Transforming Community Services
AHP Referral to Treatment Data Collection
Debbie Wolfe - AHP RTT Clinical Lead
Transforming Community Services
AHP Referral to Treatment data collection
• Developed to deliver the commitments in:
 ‘Framing the contribution of Allied Health
Professionals’ (DH, 2008)
 The NHS Operating Framework 2009/10 and
2010/11
• A framework to make clinically sound decisions for clock
start and stops to measure waiting times
• Underlying principle that patients should receive excellent
care without unnecessary delay
Transforming Community Services
Aim of AHP RTT
• 11 AHPs mandated to collect and report AHP RTT
data from April 2011subject to ISB and ROCR
approval
• Enable services to understand their waiting times
• Improve ease of access to AHP services for patients
• Initiate quality, innovation and productivity
• Links with AHP Professional Leadership Team’s
Service Improvement Programme
Transforming Community Services
• 11 pilot sites involved in developing the rules
• Voluntary collection from April 2010
• No national target attached to RTT pathway
• Relevant to AHPs delivering NHS funded non-medical
consultant led services
• Data collection for treatment as part of a medical
consultant led service contributes to national 18-week
pathway
Transforming Community Services
Clock start
• The referral to treatment clock starts on the date the
referral is received by the service or UBRN converted
• Referral can be from any agreed source including selfreferral
• When a date is arranged to treat following active
monitoring
• Patient rebooks appointment following DNA of first
appointment
Transforming Community Services
Clock stop for treatment
• First definitive treatment provided
 Assessment when no further intervention required
 Assessment and treatment
 Advice
 Fitting of medical device
 Delivery of equipment
Transforming Community Services
Clock stop for ‘non-treatment’
• Decision not to treat
• Start a period of active monitoring
• Return patient to GP for referral to a medical consultant
• Patient declines treatment
• Patient died before treatment
Transforming Community Services
DNAs
First appointment:
• Discharge
• Nullified clocks
Follow up appointment prior to first definitive treatment:
• Discharge
• Earliest Clinically Appropriate Date
• Earliest Reasonable Offer Date
Transforming Community Services
What can we do to prepare for April 2011?
• Training staff re: clock starts and stops
• Discuss a local target for AHP RTT waiting times
• Review your Local Access Policy
• Unpick complex service provision
• Test ability to collect and report clock starts and stops
locally
• Support available through 2010
Transforming
Community
Services
Flow of AHP RTT
Clock Rules
Referral made to AHP service
Referral received by AHP
service or UBRN converted
CLOCK START
Appointment communicated
to patient
Patient DNAs first
appointment
Patient is discharged or the
clock is nullified (dependent on
local access policy)
Patient returns for first
definitive treatment
Patient attends first
appointment, receives
assessment but not first
definitive treatment.
Follow up appointment
made to return for
treatment
CLOCK STOP
Patient DNAs appointment.
Clock keeps ticking
Active monitoring
Discharge (dependent on local
access policy)
Patient attends for assessment and
first definitive treatment
(clinical intervention, advice)
Patient cancels first
appointment
(clock keeps ticking)
CLOCK STOP
Transforming Community Services
AHP RTT guide available on:
www.dh.gov.uk/en/Healthcare/Primarycare/TCS
deborah.wolfe@dh.gsi.gov.uk
Thank you
Questions and discussion