cancer waiting times reports – user manual · cancer waiting times reports – user manual v 1.1...

Cancer Waiting Times reports – User Manual

Document filename: CWT Reports User Manual

Project / Programme Systems and Service Delivery Project CWT

Document Reference DOC-00096

Project Manager N/A Status Approved

Owner Graham Ambrose Version 1.1

Author Graham Ambrose Version issue date 17/08/2015

Copyright ©2016 Health and Social Care Information Centre of 55 The Health and Social Care Information Centre is a non-departmental body created by statute, also known as NHS Digital.

Cancer Waiting Times reports – User Manual v 1.1 Approved 17/08/2015

Document management Revision History Version Date Summary of Changes 0.1 12/05/2009 First Draft

1.0 02/09/2009 Issued Version

1.1 17/08/2015 Annual review

Reviewers This document must be reviewed by the following people:

Reviewer name Title / Responsibility Date Version

Graham Ambrose Service Delivery Manager 30/11/16 1.1

Approved by This document must be approved by the following people:

Name Signature Title Date Version

Graham Ambrose Service Delivery Manager 30/11/16 1.1

Glossary of Terms See SSD SDO Glossary of Terms: DOC-00533

Q:\SSD CSS\Live\Service Management\SSD Service Delivery and Operations Glossary of Terms

Document Control: The controlled copy of this document is maintained in the NHS Digital corporate network. Any copies of this document held outside of that area, in whatever format (e.g. paper, email attachment), are considered to have passed out of control and should be checked for currency and validity.

Copyright © 2016 Health and Social Care Information Centre. of 55


Contents 1 Introduction 4

Purpose of Document 4

Quick Guide 5

Types of User and Reports Access 5

Open Exeter Login Screen 7

Open Exeter Online Menu 7

Cancer Waiting Times Home Page 7

Report Preview Screen - only a subset of reports are currently available 7

Report Screen - only a subset of reports are currently available 7

Support Screen 8

Logout Option 8

Problems? 8

Reports 9

Previewing a Report on Screen 9

Downloading Individual Records 9

Reporting Periods 10

Viewing, Saving and Printing Formatted Reports 10

Downloading Reports as CSV Files 11

Appendices 12

Appendix 1: Open Exeter On-line Enquiry Screen 12

Appendix 2: Open Exeter On-line Menu 13

Appendix 3: Cancer Waiting Times Home Page 14

Appendix 4: Preview Reports Screen 15

Appendix 5: Reports Screen 16

Appendix 6: Support Screen 17

Appendix 7a: Acute Provider Reports detail 18

Appendix 7b: Commissioner Based Reports detail 47



1 Introduction Purpose of Document NHS Connecting for Health has enhanced the National Cancer Waiting Times System (NCWT) first introduced in December 2002. These enhancements will support the implementation and achievement of the expansion to the original cancer waiting times standards specified by the Cancer Reform Strategy (December 2007).

The system is hosted nationally on the NHSNet (N3) and allows NHS providers to record data derived from patient care activity. These data are used to monitor performance and aid service improvement, and are made available (at appropriate security and aggregation levels), in on-line reports and query tools, to commissioning CCGs, Area Teams, NHS Trusts, NHS Foundation Trusts, Other NHS Providers, Strategic Clinical Networks, Cancer Registries and the NHS England.

As a patient moves through the stages of their treatment pathway data on referrals, treatments and diagnosis are derived from care records locally. Whilst the decisions on how to collect these data from local systems have been left for local determination, NHS providers are reminded of the requirement to ensure full interoperability with other NHS initiatives to keep the burden of data collection as minimal as possible. NHS providers should also be aware of the requirement to comply with the mandate of DSCN 20/2008.



Quick Guide It is a requirement of Open Exeter that your browser has been enabled for cookies. The cookies are only stored at a session level and not written to the hard disc.

Types of User and Reports Access There are six categories of users of the NCWT system.

Cancer Registry users can download patient-level records for confirmed cancers with no access to reports.

NHS England users only have access to download summary records with no access to reports.

