Operational Update*: NEW GUIDANCE...delivered), they have permission to use this excess capacity to resume routine elective care, subject to the principle of making full capacity available

www.england.nhs.uk

The following section contains new guidance and information which has

been included since the previous operational update

Operational Update*:

NEW GUIDANCE

12 June 2020

*Operational Updates will be disseminated every Friday and on Tuesdays if there are significant updates

Additional detail to letter from Neil Permain disseminated by

the national ICC on 24 March 2020

(https://www.england.nhs.uk/coronavirus/publication/partnersh

ip-working-with-the-independent-sector-providers-and-the-

ihpn/)

https://www.england.nhs.uk/coronavirus/publication/partnership-working-with-the-independent-sector-providers-and-the-ihpn/

2 |

IS COVID-19 RESPONSE – OPS UPDATE #16 – 12 June 2020

2 |

New responses to frequently asked questions (FAQs) are outlined below. All FAQs can be found in the full operational guidance section of this deck.

NEW: Frequently Asked Questions (FAQs)

2e: Clinical pathways and guidance

• Should NHS and IS hospital staff wear facemasks when in non-PPE settings to minimise nosocomial infections in the NHS?• On 9th June, Amanda Pritchard, Chief Operating Officer, Ruth May, Chief Nursing Officer and Professor Stephen Powis, National

Medical Director for NHSE/I shared a letter regarding minimising nosocomial infections in the NHS which can be found here https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/06/C0586-minimising-nosocomial-infections-in-the-nhs.pdf

• This letter reiterated the content of the earlier announcement by the Secretary of State for Health and Social Care, that from 15th

June, it is recommended that all staff in hospital wear a surgical face mask when not in PPE• Public Health England have published further guidance on this, which can be found here:

https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/new-government-recommendations-for-england-nhs-hospital-trusts-and-private-hospital-providers

• This guidance specifies that visitors and outpatients to hospital settings should also wear a form of face covering for the same reason, to prevent the spread of infection from the wearer

• This guidance also applies to other NHS healthcare settings, including primary care

https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/06/C0586-minimising-nosocomial-infections-in-the-nhs.pdfhttps://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/new-government-recommendations-for-england-nhs-hospital-trusts-and-private-hospital-providers

3 |

IS COVID-19 RESPONSE – OPS UPDATE #16 – 12 June 2020

3 |

New responses to frequently asked questions (FAQs) are outlined below. All FAQs can be found in the full operational guidance section of this deck.

NEW: Frequently Asked Questions (FAQs)

2h: Data and coding requirements

• Are IS providers required to submit to bespoke NHSE/I collections?• Yes. In addition to existing data collections for IS providers, there are 2 new data collections which IS providers that are

signatories to the national contract are expected to submit 1. SITREP

• IS providers are expected to submit a daily SITREP report via the Strategic Data Collection Service (SDCS) by 11am• This requirement was detailed in a communication sent to all relevant IS providers on 26 March by Prof Keith

Willett, NHS Strategic Incident Director (COVID-19)• In June, the SITREP was updated to include questions on nosocomial infections. The updated guidance has been

embedded, which includes more detail on the definition of confirmed COVID-19 patients and suspected COVID-19 patients and reporting staff absences, as well as guidance on responding to the aforementioned new nosocomial infection questions

2. Weekly activity collection• The daily SITREP does not provide a full picture of the work undertaken within the IS, such as outpatient work or

diagnostics, therefore a second (weekly) collection is required• The embedded launch letter, guidance and submission instructions went out to the system on 29 April 2020 and

contain further information on the weekly ISP activity collection• The collection launched on Friday 1 May and the first submission will cover all periods from 23 March to 26 April.

The deadline for this initial back series will be 14.00 on Wednesday 6 May• Following this, the collection will run from 08.00 until 14.00 every Thursday, collecting data from the previous

Monday to Sunday. A full timetable can be found in the embedded letter• For definitional enquiries regarding either data collection, please contact the IS co-ordination team at

[email protected] or the data team at [email protected]• Further details on using the collection system are available here: https://digital.nhs.uk/services/strategic-data-collection-service-

sdcs/strategic-data-collection-service-for-general-collections---user-guidance

2i: PPE, equipment and consumables

• Is agreement / authorisation from the local Trust, FT, system leadership and / or regional team, sufficient for ISPs to purchase equipment?• No – the local NHS structures are a key part of the authorisation process to confirm the operational need, however, costs are not

considered authorised, and therefore recoverable, until national approval has been given via the process outlined in this document
mailto:[email protected]:[email protected]://digital.nhs.uk/services/strategic-data-collection-service-sdcs/strategic-data-collection-service-for-general-collections---user-guidance

Publication approval reference 001559

NHS England and NHS Improvement

Process and definitions for the coronavirus daily situation report (independent sector)

June 2020 v6 (additional content is highlighted in yellow)

This coronavirus daily situation report (sitrep) collects data on confirmed cases of COVID-19,

as well as capacity information, and staff absence for independent sector providers. This

guide outlines how to complete the sitrep.

Process

The template will need to be populated by all sites for independent sector organisations,

covered by the national contract, where that site has beds available to be used by the NHS.

Data should be submitted at site (not provider) level. Please note that, to avoid double

counting, organisations should not submit data on behalf of any other site – those sites will

submit their own data directly.

Daily reports must be signed off by an appropriate senior manager appointed to this role by

the chief executive. It is the responsibility of each site to ensure its return is accurate and

reflects the real position in terms of pressure for that time period.

The deadline for this collection is 11am, and there will be no opportunity to amend the data

submitted. Data must be submitted using the template provided via the strategic Data

Collection Service (SDCS). Further guidance on the use of this system can be found here:

https://digital.nhs.uk/services/strategic-data-collection-service-sdcs/strategic-data-collection-

service-for-general-collections---user-guidance

The collection will run seven days a week, so uploads will run over the weekend, to the same

timetable as during the week.

https://digital.nhs.uk/services/strategic-data-collection-service-sdcs/strategic-data-collection-service-for-general-collections---user-guidance




2 | Process and definitions for the daily situation report web form

Contacts

For definitional enquiries: Please contact [email protected]

If you have any technical issues with your submission, please email the data collections

team at [email protected]

Reporting period

The previous day 24-hour reporting period is defined as midnight (00:00:00) to 23:59:59 on

the day before reporting.

The snapshot figures should relate to the position at 8am on the day of reporting.

Guidance notes on data items

Note on Data completion

Please ensure your return is as complete as possible. If a cell requires a nil return then

please enter zero, rather than leaving the cell blank. Cells should only be left blank when

data is not known (e.g. patient age breakdowns, or the split of mobile and non-mobile

ventilators.

DO NOT include decimal places or negative numbers on the template. If you try to

type these into a cell you will be prevented from doing so at that point. If you copy

and paste values in which contain decimal places or negative numbers, the template

will fail to upload.

Definition of confirmed COVID-19 patients:

• For all relevant data items - a confirmed COVID-19 patient is any patient admitted to the trust who has recently tested positive for COVID-19 following a PCR test

• Patients that have been diagnosed via X-ray and assessment rather than a positive

test should be counted as suspected patients.

