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What is RTT in medical terms?

Published in Medical Waiting Times 3 mins read

In medical terms, RTT stands for Referral to Treatment. It refers specifically to the waiting time patients experience between being referred for a medical treatment and actually receiving that treatment.

Understanding Referral to Treatment (RTT)

RTT is a crucial metric in healthcare systems for measuring patient access and efficiency of services. It encompasses the entire journey, from a doctor referring a patient for a specific treatment, such as surgery, therapy, or further diagnostics, to the patient finally beginning their treatment.

Key Components of RTT

  • Referral: This is the starting point, when a healthcare professional decides the patient needs a specific treatment.
  • Assessment & Planning: This period includes diagnosis, consultation, and treatment planning, which can contribute to overall waiting times.
  • Treatment: This stage marks the beginning of the actual medical care process.

RTT Waiting Time: What Does it Measure?

The RTT waiting time specifically measures the time spent between the moment a patient is referred for treatment to when they start their actual treatment. Here are important aspects:

  • Time Sensitivity: RTT targets the delay for treatment, not for diagnostic tests or initial consultations.
  • Monitoring Healthcare Systems: Governments and healthcare providers use RTT data to assess and improve efficiency in service delivery.

Why is RTT Important?

  • Access to Care: RTT helps ensure timely access to necessary medical treatments.
  • Resource Allocation: By monitoring RTT, healthcare facilities can better plan and allocate their resources.
  • Patient Satisfaction: Shorter RTT times generally lead to better patient experience and satisfaction.

What Affects RTT?

Several factors can influence RTT:

  • Staffing Levels: Shortages of doctors, nurses, and other healthcare professionals.
  • Facility Capacity: Limited availability of hospital beds, operating rooms, and medical equipment.
  • Demand: A surge in patient referrals can lengthen waiting times.
  • Administrative Processes: Inefficient administrative processes can delay treatment.

Monitoring and Management of RTT

Healthcare systems often have national or regional targets for RTT, with the goal to reduce waiting times for patients. This is achieved by:

  • Data Collection: Regularly collecting data on referrals, assessments, and treatment start times.
  • Performance Analysis: Analyzing RTT data to identify bottlenecks and areas of inefficiency.
  • Strategies for Improvement: Implementing new processes, increasing capacity, or adjusting resource allocation to improve RTT.
  • Transparent Reporting: Making RTT data available to the public to increase accountability and patient understanding.

Example

  • A patient visits their general practitioner with persistent knee pain, who then refers them to an orthopedic surgeon for a consultation.
  • The RTT clock starts when the general practitioner refers the patient for the consultation.
  • The RTT clock stops when the patient has their appointment with the orthopedic surgeon (the start of treatment, be it a consultation, diagnosis or an actual procedure).
  • The time between the referral and the appointment is the RTT.