Class notes
management of waiting times and waiting lists
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includes: problem, review of policy tools used to tackle waiting time
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1Sunday, 16th January 2022
Week 1
Medicine
Management of waiting times and waiting lists
Problem
Waiting times are a major source of dissatisfaction
o Prolonged suffering
o Delayed benefit
o Uncertainty
Considerable effort from policy makers to reduce waiting times
Excess demand
Capacity constraints
Level of need
Measurement issues
Waiting time vs waiting list
Outpatient vs inpatient
GP referral to treatment
Waiting time of patients treated vs time of patients on the list
By speciality
By procedure
Elective vs emergency procedures
Mean vs median
o Concerns of the patients who are at the tails of waiting times
Number of patients waiting for than 8/12 months
Review policy tools used to tackle waiting time
A brief summary
Maximum wait time guarantee
Implementation can be different
o Target
o Market reform with competitions
o Prioritisations
A key message
Supply policies no guarantee of success
Policies that work
Policies don’t always work to reduce waiting times
What works is narrowly defined by reduction in waiting times
England
Max waiting time guarantee
Sanctions and penalties for those who did not meet the target
When policies introduced in England the proportion of patients waiting more than 6
months decreased
Probability of being treated as time passes reduces
o Prioritisation being misused
o Strategic behaviour
Patient entitlements
o Patients should wait no longer than 18 weeks from referral to treatment
95% should be treated within this time
Elective treatment being put on hold has increased wait times
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