• Report a patient as a confirmed COVID-19 patient in the Sitrep for as long as they are

being treated as a COVID-19 patient – so either they are being treated for COVID-19

caused symptoms, or the trust is still taking the precautions they would take with a

COVID-19 positive patient.

• A patient who has previously (but not recently) had a positive COVID-19 test, and is

being admitted for non-COVID-19 related treatment should not be counted as a

confirmed COVID-19 patient.

Definition of suspected COVID-19 patients:

• A suspected COVID-19 patient is any patient who the trust is treating as COVID-19

patient but has not tested positive for COVID-19 (by treating we mean either they are

mailto:[email protected]





being treated for COVID-19 caused symptoms, or the site is still taking the

precautions they would take with a COVID-19 positive patient).

• Where a patient is admitted with suspected COVID-19 but the test results came

through positive in the same 24 hour period they should be included under both

admitted with suspected COVID-19 in the last 24 hours and included in inpatients

diagnosed with COVID-19 in the last 24 hours.

• When a patient is reported as a suspected COVID-19 admission in but are then

confirmed positive on a subsequent day they should then be included them as

confirmed rather than suspected.

• Once you are no longer treating a suspected patient as suspected (eg because you

have confirmation they do not have it) you should no longer include them as a

suspected patient on the return.

• If a patient has been swabbed and tested negative but are still showing signs of

COVID-19 and are being treated as such then continue to count them as suspected

(or confirmed, if they were previously confirmed), despite the negative result.

• Note that the definition of suspected is not about whether the patient is being

screened, it’s about whether the site is treating them as a COVID-19 patient. So, if

they are being treated as a COVID-19 patient (but haven’t tested positive) then count

them as suspected, otherwise these patients should not be counted as suspected.

Beds information

The required breakdown for the following data items is:

• Total beds (calculated) – this is calculated automatically and is defined as the sum of the three following fields:

– occupied with confirmed COVID-19 NHS patients – include any bed containing a

confirmed COVID-19 NHS patient

– occupied with non-COVID-19 NHS patients – include any bed containing either a

non-COVID-19 NHS patient or a non-confirmed COVID-19 NHS patient

– Occupied with suspected COVID patients – include any bed containing a

suspected COVID-19 NHS patient

– Available to NHS patients (unoccupied) – include any bed not containing a patient

which can be made available to an NHS patient.

All beds included in these counts should have the necessary equipment and staffing support.

1. Number of beds with mechanical ventilation available, as at 08:00?

Count any bed where all necessary equipment is available for mechanical ventilation.


2. Number of beds with non-invasive ventilation available (not included in question 1), as at

08:00?

Count any bed where all necessary equipment is available for non-invasive ventilation.

Exclude any bed already counted in question 1.

3. Number of beds with oxygenation support available (not included in questions 1 or 2), as

at 08:00?

Count any bed where all necessary equipment is available for oxygenation support.

Exclude any bed already counted in questions 1 to 3.

4. Number of beds not included in questions 1 to 3 above (ie any other beds), as at 08:00?

Include any other hospital bed not already counted in questions 1 to 5.

NB: For acute sites also submitting the MHLDA sitrep, their beds reported in 4 above should

EXCLUDE any MH/LD or COMM beds being reported on the MH/LD and COMM sitrep

5. Total Beds (autocalculated)

6. Number of HDU/ITU beds, as at 0800?

Include any HDU/ICU bed.

An Adult HDU/ICU bed is defined as an adult critical care (ITU, HDU or other) bed for

critical care patients (Levels 2 and 3 only) as per the daily/monthly sitrep definition

(below):

The definitions of critical care levels are:

Level 1 – Patients at risk of their condition deteriorating or those recently relocated from

higher levels of care, whose needs can be met on an acute ward with additional

advice and support from the critical care team. (NB These patients are NOT

included in SitRep returns).

Level 2 – Patients requiring more detailed observation or intervention including support

for a single failing organ system or post-operative care and those “stepping down”

from higher levels of care. Also known as High Dependency.

Level 3 – Patients requiring advanced respiratory support alone or basic respiratory

support together with support of at least two organ systems. This level includes all

complex patients requiring support for multi-organ failure. Also known as Intensive

Care.

7. Number of Infectious Disease Unit (IDU) beds, as at 0800?


This includes beds in a funded infectious disease unit only. This should not include beds

counted as part of the ICU/ITU (line 6), or beds in side rooms.

8. Total beds capable of mechanical ventilation or non-invasive ventilation but with no

available ventilator, as at 08:00?

Count any bed capable of mechanical ventilation or non-invasive ventilation but with no

available ventilator.

Please also provide information about the total delayed transfers of care and long-stay

patients as follows:

9. Delayed transfers of care?

Note: only the site that is transferring the patient should report the transfer on its sitrep –

the site receiving the patient does not need to.

The number of beds unavailable due to delayed transfers of care (as at 8am on the day

of reporting) should include all delayed transfers, both acute and non-acute, for any

reason.

10. Beds occupied by long-stay patients for 7+ days?

To understand the impact of poor flow through the urgent and emergency care system,

this metric looks at the proportion of beds occupied by ‘long-stay patients’. These are

defined as any patient meeting the criteria below who is in a hospital bed and whose

stay has lasted for seven days or more. Most of these patients will be non-elective, but

to understand the overall impact it is important to include the number of elective patients

also.

There will be patients in this number who are expected to have a seven-day or longer

stay in a general and acute bed – eg patients who have had a stroke, myocardial

infarction, fractured neck of femur or neurorehabilitation.

The methodology is as follows:

• acute activity only

• 18+ only

• excludes regular day and night attenders, day cases and zero length of stay (LOS) admissions

• acute sites only

• count long-stay days only (ie Day 7 onwards).

The measure is a snapshot taken at midnight.


We do not advise comparing this metric between providers because hospitals provide

significantly different services.

11. Beds occupied by long-stay patients 14+ days?




stay has lasted for 14 days or more.



• 18+ only







12. Beds occupied by long-stay patients 21+ days?




stay has lasted for 21 days or more.



• 18+ only








Ventilators information

The following section looks to capture information about the usage of ventilators and those

that have been redeployed elsewhere as at 0800 each day.

There are three types of ventilators this covers:

• mechanical ventilation

• non-invasive ventilators – CPAP

• non-invasive ventilators – BiLevel.

The data items are as follows:

13. Non-mobile mechanical ventilators?

14. Mobile (battery) mechanical ventilators?

15. Total mechanical ventilators?

16. Non-mobile non-invasive ventilators – CPAP?

17. Mobile (battery) non-invasive ventilators – CPAP?

18. Total non-invasive ventilators – CPAP?

19. Non-mobile non-invasive ventilators – BiLevel?

20. Mobile (battery) non-invasive ventilators – BiLevel?

21. Total non-invasive ventilators – BiLevel?

Where possible all figures should be broken down by mobile, non-mobile and total

ventilators. However, where the breakdown of non-mobile and mobile is not known,

only the total ventilator figure should be included. For example, if a site has seven

mechanical ventilators but is unsure if they are mobile or non-mobile, it would only list the

total number as seven. If a site knows the breakdown, it would list, for example, mobile as

four and non-mobile as three, with a total of seven.

