delayed transfers: beyond the headlines
Post on 16-May-2015
1.401 Views
Preview:
DESCRIPTION
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
top related