From the moment a referral is made to the day a patient is treated, commvita gets the referral right (RTT clock + smart order-comms), manages the list fairly (18-week PTL + inequalities-weighted reduction), and carries people through the wait (Waiting Well, PIFU, cancer FDS) — so the wait is shorter, safer and more equitable.
Right referral → fair list → wait well. The RTT clock runs from referral; the list is ranked by clinical priority and inequality (CORE20PLUS5); and the wait itself becomes managed care, not dead time.
The Referral Hub starts an RTT 18-week clock (breach / at-risk RAG) and separates a private queue; the Referral Optimiser batch-orders each e-RS pathway's pre-consultation work-up (protocol-gated); Advice & Guidance avoids unnecessary referrals.
The RTT PTL Dashboard tracks 18-week compliance, breach risk and GIRFT benchmarks — and an equity lens ranks the list by IMD / CORE20PLUS5 so long waits don't fall hardest on the most deprived. PIFU + validation reduce the list.
The Waiting Well Hub keeps people in touch, prehabilitates and monitors for deterioration (expedite / PIFU); Cancer Pathways track the 28-day Faster Diagnosis Standard, 2WW and 62-day with MDT and SACT.
| Patient | Specialty | Weeks | IMD | RTT |
|---|---|---|---|---|
| Ref 4471 | Orthopaedics | 19.1 | decile 1 | breach |
| Ref 4488 | ENT | 15.6 | decile 3 | at risk |
| Ref 4502 | Gastro | 14.2 | decile 2 | at risk |
| Ref 4519 | Dermatology | 9.4 | decile 7 | ok |
A referral starts the RTT clock and, from the same screen, batch-orders the pathway's pre-consultation diagnostics into order-comms — gated on the pathway's mandatory protocol, so patients arrive investigation-ready.
The PTL ranks by clinical priority and inequality (IMD / CORE20PLUS5), and drives PIFU + validation to reduce the list — recovery that closes the gap rather than widening it.
Waiting Well keeps in touch, prehabilitates and watches for deterioration; suspected cancer runs the 28-day Faster Diagnosis Standard with MDT — the wait becomes managed care.
| Capability | Route | Standard | Status |
|---|---|---|---|
| Referral Hub (RTT clock, private queue) | /referral-hub | API /ers/ · RTT Rules 2023 | ● Live |
| Referral Optimiser (smart order-comms) | /referral-optimisation | API /ers/ · e-RS pathways | ● Live |
| Advice & Guidance (SLA) | /advice-guidance | API /ers/advice-guidance | ● Live |
| PIFU (patient-initiated follow-up) | /pifu | API /pifu/ · NHSE PIFU | ● Live |
| RTT PTL Dashboard (+ equity lens) | /rtt-ptl | RTT Rules 2023 · GIRFT · CORE20PLUS5 | ☉ Demonstrated |
| Waiting Well Hub | /waiting-well | NHSE Elective Recovery · waiting-well | ☉ Demonstrated |
| Cancer Pathways (2WW / 28-day / 62-day) | /cancer-pathways | FDS 28-day · COSD · CWT | ☉ Demonstrated |
| RTT Waiting Swarm (ageing beeswarm) | /rtt-swarm | RTT Rules 2023 · IMD / CORE20PLUS5 | ☉ Demonstrated |