If the break down is provided, please ensure the total is equal to the sum of the

breakdown

The above data items are to be collected split into following categories:


• Total on ISP site and currently in use for any type of service:

– includes use for COVID-19 or non-COVID-19 patients, eg used to carry out urgent

elective work.

• Total on ISP site and not currently in use for any type of service:

– includes any on-site ventilators not currently being used for either COVID-19 or

non-COVID patients.

• Total originally on site and currently redeployed to NHS off-site:

– includes any ventilators that have been moved as part of the COVID-19 effort to

an NHS trust.

• Total originally on site and currently redeployed to another IS off-site:

– includes any ventilators that have been moved as part of the COVID-19 effort to a

different IS provider site. This includes movement from one organisation to

another and movement from one site to another under the same organisation.

Patient information

The following data items are to be collected, split into these age groups:

• Suspected COVID-19 patients (all ages)

• Confirmed COVID-19 Patients split into the following age groups

• Total

• 0–5

• 6–17

• 18–64

• 65–84

• 85+.

A confirmed COVID-19 patient is any patient admitted to the site who has tested

positive for COVID-19.

Where possible all figures for confirmed COVID-19 patients should be broken down by

age band. However, where the breakdown is not known, only the total figure should

be included. If the breakdown is provided, please ensure the total is equal to the sum

of the breakdown

22. Number of COVID-19 patients receiving oxygen at 0800?


This includes all forms of oxygen therapy except those defined below.

23. Number of COVID-19 patients on non-invasive ventilation at 0800?

This includes all forms of non-invasive ventilation.

24. Number of confirmed COVID-19 patients on mechanical ventilation at 0800?

This includes any patients on mechanical ventilation.

25. Number of COVID-19 patients not on any form of oxygen at 0800? (calculated)?

This is an automatically calculated filed – and is the difference between the total number

of confirmed/suspected COVID-19 patients reported in 1-4 above and the number of

confirmed/suspected COVID-19 patients reported as being on some form of oxygen

in questions 22-24 above

26. Number of inpatients diagnosed with COVID-19 in last 24 hours?

Count any patient diagnosed between midnight (00:00:00) and 23:59:59 on the day

before reporting. ‘Diagnosed’ in this context relates to the point at which the result is

known to the site.

27-30. Of the total number of confirmed patients in question 26, those admitted in last 48

hours/3-7 days/8-14 days/15+ days (hospital-onset COVID-19)

A count of the following for every inpatient who had their first positive COVID-19

diagnosis test in any hospital site with inpatients, or other inpatient facilities which is part

of the trust in that 24 hour period should. Categorisation is based on time between first

positive specimen and admission to hospital. The first day of admission counts as day

one. In the event of patients testing positive on the day of admission this also counts as

day one. Data should be split as follows:

o Community-Onset – First positive specimen date


trust. Elective day case patients who are identified as being COVID-19 positive, but not

admitted, should not be included.

31. Of these (ie those reported in question 26), the number admitted from a care or nursing

home

Count any patient diagnosed between midnight (00:00:00) to 23:59:59 on the day before

reporting who was admitted to the trust from a care home or nursing home.

NB: We are not collecting the confirmed age break down or suspected patients for this

data item

32. Number of patients admitted with COVID-19 in last 24 hours?

Count in this data any person admitted in the last 24 hours who was known to be

positive at admission.

33. Of these (ie those reported in question 32), the number admitted from a care or nursing

home

Count in this data any person admitted from a care or nursing home in the last 24 hours

who was known to be positive at admission

NB: We are not collecting the confirmed age break down for this data item

34. Number of COVID-19 patients discharged in the last 24 hours?

Number of patents discharged in the last 24 hours, having been admitted with and/or

treated for COVID-19.

35. Number of COVID-19 patients discharged to usual place of residence in the last 24

hours?

This is a subset of the previous data item.

36. Number of patients in your hospital who have had diagnostic swabbing for COVID-19

and are awaiting results at 0800?

Include inpatients only.

37. Number of urgent cancer non-COVID-19 NHS inpatients at 0800?

Inpatients who have undergone or will undergo urgent cancer treatment at the site.

38. Number of other urgent non-COVID-19 NHS inpatients at 0800?


Inpatients who are acutely unwell and require urgent (non-cancer and non-COVID-19)

treatment at this site.

39. Number of non-COVID-19 NHS reablement inpatients at 0800?

Inpatients who are medically unfit for discharge and require care, but are no longer

acutely unwell or requiring urgent treatment.

40. Number of other non-COVID-19 NHS inpatients at 0800?

Any other non-COVID-19 NHS inpatients that are not included in the previous three

questions.

41. Number of outpatient attendances on the previous day?

A count of all outpatient attendances taking place on the previous day, whether taking

place within a consultant clinic session or outside a session.

The patient must have been seen by a consultant, or a clinician acting for the consultant,

for examination or treatment.

.

42. Number of day case admissions on the previous day?

An Elective Admission is one that has been arranged in advance. It is not an emergency

admission, a maternity admission or a transfer from a hospital bed in another health care

provider.

A day case admission must be an elective admission, for which a ‘Decision To Admit’ has

been made by someone with the ‘Right Of Admission’, on the previous day. Any patient

admitted electively during the course of a day with the intention of receiving care, who

does not require the use of a hospital bed overnight and who returns home as scheduled,

should be counted as a day case. If this original intention is not fulfilled and the patient

stays overnight, such a patient should not be included in this count. Where clinical care is

provided as a series of day case activities (for example chemotherapy or radiotherapy)

this should not be included in the day case count.

Staffing – absence information

Definitions for staff groups are taken from Appendix A of A guide to the staff group, job role

and area of work classifications used in ESR.


Record data under the relevant categories below:

• Total staff (head count) – Please provide a total head count for staff employed before taking account of sickness absence. This figure should include staff on leave

other than sick leave (ie maternity or annual leave) and therefore currently

unavailable.

• Total number of staff absent from work through sickness or self isolation? Count any sickness absence - including long term sickness or self-isolation (absence

due to being isolated including isolated with no symptoms due to being a close

contact of someone in isolation) – this figure should include all those included in the

following COVID-19 related absences data item.

• B) Of A, the number of COVID-19 related absences of staff, either through sickness or self-isolation?

Count the number of COVID-19 related absences of staff, through sickness or self-

isolation.

Include anyone that falls into one of the COVID-19 categories on ESR – this figure

should be a subset of the figure submitted above for all absences.

• C) Of B, the number of COVID-19 related absences of staff, through self-isolation due to Test and Trace?

Count the number of staff who are self-isolating for 14 days because they have been

notified, by the NHS Test and Trace service, as having been in close contact with

someone who has tested positive for COVID-19. This figure should be a subset of

the figure submitted above for COVID-19-related absence, whether through sickness

or self-isolation.

• Are staff absences as a result of Test and Trace causing operational difficulties for any of these staff groups? (Yes/No)

Answer “Yes” if the number of staff who are having to self-isolate for 14 days is

causing disruption, or there is an immediate risk of disruption, to the provision of

services.

