What is an RTT pathway?
RTT stands for Referral to Treatment. It is the official name for the journey from your GP referral to starting treatment. Your 'clock start date' is when the hospital received your referral — not when you got the letter.
The 18-week standard
In England, you have the right to start treatment within 18 weeks of your GP referral under the NHS Constitution. If the hospital cannot see you within this timeframe, you can request to be transferred to an alternative provider at no cost.
Note: Scotland uses an 18-week Treatment Time Guarantee. Wales uses a 26-week standard. Northern Ireland uses a 52-week target.
What to do if your wait is too long
- Contact your GP and ask them to check the status of your referral
- Contact the hospital's PALS team if you are in England
- Ask to be transferred to a provider that can see you sooner — see our guide on how to chase your referral
- If your symptoms worsen, contact your GP separately — do not wait for your appointment