Timeliness domain summary
| Domain | Timeliness |
|---|---|
| Objective | Provide a timely service and minimise delay in cancer diagnosis and therapy |
| KPI |
|
| Denominator | Inclusions: Include all patients with LNPCPs Exclusions: Exclude LNPCPs removed at the time of detection |
| Analysis | Record date of LNPCP detection Record date of referral to clinician who will perform therapy. Note this is not the date patient is referred to the colorectal MDT Record date of definitive therapy Calculate mean time from referral to therapy Calculate mean time from detection to referral for therapy Calculate interval in days |
| Frequency | Calculate annually |
| Level of analysis | Service level |
| Minimum standard | Time from diagnosis to referral: <4 weeks (28 days)—no current standard defined for proportion meeting this standard Time from referral to definitive management: <8 weeks (56 days)—no current standard defined for proportion meeting this standard |
| Aspirational standard | No current standard defined |
| Action | Review cases where time from diagnosis to referral is >4 weeks (28 days) Review cases where time from diagnosis to referral is >8 weeks (56 days) |
| Evidence | Muto et al6 http://www.scotland.gov.uk/About/Performance/scotPerforms/partnerstories/NHSScotlandperformance/Cancerwaitingtimes47 |
KPI, key performance indicators; LNPCPs, large non-pedunculated colorectal polyps; MDT, multidisciplinary team.