Delayed transfers:
Beyond the
headlines
James Thompson
Data Analyst, The King’s Fund
› Why delayed transfers?
› Patients waiting
› Hospital flow

› What data is available? *Health warning*
› Number of patien...
What the data shows
Delayed transfers: Patients and days delayed

Data source: Acute and non–
acute delayed transfers of c...
What NHS managers are saying

Cuts to local authority
spending had impact
on service in last year

Delayed discharges
have...
What NHS managers are saying
What do we know about these
delayed patients?

Data source: Acute and non–acute delayed transfers of care, patient
snapsho...
What is the impact on the system?
Daily hospital bed occupancy rate, general and acute beds, England

Data Source: Winter ...
What is the impact on the system?
A social care issue?
Total days delayed by responsible organisation

Data source: Acute and non–acute delayed transfers of...
A social care issue?
Reasons for delayed transfer of care
Attributable to
NHS
A. Awaiting completion of assessment
B. Awai...
A social care issue?

Data source: Delayed transfers of care statistics for England
2012/13, NHS England
http://www.englan...
In conclusion
›

NHS professionals versus official statistics
› still unclear

›

What to do with the numbers?
› echo Heal...
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Delayed transfers: Beyond the headlines

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James Thompson explores the data behind the headlines, looking at delayed transfers of care in the NHS and in social care. Focusing on the numbers and survey results from The King's Fund's tenth quarterly monitoring report, he explains why we once again find delayed transfers under the spotlight.

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Delayed transfers: Beyond the headlines

  1. 1. Delayed transfers: Beyond the headlines James Thompson Data Analyst, The King’s Fund
  2. 2. › Why delayed transfers? › Patients waiting › Hospital flow › What data is available? *Health warning* › Number of patients delayed – monthly census › Number of days delayed – total counted over whole month
  3. 3. What the data shows Delayed transfers: Patients and days delayed Data source: Acute and non– acute delayed transfers of care, patient snapshot and total days delayed, 2013/14 http://www.england.nhs.uk/stat istics/statistical-workareas/delayed-transfers-ofcare/delayed-transfers-of-caredata-2013-14/
  4. 4. What NHS managers are saying Cuts to local authority spending had impact on service in last year Delayed discharges have increased Source: NHS Confederation Papering over the cracks: the impact of social care funding on the NHS http://www.nhsconfed.org/Publications/Documents/papering-over-cracks.pdf
  5. 5. What NHS managers are saying
  6. 6. What do we know about these delayed patients? Data source: Acute and non–acute delayed transfers of care, patient snapshot and total days delayed, 2013/14 http://www.england.nhs.uk/statistics/statistical-work-areas/delayedtransfers-of-care/delayed-transfers-of-care-data-2013-14/
  7. 7. What is the impact on the system? Daily hospital bed occupancy rate, general and acute beds, England Data Source: Winter pressures daily situation reports, 2013/14 data http://www.england.nhs.uk/statistics/statistical-work-areas/winter-daily-sitreps/winterpressures-daily-sitrep-2013-14-data-2/
  8. 8. What is the impact on the system?
  9. 9. A social care issue? Total days delayed by responsible organisation Data source: Acute and non–acute delayed transfers of care, total days delayed, 2013/14 http://www.england.nhs.uk/statistics/statistical-work-areas/delayed-transfers-ofcare/delayed-transfers-of-care-data-2013-14
  10. 10. A social care issue? Reasons for delayed transfer of care Attributable to NHS A. Awaiting completion of assessment B. Awaiting public funding C. Awaiting further non-acute (including community and mental health) NHS care (including intermediate care, rehabilitation services etc) D i). Awaiting residential home placement or availability D ii). Awaiting nursing home placement or availability E. Awaiting care package in own home F. Awaiting community equipment and adaptations G. Patient or Family choice H. Disputes I. Housing – patients not covered by NHS and Community Care Act Attributable to Social Care Attributable to both                               Source: NHS England, Monthly delayed transfer of care SitReps, Definitions and guidance http://www.england.nhs.uk/statistics/statisticalwork-areas/delayed-transfers-of-care/
  11. 11. A social care issue? Data source: Delayed transfers of care statistics for England 2012/13, NHS England http://www.england.nhs.uk/statistics/wpcontent/uploads/sites/2/2013/04/Annex-3-Annual-report2012-13.pdf
  12. 12. In conclusion › NHS professionals versus official statistics › still unclear › What to do with the numbers? › echo Health Select Committees call for data review › Can we delay any longer? › www.kingsfund.org.uk/qmr

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