Users from Clinical Commissioning Group Providers (who used to complete QMCW returns) are set up as Acute Trust users, and have the same level of access.

Provider Reports - Acute Trust and Strategic Clinical Network Users Acute Trust and Strategic Clinical Network users have access to the following reports:

1.1 – The Cancer Two Week Wait Report (also Preview)

1.2 – The Breast Symptom Two Week Wait Report

2.1 – The 31-day First Treatment (Tumour) Report (also Preview)

2.2 – The 31-day First Treatment (Treatment Group) Report

2.7 – The 31-day Subsequent Treatment (Tumour) Report

2.8 – The 31-day Subsequent Treatment (Treatment Group) Report (also Preview)

3.1 - The Cancer Plan 62-day Standard (Tumour) Report (also Preview)

3.2 – The Cancer Plan 62-Day Standard (Treatment Group) Report

3.7 – The Cancer Plan 31-Day Rare Cancer Standard Report (also Preview)

4.1 – The CRS 62-day Screening Standard (Tumour) Report (also Preview)

4.2 – The CRS 62-day Screening Standard (Treatment Group) Report

5.1 – The CRS 62-day Upgrade treatment (Tumour) Report (also Preview)

5.2 – The CRS 62-day Upgrade Standard (Treatment Group)

Commissioner Reports - Clinical Commissioning Group Users Clinical Commissioning Group users have access to the following reports:

6.1 – The Commissioner Based Cancer Two week Wait Report

6.2 – the Commissioner Based Breast Symptom Two Week Wait Report

7.1 – The Commissioner Based 31-day First Treatment (Tumour) Report

7.2 – The Commissioner Based 31-day First Treatment (Treatment Group) Report

!



7.7 – The Commissioner Based 31-day Subsequent Treatment (Tumour) Report

7.8 – The Commissioner Based 31-day Subsequent Treatment (Treatment Group) Report

8.1 – The Commissioner Based Cancer Plan 62-day Standard (Tumour) Report

8.2 – The Commissioner Based Cancer Plan 62-day Standard (Treatment Group) Report

8.7 - The Commissioner Based Cancer Plan 31-day rare Cancer Standard Report

9.1 – The Commissioner Based CRS 62-day Screening Standard (Tumour) Report

9.2 – The Commissioner Based CRS 62-day Screening Standard (Treatment Group) Report

10.1 – The Commissioner Based CRS 62-day Upgrade Standard (Tumour) Report

10.2 – The Commissioner Based CRS 62-day Upgrade Standard (Treatment Group) Report

Area Team Users Area Team users have access to the following reports (selection criteria by single or all Trusts):

1.1 – The Cancer Two Week Wait Report (also Preview)

1.2 – The Breast Symptom Two Week Wait Report

2.1 – The 31-day First Treatment (Tumour) Report (also Preview)

2.2 – The 31-day First Treatment (Treatment Group) Report

2.7 – The 31-day Subsequent Treatment (Tumour) Report

2.8 – The 31-day Subsequent Treatment (Treatment Group) Report (also Preview)

3.1 - The Cancer Plan 62-day Standard (Tumour) Report (also Preview)

3.2 – The Cancer Plan 62-Day Standard (Treatment Group) Report

3.7 – The Cancer Plan 31-Day Rare Cancer Standard Report (also Preview)

4.1 – The CRS 62-day Screening Standard (Tumour) Report (also Preview)

4.2 – The CRS 62-day Screening Standard (Treatment Group) Report

5.1 – The CRS 62-day Upgrade treatment (Tumour) Report (also Preview)

5.2 – The CRS 62-day Upgrade Standard (Treatment Group)

6.1 – The Commissioner Based Cancer Two week Wait Report

6.2 – the Commissioner Based Breast Symptom Two Week Wait Report

7.1 – The Commissioner Based 31-day First Treatment (Tumour) Report

7.2 – The Commissioner Based 31-day First Treatment (Treatment Group) Report

7.7 – The Commissioner Based 31-day Subsequent Treatment (Tumour) Report

7.8 – The Commissioner Based 31-day Subsequent Treatment (Treatment Group) Report

