Should not be used where defunctioning stoma prior to than their DHB-of-domicile (so there are delays to chemo or radiation therapy. long as it was part of a standard assessments, tests or There are intercurrent problems treatment pathway. Improving procedures that are part of or pre-existing co-morbidities coordination and provision of the standard plan of care as that need to be managed prior to care across DHBs should be a these should be factored into treatment. Eg: patient requiring key focus of FCT). the treatment pathway and steroids to manage chest Volume study prior to timeframe. symptoms prior to starting implantation of low-dose chemotherapy or patient radiotherapy seeds for requiring antibiotics to treat brachytherapy. urinary tract infection prior to having the prostate biopsied. The patient fails anaesthetic assessment. There is a delay post-biopsy to allow healing and/or infection to subside (eg, between TRUS biopsy and MRI; after a LLETZ cone or formal cone biopsy). Where a patient receives fertility treatment/preservation prior to treatment. Situations the capacity of Lack of resources theatre, 3 Capacity – the system, DHB, service or equipment, facilities or constraint process have limited the workforce. ability to achieve the FCT Process constraint, including health target. administrative errors. Had more capacity or Communication and process improved processes been issues in the transfer of patient available it could reasonably care between DHBs/hospitals. be expected that the patient would not have breached.
Should not be used where there are delays to assessments, tests or procedures that are part of the standard plan of care as these should be factored into the treatment pathway and timeframe. defunctioning stoma prior to chemo or radiation therapy. There are intercurrent problems or pre-existing co-morbidities that need to be managed prior to treatment. Eg: patient requiring steroids to manage chest symptoms prior to starting chemotherapy or patient requiring antibiotics to treat urinary tract infection prior to having the prostate biopsied. The patient fails anaesthetic assessment. There is a delay post-biopsy to allow healing and/or infection to subside (eg, between TRUS biopsy and MRI; after a LLETZ cone or formal cone biopsy). Where a patient receives fertility treatment/preservation prior to treatment. than their DHB-of-domicile (so long as it was part of a standard treatment pathway. Improving coordination and provision of care across DHBs should be a key focus of FCT). Volume study prior to implantation of low-dose radiotherapy seeds for brachytherapy. 3 Capacity constraint Situations the capacity of the system, DHB, service or process have limited the ability to achieve the FCT health target. Had more capacity or improved processes been available it could reasonably be expected that the patient would not have breached. Lack of resources – theatre, equipment, facilities or workforce. Process constraint, including administrative errors. Communication and process issues in the transfer of patient care between DHBs/hospitals.
delay_code_reporting_guidance.docx