Further guidance on ending REFERRAL TO TREATMENT PERIODS and first treatments.
Undertaking a procedure is not necessarily in itself the end of a REFERRAL TO TREATMENT PERIOD. For example, outpatient or day case diagnostic CARE ACTIVITIES prior to admission for treatment do not represent the end of the REFERRAL TO TREATMENT PERIOD and, in these cases, are part of the diagnostic process rather than the start of treatment.
Commencement of medication as an outpatient can be the end of a REFERRAL TO TREATMENT PERIOD, if it is intended as the First Definitive Treatment. However, CARE PROFESSIONALS often begin to manage a PATIENT's condition in advance of the first actual treatment taking place, for example by giving pain relief before a surgical procedure takes place. In these cases, the REFERRAL TO TREATMENT PERIOD END DATE is when the First Definitive Treatment (in this example, surgery) has started.
In NHS Allied Health Professional Services (Referral To Treatment Measurement), CLINICAL INTERVENTIONS are often the First Definitive Treatment. However, it may be judged that other elements of PATIENT care constitute First Definitive Treatment, for example the giving of advice. If there is any doubt, the key determining factors are
- what does the Allied Health Professional responsible for the PATIENT's care consider the start of treatment to be?
- when does the PATIENT perceive their treatment to have started?
- date of a therapeutic procedure where it is intended as diagnostic but the CARE PROFESSIONAL makes a decision to undertake a therapeutic procedure at the same time. In this example, it may count as a start of treatment and as such, the period will end
- date for less intensive treatment and medical management such as Palliative Care that may be attempted before moving on to invasive procedures and treatment or may be the only treatment. In such cases, the first treatment that is intended to manage a PATIENT's disease, condition or injury will end that particular REFERRAL TO TREATMENT PERIOD. Should the PATIENT at some later stage require more 'aggressive' treatment then the Decision To Treat would start a new REFERRAL TO TREATMENT PERIOD
- date Active Monitoring commenced.
This supporting information is also known by these names:
|plural||First Definitive Treatments|