The Health Guide — clear answers, healthier tomorrows

    Glossary

    Referral to treatment (RTT)

    The NHS measure of the time from a referral to the start of consultant-led treatment.

    Referral to treatment (RTT) is the NHS measure of the time from referral to the start of consultant-led treatment. The clock starts when the NHS receives a referral for consultant-led care and stops when treatment begins, or when it is decided that treatment is not needed. The NHS Constitution standard in England is that 92% of patients should start treatment within 18 weeks. NHS England publishes the number of pathways waiting and the proportion within 18 weeks every month. It counts pathways rather than people, so one patient waiting for two treatments appears twice. RTT matters for private medical insurance because policies with a six-week option only pay for private treatment when the NHS wait for it is longer than six weeks.

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