Publication / Fit for Purpose

Kirsty AndersonPrincipal Information Analyst

Publication – Consultation

• Existing cancer waiting times statistics need to be replaced with a new series of figures

• Consultation document produced to summarise ISD’s proposals for the new series of official statistics due to be published

• Consultation started on 23rd October 2009. Consultation document / feedback form emailed to various colleagues and published on the ISD website

• Consultation closed on 8th January and analysis of feedback completed

Publication – Consultation Feedback• ISD received 31 feedback responses from the

consultation on publication of new cancer waiting times statistics

• Approximately 75% of responses on behalf of the whole organisation or as an individual

3% 3%

16%

3%

3%

56%

3%

10%3%

Academia Audit ScotlandCancer charity ISD ScotlandNHS Board (special - excluding NSS*) NHS Board (territorial)NHS National Services Scotland (excluding ISD) Other UK Government organisationScottish Government

Publication – Consultation FeedbackProposed tables showing performance against the 62/31day target

• 83% of respondents agreed that Tables 1 & 2 met their needs in full

Area of receipt of referral Number of eligible

referrals1

Number treated

within 62 days

Percentage treated

within 62 days

One or more additional columns for

optional statistics2

Scotland ZZZZ ZZZZ ZZ.Z% ??? ??? NOSCAN3 YYYY YYYY YY.Y% ??? ??? Grampian 0000 0000 00.0% ??? ??? Highland 0000 0000 00.0% ??? ??? Orkney 0000 0000 00.0% ??? ??? Shetland 0000 0000 00.0% ??? ??? Tayside 0000 0000 00.0% ??? ??? Western Isles 0000 0000 00.0% ??? ??? SCAN4 YYYY YYYY YY.Y% ??? ??? Borders 0000 0000 00.0% ??? ??? Dumfries & Galloway 0000 0000 00.0% ??? ??? Fife 0000 0000 00.0% ??? ??? Lothian 0000 0000 00.0% ??? ??? WOSCAN5 YYYY YYYY YY.Y% ??? ??? Ayrshire & Arran 0000 0000 00.0% ??? ??? Forth Valley 0000 0000 00.0% ??? ??? Greater Glasgow & Clyde 0000 0000 00.0% ??? ??? Lanarkshire 0000 0000 00.0% ??? ???

Publication – Consultation FeedbackProposed table outline for trend information on performance

against targets

• 87% of respondents said that they were happy with the proposed presentation of trend data

Area of receipt of referral

Indicator Patients first treated during quarter ending

31st Mar 2010

30th June 2010

30th Sept 2010

31st Dec 2010

31st Mar 2011

Scotland Number of

eligible referrals1 ZZZZ ZZZZ ZZZZ ZZZZ ZZZZ

Number treated within 62 days

ZZZZ ZZZZ ZZZZ ZZZZ ZZZZ

% treated within 62 days

ZZ.Z% ZZ.Z% ZZ.Z% ZZ.Z% ZZ.Z%

Other optional statistics2

??? ??? ??? ??? ???

NOSCAN3 Number of

eligible referrals1 YYYY YYYY YYYY YYYY YYYY

Number treated within 62 days

YYYY YYYY YYYY YYYY YYYY

% treated within 62 days

YY.Y% YY.Y% YY.Y% YY.Y% YY.Y%

Other optional statistics2

??? ??? ??? ??? ???

Grampian Number of

eligible referrals1 0000 0000 0000 0000 0000

Number treated within 62 days

0000 0000 0000 0000 0000

% treated within 62 days

00.0% 00.0% 00.0% 00.0% 00.0%

Other optional statistics2

??? ??? ??? ??? ???

Repeated below for all other cancer networks and Boards

Publication – Consultation FeedbackProposed graphs and tables showing the overall distribution of waiting times

• Nearly 70% of responders were happy with the distribution of waiting times proposals

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

0 20 40 60 80 100 120 140 160

Days since receipt of referral

Per

cen

tag

e o

f p

atie

nts

sti

ll w

aiti

ng

62-day target

5% tolerance on target

Cancer type Length of wait from receipt of referral to treatment2 0-14

days 15-28 days

29-42 days

43-62 days

63-69 days

70-79 days

80 days or more

All cancer types* ZZ.Z% ZZ.Z% ZZ.Z% ZZ.Z% ZZ.Z% ZZ.Z% ZZ.Z% Breast 00.0% 00.0% 00.0% 00.0% 00.0% 00.0% 00.0% Colorectal 00.0% 00.0% 00.0% 00.0% 00.0% 00.0% 00.0% Head & Neck 00.0% 00.0% 00.0% 00.0% 00.0% 00.0% 00.0% Lung 00.0% 00.0% 00.0% 00.0% 00.0% 00.0% 00.0% Lymphomas 00.0% 00.0% 00.0% 00.0% 00.0% 00.0% 00.0% Melanoma 00.0% 00.0% 00.0% 00.0% 00.0% 00.0% 00.0% Gynae – ovarian Gynae - cervical 00.0% 00.0% 00.0% 00.0% 00.0% 00.0% 00.0% Upper GI 00.0% 00.0% 00.0% 00.0% 00.0% 00.0% 00.0% Urological 00.0% 00.0% 00.0% 00.0% 00.0% 00.0% 00.0%

