Publication of NI Cancer Waiting Times Statistics Release (April - June 2018)

The Department of Health today published the NI Cancer Waiting Times Statistics Release for April, May and June 2018.

The release gives details of the waiting times for patients accessing cancer services at hospitals during April, May and June 2018.

Key facts and figures are listed below:

Waiting times for first treatment following an urgent GP referral for suspect cancer (62 day target)

• In June 2018, 362 patients commenced their first treatment for cancer following an urgent referral for suspect cancer. Of these, 70.4% (255 patients) started treatment within 62 days, compared with 67.3% (280 out of 416 patients) in May 2018. This compares with 69.1% (270 of the 391 patients) in June 2017.

Waiting times for first definitive treatment following a decision to treat (31 day target)

• During June 2018, 823 patients commenced their first treatment for cancer following a decision to treat being taken. Of these, 95.1% (783) started treatment within 31 days, compared with 93.2% (840 out of 901 patients) in May 2018. This compares with 94.6% (837 of the 885 patients) in June 2017.

Patients first seen following an urgent referral for suspect breast cancer (14 day target)

• During June 2018, 1,306 patients were seen by a breast cancer specialist for a first assessment following an urgent referral for suspect breast cancer. Of these, 94.1% (1,229) were seen within 14 days, compared with 96.3% (1,394 out of 1,448 patients) in May 2018. This compares with 85.4% (1,143 out of 1,339 patients) in June 2017.

Referrals for suspect breast cancer

• In June 2018, 1,935 new referrals for suspect breast cancer were received, this compares to 1,942 in May 2018 and 1,984 in January 2018. Referrals for suspect breast cancer can be for advice, assessment or both.
• Of those new referrals for suspect breast cancer in June 2018, 1,406 were classified as urgent.

Notes to editors: 

1. All statistical publications relating to waiting times are available online.
    
2. About the data
   
   The sources for the data contained in this release are the Cancer Patient Pathway System (CaPPS) and the Patient Administration System (PAS).
   
   Figures also include all patients living outside the north of Ireland and privately funded patients seen or treated in Health and Social Care hospitals in the north of Ireland.
   
   Data include all returns and amendments received from HSC Trusts up to 26 March 2018.
    
3. Ministerial Target for Cancer Waiting Times
   
   The draft 2018/19 Ministerial target has three components associated with cancer waiting times:
   
   The Ministerial Target on waiting times for treatment following an urgent referral for suspect cancer states that, ‘During 2018/19, 95% of patients urgently referred with a suspect cancer should begin their treatment within 62 days’.
   
   The Ministerial Target on waiting times for cancer treatment following a decision to treat states that, ‘During 2018/19, at least 98% of patients diagnosed with cancer should receive their first definitive treatment within 31 days of a decision to treat’.
   
   The Ministerial Target on waiting times for a first assessment with a breast cancer specialist states that, ‘During 2018/19, all urgent breast cancer referrals should be seen within 14 days’.
    
4. Definition of Waiting Times for Treatment following an urgent referral for Suspect Cancer.
   
   These data relate to patients who received a first definitive treatment for cancer (having been given an ‘International Classification of Diseases 10’ (ICD 10) diagnosis) during each of the three months covered in the publication, following an urgent referral for suspect cancer from a General Practitioner or a routine GP referral that has subsequently been reclassified as urgent by a cancer specialist.  Data for all cancers are included with the exception of basal cell carcinoma.  Referrals from sources other than a GP, routine referrals and patients who have not been given an ICD 10 diagnosis are excluded.
   
   The completed waiting time is measured from the date an initial urgent GP referral for suspect cancer is received by the Provider HSC Trust and ends on the date the patient receives their first treatment for cancer. Adjustments are made to the completed waiting time in the event of a patient cancelling or self deferring treatment or as a result of suspension for either medical or social reasons.
    
5. Definition of Waiting Times for Treatment following a Decision to Treat for cancer
   
   These data relate to all patients who received a first definitive treatment for cancer (having been given an ICD 10 diagnosis) during each of the three months covered in the publication, irrespective of their source or type of referral.  Data include treatment for all cancers, with the exception of basal cell carcinoma.  Patients that have not been given an ICD 10 diagnosis are excluded.
   
   The completed waiting time is measured from the date a decision is taken to treat a patient for cancer and ends on the date that the patient receives their first definitive treatment for cancer. The decision to treat is the date on which the patient and the clinician agree the planned treatment. Adjustments are made to the completed waiting time in the event of a patient cancelling or self deferring treatment or as a result of suspension for either medical or social reasons.
6. Definition of Waiting Times for a First Assessment with a Breast Cancer Specialist
   
   These data relate to urgent referrals (excluding those that have been reclassified as routine by the breast cancer specialist) and include routine referrals that have subsequently been reclassified as urgent by a breast cancer specialist. 
   
   The completed waiting time is measured from the date an initial breast cancer referral is first received by the Provider HSC Trust, and ends on the date that the patient attends their first outpatient appointment with a breast cancer specialist. Adjustments are made to the completed waiting time in the event of a patient cancelling, self-deferring or failing to attend a first outpatient appointment.
    
7. Number of referrals for suspect breast cancer
   
   Data relate solely to patients who were referred with suspect breast cancer during each month. All sources of referral irrespective of their source of referral are included i.e. urgent and routine referrals from both General Practitioners and other medical professionals. Referrals for suspect breast cancer can be for advice, assessment or both.
   
   Information on new suspect breast cancer referrals provided by HSC Trusts is not National Statistics but has been validated and quality assured by HSC Trusts prior to publication. Currently the Department is in the process of refining validation processes for these data, which should therefore be treated with caution. However, they have been published to help provide users with some contextual information in relation to the Ministerial Target relating to breast cancer waiting times.
    
8. This information was collated by Hospital Information Branch, DoH.
   
   Further information is available from:
   
   Hospital Information Branch
   Department of Health
   Annex 2
   Castle Buildings
   Stormont
   BT4 3SQ
   
   Telephone: 028 90 765725
   
   E-mail: Statistics@health-ni.gov.uk
   
   Internet: https://www.health-ni.gov.uk/topics/doh-statistics-and-research
    
9. For media enquiries about this press release, please contact the DoH Press Office on 028 9052 0575 or email. Out of office hours please contact the Duty Press Officer on  028 9037 8110. Follow us on Twitter.

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