QF01 - Demand For Elective Admission: Position at the End of the Quarter (Responsible Population Based)

1. Part 1: Ordinary Admissions - continued

2. Part 1 of QF01 refers to PATIENTS intended to be treated as ordinary admissions.

   Ordinary Admissions are identified by PATIENTS with an ELECTIVE ADMISSION LIST ENTRY where the INTENDED MANAGEMENT classification is 'Patient to stay in hospital for at least one night'.

   Main Specialty Function and Code

3. The ELECTIVE ADMISSION LIST ENTRY should be counted by TREATMENT FUNCTION CODE.

   Patients waiting for admission

4. A count of all NHS-funded PATIENTS waiting for admission to NHS or private hospitals who have an OFFER OF ADMISSION. Only PATIENTS with an OFFERED FOR ADMISSION DATE at the date of the census should be counted as waiting with a date. Deferred admissions are not counted as waiting with a date until a future OFFER OF ADMISSION is made.

   Patients waiting for admission by months waiting

5. The waiting time for each applicable PATIENT on an ELECTIVE ADMISSION LIST is calculated from the ORIGINAL DECIDED TO ADMIT DATE for this provider to the date at the end of the period. This is still the case if the PATIENT is transferred to another provider, where both providers agree to the transfer (e.g. to speed up treatment, ensure continuity of care etc.). Where the providers have agreed to the transfer of the PATIENT the waiting time becomes the responsibility of the receiving provider.

   If the PATIENT has been suspended at all during this time, the period(s) of suspension should be deducted from the total waiting time. If the PATIENT is transferred to another provider the WAITING PERIOD EXCLUSION (their aggregated suspended and/or self-deferred periods) will be carried with them, except where the transfer is initiated by the PATIENT.

   If the PATIENT initiates a transfer between providers themselves (e.g. because of a house move), where there is no agreement for the transfer between providers, the waiting time is re-set from the DECIDED TO ADMIT DATE for the new provider. Also, any WAITING PERIOD EXCLUSIONS from before the re-set waiting time date will be annulled, and therefore, should not be used for any further waiting time calculations.

6. PATIENTS with an OFFER OF ADMISSION where the ADMISSION OFFER OUTCOME classification is Patient failed to arrive or Admission cancelled by, or on behalf of, the patient (deferred admissions) are included in the count but the waiting time is calculated differently. After the OFFERED FOR ADMISSION DATE has passed, the waiting time is calculated as the difference between the date at the end of the period and the OFFERED FOR ADMISSION DATE that the PATIENT turned down or failed to keep. Therefore, the ORIGINAL DECIDED TO ADMIT DATE will no longer be used to calculate the start of the waiting time, and any WAITING PERIOD EXCLUSIONS from before the re-set waiting time date will be annulled, and should not be used for any further waiting time calculations.

   Time periods

7. The periods listed - less than 3 months, 3-5 months and so on - refer to completed whole months, not partially completed ones. For example, in a case where the waiting time is between 5 and 6 months, the 3-5 months box should be used, not the 6-8 months one. Make sure that the hospital computer system does not round up time periods, as this could give misleading counts.

   Page total

8. The total, by column, of all PATIENTS waiting for admission and PATIENTS waiting for admission by months waiting for all the TREATMENT FUNCTION CODES appearing on the page.

   FINAL TOTAL

9. The total, by column, of all ordinary admission PATIENTS, (see PATIENT CLASSIFICATION), waiting for admission and PATIENTS waiting for admission by months waiting for all the TREATMENT FUNCTION CODES.