| Clock | RTT Code | Explanation | Examples | |
|---|---|---|---|---|
| STOPPED | A | Treatment already given/ongoing | This is used where treatment has already started, either in outpatients or inpatients. It is expected this will be used until the patient is discharged as treatment has begun and the RTT pathway has ended. This is not part of an RTT pathway. | 1. Treatment already given or ongoing |
| CONTINUE | F | Refer for further investigation on the same condition | This is used where a patient requires subsequent activity for the same condition. This can include a follow-up appointment, being sent for diagnostics/investigations, a tertiary referral or being referred to another clinician for the same condition. | 1. Subsequent activity, - investigation or diagnostic test. 2. Subsequent activity, - referred to another clinician (same condition) |
| CONTINUE | G | Decision to treat condition (add to waiting list) | This is used where a patient is added to the Inpatient or day case waiting list. Note: If the patient has been on watchful wait use Code C. | 1. Subsequent activity, - added to inpatient/day case waiting list |
| STOP | H | Treatment commenced in outpatients: | This is used where treatment is commenced in outpatients, maybe with the prescribing of treatment drugs, a minor procedure or the fitting of a medical device as first definitive treatment. | 1. First definitive treatment in outpatients, - e.g. prescription, advice, therapy , - e.g. fitting of medical device |
| STOP | I | Decision to commence a period of watchful wait | This is used where there is a decision not to treat, no further contact is required, the patient has decided not to be treated or the decision is made to return the patient to Primary Care/RMC | 1. Commence watchful wait (open appointment). 2. Decision to add to transplant list, planned list. |
| STOP | J | Decision not to treat/be treated | This is used where there is a decision not to treat, no further contact is required, the patient has decided not to be treated or the decision is made to return the patient to Primary Care/RMC This is used for patients currently on an RTT pathway, for whom a new condition has been identified requiring treatment by the same specialty. |
1. Discharge – decision not to treat or no further contact required 2. Discharge – patient declined offered treatment. 3. Discharge – discharge to Primary Care, RMC. |
| START NEW PATHWAY ID | N | New condition identified requiring treatment | This is used for patients who are offered a further appointment at instruction of the clinician or secondary to hospital error e . g . patient did not receive letter. | 1. Patient in follow-up stage with a new condition |
| Clock continue | Q | Re-booking of new or follow-up appointment following D N A | This will only be used for patients on B E A who have been removed for reasons other than treatment. This will also be used for patients who D N A. | 1. D N A of OP appointment |
| STOP | R | Refer back to GP | This is used where the patient needs to be transferred into Primary Care for their first definitive treatment. | 1. Patient no longer wants/needs procedure |
| STOP | S | Decision to transfer for treatment in primary care | This is used where the patient needs to be transferred into Secondary or Tertiary Care for their first definitive treatment . | 1. Transfer – Primary Care physiotherapy |
| TRANSFER | T | Decision to transfer for treatment in secondary care outside of RCHT | This is used where it has not been clinically appropriate to start treatment and this situation is unchanged. This is not part of an RTT pathway. | 1. Transfer – Plymouth, Bristol, London, etc. |
| REMAINS STOPPED | B | Part of watchful waiting | A decision to treat them in an outpatient setting or by adding the patient to the inpatient or day case waiting list. This starts a new RTT clock. | 1. Part of active monitoring |
| START | C | Decision to treat | A decision is made to end a period of watchful wait with a decision to send the patient for diagnostics with the intention of moving towards treatment. This starts a new RTT clock. | 1. Following watchful wait – decision to treat. 2. Following watchful wait – added to Inpatient/day case waiting list |
| START | D | Decision to refer for diagnostic test following active monitoring | 1. Following watchful wait – refer for diagnostic test having made a decision to treat |
Article ID: 138
Created: April 27, 2022
Last Updated: June 6, 2024
Author: Administrator
Online URL: https://elearning.cornwall.nhs.uk/site/kb/article.php?id=138