National Cancer Waiting Times Monitoring Data Set

The information in the National Cancer Waiting Times Monitoring Data Set is required to provide details on cancer SERVICES in England.

Overview

Introduction

The information in the National Cancer Waiting Times Monitoring Data Set is required to provide details on cancer SERVICES in England. This enables the performance monitoring of Health Care Providers and Integrated Care Boards in order to maintain and increase standards across England.

Cancer Waiting Times data relates to the waiting time requirements outlined in the:

Patient Pathway Scenarios

The Patient Pathway Scenarios for the National Cancer Waiting Times Monitoring Data Set are to be used to manage the collection of data for all PATIENTS suspected of having, or diagnosed with cancer.

Transmission

Data can be transmitted to the Cancer Waiting Times System through any of three routes:
- Bulk upload via an XML file
- Bulk upload via a CSV file
- Single record entry through the Cancer Waiting Times Submission portal
The specification for the CSV upload file is detailed in the 'National Cancer Waiting Times User Manual' available on the NHS England website
Data for XML submission will be formatted into an XML file as per Technology Reference Update Distribution (TRUD) at: NHS Data Model and Dictionary XML Schemas
Once data is transmitted to the Cancer Waiting Times system it will undergo further validation. Details of this validation is available on the NHS England website at: Cancer Waiting Times.

Further guidance

See Patient Pathway Scenarios , for the scenarios which show:

the data items required for a range of health care scenarios and
information on how records will be validated to ensure these scenarios have been correctly reported.

Mandation

The Mandation column indicates the recommendation for the inclusion of data.

M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
R = Required: NHS business processes cannot be delivered without this data element. Required data elements may not be applicable to all PATIENT PATHWAYS, see Patient Pathway Scenarios for further details
O = Optional: the inclusion of this data element is optional as required for local purposes.

Data Set Constraints

XML Schema

For guidance on downloading the XML Schema, see XML Schema TRUD Download.


PATIENT AND PATHWAY IDENTIFICATION To carry Patient and Pathway details.One occurrence of this group is required.
Mandation	Data Elements
M	NHS NUMBER
M	NHS NUMBER STATUS INDICATOR CODE
R	PATIENT PATHWAY IDENTIFIER
R	ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER)


OUTPATIENT SERVICES To carry Outpatient Services details.One occurrence of this group is permitted.
Mandation	Data Elements
R	SOURCE OF REFERRAL FOR OUT-PATIENTS
R	PRIORITY TYPE CODE
R	DECISION TO REFER DATE (CANCER OR BREAST SYMPTOMS)
R	CANCER REFERRAL TO TREATMENT PERIOD START DATE
R	TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE
R	CONSULTANT UPGRADE DATE
R	ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE)
R	DATE FIRST SEEN
R	ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN)
R	WAITING TIME ADJUSTMENT (FIRST SEEN)
R	WAITING TIME ADJUSTMENT REASON (FIRST SEEN)
R	CANCER CARE SPELL DELAY REASON (FIRST SEEN)
O	CANCER CARE SPELL DELAY REASON COMMENT (FIRST SEEN)
R	CANCER DIAGNOSTIC REFERRAL ROUTE
R	RAPID DIAGNOSTIC CENTRE PATHWAY COMPLIANCE INDICATOR


PATIENT STATUS AND DIAGNOSIS To carry Patient Status and Diagnosis details.One occurrence of this group is required.
Mandation	Data Elements
M	CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS
R	PRIMARY DIAGNOSIS (ICD)
R	TUMOUR LATERALITY
R	CANCER TREATMENT PERIOD START DATE
R	ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER DECISION TO TREAT)
R	REFERRAL REQUEST RECEIVED DATE (INTER-PROVIDER TRANSFER)
R	PROSTATE CANCER CLINICAL RISK CATEGORY
R	CANCER FASTER DIAGNOSIS PATHWAY END REASON
R	PRIMARY CANCER SITE (CANCER FASTER DIAGNOSIS PATHWAY)
R	CANCER FASTER DIAGNOSIS PATHWAY END DATE
R	CANCER CARE SPELL DELAY REASON (OUTCOME COMMUNICATION CANCER FASTER DIAGNOSIS PATHWAY)
O	CANCER CARE SPELL DELAY REASON COMMENT (OUTCOME COMMUNICATION CANCER FASTER DIAGNOSIS PATHWAY)
R	CANCER FASTER DIAGNOSIS PATHWAY EXCLUSION REASON
O	CARE PROFESSIONAL TYPE (OUTCOME COMMUNICATION CANCER FASTER DIAGNOSIS PATHWAY)
O	METHOD OF COMMUNICATION (END OF CANCER FASTER DIAGNOSIS PATHWAY)
R	ORGANISATION SITE IDENTIFIER (OF CANCER FASTER DIAGNOSIS PATHWAY END DATE)
R	SERVICE REQUESTED DATE (INTER-PROVIDER TRANSFER)
R	ORGANISATION IDENTIFIER (REFERRING)
R	ORGANISATION IDENTIFIER (RECEIVING)
O	CANCER TRANSFER REFERRING REASON (INTER-PROVIDER TRANSFER)
O	CANCER TRANSFER RECEIVING REASON (INTER-PROVIDER TRANSFER)


TREATMENT EVENTS To carry Treatment Event details.One occurrence of this group is permitted.
Mandation	Data Elements
R	TREATMENT START DATE (CANCER)
R	ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER TREATMENT START DATE)
R	CANCER TREATMENT EVENT TYPE
R	CANCER TREATMENT MODALITY
R	CLINICAL TRIAL INDICATOR
R	CANCER CARE SETTING (TREATMENT)
R	CANCER CARE SPELL DELAY REASON (DECISION TO TREATMENT)
O	CANCER CARE SPELL DELAY REASON COMMENT (DECISION TO TREATMENT)
R	WAITING TIME ADJUSTMENT (TREATMENT)
R	WAITING TIME ADJUSTMENT REASON (TREATMENT)
R	CANCER CARE SPELL DELAY REASON (REFERRAL TO TREATMENT)
O	CANCER CARE SPELL DELAY REASON COMMENT (REFERRAL TO TREATMENT)
R	CANCER CARE SPELL DELAY REASON (CONSULTANT UPGRADE)
O	CANCER CARE SPELL DELAY REASON COMMENT (CONSULTANT UPGRADE)

This data set is also known by these names:

Context	Alias
Schema	NCWTMDS
Short name	National Cancer Waiting Times Monitoring