8.1 – The Commissioner Based Cancer Plan 62-day Standard (Tumour) Report

8.2 – The Commissioner Based Cancer Plan 62-day Standard (Treatment Group) Report

8.7 - The Commissioner Based Cancer Plan 31-day rare Cancer Standard Report



9.1 – The Commissioner Based CRS 62-day Screening Standard (Tumour) Report

9.2 – The Commissioner Based CRS 62-day Screening Standard (Treatment Group) Report

10.1 – The Commissioner Based CRS 62-day Upgrade Standard (Tumour) Report

10.2 – The Commissioner Based CRS 62-day Upgrade Standard (Treatment Group) Report

Open Exeter Login Screen To use the National Cancer Waiting Times system, you first need to sign on to Open Exeter. Enter your User Identity and Password, and click the Login button. (See the 'Cancer Waiting Times System Security' document for more in-depth information). See Appendix 1 for a screen-shot of this screen.

Open Exeter Online Menu The drop-down menu for the ‘home’ Health Authority will be removed from the Open Exeter screens for NCWT in the near future. The PDS/SDS databases are used to validate patient NHS Numbers, and therefore the Health Authority selection is now obsolete.

Cancer Waiting Times Home Page This screen (see Appendix 3) is available to all NCWT users, and from here you can navigate around the system, using the menu options at the top of the screen to access the different screens.

Report Preview Screen - only a subset of reports are currently available Available only to Acute Trust users, this screen (see Appendix 4) allows you to check that your records are complete and correct, prior to the generation of reports.

• Select the Report Type, Month/Quarter and Year.

Previewing a Report on Screen To view a preview of the report on screen click the Preview Report on Screen button.

Downloading Individual Records Associated with the Preview Report To download the set of individual records associated with this preview report:

• Select All Records, Records Included In Preview or Records Not In Preview from the drop-down list.

• Click the Download Individual Records button.

Report Screen - only a subset of reports are currently available Use this screen (see Appendix 4) to run the reports which you are authorised to use. This screen is available to users at Acute Trusts, Clinical Commissioning Groups, Area Teams and Strategic Clinical Networks.

• Select the Report Type, Report Month or Report Quarter and (if applicable) the Organisation Code and report order, using the radio buttons and drop-down lists.



Viewing the Report on Screen To view the report on screen:

• Click the View Report button.

• To print a paper copy, use the File menu, Print option.

• To save an electronic copy of the report, use the File menu, Save As option.

Downloading the Report as a CSV File To download this report's data as a CSV file:

• For the main report data click the Targets Data button, or for the individual breach comments click the Delay Reason Comments button.

Support Screen This screen is available to all types of NCWT users and displays the Exeter Helpdesk telephone number, and software version history details.

Logout Option Select this option to log out of the NCWT system, and return to the Open Exeter Online Menu.

Problems? Please call the Help Desk on 0300 303 4034.

If you are having problems logging on to the system (i.e. you have not yet accessed the Cancer Waiting Times Home page), please log your call as an Open Exeter problem.

For any other problems or queries relating to the National Cancer Waiting Times system, please log your call as a Cancer Waiting Times problem.



Reports For detailed information about the definition and content of Reports Please see Appendix 7a and Appendix 7b.

Previewing a Report on Screen Previewing a report is similar to viewing a finished report in the Report screen: select the report to preview, and the month or quarter, and year, then click the Preview Report on Screen button. Unlike the Report screen, however, you are able to select months and quarters in the future, as well as in the past.

The preview reports look very similar to the finished reports, but with the following differences:

• They clearly display the word 'PREVIEW' to prevent them from being confused with the finished reports.

• The Median Wait column (which requires a lot of effort to calculate) is not included.

• Individual delay reason comments are not displayed.

• The notes at the foot of the report are not displayed.

• There is no 'Print' facility. Please note that a preview report will take longer to display on screen than a finished report.