These data items are snapshots – please report the position on the day prior to submission.

Note: Do not include as self-isolating any staff who are still working, even if they are working

from home due to self isolation. Count staff who are sick/self-isolating as sick/self-isolating

even if they were not scheduled to work that day. Count NHS contracted staff only.

43. Number of additional clinical services staff?

44. Number of additional professional scientific and technical staff?


45. Number of administrative and clerical staff?

46. Number of allied health professionals?

47. Number of estates and ancillary staff?

48. Number of healthcare scientists?

49. Number of medical and dental?

50. Number of nursing and midwifery registered staff?

51. Number of students?

Other

52. How many of the confirmed COVID-19 patients identified in questions 12 to 18 above

are NHS staff?

53. Of those identified in question 40, how many are receiving mechanical ventilation?


Frequently Asked Questions

Q – Do trolleys count as beds? A - Include trolleys where they are being used as beds – so if the trolleys have the same facilities and privacy as a bed would usually have, they should be included

Q - Should we count beds with oxygen support but where we are not able to support oxygenation 24 hours a day? A – Yes, please include these.

Q – I do not know the breakdown of available ventilators by mobile or non-mobile, how do I complete the template? A – If you do not know the breakdown of ventilators then you should leave these two fields blank and only input your total ventilators.

Q – I only know a sub cohort of ventilators that are mobile or non-mobile, how do I complete the template? A – The sum of the mobile and non-mobile breakdowns must match the number inputted in

the total ventilators field. If you cannot provide the breakdown for the full cohort, leave the mobile and non-mobile fields blank and only input your total ventilators. Q – I do not know the breakdown of age-bands for patients, how do I complete the template? A – If you do not know the age breakdown for patients then you should leave these fields blank and only complete the total patients column. Q – I only know a sub cohort of patient age bands, how do I complete the template?

A – The sum of patient age bands must match the number inputted in the total patients field. If you cannot provide the breakdown for the full cohort, leave the age breakdown fields blank and only input your total ventilators.


Annex A

Staff Group Definition Example Job Roles Additional Clinical Services Staf f directly supporting those in clinical roles. Support to nursing, AHPs,

Healthcare Scientists and other Scientific staff are included. Have significant patient contact as part of their role

Call Operator, Emergency Care Assistant, Healthcare Assistant, Nursery Nurse

Additional Prof essional Scientif ic and Technical

Scientif ic staff, including registered Pharmacists, Psychologists, Social Workers and other roles such as Technicians and Psychological Therapists

Pharmacist, chaplain, social worker, osteopath

Administrative and Clerical Non-clinical staff, including non-clinical managers, administration officers, executive board members who do not have significant patient contact as part of their role

Accountant, Chief Executive, Clerical Worker, Receptionist

Allied Health Prof essionals Registered clinical staff providing diagnostic, technical and therapeutic patient care, including Dietitians, Radiographers and Physiotherapists. Includes qualif ied ambulance staff such as Paramedics

Dietitian, Physiotherapist, Paramedic, Drama Therapist Specialist Practitioner

Estates and Ancillary Non-clinical support and maintenance staff, including gardeners, plumbers, cooks and housekeepers who do not have significant patient contact as part of their role

Electrician, Housekeeper, Telephonist

Healthcare Scientists Registered qualified and other staff working in a defined Healthcare Scientist

role, including Clinical Scientists and Biomedical Scientists and Technicians working in Healthcare Science. Also includes Public Health Scientific Staff.

Healthcare Scientist, Consultant Healthcare Scientist, Healthcare Science Practitioner

Medical and Dental Registered doctors and dentists

Consultant, Clinical Assistant, Dental Officer, Foundation Year 1, Specialty Doctor

Nursing and Midwifery Registered

Registered nurses and midwives

Staf f Nurse, Midwife, Community Nurse, Modern Matron, Nurse Consultant

Students Directly employed staff undertaking formal education, including student nurses and midwives

Student Midwif e, Student Dietitian, Student Orthoptist

rgoldsmithFile AttachmentSITREP Guidance v6 110620.pdf

NHS England and NHS Improvement

Guide to completing the Weekly ISP Activity Return

This weekly return collects data on activity carried out in the independent sector to support

the NHS COVID-19 response, in line with the national contract. Full details regarding the

content of the return and definitions can be found in the accompanying guidance document.

This document will cover how to make a submission using the submission template, through

SDCS

Process

The template will need to be populated by all sites for independent sector organisations

covered by the national contract. Data should be submitted at site (not provider) level – if you

wish to submit on behalf of multiple sites you will need to be set up as the submitter for each

site. One template must be completed per site.

The return must be signed off by an appropriate senior manager appointed to this role by the

chief executive. It is each site’s responsibility to ensure its return is accurate and reflects the

real position for that time period.

The deadline for this collection is 14.00 each Thursday, and there will be no opportunity to

amend the data submitted. The data should cover the preceding week (00:00:00 on Monday

to 23:59:59 on Sunday).

Data must be submitted using the template provided, via the strategic Data Collection

Service (SDCS). Further guidance on the use of this system can be found here:

https://digital.nhs.uk/services/strategic-data-collection-service-sdcs/strategic-data-collection-

service-for-general-collections---user-guidance

Contacts

For definitional enquiries: Please contact [email protected] or

[email protected]









2 | Process and definitions for the weekly independent sector activity return

If you have any technical issues with your submission, please email the data collections

team at [email protected]

Reporting period

Data should cover the period from Monday (00:00:00) to Sunday (23:59:59) for the previous

week.

Completing the template There are two options for completing the template. Data can either be entered directly into

the template, or alternatively a csv file can be copied into the relevant tab, assuming it

follows the correct structure.

In either case you must complete the first three fields on the “Weekly activity” tab.

Please select your provider, site, and then select your submission type to indicate whether

you wish to complete the data entry sheet (“Manual” option) or input from a csv (“CSV”

option).

Data Entry – Manual option

If the manual option is selected please complete the tables on the weekly activity sheet.

These cover non elective, elective, outpatient, cancer and diagnostic test activity. Please

ensure that you complete as many cells as possible. Cells should only be left blank where

the count is unknown – if a count is 0 please enter a zero.

You will find validations in column N – please ensure you review these carefully. Unresolved

warning are provided for information. Unresolved errors will prevent submission and must be

rectified.

Only yellow cells need to be completed. Grey cells are auto-calculated. Please ntoe all data

should be entered as whole numbers, and negative numbers should not be entered. Data

should cover all activity in the given week.

Details regarding the definitions used for each section can be found in the main guidance

document supporting the return

CSV Upload option

If preferred, the template allows for the option of a csv upload in a long thin format. This

should allow for the quick input of data extracted from systems, assuming that the correct

question and dimension references are used, and data is provided in the correct format.

A full specification of this input can be found in Annex A



The data should be copied into the CSV data tab in the relevant columns. Please do not add

any columns or change the order of these, or your data will not be processed

Please note – it is essential that measure and dimension references used match the

specification exactly. Any data not assigned to the relevant references will not be processed

in your return.

