Best Practice Library – Urology

Key overarching resources

Framework for re-establishing and developing urology services in the COVID-19 era

Peri-COVID gateway framework for elective operating – self assessment document

Metric / recommendationPerformance measure (top decile or national standard)
Day case rate for patients receiving male bladder outflow surgery 19.7%
Emergency readmissions within 30 days for patients following male bladder outflow surgery 5.7%
The median number of days between diagnosis of urinary retention (EM) and surgery (EL) for male patients (male bladder outflow surgery only) 
Day case rate for patients receiving TURBT47.1%
Emergency readmissions within 30 days for patients following TURBT (%)5.6%
Average wait (from presentation) to cystectomy for patients who undergo cystectomy within nine months of initial referral 
Day case rate for patients receiving ureteroscopy79.5%
Percentage of emergency admissions with urinary tract stone that go on to have a ureteric stent insertion as a primary procedure during emergency admission 
Referral to treatment target (18 weeks) 92.0%
Referral to treatment target (52 weeks)0.0%
Proportion of outpatient visits that are non-face to face 50.0%

GIRFT Urology national report comments on in waits between TURBT and cystectomy

Metric: Model hospital metrics on cystectomy

Top-decile sentinel metric: Average wait from presentation to cystectomy for patients who undergo cystectomy within nine months of initial referral.

Metric: urology Referral to Treatment (RTT) metrics

Sentinel top-decile metrics:

  • Referral to treatment target (18 weeks)
  • Referral to treatment target (52 weeks)