Downloading Individual Records Use this download to check that your data is complete and correct prior to the next report generation date. If the figures in the preview report are not as you would expect, download the records not included in the report, to identify the reasons for these records being excluded. You can then modify the records using the Record screen or Upload facility, before the finished reports are generated.

To download the set of individual records for a preview report, select the report to preview, and the month or quarter, and year. Use the Records To Download drop-down list to choose which records you would like to include in the download – those records used to generate the on-screen preview report, those excluded from the preview report, or all records. Click the Download Individual Records button.

Depending on the set-up of your PC, this will either display a File Download popup window, or write the content of the CSV file into a new browser window.

If the File Download popup is displayed:

• Click Save.

• In the Save As popup window: o Change the 'Save as type' to 'All Files'. o Select the folder where the file should be saved. o Choose a filename, and add an extension (.csv or .txt).



o Click Save.

• When the Download Complete popup window is displayed, click Close. If the CSV file is written to a new browser window:

• From the browser's File menu, select the Save As option.

• In the Save Web Page popup window: o Change the 'Save as type' to 'Text File (*.txt)'. o Select the folder where the file should be saved. o Choose a filename, and add an extension (.csv or .txt). o Click Save.

• Close the browser window displaying the CSV file. The records included in the download associated with each preview report include those used to generate the preview report on screen, together with records which meet some of the report selection criteria, but fail others. Where a record meets all the report selection criteria, the Included In Report field is set to 'Y'; otherwise it is set to 'N'.

Reporting Periods The waiting times reports are generated overnight, on or just after the 25th working day (based on a 5-day working week, i.e. excluding weekends and bank holidays) after the end of a reporting period (a month or a quarter). It is important to note that once the reports have been generated, these are never changed. Reports can be thought of as a 'snapshot' of the database, taken at the time they are generated – records added after the report generation date are not included in the report figures. Trusts therefore need to ensure that all data to be included in reports are uploaded a few days before the 25th working day, and are recommended to use the download facility to check that the data is complete and correct. Records submitted for upload on the report generation date may not be included in the reports, as uploads, although processed at the earliest opportunity, may not be processed until early the following morning. However, you can continue to input records manually, via the Record screen, right up to the end of the day on the report generation date.

Forthcoming report generation dates are published on the Cancer Waiting Times website: http://systems.digital.nhs.uk/ssd/cancerwaiting/prop_reports

Viewing, Saving and Printing Formatted Reports To view a report on screen, click the View Report button. This displays the report in a new browser window.

To print a paper copy of the displayed report, simply select the browser's File menu, Print option. All NCWT reports should print successfully on A4 paper with margins of around 10mm. If you have problems, you may need to use the browser's File menu, Page Setup option, to change the margins, the orientation of the paper, etc. The Print Preview option is also useful to check whether a report will print correctly, before you actually print it.

A report can also be saved electronically as an HTML file. This can then be stored locally, emailed to colleagues who do not have access to the NCWT system, and so on. To do this:


• In the Save Web Page popup window:


http://systems.digital.nhs.uk/ssd/cancerwaiting/prop_reports


o Make sure the 'Save as type' is 'Web Page, HTML only (*.htm, *.html)'. o Select the folder where the file should be saved. o Choose a filename (there is no need to give the file an extension, as this

will default to .htm). o Click Save.

Downloading Reports as CSV Files Each report may be downloaded as a comma separated (CSV) text file. This holds each record on a separate line of the file, with fields within each record being separated by commas. To prevent errors when a comma appears within the actual data of a field (e.g. in a notes field), all data values are quotes wrapped (i.e. surrounded by double quotation marks) – this includes empty fields, which appear in the CSV file as two quote characters together (e.g. ""). The first line of the CSV file contains the field names.

The record format and record ordering of the CSV files matches as closely as possible the content of the reports as viewed on screen. CSV file layouts are included in the description of each report, in the remainder of this chapter. See Chapter 0 for a full description of each field.

To prevent errors when combining data from more than one report download file, each record in a download file contains the set of values that uniquely identifies the report:

• the report number

• the year

• the month or quarter name

• your own or the selected organisation type

• your own or the selected organisation code Depending on the set-up of your PC, this will either display a File Download popup window, or write the content of the CSV file into a new browser window.