In order to ensure your data is being processed as expected please review the Parsed csv

data tab. This will display the data you have submitted through the csv route and allow you

to ensure all fields are being read correctly. It will also allow you to see any validation errors

with the template. Please note this tab is for review only – any amendments on this sheet will

not be reflected in your final submission.


Annex A

Please use the Question and Dimension references laid out within the table. Ensure there

are no leading or trailing zeros in your csv file as these will prevent your data from being

processed. The Question description and Dimension description are provided for reference

but should not form part of your csv submission

Question Dimension Question Description Dimension Description

NEL_Total Admissions Total number of non-elective admissions and spells in the period

Number of admissions

NEL_Total Discharges Total number of non-elective admissions and spells in the period

Number of completed spells (discharges)

NEL_COVID Admissions Number of non-elective admissions and spells in the period for COVID-19 patients


NEL_COVID Discharges Number of non-elective admissions and spells in the period for COVID-19 patients


NEL_NonCOVID Admissions Number of non-elective admissions and spells in the period for Non COVID-19 patients


NEL_NonCOVID Discharges Number of non-elective admissions and spells in the period for Non COVID-19 patients


NEL_Spec300 Admissions Number of non-elective admissions and spells in the period for Non COVID-19 patients – General Medicine


NEL_Spec300 Discharges Number of non-elective admissions and spells in the period for Non COVID-19 patients – General Medicine


NEL_Spec180 Admissions Number of non-elective admissions and spells in the period for Non COVID-19 patients – Accident and Emergency


NEL_Spec180 Discharges Number of non-elective admissions and spells in the period for Non COVID-19




patients – Accident and Emergency

NEL_Spec420 Admissions Number of non-elective admissions and spells in the period for Non COVID-19 patients – Paediatrics


NEL_Spec420 Discharges Number of non-elective admissions and spells in the period for Non COVID-19 patients – Paediatrics


NEL_Spec100 Admissions Number of non-elective admissions and spells in the period for Non COVID-19 patients – General Surgery


NEL_Spec100 Discharges Number of non-elective admissions and spells in the period for Non COVID-19 patients – General Surgery


NEL_Spec110 Admissions Number of non-elective admissions and spells in the period for Non COVID-19 patients – Trauma & Orthopaedics


NEL_Spec110 Discharges Number of non-elective admissions and spells in the period for Non COVID-19 patients – Trauma & Orthopaedics


NEL_Spec430 Admissions Number of non-elective admissions and spells in the period for Non COVID-19 patients – Geriatric Medicine


NEL_Spec430 Discharges Number of non-elective admissions and spells in the period for Non COVID-19 patients – Geriatric Medicine


NEL_Spec502 Admissions Number of non-elective admissions and spells in the period for Non COVID-19 patients – Gynaecology


NEL_Spec502 Discharges Number of non-elective admissions and spells in the period for Non COVID-19 patients – Gynaecology


NEL_Spec320 Admissions Number of non-elective admissions and spells in the




period for Non COVID-19 patients – Cardiology

NEL_Spec320 Discharges Number of non-elective admissions and spells in the period for Non COVID-19 patients – Cardiology


NEL_Spec101 Admissions Number of non-elective admissions and spells in the period for Non COVID-19 patients – Urology


NEL_Spec101 Discharges Number of non-elective admissions and spells in the period for Non COVID-19 patients – Urology


NEL_Spec340 Admissions Number of non-elective admissions and spells in the period for Non COVID-19 patients – Respiratory Medicine (Thoracic Medicine)


NEL_Spec340 Discharges Number of non-elective admissions and spells in the period for Non COVID-19 patients – Respiratory Medicine (Thoracic Medicine)


NEL_Spec120 Admissions Number of non-elective admissions and spells in the period for Non COVID-19 patients – Ear, Nose & Throat (ENT)


NEL_Spec120 Discharges Number of non-elective admissions and spells in the period for Non COVID-19 patients – Ear, Nose & Throat (ENT)


NEL_SpecOther Admissions Number of non-elective admissions and spells in the period for Non COVID-19 patients – Other


NEL_SpecOther Discharges Number of non-elective admissions and spells in the period for Non COVID-19 patients – Other


NEL_SpecUnknown Admissions Number of non-elective admissions and spells in the period for Non COVID-19 patients – Unknown




NEL_SpecUnknown Discharges Number of non-elective admissions and spells in the period for Non COVID-19 patients – Unknown


Elective_Total OrdinaryAdmissions Total number of elective admissions and spells in the period

Number of ordinary elective admissions

Elective_Total OrdinaryDischarges Total number of elective admissions and spells in the period

Number of completed ordinary elective spells (discharges)

Elective_Total DayCase Total number of elective admissions and spells in the period

Day case elective spells

Elective_Spec301 OrdinaryAdmissions Total number of elective admissions and spells in the period – Gastroenterology


Elective_Spec301 OrdinaryDischarges Total number of elective admissions and spells in the period – Gastroenterology


Elective_Spec301 DayCase Total number of elective admissions and spells in the period – Gastroenterology


Elective_Spec110 OrdinaryAdmissions Total number of elective admissions and spells in the period – Trauma & Orthopaedics


Elective_Spec110 OrdinaryDischarges Total number of elective admissions and spells in the period – Trauma & Orthopaedics


Elective_Spec110 DayCase Total number of elective admissions and spells in the period – Trauma & Orthopaedics


Elective_Spec130 OrdinaryAdmissions Total number of elective admissions and spells in the period – Opthalmology


Elective_Spec130 OrdinaryDischarges Total number of elective admissions and spells in the period – Opthalmology




Elective_Spec130 DayCase Total number of elective admissions and spells in the period – Opthalmology


Elective_Spec100 OrdinaryAdmissions Total number of elective admissions and spells in the period – General Surgery


Elective_Spec100 OrdinaryDischarges Total number of elective admissions and spells in the period – General Surgery


Elective_Spec100 DayCase Total number of elective admissions and spells in the period – General Surgery


Elective_Spec303 OrdinaryAdmissions Total number of elective admissions and spells in the period – Clinical Haematology


Elective_Spec303 OrdinaryDischarges Total number of elective admissions and spells in the period – Clinical Haematology


Elective_Spec303 DayCase Total number of elective admissions and spells in the period – Clinical Haematology


Elective_Spec101 OrdinaryAdmissions Total number of elective admissions and spells in the period – Urology


Elective_Spec101 OrdinaryDischarges Total number of elective admissions and spells in the period – Urology


Elective_Spec101 DayCase Total number of elective admissions and spells in the period – Urology


Elective_Spec370 OrdinaryAdmissions Total number of elective admissions and spells in the period – Medical oncology


Elective_Spec370 OrdinaryDischarges Total number of elective admissions and spells in the period – Medical oncology




Elective_Spec370 DayCase Total number of elective admissions and spells in the period – Medical oncology


Elective_Spec502 OrdinaryAdmissions Total number of elective admissions and spells in the period – Gynaecology


Elective_Spec502 OrdinaryDischarges Total number of elective admissions and spells in the period – Gynaecology


