Transcript NECN Gynae-Oncology NSSG Audit of Waiting Times for Gynae

NECN Lung NSSG
Audit of Waiting Times for Lung
Cancer Patients in NECN
April 2010 – March 2011
The scope of the audit :
• The purpose of this audit was to determine
how long patients wait for each part of the
patient pathway from referral to treatment in
NECN and to assess the degree of variation
between different trusts in the Network.
Key Findings
• A total of 3,386 2WW referrals seen in trusts
in NECN during 2010/11
• A total of 28,570 wait days; an average wait of
8.4 days across NECN per referral
• 2,488 First Treatments
• 1,085 (43.6%) patients treated following
urgent referral
• 53,607 wait days – average 49 days
NECN - Urgent Referrals for Suspected Lung Cancer
April 2010 - March 2011 - Numbers by Trust
600
500
400
300
200
100
208
410
307
267
273
559
427
513
422
South Tyneside
Sunderland
N Cumbria
Gateshead
Newcastle
Northumbria
South Tees
North Tees &
Hartlepool
CDDFT
0
Source: CWT Database Open Exeter
NECN - Suspected Lung Cancer Referrals - April 2010 - March 2011
Average Wait - Referral to First Seen by Trust
12.00
10.00
Average Wait Days
8.00
6.00
4.00
2.00
7.53
9.75
7.14
9.21
5.97
8.82
10.07
8.22
7.77
South Tyneside
Sunderland
N Cumbria
Gateshead
Newcastle
Northumbria
South Tees
North Tees &
Hartlepool
CDDFT
0.00
Trust
Source: CWT Database Open Exeter
NECN - Lung Cancer Treatments - April 2010 - March 2011
Average Wait - First Seen to Decision to Treat by Trust
45.0
40.0
35.0
Average Wait Days
30.0
25.0
20.0
15.0
10.0
5.0
29.6
32.1
29.7
29.4
39.7
29.2
35.4
36.2
31.7
South Tyneside
Sunderland
N Cumbria
Gateshead
Newcastle
Northumbria
South Tees
North Tees &
Hartlepool
CDDFT
0.0
Trust
Source: CWT Database Open Exeter
NECN - Lung Cancer Treatments - April 2010 - March 2011
Average Wait - Decision to Treat to First Treatment by Trust
10.0
9.0
8.0
Average Wait Days
7.0
6.0
5.0
4.0
3.0
2.0
1.0
2.9
4.4
5.3
4.8
8.8
4.3
7.2
2.6
3.6
South Tyneside
Sunderland
N Cumbria
Gateshead
Newcastle
Northumbria
South Tees
North Tees &
Hartlepool
CDDFT
0.0
Trust
Source: CWT Database Open Exeter
NECN - Lung Cancer Treatments : April 2010-March 2011
Average Wait by Treatment Type - Decision to Treat to First Treatment
20.0
Surgery
18.0
Drugs
Radiotherapy
Palliative
16.0
14.0
12.0
10.0
8.0
6.0
0.0
South Tyneside
Gateshead
Source: CWT Database Open Exeter
Northumbria
Newcastle
South Tees
CDDFT North Tees & Hartlepool Sunderland
N Cumbria
0.0
5.6
9.2
0.0
0.2
17.8
8.6
4.7
0.0
5.0
5.8
0.2
0.1
11.0
7.8
3.3
0.3
14.9
7.4
8.1
0.0
12.1
6.8
10.8
0.0
1.0
9.6
0.0
0.3
11.5
8.5
0.0
7.0
9.0
0.0
2.0
12.4
4.0
NECN - Lung Cancer Treatments : April 2010 - March2011
Average Wait - Referral to First Treatment by Trust
60.0
50.0
Average Wait Days
40.0
30.0
20.0
10.0
40.2 41.8
45.7 47.1
42.0 43.0
43.3 44.8
54.8 56.6
42.0 42.8
52.2 52.2
46.1 46.6
43.0 44.7
South Tyneside
Sunderland
N Cumbria
Gateshead
Newcastle
Northumbria
South Tees
North Tees &
Hartlepool
CDDFT
0.0
Trust
Source: CWT Database Open Exeter
Conclusion
• Average waits in all trusts are below the
maximum waits stipulated in cancer waiting
times targets
• This analysis shows apparent variation in
average waits between individual trusts,
although no account is taken of casemix and
therefore real variation cannot be confirmed.
Recommendations
• The Lung NSSG should consider the results of
this audit and agree actions and further
analysis as necessary
• Further analyses should be carried out to
provide further detail on apparent variation
between trusts in the diagnostic phase of the
pathway
• Regular audit of this activity to measure
ongoing impact of interventions