If the File Download popup is displayed:

• Click Save.

• In the Save As popup window: o Change the 'Save as type' to 'All Files'. o Select the folder where the file should be saved. o Choose a filename, and add an extension (.csv or .txt). o Click Save.

• When the Download Complete popup window is displayed, click Close. If the CSV file is written to a new browser window:


• In the Save Web Page popup window: o Change the 'Save as type' to 'Text File (*.txt)'. o Select the folder where the file should be saved.



o Choose a filename, and add an extension (.csv or .txt). o Click Save.

• Close the browser window displaying the CSV file.

Appendices Appendix 1: Open Exeter On-line Enquiry Screen



Appendix 2: Open Exeter On-line Menu



Appendix 3: Cancer Waiting Times Home Page



Appendix 4: Preview Reports Screen



Appendix 5: Reports Screen



Appendix 6: Support Screen



Appendix 7a: Acute Provider Reports detail Report 1.1 – the Cancer Two Week Wait Report

Calculated Period:

(FIRST SEEN minus CANCER REFERRAL TO TREATMENT PERIOD START DATE) minus WAITING TIME ADJUSTMENT FIRST SEEN

Numerator: Patients seen within 14 days

Denominator: All patients seen within the period

All percentage performances are given with 1 decimal place (i.e. xx.x%)

Patients to be included:

Any patient record with PRIORITY TYPE of ‘3’ (two week wait) and a SOURCE OF REFERRAL FOR OUTPATIENTS of either ‘3’ (general medical practitioner) or ‘92’ (general dental practitioner).

Patients with an URGENT CANCER OR SYMPTOMATIC REFERRAL TYPE of ‘16’ (Breast symptoms-cancer not initially suspected) should not be included within this report

Report 1.2 – the Breast Symptom Two Week Wait Report

Calculated Period:

(FIRST SEEN minus CANCER REFERRAL TO TREATMENT PERIOD START DATE) minus WAITING TIME ADJUSTMENT FIRST SEEN

Numerator: Patients seen within 14 days

Denominator: All patients seen within the period


Patients to be included:

Any patient record with PRIORITY TYPE of ‘3’ (two week wait), SOURCE OF REFERRAL FOR OUTPATIENTS can be any value.

Patients with an URGENT CANCER OR SYMPTOMATIC REFERRAL TYPE that is not code ‘16’ (Breast symptoms-cancer not initially suspected) should not be included within this report



Report 2.1 – the 31-Day First Treatment (Tumour) Report

Calculated Period: Part A-Admitted Care



(TREATMENT START DATE (CANCER) minus CANCER TREATMENT PERIOD START DATE) minus WAITING TIME ADJUSTMENT (TREATMENT) expressed in days.

Numerator: Number of patients treated within 31 days within the period

Denominator: Total number of patients treated within the period


Calculated Period: Part B-Non Admitted Care

(TREATMENT START DATE (CANCER) minus CANCER TREATMENT PERIOD START DATE)




Patients to be included: Part A-Admitted Care

Any patient with a record that contains a value for CANCER TREATMENT PERIOD START DATE, TREATMENT START DATE (CANCER) and PRIMARY DIAGNOSIS.

In addition CANCER CARE SETTING (TREATMENT) must be either code ‘01’ (treatment after ordinary admission) or code ‘02’ (treatment after daycase admission)

CANCER TREATMENT EVENT TYPE must be code ‘01’, or ‘07’ (first treatment for new primary cancer, or first treatment for metastatic disease with an unknown primary)

Patients to be included: Part B-Non Admitted Care


In addition CANCER CARE SETTING (TREATMENT) must be either code ‘03’ (treatment in outpatient setting) or code ‘04’ (treatment in another care setting)


Patients to be included: Part C-All Care

This is Part A and Part B added together.

Patients to be included by referral source

“Patients treated following an urgent referral for suspected cancer” are to be identified by having a PRIORITY TYPE of “3” (Two Week Wait) and a TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE that is not code “16”.