Elective_Spec502 DayCase Total number of elective admissions and spells in the period – Gynaecology


Elective_Spec800 OrdinaryAdmissions Total number of elective admissions and spells in the period – Clinical Oncology (previously Radiotherapy)


Elective_Spec800 OrdinaryDischarges Total number of elective admissions and spells in the period – Clinical Oncology (previously Radiotherapy)


Elective_Spec800 DayCase Total number of elective admissions and spells in the period – Clinical Oncology (previously Radiotherapy)


Elective_Spec320 OrdinaryAdmissions Total number of elective admissions and spells in the period – Cardiology


Elective_Spec320 OrdinaryDischarges Total number of elective admissions and spells in the period – Cardiology


Elective_Spec320 DayCase Total number of elective admissions and spells in the period – Cardiology


Elective_Spec300 OrdinaryAdmissions Total number of elective admissions and spells in the period – General Medicine


Elective_Spec300 OrdinaryDischarges Total number of elective admissions and spells in the period – General Medicine




Elective_Spec300 DayCase Total number of elective admissions and spells in the period – General Medicine


Elective_Spec104 OrdinaryAdmissions Total number of elective admissions and spells in the period – Colorectal Surgery


Elective_Spec104 OrdinaryDischarges Total number of elective admissions and spells in the period – Colorectal Surgery


Elective_Spec104 DayCase Total number of elective admissions and spells in the period – Colorectal Surgery


Elective_Spec120 OrdinaryAdmissions Total number of elective admissions and spells in the period – Ear, Nose & Throat (ENT)


Elective_Spec120 OrdinaryDischarges Total number of elective admissions and spells in the period – Ear, Nose & Throat (ENT)


Elective_Spec120 DayCase Total number of elective admissions and spells in the period – Ear, Nose & Throat (ENT)


Elective_SpecOther OrdinaryAdmissions Total number of elective admissions and spells in the period – Other


Elective_SpecOther OrdinaryDischarges Total number of elective admissions and spells in the period – Other


Elective_SpecOther DayCase Total number of elective admissions and spells in the period – Other


Elective_SpecUnknown OrdinaryAdmissions Total number of elective admissions and spells in the period – Unknown


Elective_SpecUnknown OrdinaryDischarges Total number of elective admissions and spells in the period – Unknown




Elective_SpecUnknown DayCase Total number of elective admissions and spells in the period – Unknown


OP_Total OPFA_Total Total number of outpatient attendances in the period

First outpatient attendance (OPFA)

OP_Total OPFA_Proc Total number of outpatient attendances in the period

First Outpatient attendance with a procedure

OP_Total OPFU_Total Total number of outpatient attendances in the period

Follow-up outpatient attendance (OPFU)

OP_Total OPFU_Proc Total number of outpatient attendances in the period

Follow Up Outpatient attendance with a procedure

OP_Total OPUN_Total Total number of outpatient attendances in the period

Outpatient attendance where it is unknown if first or follow up

OP_Total OPUN_Proc Total number of outpatient attendances in the period

Unknown Outpatient attendance with a procedure

OP_Spec960 OPFA_Total Total number of outpatient attendances in the period – Allied Health Professional Episode


OP_Spec960 OPFA_Proc Total number of outpatient attendances in the period – Allied Health Professional Episode


OP_Spec960 OPFU_Total Total number of outpatient attendances in the period – Allied Health Professional Episode


OP_Spec960 OPFU_Proc Total number of outpatient attendances in the period – Allied Health Professional Episode


OP_Spec960 OPUN_Total Total number of outpatient attendances in the period – Allied Health Professional Episode




OP_Spec960 OPUN_Proc Total number of outpatient attendances in the period – Allied Health Professional Episode


OP_Spec130 OPFA_Total Total number of outpatient attendances in the period – Opthalmology


OP_Spec130 OPFA_Proc Total number of outpatient attendances in the period – Opthalmology


OP_Spec130 OPFU_Total Total number of outpatient attendances in the period – Opthalmology


OP_Spec130 OPFU_Proc Total number of outpatient attendances in the period – Opthalmology


OP_Spec130 OPUN_Total Total number of outpatient attendances in the period – Opthalmology


OP_Spec130 OPUN_Proc Total number of outpatient attendances in the period – Opthalmology


OP_Spec110 OPFA_Total Total number of outpatient attendances in the period – Trauma & Orthopaedics


OP_Spec110 OPFA_Proc Total number of outpatient attendances in the period – Trauma & Orthopaedics


OP_Spec110 OPFU_Total Total number of outpatient attendances in the period – Trauma & Orthopaedics


OP_Spec110 OPFU_Proc Total number of outpatient attendances in the period – Trauma & Orthopaedics


OP_Spec110 OPUN_Total Total number of outpatient attendances in the period – Trauma & Orthopaedics




OP_Spec110 OPUN_Proc Total number of outpatient attendances in the period – Trauma & Orthopaedics


OP_Spec950 OPFA_Total Total number of outpatient attendances in the period – Nursing Episode


OP_Spec950 OPFA_Proc Total number of outpatient attendances in the period – Nursing Episode


OP_Spec950 OPFU_Total Total number of outpatient attendances in the period – Nursing Episode


OP_Spec950 OPFU_Proc Total number of outpatient attendances in the period – Nursing Episode


OP_Spec950 OPUN_Total Total number of outpatient attendances in the period – Nursing Episode


OP_Spec950 OPUN_Proc Total number of outpatient attendances in the period – Nursing Episode


OP_Spec100 OPFA_Total Total number of outpatient attendances in the period – General Surgery


OP_Spec100 OPFA_Proc Total number of outpatient attendances in the period – General Surgery


OP_Spec100 OPFU_Total Total number of outpatient attendances in the period – General Surgery


OP_Spec100 OPFU_Proc Total number of outpatient attendances in the period – General Surgery


OP_Spec100 OPUN_Total Total number of outpatient attendances in the period – General Surgery




OP_Spec100 OPUN_Proc Total number of outpatient attendances in the period – General Surgery


OP_Spec502 OPFA_Total Total number of outpatient attendances in the period – Gynaecology


OP_Spec502 OPFA_Proc Total number of outpatient attendances in the period – Gynaecology


OP_Spec502 OPFU_Total Total number of outpatient attendances in the period – Gynaecology


OP_Spec502 OPFU_Proc Total number of outpatient attendances in the period – Gynaecology


OP_Spec502 OPUN_Total Total number of outpatient attendances in the period – Gynaecology


OP_Spec502 OPUN_Proc Total number of outpatient attendances in the period – Gynaecology


OP_Spec810 OPFA_Total Total number of outpatient attendances in the period – Radiology


OP_Spec810 OPFA_Proc Total number of outpatient attendances in the period – Radiology


OP_Spec810 OPFU_Total Total number of outpatient attendances in the period – Radiology


OP_Spec810 OPFU_Proc Total number of outpatient attendances in the period – Radiology


OP_Spec810 OPUN_Total Total number of outpatient attendances in the period – Radiology




OP_Spec810 OPUN_Proc Total number of outpatient attendances in the period – Radiology


