Diagnostics Task and Finish Group Report - 18 Weeks

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Diagnostic Waiting Times’ ProgressSince the DMMI commenced, there have been significant improvements in diagnosticwaiting times across NHSScotland. Figure 1 below shows the reported number ofpatients who waited over 4 and 6 weeks for the 8 key tests, from October 2010 toSeptember 2011.Graph 14,0003,500NHS Scotland8 Key Diagnostic TestsNumber of Patients Who Waited Over 6 And 4 weeksTotal 8 Key Tests waits over 4 weeksTotal 8 Key Tests waits over 6 weeks3,0002,5002,0001,5001,0005000Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11Figure 1: Number of Patients Who Waited Over 6 and 4 weeks for Key TestsThe rise between October 2010 and February 2011 was due to a significant issue inEndoscopy in one particular Board. A recovery plan to address this was implementedand this issue has now been resolved. The data for patients who waited over 4 weekscan be viewed by each individual test in Figure 2 below:Diagnostics Task and Finish Group Report - V1.0 December 201114
Graph 218001600140012001000NHS Scotland8 Key Diagnostic TestsNumber of Patients who waited over 4 weeks by TestUpper EndoscopyLower EndocopyColonoscopyCystoscopyCT ScansMRI ScansBarium StudiesUltrasound8006004002000Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11Figure 2: Number of Patients Who Waited Over 4 Weeks For Each Key TestThe peak in the number of patients waiting over 4 weeks for an ultrasound test occurredin one Board, which has since been addressed. The Board is continuously andproactively working to avoid any further build up of long waiting patients.EndoscopyAlthough Boards are managing, in the main, to keep their waiting times for Endoscopybetween 4-6 weeks, at times this can present a significant challenge. In particular,managing cancer patients within 2 weeks can be difficult. There are also issues aroundsurveillance patients, who are not appropriate to be included in the 18 Weeks RTTStandard as they are on a much longer recall programme, however, they do require to beseen within a defined clinically appropriate timeframe and it is important that clinicalpriorities are not distorted due to waiting times standards. This particular issue is beingdiscussed with the Cancer Strategy Team and a Colonoscopy short Life Working Grouphas been formed to undertake a national piece of work around this.Extended DMMIIn terms of the improvement in waiting times for the 6 additional tests, Figure 3 belowshows that this is still a significant challenge, however, good progress has been made.Individual performance by test can be seen in Figure 4.Diagnostics Task and Finish Group Report - V1.0 December 201115
Page 1 and 2: Diagnostics Task and Finish Group R
Page 3 and 4: ContentsIntroduction ..............
Page 5 and 6: Should performance with the timely
Page 7 and 8: linking specialists across NHS Scot
Page 9 and 10: • Demand Side Solutions• Perfor
Page 11 and 12: • To undertake a review of Direct
Page 13: • Nerve Conduction Studies;• Sl
Page 17 and 18: From the reported figures for echoc
Page 19 and 20: understand the capacity requirement
Page 21 and 22: • access to training to support t
Page 23 and 24: Rapid Access to ServicesRapid acces
Page 25 and 26: Sharing Good PracticeOver the last
Page 27 and 28: Appendix One: Membership of the Dia
Page 29 and 30: ImagingCTColonography computed tomo
Page 31 and 32: UrodynamicsOtherUnspecifiedPRESSURE
Page 33 and 34: What did we achieve?• Additional

Diagnostics Task and Finish Group Report - 18 Weeks

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