“Patients treated following an urgent referral for breast symptoms” are to be identified by having a PRIORITY TYPE of “3” (Two Week Wait) and a TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE of code “16”.

“Patients treated following an urgent referral from an NHS Cancer Screening Service” are to be identified by having a PRIORITY TYPE of “2” (urgent) and a SOURCE OF REFERRAL FOR OUTPATIENT of code “17”



“Patients treated following a referral from another source or urgency” are patients who do not fall into any of the three previous categories.



Report 2.2 – the 31-Day First Treatment (Treatment Group) Report












All percentage performances are to be given with 1 decimal place (i.e. xx.x%)










This should be the sum of Part A and Part B.

Treatment Type Groupings

The treatment type groupings are to be determined using the field CANCER TREATMENT MODALITY and are as detailed below:

Treatment Group CANCER TREATMENT MODALITY code

CANCER TREATMENT MODALITY description

Surgery 01 Surgery

Drug Treatments 02 Anti-Cancer Drug Regimen (Cytotoxic Chemotherapy)





Drug Treatments 03 Anti-Cancer Drug Regimen (Hormone Therapy)

Radiotherapy Treatments

04 Chemoradiotherapy


05 Teletherapy (Beam radiation excluding Proton Therapy)


06 Brachytherapy

Palliative Treatments 07 Specialist Palliative Care

Palliative Treatments 08 Active Monitoring (excluding Non-Specialist Palliative Care)

Palliative Treatments 09 Non-Specialist Palliative Care (excluding Active Monitoring)

Other Treatments 10 Radio Frequency Ablation (RFA)

Other Treatments 11 High Intensity Focussed Ultrasound (HIFU)

Other Treatments 12 Cryotherapy


13 Proton Therapy

Drug Treatments 14 Anti-Cancer Drug Regimen (Other)

Drug Treatments 15 Anti-Cancer Drug Regimen (Immunotherapy)

Other Treatments 16 Light Therapy (including Photodynamic Therapy and PUVA)

Other Treatments 17 Hyperbaric Oxygen Therapy

Other Treatments 99 Other

All Treatments Declined 98 All Treatment Declined (English NHS)

The “All Treatments” category is to include all code possibilities except code ‘98’

Patients to be included by referral source



“Patients treated following an urgent referral for suspected cancer” are to be identified by having a PRIORITY TYPE of “3” (Two Week Wait) and a TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE that is not code “16”.

“Patients treated following an urgent referral for breast symptoms” are to be identified by having a PRIORITY TYPE of “3” (Two Week Wait) and a TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE of code “16”.

“Patients treated following an urgent referral from an NHS Cancer Screening Service” are to be identified by having a PRIORITY TYPE of “2” (urgent) and a SOURCE OF REFERRAL FOR OUTPATIENT of code “17”

“Patients treated following a referral from another source or urgency” are patients who do not fall into any of the three previous categories.

Report 2.7 – the 31-Day Subsequent Treatment (Tumour) Report



This report mirrors Report 2.1, though it should only be applied to second or subsequent treatments. The calculated periods and scope for this report are:













Calculated Period: Part C-All Care

This is the sum of Part A and Part B




CANCER TREATMENT EVENT TYPE must not be code ‘01’, or ‘07’ (first treatment for new primary cancer, or first treatment for metastatic disease with an unknown primary)







Report 2.8 – the 31-Day Subsequent Treatment (Treatment Group) Report

This report mirrors Report 2.2, though it should only be applied to second or subsequent treatments. The calculated periods and scope for this report are:












Calculated Period: Part C-All Care

This is the sum of Part A and Part B











Report 3.1 – the Cancer Plan 62-Day Standard (Tumour) Report


(TREATMENT START DATE (CANCER) minus CANCER REFERRAL TO TREATMENT PERIOD START DATE) minus (WAITING TIME ADJUSTMENT



(TREATMENT) plus WAITING TIME ADJUSTMENT (FIRST SEEN)) expressed in days.

