delayed transfers: beyond the headlines
DESCRIPTION
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.TRANSCRIPT
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 patients delayed – monthly census › Number of days delayed – total counted over whole
month
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/statistics/statistical-work-areas/delayed-transfers-of-care/delayed-transfers-of-care-data-2013-14/
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
What NHS managers are saying
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/delayed-transfers-of-care/delayed-transfers-of-care-data-2013-14/
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/winter-pressures-daily-sitrep-2013-14-data-2/
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 care, total days delayed, 2013/14 http://www.england.nhs.uk/statistics/statistical-work-areas/delayed-transfers-of-care/delayed-transfers-of-care-data-2013-14
A social care issue?
Attributable to NHS
Attributable to Social Care
Attributable to both
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
Reasons for delayed transfer of care
Source: NHS England, Monthly delayed transfer of care SitReps, Definitions and guidance http://www.england.nhs.uk/statistics/statistical-work-areas/delayed-transfers-of-care/
A social care issue?
Data source: Delayed transfers of care statistics for England 2012/13, NHS England http://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2013/04/Annex-3-Annual-report-2012-13.pdf
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