Publication – Consultation FeedbackProposed tables showing exclusions and waiting times adjustments

• 79% of respondents agreed with the proposals to publish data on exclusions and waiting times adjustments

A B C D E F G H I Area of receipt of referral Total

referrals2 Referrals not covered by

62-day target3

Referrals covered by 62-day target Referrals included in analysis but with waiting time

adjustment made7

Initial number4 Excluded from target calculations5

Number included in analysis6

Number Median adjustment8

One or more additional columns for further information9

Scotland ZZZZ ZZZZ ZZZZ ZZZZ ZZZZ ZZZZ ZZZZ ??? NOSCAN YYYY YYYY YYYY YYYY YYYY YYYY YYYY ??? Grampian 0000 0000 0000 0000 0000 0000 0000 ??? Highland 0000 0000 0000 0000 0000 0000 0000 ??? Orkney 0000 0000 0000 0000 0000 0000 0000 ??? Shetland 0000 0000 0000 0000 0000 0000 0000 ??? Tayside 0000 0000 0000 0000 0000 0000 0000 ??? Western Isles 0000 0000 0000 0000 0000 0000 0000 ??? SCAN YYYY YYYY YYYY YYYY YYYY YYYY YYYY ??? Borders 0000 0000 0000 0000 0000 0000 0000 ??? etc. (Further rows removed for reasons of space here)

0000 0000 0000 0000 0000 0000 0000 ???

Publication – Consultation (Next steps)

• Further comments made by responders on these tables/publication are being considered at present

• Working with the Scottish Government statisticians to propose recommendations for final publication tables/layout

• A paper will be produced for the consideration of the National Cancer Waiting Times Delivery Group

• Finalised Consultation Feedback Report will be published (March 2010)

Publication – Timeline

New 62-day targetExcluding patients referred

through screening programmes

Patients who started their treatment during January–March 2010

(Quarter 1)

June 2010

September 2010New 31- and 62-day targetsExcluding patients referred

through screening programmes

Patients who started their treatment during

April–June 2010(Quarter 2)

December 2010New and 31- and 62-day

targetsIncluding patients referred

through screening programmes

Patients who started their treatment during

July–Sept 2010(Quarter 3)

FROM WHAT COVERING

New 62-day targetExcluding patients referred

through screening programmes

Patients who started their treatment during January–March 2010

(Quarter 1)

June 2010

September 2010New 31- and 62-day targetsExcluding patients referred

through screening programmes

Patients who started their treatment during

April–June 2010(Quarter 2)

December 2010New and 31- and 62-day

targetsIncluding patients referred

through screening programmes

Patients who started their treatment during

July–Sept 2010(Quarter 3)

FROM WHAT COVERING

• Existing cancer waiting times targets will be published up until May 2010

• Communication to Board Chief Executives confirming that current data collection for existing targets should cease, to focus on the publication of new targets in June 2010

Fit for Purpose

• Publication timeline requires the new cancer waiting times data being fit for purpose

– New cancer waiting times information recorded by NHS Boards must be of sufficient quality and reliability to publish

– Figures showing performance against the new targets will first be published on ISD’s website during June 2010

– ISD Scotland will work with NHS Boards and the Scottish Government to monitor the completeness and quality of the information submitted by NHS Boards

Fit for Purpose

• Fit for Purpose exercise to monitor the completeness and quality of the information submitted by NHS Boards

Work with boards and the Scottish Government to assess fit for purpose by:

• Seeking advice from the boards, Scottish Government, ISD New Ways colleagues, and our English and Welsh counterparts

• Produce high-level plan of work activities/tasks, for example:

- Quarterly case ascertainment report - Calculate cohort/baseline for each cancer site - Number of Patients Diagnosed During Quarter (Actual from SCWaTS) - 3 year (2004-2006) Quarterly Average Number of Cancer Registrations - Estimated Case Ascertainment (actual/cancer reg*100) - Compare with existing CWT targets (indicative levels)

• Require boards to re-submit Oct – Dec 09 data, in order to generate an accurate and complete quarterly extract to use as a baseline to analyse fit for purpose