Numerator: Number of patients treated within 62 days within the period following an urgent GP/GDP referral for suspected cancer.

Denominator: Total number of patients treated within the period following an urgent GP/GDP referral for suspected cancer.



(TREATMENT START DATE (CANCER) minus CANCER REFERRAL TO TREATMENT PERIOD START DATE) minus WAITING TIME ADJUSTMENT (FIRST SEEN)





Any patient with a record that contains a value for CANCER REFERRAL TO TREATMENT PERIOD START DATE, TREATMENT START DATE (CANCER) and PRIMARY DIAGNOSIS and a PRIORITY TYPE of “3” (two week wait) with a TWO WEEK WAIT CANCER OF SYMPTOMATIC BREAST REFERRAL TYPE that is not code “16”.











Report 3.2 – the Cancer Plan 62-Day Standard (Treatment Group) Report


(TREATMENT START DATE (CANCER) minus CANCER REFERRAL TO TREATMENT PERIOD START DATE) minus (WAITING TIME ADJUSTMENT



(TREATMENT) plus WAITING TIME ADJUSTMENT (FIRST SEEN)) expressed in days.

























Surgery 01 Surgery








06 Brachytherapy








13 Proton Therapy








Report 3.7 – the Cancer Plan 31-Day Rare Cancer Standard Report

This is a report for the Rare Cancer 31-Day Standard and will not be applicable to all organisations.


(TREATMENT START DATE (CANCER) minus CANCER REFERRAL TO TREATMENT PERIOD START DATE) minus (WAITING TIME ADJUSTMENT (TREATMENT) plus WAITING TIME ADJUSTMENT (FIRST SEEN)) expressed in days.















Only patients who are mapped to the categories of Children’s Cancers (by the children’s cancer flag) or Acute Leukaemia and Testicular Cancers (using the ICD-10 mapping tables) should be included.





Only patients who are mapped to the categories of Children’s Cancers (by the children’s cancer flag) or Acute Leukaemia and Testicular Cancers (using the ICD-10 mapping tables) should be included.





Report 4.1 – the CRS 62-Day Screening Standard (Tumour) Report

This report is constructed in the same way as Report 3.1, the difference being the patients who are included within the scope of the report.



For this report patient records should only be included if the record contains a value for CANCER REFERRAL TO TREATMENT PERIOD START DATE, TREATMENT START DATE (CANCER) (that is within the period), PRIMARY DIAGNOSIS and a PRIORITY TYPE of “2” (urgent) or ‘3’ (two week wait) linked to a SOURCE OF REFERRAL FOR OUTPATIENTS of code “17” (NHS national screening programme).

In addition CANCER TREATMENT EVENT TYPE must be code ‘01’, or ‘07’ (first treatment for new primary cancer, or first treatment for metastatic disease with an unknown primary)



Report 4.2 – the CRS 62-Day Screening Standard (Treatment Group) Report

This report is constructed in the same way as Report 3.2, the difference being the patients who are included within the scope of the report.



For this report patient records should only be included if the record contains a value for CANCER REFERRAL TO TREATMENT PERIOD START DATE, TREATMENT START DATE (CANCER) (that is within the period), PRIMARY DIAGNOSIS and a PRIORITY TYPE of “2” (urgent) or ‘3’ (two week wait) linked to a SOURCE OF REFERRAL FOR OUTPATIENTS of code “17” (NHS national screening programme).

In addition CANCER TREATMENT EVENT TYPE must be code ‘01’, or ‘07’ (first treatment for new primary cancer, or first treatment for metastatic disease with an unknown primary)

Report 5.1 – the CRS 62-Day Upgrade Standard (Tumour) Report


(TREATMENT START DATE (CANCER) minus CONSULTANT UPGRADE DATE) minus WAITING TIME ADJUSTMENT (TREATMENT) expressed in days.

WAITING TIME ADJUSTMENT (FIRST SEEN) should also be removed from the calculated aggregate waiting time if CONSULTANT UPGRADE DATE is on or before DATE FIRST SEEN. If CONSULTANT UPGRADE DATE is after date first seen WAITING TIME ADJUSTMENT (FIRST SEEN) should not be removed from the calculate waiting time.

