WAITING TIME ADJUSTMENT (FIRST SEEN) records the number of days that should be removed from the calculated waiting time for the two week wait period, the 28 day period and potentially the 62 day period (if cancer is confirmed), i.e. between receipt of the referral or decision of Consultant Upgrade (recorded as CANCER REFERRAL TO TREATMENT PERIOD START DATE or CONSULTANT UPGRADE DATE) and the DATE FIRST SEEN.

Adjustments are only permissible when a PATIENT does not attend an APPOINTMENT or arrives late and could not be seen.

Guidance on calculating the number of days which may be deducted from the waiting time is available on the NHS England website at: Cancer Waiting Times.

This data element is also known by these names:

Context	Alias
plural	WAITING TIME ADJUSTMENTS (FIRST SEEN)