The end date of a referral to treatment period. Referral to Treatment Period End Date will be one of the following: The activity date: - when the Patient is admitted for First Definitive Treatment. If the start of a Patient's treatment is cancelled (by the Health Care Provider or Patient) after admission, the Referral to Treatment Period will continue. - for First Definitive Treatment undertaken in an outpatient setting. - for First Definitive Treatment undertaken by an NHS Allied Health Professional Service (Referral to Treatment Measurement). - when the decision not to treat is made, with no further action at this time communicated to the Patient. This will include Discharge after Patient did not Attend and discharge back to primary care for treatment. - when the Patient declines offered treatment. - when the Patient did not attend for the first activity during a Referral to Treatment Period. See Referral to Treatment Period for guidance on Patients who do not attend. - the clinical decision is made (and agreed with the Patient) that Active Monitoring will begin. If a Patient subsequently requires further treatment this decision would start a new Referral to Treatment Period as part of the same Patient pathway. This includes any treatment that is planned for a specific date in the future as ongoing monitoring. - a clinical decision is made and has been communicated to the Patient, and subsequently their General Practitioner and/or other referring care professional without undue delay, to add the Patient to a transplant list. or - the person death date. In the event that a Patient is booked into the wrong clinic and needs to be re- referred to the right one, this will not end the Referral to Treatment Period or restart it. The start of the Referral to Treatment Period is still the original referral request received date.|The end date of a referral to treatment period.In the event that a Patient is booked into the wrong clinic and needs to be re- referred to the right one, this will not end the Referral to Treatment Period or restart it. The start of the Referral to Treatment Period is still the original referral request received date. Referral to Treatment Period End Date will be one of the following: The activity date: - when the Patient is admitted for First Definitive Treatment. If the start of a Patient's treatment is cancelled (by the Health Care Provider or Patient) after admission, the Referral to Treatment Period will continue. - for First Definitive Treatment undertaken in an outpatient setting. - for First Definitive Treatment undertaken by an NHS Allied Health Professional Service (Referral to Treatment Measurement). - when the decision not to treat is made, with no further action at this time communicated to the Patient. This will include Discharge after Patient did not Attend and discharge back to primary care for treatment. - when the Patient declines offered treatment. - when the Patient did not attend for the first activity during a Referral to Treatment Period. See Referral to Treatment Period for guidance on Patients who do not attend. - the clinical decision is made (and agreed with the Patient) that Active Monitoring will begin. If a Patient subsequently requires further treatment this decision would start a new Referral to Treatment Period as part of the same Patient pathway. This includes any treatment that is planned for a specific date in the future as ongoing monitoring. - a clinical decision is made and has been communicated to the Patient, and subsequently their General Practitioner and/or other referring care professional without undue delay, to add the Patient to a transplant list. or - the person death date.|The end date of a referral to treatment period. Referral to Treatment Period End Date will be one of the following: The activity date: - when the Patient is admitted for First Definitive Treatment. If the start of a Patient's treatment is cancelled (by the Health Care Provider or Patient) after admission, the Referral to Treatment Period will continue. - for First Definitive Treatment undertaken in an outpatient setting. - for First Definitive Treatment undertaken by an NHS Allied Health Professional Service (Referral to Treatment Measurement). - when the decision not to treat is made, with no further action at this time communicated to the Patient. This will include Discharge after Patient did not Attend and discharge back to primary care for treatment. - when the Patient declines offered treatment. - when the Patient did not attend for the first activity during a Referral to Treatment Period. See Referral to Treatment Period for guidance on Patients who do not attend. - the clinical decision is made (and agreed with the Patient) that Active Monitoring will begin. If a Patient subsequently requires further treatment this decision would start a new Referral to Treatment Period as part of the same Patient pathway. This includes any treatment that is planned for a specific date in the future as ongoing monitoring. - a clinical decision is made and has been communicated to the Patient, and subsequently their General Practitioner and/or other referring care professional without undue delay, to add the Patient to a transplant list. or - the person death date. In the event that a Patient is booked into the wrong clinic and needs to be re-referred to the right one, this will not end the Referral to Treatment Period or restart it. The start of the Referral to Treatment Period is still the original referral request received date.

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