Numerator: Number of patients treated within 62 days within the period following an upgrade by a consultant or authorised member of a consultant team..

Denominator: Total number of patients treated within the period following an upgrade by a consultant or authorised member of a consultant team.





(TREATMENT START DATE (CANCER) minus CONSULTANT UPGRADE DATE minus WAITING TIME ADJUSTMENT (FIRST SEEN) if CONSULTANT UPGRADE DATE is on or before DATE FIRST SEEN. If CONSULTANT UPGRADE DATE is after date first seen WAITING TIME ADJUSTMENT (FIRST SEEN) should not be removed from the calculate waiting time.





Any patient with a record that contains a value for CONSULTANT UPGRADE DATE, TREATMENT START DATE (CANCER) and PRIMARY DIAGNOSIS.











Report 5.2 – the CRS 62-Day Upgrade Standard (Treatment Group) Report


(TREATMENT START DATE (CANCER) minus CONSULTANT UPGRADE DATE) minus WAITING TIME ADJUSTMENT (TREATMENT) expressed in days.

WAITING TIME ADJUSTMENT (FIRST SEEN) should also be removed from the calculated aggregate waiting time if CONSULTANT UPGRADE DATE is on or before DATE FIRST SEEN. If CONSULTANT UPGRADE DATE is after date first seen WAITING TIME ADJUSTMENT (FIRST SEEN) should not be removed from the calculate waiting time.





(TREATMENT START DATE (CANCER) minus CONSULTANT UPGRADE DATE minus WAITING TIME ADJUSTMENT (FIRST SEEN) if CONSULTANT UPGRADE DATE is on or before DATE FIRST SEEN. If CONSULTANT UPGRADE DATE is after date first seen WAITING TIME ADJUSTMENT (FIRST SEEN) should not be removed from the calculate waiting time.




















Surgery 01 Surgery








06 Brachytherapy












13 Proton Therapy










Appendix 7b: Commissioner Based Reports detail These CCG Commissioner reports are to have the same construction as the equivalent Acute Provider reports, the difference being that they are not generated based around the ORGANISATION CODE of the provider at DATE FIRST SEEN or TREATMENT START DATE (CANCER). Instead these reports are based around the CCG where the patient is registered. Where these reports are further broken down, it will be by provider ORGANISATION CODE at either DATE FIRST SEEN or TREATMENT START DATE (CANCER).

6.1 – The Commissioner Based Cancer Two week Wait Report (see Report 1.1)

6.2 – the Commissioner Based Breast Symptom Two Week Wait Report (see Report 1.2)

7.1 – The Commissioner Based 31-day First Treatment (Tumour) Report (see Report 2.1)

7.2 – The Commissioner Based 31-day First Treatment (Treatment Group) Report (see Report 2.2)

7.7 – The Commissioner Based 31-day Subsequent Treatment (Tumour) Report (see Report 2.7)



7.8 – The Commissioner Based 31-day Subsequent Treatment (Treatment Group) Report (see Report 2.8)



8.1 – The Commissioner Based Cancer Plan 62-day Standard (Tumour) Report (see Report 3.1)



8.2 – The Commissioner Based Cancer Plan 62-day Standard (Treatment Group) Report (see Report 3.2)



8.7 - The Commissioner Based Cancer Plan 31-day rare Cancer Standard Report (see Report 3.7)

9.1 – The Commissioner Based CRS 62-day Screening Standard (Tumour) Report (see Report 4.1)



9.2 – The Commissioner Based CRS 62-day Screening Standard (Treatment Group) Report (see Report 4.2)



10.1 – The Commissioner Based CRS 62-day Upgrade Standard (Tumour) Report (see Report 5.1)

10.2 – The Commissioner Based CRS 62-day Upgrade Standard (Treatment Group) Report (see Report 4.2)


cancer waiting times reports – user manual · cancer waiting times reports – user manual v 1.1...

Documents