Publication - Transparency data

NHS Scotland performance against LDP standards

Published: 18 Jul 2019

Performance data on the current Local Delivery Plan (LDP) Standards - priorities set and agreed between the Scottish Government and NHS Boards to provide assurance on NHS Scotland performance. 

Contents
NHS Scotland performance against LDP standards
Cancer waiting times

LDP Standard

95% of all patients diagnosed with cancer to begin treatment within 31 days of decision to treat, and 95% of those referred urgently with a suspicion of cancer to begin treatment within 62 days of receipt of referral.

Current national performance

In the quarter ending June 2019, 82.4% of patients urgently referred with a suspicion of cancer began treatment within 62 days of their referral.

In the quarter ending June 2019, 94.7% of patients diagnosed with cancer started treatment within 31 days of their decision to treat.

About this LDP standard

The time from when a suspicion of cancer is raised is a particularly distressing and anxious time for both the patient and their family. Within NHSScotland two standards are in place to support diagnostics and treatments are delivered efficiently.

62-day standard from receipt of referral to start of treatment for newly diagnosed primary cancers. This applies to:

  • patients urgently referred with a suspicion of cancer by a primary care clinician
  • screened positive patients referred through a national cancer screening programme
  • direct referral to hospital (for example, self-referral to A&E)

31-day standard from decision to treat to start of treatment for newly diagnosed primary cancers (whatever their route of referral).

Both cancer access standards apply to ten major cancer types:

  • Breast
  • Colorectal
  • Head & Neck
  • Lung
  • Lymphoma
  • Ovarian
  • Melanoma
  • Upper Gastro-Intestinal (hepato-pancreato-biliary (HPB) and oesophago-gastric (OG))
  • Urological (prostate, bladder, other)
  • Cervical

The stated waiting time must be met for 95% of all patients covered by the standard. A 5% tolerance level is taken into account when measuring performance, as for some patients it will not be clinically appropriate for treatment to begin within the standard.

The NHS Board to which a patient is initially referred is responsible for meeting 95% compliance within the 62-day standard. The NHS Board where the patient receives their first treatment will be responsible for meeting 95% compliance within the 31-day standard. This responsibility remains unchanged if an NHS Board chooses to outsource part of a patient's care.

Performance against this standard

62-day referral to treatment

The standard is to achieve 95% of patients diagnosed with cancer starting treatment within 62 days if urgently referred with a suspicion of cancer, referred through A&E, or referred from one of the national cancer screening programmes.

In the quarter ending June 2019, 82.4% of patients urgently referred with a suspicion of cancer began treatment within 62 days of their referral.

The graph below shows national performance on the 62 day standard since quarter ending June 2017.

NHS Board level performance is shown for the most recent time period in the table below.

The table below shows the percentage of patients starting treatment within 62-days of urgent referral with a suspicion of cancer, by NHS Board, for quarter ending June 2019.

NHS Board

Quarter ending June 2019

NHS AYRSHIRE & ARRAN

82.1%

NHS BORDERS

97.5%

NHS DUMFRIES & GALLOWAY

89.5%

NHS FIFE

85.4%

NHS FORTH VALLEY

82.9%

NHS GRAMPIAN

86.8%

NHS GREATER GLASGOW & CLYDE

76.6%

NHS HIGHLAND

82.9%

NHS LANARKSHIRE

95.1%

NHS LOTHIAN

74.1%

NHS ORKNEY

100.0%

NHS SHETLAND

92.3%

NHS TAYSIDE

89.6%

NHS WESTERN ISLES

86.7%

NHSSCOTLAND

82.4%

Source: Scottish Cancer Waiting-Times System

31-day decision to treat to first treatment

The target is to achieve 95 % of patients diagnosed with cancer starting treatment within 31 days of their decision to treat, irrespective of the source or urgency of the referral.

In the quarter ending June 2019, 94.7% of patients diagnosed with cancer started treatment within 31 days of their decision to treat.

The graph below shows national performance on the 31 day standard since quarter ending June 2017.

NHS Board level performance is shown for the most recent time period in the table below.

The table below shows the percentage of cancer patients starting treatment within 31-days of decision to treat, by NHS Board, for quarter ending June 2019.

NHS Board

Quarter ending June 2019

NHS AYRSHIRE & ARRAN

96.8%

NHS BORDERS

100.0%

NHS DUMFRIES & GALLOWAY

100.0%

NHS FIFE

93.0%

NHS FORTH VALLEY

96.6%

NHS GRAMPIAN

93.8%

NHS GREATER GLASGOW & CLYDE

93.4%

NHS HIGHLAND

95.4%

NHS LANARKSHIRE

97.2%

NHS LOTHIAN

93.2%

NHS ORKNEY

100.0%

NHS SHETLAND

100.0%

NHS TAYSIDE

95.5%

NHS WESTERN ISLES

100.0%

NHS NATIONAL WAITING TIMES CENTRE

100.0%

NHSSCOTLAND

94.7%

Source: Scottish Cancer Waiting-Times System

Further information 

Better Cancer Care - An Action Plan

Cancer Waiting Times statistics

Cancer Incidence statistics

Related National Outcomes