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  4. Patient Pathway
Healthcare

PatientPathway
Tracking

Visualise and manage the complete patient journey from referral to discharge, tracking RTT clocks, milestones, and breach risks in real time.

RTT Compliance18-Week Pathway
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Healthcare Solutions

No Single View of the Patient Journey

Patient pathways span multiple departments, clinicians, and systems. Without a unified tracking mechanism, RTT clocks are miscalculated, clock-stop events are missed, and patients approaching breach are identified too late for remedial action. Operational teams rely on weekly PTL (Patient Tracking List) extracts that are outdated the moment they are produced.

Inaccurate RTT Clock Calculations

Clock starts, stops, and pauses are recorded inconsistently across departments, leading to inaccurate waiting time data and unexpected breaches.

Reactive Breach Management

Patients at risk of breaching the 18-week standard are identified from weekly PTL snapshots rather than live data, leaving insufficient time for intervention.

Fragmented Pathway Visibility

No single system shows where a patient is in their journey across referral, diagnostics, decision-to-treat, and treatment, forcing managers to manually collate data.

Commissioner Reporting Burden

Monthly RTT returns require extensive manual data reconciliation across PAS, radiology, and clinic systems.

How SwiftCase handles it

Purpose-built capabilities — not generic templates you have to work around.

Pathway Timeline Visualisation

A visual timeline for each patient showing every milestone from referral receipt to treatment, with colour-coded status indicators.

Live RTT Clock Management

Automatic clock start, stop, and pause based on milestone events, with manual override and audit trail for corrections.

Breach Risk Scoring

Patients are scored daily by breach risk based on weeks waited, next milestone, and historical pathway velocity for their specialty.

PTL Dashboard

Live Patient Tracking List replacing static weekly extracts, filterable by specialty, consultant, breach risk, and pathway stage.

Commissioner Returns

Automated generation of monthly RTT returns and Referral-to-Treatment data in the format required by NHS England.

Expected outcomes

92%
RTT Compliance
Live clock management and proactive breach-risk scoring push RTT compliance above the 92% national standard.
Live
PTL Replaces Weekly Extracts
Operational managers access a live PTL dashboard instead of waiting for weekly spreadsheet extracts that are outdated on arrival.
80%
Less Time on Returns
Automated RTT return generation eliminates the manual data reconciliation that previously consumed days each month.

How it works

01

Pathway Opened

The RTT clock starts when the referral is received. The patient pathway record is created with expected milestones based on specialty norms.

02

Milestones Tracked

Each event — triage, diagnostic, clinic attendance, decision-to-treat — is recorded as a milestone with timestamp and responsible clinician.

03

Breach Risk Monitored

The breach-risk score is recalculated daily. Patients entering amber or red zones appear on escalation lists for operational managers.

04

Treatment & Clock Stop

The clock stops when the patient receives first definitive treatment. The pathway record captures the outcome and total wait.

Related Healthcare workflows

Waiting List Management

Manage the operational waiting list alongside pathway tracking to prioritise booking decisions.

Learn more

Patient Referral Tracking

The pathway begins at referral — link referral tracking to pathway milestones for end-to-end visibility.

Learn more

Discharge Management

Discharge is the final pathway milestone — ensure it is recorded accurately for RTT clock-stop purposes.

Learn more

Diagnostic Tracking

Diagnostic turnaround directly impacts pathway velocity — link diagnostic TAT to pathway milestone tracking.

Learn more

Free tools

Try these tools to assess and improve your operations.

Workflow Mapper

Map your processes visually and export a professional PDF.

Try free

Meeting Cost Calculator

See the true cost of your meetings and find savings.

Try free

BCP Builder

Generate a Business Continuity Plan tailored to your organisation.

Try free

Frequently asked questions

Clock pauses (e.g. patient-initiated delays, medical holds) are recorded with a structured reason code and automatically resume when the pause condition is resolved. Each pause is auditable.

Yes. The pathway engine supports any milestone-based pathway including cancer 62-day, diagnostic 6-week, and local clinical pathways with custom milestone definitions.

Risk score is based on weeks waited as a proportion of target, the number of remaining milestones, and the average time each milestone takes for that specialty. Patients with fewer weeks remaining and more milestones outstanding score higher risk.

Yes. SwiftCase can receive admission, discharge, and outpatient attendance events from your PAS via HL7 or API to automatically update pathway milestones and clock status.

See Every Patient Pathway in Real Time

Replace weekly PTL extracts with a live dashboard that tracks RTT clocks, milestones, and breach risk across every specialty.

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Healthcare Solutions