EARLIEST REASONABLE OFFER DATE

EARLIEST REASONABLE OFFER DATE  is the date of the earliest of the  Reasonable Offers made to a PATIENT for an APPOINTMENT or Elective Admission. It should only be included on the Commissioning Data Sets where the PATIENT has declined at least two Reasonable Offers, and a Patient Pause is to be applied to the length of wait calculation performed by the Secondary Uses Service.

• For an APPOINTMENT this is the earliest of the APPOINTMENT DATES OFFERED where the  APPOINTMENT OFFER is a  ' Reasonable Offer'.

• For an OFFER OF ADMISSION this is the earliest of the OFFERED FOR ADMISSION DATES where the  OFFER OF ADMISSION is a  ' Reasonable Offer'.

Patient Cancellations Where, for any reason, a PATIENT cancels or does not attend an APPOINTMENT or an OFFER OF ADMISSION the EARLIEST REASONABLE OFFER DATE for the rearranged APPOINTMENT or OFFER OF ADMISSION will be the EARLIEST REASONABLE OFFER DATE of the cancelled APPOINTMENT or OFFER OF ADMISSION.

Provider Cancellations Where, for any reason, any Health Care Provider cancels and re-arranges an APPOINTMENT or an OFFER OF ADMISSION, the EARLIEST REASONABLE OFFER DATE for the re-arranged APPOINTMENT or OFFER OF ADMISSION will be the date of the earliest Reasonable Offer made following the cancellation.

Patients who are unavailable Where a PATIENT makes themself unavailable for a longer period of time, for example a PATIENT who is a teacher who wishes to delay their admission until the summer holidays, making a Reasonable Offer may be inappropriate.

In these circumstances, so long as the Health Care Provider could have made at least two Reasonable Offers, the EARLIEST REASONABLE OFFER DATE will be the date of the earliest Reasonable Offer that the provider could have offered the PATIENT. This must be communicated to the PATIENT.

Use in Commissioning Data Set version 6-0 onwards for Referral To Treatment Consultant-Led Waiting Times:

If the Commissioning Data Set record:

• relates to a Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement

and

• includes the REFERRAL TO TREATMENT PERIOD END DATE  of the  REFERRAL TO TREATMENT PERIOD  

and

•  is of the following Commissioning Data Set Types:

  • CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode CDS
  • CDS V6-2 Type 190 - Admitted Patient Care - Unfinished General Episode CDS

then EARLIEST REASONABLE OFFER DATE  must be populated in the Commissioning Data Set record if a Patient Pause (the  PATIENT is paused on the ELECTIVE ADMISSION LIST because they have made themselves unavailable for treatment for a specified period (for non-clinical reasons)) is to be applied to a  REFERRAL TO TREATMENT PERIOD  by the Secondary Uses Service. 

Failure to include EARLIEST REASONABLE OFFER DATE  in the Admitted Patient Care General Episode Commissioning Data Set record carrying the  REFERRAL TO TREATMENT PERIOD END DATE, will mean no Patient Pause is applied to the duration of wait calculation for the REFERRAL TO TREATMENT PERIOD performed by the Secondary Uses Service.

Use in the Community Services Data Set, Mental Health Services Data Set, Commissioning Data Sets (version 6-2 onwards) for Allied Health Professional Referral To Treatment:

For the Community Services Data Set, Mental Health Services Data Set  and the Commissioning Data Sets (version 6-2 onwards) the EARLIEST REASONABLE OFFER DATE  may be used locally to inform waiting time calculations for Allied Health Professional Referral To Treatment Measurement.  It can be used to account for periods of time where the PATIENT  has not accepted the first available APPOINTMENT OFFER  and this has extended the Allied Health Professional Referral To Treatment Measurement  waiting time, for example:

• where a PATIENT  who is a child has been offered an APPOINTMENT  but their parent/ Carer states that they wish to wait until the school holidays commence. The  SERVICE  cannot commence planned treatment until the PATIENT  is available.

• where the PATIENT  works away and cannot attend for a period of time, but it is not appropriate to discharge the PATIENT  from the SERVICE.