Table 11.

Timeliness domain summary

Domain	Timeliness
Objective	Provide a timely service and minimise delay in cancer diagnosis and therapy
KPI	1. Time from detection to referral for therapy 2. Time from referral to definitive therapy
Denominator	Inclusions: Include all patients with LNPCPs Exclusions: Exclude LNPCPs removed at the time of detection
Analysis	Record date of LNPCP detection Record date of referral to clinician who will perform therapy. Note this is not the date patient is referred to the colorectal MDT Record date of definitive therapy Calculate mean time from referral to therapy Calculate mean time from detection to referral for therapy Calculate interval in days
Frequency	Calculate annually
Level of analysis	Service level
Minimum standard	Time from diagnosis to referral: <4 weeks (28 days)—no current standard defined for proportion meeting this standard Time from referral to definitive management: <8 weeks (56 days)—no current standard defined for proportion meeting this standard
Aspirational standard	No current standard defined
Action	Review cases where time from diagnosis to referral is >4 weeks (28 days) Review cases where time from diagnosis to referral is >8 weeks (56 days)
Evidence	Muto et al6 http://www.scotland.gov.uk/About/Performance/scotPerforms/partnerstories/NHSScotlandperformance/Cancerwaitingtimes47

KPI, key performance indicators; LNPCPs, large non-pedunculated colorectal polyps; MDT, multidisciplinary team.