OP_Spec330 OPFA_Total Total number of outpatient attendances in the period – Dermatology


OP_Spec330 OPFA_Proc Total number of outpatient attendances in the period – Dermatology


OP_Spec330 OPFU_Total Total number of outpatient attendances in the period – Dermatology


OP_Spec330 OPFU_Proc Total number of outpatient attendances in the period – Dermatology


OP_Spec330 OPUN_Total Total number of outpatient attendances in the period – Dermatology


OP_Spec330 OPUN_Proc Total number of outpatient attendances in the period – Dermatology


OP_Spec320 OPFA_Total Total number of outpatient attendances in the period – Cardiology


OP_Spec320 OPFA_Proc Total number of outpatient attendances in the period – Cardiology


OP_Spec320 OPFU_Total Total number of outpatient attendances in the period – Cardiology


OP_Spec320 OPFU_Proc Total number of outpatient attendances in the period – Cardiology


OP_Spec320 OPUN_Total Total number of outpatient attendances in the period – Cardiology




OP_Spec320 OPUN_Proc Total number of outpatient attendances in the period – Cardiology


OP_Spec120 OPFA_Total Total number of outpatient attendances in the period – Ear, Nose & Throat


OP_Spec120 OPFA_Proc Total number of outpatient attendances in the period – Ear, Nose & Throat


OP_Spec120 OPFU_Total Total number of outpatient attendances in the period – Ear, Nose & Throat


OP_Spec120 OPFU_Proc Total number of outpatient attendances in the period – Ear, Nose & Throat


OP_Spec120 OPUN_Total Total number of outpatient attendances in the period – Ear, Nose & Throat


OP_Spec120 OPUN_Proc Total number of outpatient attendances in the period – Ear, Nose & Throat


OP_Spec501 OPFA_Total Total number of outpatient attendances in the period – Obstetrics


OP_Spec501 OPFA_Proc Total number of outpatient attendances in the period – Obstetrics


OP_Spec501 OPFU_Total Total number of outpatient attendances in the period – Obstetrics


OP_Spec501 OPFU_Proc Total number of outpatient attendances in the period – Obstetrics


OP_Spec501 OPUN_Total Total number of outpatient attendances in the period – Obstetrics




OP_Spec501 OPUN_Proc Total number of outpatient attendances in the period – Obstetrics


OP_Spec300 OPFA_Total Total number of outpatient attendances in the period – General Medicine


OP_Spec300 OPFA_Proc Total number of outpatient attendances in the period – General Medicine


OP_Spec300 OPFU_Total Total number of outpatient attendances in the period – General Medicine


OP_Spec300 OPFU_Proc Total number of outpatient attendances in the period – General Medicine


OP_Spec300 OPUN_Total Total number of outpatient attendances in the period – General Medicine


OP_Spec300 OPUN_Proc Total number of outpatient attendances in the period – General Medicine


OP_Spec560 OPFA_Total Total number of outpatient attendances in the period – Midwife Episode


OP_Spec560 OPFA_Proc Total number of outpatient attendances in the period – Midwife Episode


OP_Spec560 OPFU_Total Total number of outpatient attendances in the period – Midwife Episode


OP_Spec560 OPFU_Proc Total number of outpatient attendances in the period – Midwife Episode


OP_Spec560 OPUN_Total Total number of outpatient attendances in the period – Midwife Episode




OP_Spec560 OPUN_Proc Total number of outpatient attendances in the period – Midwife Episode


OP_Spec101 OPFA_Total Total number of outpatient attendances in the period – Urology


OP_Spec101 OPFA_Proc Total number of outpatient attendances in the period – Urology


OP_Spec101 OPFU_Total Total number of outpatient attendances in the period – Urology


OP_Spec101 OPFU_Proc Total number of outpatient attendances in the period – Urology


OP_Spec101 OPUN_Total Total number of outpatient attendances in the period – Urology


OP_Spec101 OPUN_Proc Total number of outpatient attendances in the period – Urology


OP_Spec420 OPFA_Total Total number of outpatient attendances in the period – Paediatrics


OP_Spec420 OPFA_Proc Total number of outpatient attendances in the period – Paediatrics


OP_Spec420 OPFU_Total Total number of outpatient attendances in the period – Paediatrics


OP_Spec420 OPFU_Proc Total number of outpatient attendances in the period – Paediatrics


OP_Spec420 OPUN_Total Total number of outpatient attendances in the period – Paediatrics




OP_Spec420 OPUN_Proc Total number of outpatient attendances in the period – Paediatrics


OP_Spec303 OPFA_Total Total number of outpatient attendances in the period – Clinical Haematology


OP_Spec303 OPFA_Proc Total number of outpatient attendances in the period – Clinical Haematology


OP_Spec303 OPFU_Total Total number of outpatient attendances in the period – Clinical Haematology


OP_Spec303 OPFU_Proc Total number of outpatient attendances in the period – Clinical Haematology


OP_Spec303 OPUN_Total Total number of outpatient attendances in the period – Clinical Haematology


OP_Spec303 OPUN_Proc Total number of outpatient attendances in the period – Clinical Haematology


OP_Spec800 OPFA_Total Total number of outpatient attendances in the period – Clinical Oncology


OP_Spec800 OPFA_Proc Total number of outpatient attendances in the period – Clinical Oncology


OP_Spec800 OPFU_Total Total number of outpatient attendances in the period – Clinical Oncology


OP_Spec800 OPFU_Proc Total number of outpatient attendances in the period – Clinical Oncology


OP_Spec800 OPUN_Total Total number of outpatient attendances in the period – Clinical Oncology




OP_Spec800 OPUN_Proc Total number of outpatient attendances in the period – Clinical Oncology


OP_SpecOther OPFA_Total Total number of outpatient attendances in the period – Other


OP_SpecOther OPFA_Proc Total number of outpatient attendances in the period – Other


OP_SpecOther OPFU_Total Total number of outpatient attendances in the period – Other


OP_SpecOther OPFU_Proc Total number of outpatient attendances in the period – Other


OP_SpecOther OPUN_Total Total number of outpatient attendances in the period – Other


OP_SpecOther OPUN_Proc Total number of outpatient attendances in the period – Other


OP_SpecUnknown OPFA_Total Total number of outpatient attendances in the period – Unknown


OP_SpecUnknown OPFA_Proc Total number of outpatient attendances in the period – Unknown


OP_SpecUnknown OPFU_Total Total number of outpatient attendances in the period – Unknown


OP_SpecUnknown OPFU_Proc Total number of outpatient attendances in the period – Unknown


OP_SpecUnknown OPUN_Total Total number of outpatient attendances in the period – Unknown




OP_SpecUnknown OPUN_Proc Total number of outpatient attendances in the period – Unknown


Cancer_total Chemo_First Total number of completed pathways for first or subsequent treatments for cancer

Chemotherapy – First treatment

Cancer_total Chemo_Subs Total number of completed pathways for first or subsequent treatments for cancer

Chemotherapy – subsequent treatment

Cancer_total Chemo_Unkn Total number of completed pathways for first or subsequent treatments for cancer

