Download FCT indicators - Midland Cancer Network

Quick reference for clinical staff on changes to the Faster Cancer Treatment
Business Rules and Data Definitions
March 2014
Indicator definitions
 Reporting of Indicator 2 (referral to FSA in less than 14 days for patients deemed urgent
with a high suspicion of cancer) is no longer required by the MoH. Dates will still be
recorded for patients who fulfil criteria for the 62 day indicator (for local reporting), however
the MoH will not report or measure performance on the 2 week component of the patient’s
journey.
 The terms indicator 1 and 3 will no longer be used. The remaining indicators will be known
as the 62 day indicator and 31 day indicator.
 The 62 day indicator will become the new cancer health target in the 2014/15 financial year.
 The term ‘urgent’ is no longer used when capturing patients with a high suspicion of cancer
for the 62 day indicator. The triaging consultant will now prioritise such a patient as ‘needs
to be seen within 2 weeks’ rather than ‘urgent’. This timeframe starts from the date of
receipt of referral and a new ‘2 week wait’ flag will be built into the patient management
system. Patients with no ‘2 week flag’ will be captured in 31 day indicator only.
Confirmation of cancer
 A confirmed (histopathology or radiological) diagnosis of cancer is no longer required
before decision to treat (DTT) is made. If a cancer treatment is delivered for a presumed
cancer then this is reported.
Reporting schedule
 Data will now be reported to the MoH monthly instead of quarterly.
Patients previously excluded who are now included in reporting
 those with indolent, low grade or asymptomatic haematological cancers
 those with follicular lymphomas (C82)
 those with ‘other T/NK cell lymphomas (C86)
 cancers which were found and treated incidentally will now be included in 31 day indicator
where a decision to treat as cancer was made
 patients admitted acutely who receive a first treatment for cancer will be included in the 31
day indicator
 patients must now be 16 years and over on the first day of treatment and under the care of
adult services to be included.
Delay codes
 Delay codes have been reduced to 3 only; they are:
o patient reason
o clinical consideration
o capacity constraint.
Treatment codes
 Two new treatment delivery codes are being added. They will be ‘concurrent radiation
therapy and chemotherapy’ and ‘clinical trial’
 The term ‘best supportive care’ has been included with the palliative care treatment code.
For full details on why these changes have been made please refer to the MoH document: FCT
indicators data definitions and business rules – what’s changed?
All changes will be implemented by 01 July 2014
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