DELAY REASON COMMENT

A comment on the reason why a Cancer Care Spell Delay was experienced with regard to a Cancer Care Spell.

This must be recorded for each breach of existing service standards (introduced by the NHS Cancer Plan (2000)) and the extended service standards (as specified within the Cancer Reform Strategy (2007)) after any patient pauses have been taken into account.

The standards for which a DELAY REASON COMMENT must be given are:

-maximum two week wait** for an urgent GENERAL PRACTITIONER referral for suspected cancer to Date First Seen for all suspected cancers
-maximum one month** wait from urgent GENERAL PRACTITIONER referral for suspected cancer to First Definitive Treatment for testicular cancer, acute leukaemia and children's cancer (under 16 years of age at date of First Definitive Treatment)*
-maximum two month wait** from urgent GENERAL PRACTITIONER referral for suspected cancer to First Definitive Treatment for all cancers
-maximum one month wait** from CANCER TREATMENT PERIOD START DATE (DECISION TO TREAT DATE) to First Definitive Treatment for all cancers
-maximum 31-day wait from CANCER TREATMENT PERIOD START DATE (DECISION TO TREAT DATE or EARLIEST CLINICALLY APPROPRIATE DATE) to the start of second or subsequent treatment for all cancers, where the CANCER TREATMENT MODALITY is Radiotherapy (Teletherapy, Brachytherapy or Proton Therapy)
-maximum 31-day wait from CANCER TREATMENT PERIOD START DATE (DECISION TO TREAT DATE or EARLIEST CLINICALLY APPROPRIATE DATE) to start of second or subsequent treatment for all cancers where the CANCER TREATMENT MODALITY is surgery
-maximum 31-day wait from CANCER TREATMENT PERIOD START DATE (DECISION TO TREAT DATE or EARLIEST CLINICALLY APPROPRIATE DATE) to start of second or subsequent treatment for all cancers where the CANCER TREATMENT MODALITY is an Anti-Cancer Drug Regimen (Cytotoxic Chemotherapy, Hormone Therapy, Immunotherapy or other drug regimen)
-maximum 31-day wait from CANCER TREATMENT PERIOD START DATE (DECISION TO TREAT DATE or EARLIEST CLINICALLY APPROPRIATE DATE) to start of second or subsequent treatment for all cancers where the CANCER TREATMENT MODALITY is other than Anti-Cancer Drug Regimen, surgery or Radiotherapy.
-maximum 62-day wait from referral for suspected cancer from an NHS Cancer Screening Programme to First Definitive Treatment for breast, bowel and cervical cancers*
-maximum 62-day wait from a decision to upgrade the priority of a PATIENT by a CONSULTANT (or authorised member of a CONSULTANT team) to First Definitive Treatment 
-maximum two week wait** for an urgent referral for breast symptoms (where cancer is not initially suspected) to DATE FIRST SEEN.

* Breast, bowel, cervical and testicular cancer, along with acute leukaemia are defined by ICD-10 coding - see Department of Health guidance at Cancer Waiting Times Documentation and Links.

** For the performance management and the requirement to record a DELAY REASON COMMENT for the above service standards, the following standardised time periods have been identified:

Time PeriodNumber of Calendar Days
Two Weeks14
One Month31
Two Months62
 

This attribute is also known by these names:
ContextAlias
pluralDELAY REASON COMMENTS