Chemotherapy – Treatments where it is not known whether first or subsequent

Cancer_total Surgery_First Total number of completed pathways for first or subsequent treatments for cancer

Surgery – First treatment

Cancer_total Surgery_Subs Total number of completed pathways for first or subsequent treatments for cancer

Surgery – subsequent treatment

Cancer_total Surgery_Unkn Total number of completed pathways for first or subsequent treatments for cancer

Surgery – Treatments where it is not known whether first or subsequent

Cancer_Brain Chemo_First Total number of completed pathways for first or subsequent treatments for cancer – Brain/Central Nervous System


Cancer_Brain Chemo_Subs Total number of completed pathways for first or subsequent treatments for cancer – Brain/Central Nervous System


Cancer_Brain Chemo_Unkn Total number of completed pathways for first or subsequent treatments for cancer – Brain/Central Nervous System


Cancer_Brain Surgery_First Total number of completed pathways for first or subsequent treatments for cancer – Brain/Central Nervous System




Cancer_Brain Surgery_Subs Total number of completed pathways for first or subsequent treatments for cancer – Brain/Central Nervous System


Cancer_Brain Surgery_Unkn Total number of completed pathways for first or subsequent treatments for cancer – Brain/Central Nervous System


Cancer_Breast Chemo_First Total number of completed pathways for first or subsequent treatments for cancer – Breast


Cancer_Breast Chemo_Subs Total number of completed pathways for first or subsequent treatments for cancer – Breast


Cancer_Breast Chemo_Unkn Total number of completed pathways for first or subsequent treatments for cancer – Breast


Cancer_Breast Surgery_First Total number of completed pathways for first or subsequent treatments for cancer – Breast


Cancer_Breast Surgery_Subs Total number of completed pathways for first or subsequent treatments for cancer – Breast


Cancer_Breast Surgery_Unkn Total number of completed pathways for first or subsequent treatments for cancer – Breast


Cancer_Child Chemo_First Total number of completed pathways for first or subsequent treatments for cancer – Childrens


Cancer_Child Chemo_Subs Total number of completed pathways for first or subsequent treatments for cancer – Childrens


Cancer_Child Chemo_Unkn Total number of completed pathways for first or subsequent treatments for cancer – Childrens




Cancer_Child Surgery_First Total number of completed pathways for first or subsequent treatments for cancer – Childrens


Cancer_Child Surgery_Subs Total number of completed pathways for first or subsequent treatments for cancer – Childrens


Cancer_Child Surgery_Unkn Total number of completed pathways for first or subsequent treatments for cancer – Childrens


Cancer_Gynae Chemo_First Total number of completed pathways for first or subsequent treatments for cancer – Gynaecological


Cancer_Gynae Chemo_Subs Total number of completed pathways for first or subsequent treatments for cancer – Gynaecological


Cancer_Gynae Chemo_Unkn Total number of completed pathways for first or subsequent treatments for cancer – Gynaecological


Cancer_Gynae Surgery_First Total number of completed pathways for first or subsequent treatments for cancer – Gynaecological


Cancer_Gynae Surgery_Subs Total number of completed pathways for first or subsequent treatments for cancer – Gynaecological


Cancer_Gynae Surgery_Unkn Total number of completed pathways for first or subsequent treatments for cancer – Gynaecological


Cancer_Haem Chemo_First Total number of completed pathways for first or subsequent treatments for cancer – Haematological




Cancer_Haem Chemo_Subs Total number of completed pathways for first or subsequent treatments for cancer – Haematological


Cancer_Haem Chemo_Unkn Total number of completed pathways for first or subsequent treatments for cancer – Haematological


Cancer_Haem Surgery_First Total number of completed pathways for first or subsequent treatments for cancer – Haematological


Cancer_Haem Surgery_Subs Total number of completed pathways for first or subsequent treatments for cancer – Haematological


Cancer_Haem Surgery_Unkn Total number of completed pathways for first or subsequent treatments for cancer – Haematological


Cancer_HeadNeck Chemo_First Total number of completed pathways for first or subsequent treatments for cancer – Head & Neck


Cancer_HeadNeck Chemo_Subs Total number of completed pathways for first or subsequent treatments for cancer – Head & Neck


Cancer_HeadNeck Chemo_Unkn Total number of completed pathways for first or subsequent treatments for cancer – Head & Neck


Cancer_HeadNeck Surgery_First Total number of completed pathways for first or subsequent treatments for cancer – Head & Neck


Cancer_HeadNeck Surgery_Subs Total number of completed pathways for first or subsequent treatments for cancer – Head & Neck


Cancer_HeadNeck Surgery_Unkn Total number of completed pathways for first or subsequent

Surgery – Treatments



treatments for cancer – Head & Neck

where it is not known whether first or subsequent

Cancer_LGastro Chemo_First Total number of completed pathways for first or subsequent treatments for cancer – Lower Gastrointestinal


Cancer_LGastro Chemo_Subs Total number of completed pathways for first or subsequent treatments for cancer – Lower Gastrointestinal


Cancer_LGastro Chemo_Unkn Total number of completed pathways for first or subsequent treatments for cancer – Lower Gastrointestinal


Cancer_LGastro Surgery_First Total number of completed pathways for first or subsequent treatments for cancer – Lower Gastrointestinal


Cancer_LGastro Surgery_Subs Total number of completed pathways for first or subsequent treatments for cancer – Lower Gastrointestinal


Cancer_LGastro Surgery_Unkn Total number of completed pathways for first or subsequent treatments for cancer – Lower Gastrointestinal


Cancer_Lung Chemo_First Total number of completed pathways for first or subsequent treatments for cancer – Lung


Cancer_Lung Chemo_Subs Total number of completed pathways for first or subsequent treatments for cancer – Lung


Cancer_Lung Chemo_Unkn Total number of completed pathways for first or subsequent treatments for cancer – Lung


Cancer_Lung Surgery_First Total number of completed pathways for first or subsequent treatments for cancer – Lung




Cancer_Lung Surgery_Subs Total number of completed pathways for first or subsequent treatments for cancer – Lung


Cancer_Lung Surgery_Unkn Total number of completed pathways for first or subsequent treatments for cancer – Lung


Cancer_Sarcoma Chemo_First Total number of completed pathways for first or subsequent treatments for cancer – Sarcoma


Cancer_Sarcoma Chemo_Subs Total number of completed pathways for first or subsequent treatments for cancer – Sarcoma


Cancer_Sarcoma Chemo_Unkn Total number of completed pathways for first or subsequent treatments for cancer – Sarcoma


Cancer_Sarcoma Surgery_First Total number of completed pathways for first or subsequent treatments for cancer – Sarcoma


Cancer_Sarcoma Surgery_Subs Total number of completed pathways for first or subsequent treatments for cancer – Sarcoma


Cancer_Sarcoma Surgery_Unkn Total number of completed pathways for first or subsequent treatments for cancer – Sarcoma

Surgery – Treatments where it is not known whether first or subsequen

Documents

Operational Update*: NEW GUIDANCE...delivered), they have permission to use this excess capacity to resume routine elective care, subject to the principle of making full capacity available