2023
DOI: 10.1136/bmjqs-2023-015949
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Unintended consequences of the 18-week referral to treatment standard in NHS England: a threshold analysis

Laura Quinn,
Paul Bird,
Sandra Remsing
et al.

Abstract: ObjectiveIn 2012, an ‘18-week referral to treatment standard’ was introduced in England. Among people on the list of those waiting for hospital treatment at a point in time, the standard states that at least ‘92% of patients should have been waiting for less than 18 weeks’. Targets can have unintended consequences, where patients are prioritised based on the target rather than clinical need. Such an effect will be evident as a spike in the number of hospital trusts at the target threshold, referred to as a thr… Show more

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