which is the last day of each month.
The waiting times will be reported grouped within time bands described in weeks up to 40 weeks wait. All waits beyond that will be reported in one group.

WAITING_TIMES_BAND

Resident Health Organisation Name. Name of the Local Health Board (LHB) where the patient is a resident, identified via the NHS Postcode Directory. This ensures that the Local Health Board can receive information about the care given to its residents.

Note: For English Residents treated in Wales, use the Organisation Code of the Primary Care Trust (PCT) of Residence for all activity / waiting times data up to 31st March 2013. From 1st April 2013 (inclusive) onwards, use the Organisation Code of the Clinical Commissioning Group (CCG).

RES_HEALTH_ORG_NAME

Current Provider Unit Code (3 character code). This is the organisation code of the health care provider. The provider code identifies the health care provider who is responsible for managing the treatment of the patient.

Notes:

1.  Healthcare providers may also act as commissioners when sub-contracting patient care services to other providers of health care.

2.  Although the healthcare provider identified in this data item is responsible for managing the patient’s treatment, it may not necessarily be where the treatment is actually conducted. For example, where the treatment has been sub-contracted to another healthcare provider.

3.  For OPRD (outpatient referral dataset), the Organisation Code (Code of Provider) is that of the organisation receiving the referral. If the provider is a Local Health Board/Trust, use the 3 character Local Health Board/Trust code with 2 zeros placed in the 4th and 5th character position.

4.  For RTTD (Referral to Treatment Times (Combined)), use the 3 character Local Health Board/Trust code.

PROV_ORG_CURR_CD

Provider Unit Code (3 character code). This is the organisation code of the health care provider. The provider code identifies the health care provider who is responsible for managing the treatment of the patient.

Notes:

1.  Healthcare providers may also act as commissioners when sub-contracting patient care services to other providers of health care.

2.  Although the healthcare provider identified in this data item is responsible for managing the patient’s treatment, it may not necessarily be where the treatment is actually conducted. For example, where the treatment has been sub-contracted to another healthcare provider.

3.  For OPRD (outpatient referral dataset), the Organisation Code (Code of Provider) is that of the organisation receiving the referral. If the provider is a Local Health Board/Trust, use the 3 character Local Health Board/Trust code with 2 zeros placed in the 4th and 5th character position.

4.  For RTTD (Referral to Treatment Times (Combined)), use the 3 character Local Health Board/Trust code.

PROV_ORG_CD

Derived Treatment Function Code. This is the specialty under which the patient will be or is treated. This may either be the same as the specialty function recorded as the consultant's main specialty or a different specialty function which will be the consultant's interest specialty function. Note that both the main specialty function and the interest specialty function should be based on one of the Royal College specialties.

TREAT_SPEC_DERIVED_CD

Current Country Name of health care provider.

PROV_ORG_CURR_COUNTRY_NAME

Country Name of the refering organisation.

REF_ORG_CURR_COUNTRY_NAME

Current Provider Unit Code (3 character code), for health care providers in Wales only. This is the organisation code of the health care provider. The provider code identifies the health care provider who is responsible for managing the treatment of the patient.

Notes:

1.  Healthcare providers may also act as commissioners when sub-contracting patient care services to other providers of health care.

2.  Although the healthcare provider identified in this data item is responsible for managing the patient’s treatment, it may not necessarily be where the treatment is actually conducted. For example, where the treatment has been sub-contracted to another healthcare provider.

3.  For OPRD (outpatient referral dataset), the Organisation Code (Code of Provider) is that of the organisation receiving the referral. If the provider is a Local Health Board/Trust, use the 3 character Local Health Board/Trust code with 2 zeros placed in the 4th and 5th character position.

4.  For RTTD (Referral to Treatment Times (Combined)), use the 3 character Local Health Board/Trust code.

PROV_ORG_CURR_CD_WELSHONLY

Provider Organisation Name. This is the organisation name of the health care provider. The provider code identifies the health care provider who is responsible for managing the treatment of the patient.

Notes:

1.  Healthcare providers may also act as commissioners when sub-contracting patient care services to other providers of health care.

2.  Although the healthcare provider identified in this data item is responsible for managing the patient’s treatment, it may not necessarily be where the treatment is actually conducted. For example, where the treatment has been sub-contracted to another healthcare provider.

3.  For OPRD (outpatient referral dataset), the Organisation Code (Code of Provider) is that of the organisation receiving the referral. If the provider is a Local Health Board/Trust, use the 3 character Local Health Board/Trust code with 2 zeros placed in the 4th and 5th character position.

4.  For RTTD (Referral to Treatment Times (Combined)), use the 3 character Local Health Board/Trust code.

PROV_ORG_NAME

Information on the total time waited from referral by a GP or other medical practitioner to hospital treatment in the NHS.

RTTD is an aggregated datasets and not an individual-level dataset, so it does not contain an ALF.

Referral to Treatment Times (RTTD)

Summary

Documentation

Coverage

Spatial

Temporal

Provenance

Access and Governance

Usage

Access

Format and Standards

Observations

Origin