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Welsh Government
Data Provider: Welsh Government National Statistics Delay length by LHB Provider and delay band

At the start of the COVID-19 pandemic, the Welsh Government suspended delayed transfers of care (DTOC) reporting requirements. In the interim, Welsh Government introduced the COVID-19 Discharge Requirements, which included a new discharge process with increased focus on rehabilitation and reablement. The Welsh Government emergency care policy and performance team and the NHS Delivery Unit have been collecting interim weekly delayed discharge data to manage the new arrangements. This data does not measure delayed transfers of care in the same way as the previous data collection, and has not been assessed against the standards of the Code of Practice for Statistics. Options for future collection and publication of data and performance measures will be developed over the coming months whilst the data collection continues to be suspended.

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Date[Filtered]
[Collapse]FacilityPatients delayed in mental health and non mental health facilities. Non mental health facilities include acute and community hospitals, rehabilitation centres and other facilities. [Filtered]
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Facility 1[Filter]
[Collapse]Stage of DelayReasons for delay can be categorized according to whether the patient\'s next stage of care is known to be outside the NHS. Note that this grouping is a central allocation of the detailed reasons for delay and its accuracy will depend on the consistency with which reason codes are assigned to patients by staff in NHS Trusts who supply information to the central database. The three categories used to indicate the stage of delay, with the corresponding codes for the reason for delay, are as follows:Waiting for move within the NHS - 3.01, 3.01.02-04, 3.02, 3.02.01-03, 3.02.05, 4.01, 4.01.01, 4.02Waiting to leave the NHS - 1.01, 2.01, 2.01.01-04, 2.02, 2.02.01-07, 2.03, 2.03.01-03, 2.04, 2.04.01-04, 2.05, 2.05.01-03, 2.06, 2.06.01-04, 3.01.01, 3.02.04, 3.03, 3.03.01-06, 3.04, 3.04.01-04, 3.05, 3.05.01-08, 4.01.02, 4.04, 4.04.01-04, 4.05, 4.05.01-06, 5.02, 5.02.01-06, 6.01.03, 6.01.05, 7.01, 7.02, 7.03, 7.03.01-16, 7.04, 7.04.01, 7.04.02, 7.05, 7.05.01-04, 7.06Next stage not known - 4.03, 4.03.01-04, 5.01, 5.01.01-03, 6.01, 6.01.01-02, 6.01.04, 6.01.06, 7.04.03-06, 8.01For a complete list of codes by stage of delay and principal reason please see the Annex included in the Delayed Transfers of Care StatsWales folder. [Filtered]
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Stage of Delay 1[Filter]
Area code[Filter]
Measure1
[Collapse]Delay band[Filter]
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Delay band 1
[Collapse]LHB or NHS TrustNote that because all current LHBs were re-organised from October 2009 a new time series has been started. Figures for the old NHS Trusts are not shown. [Filter]
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LHB or NHS Trust 1
[Collapse]TotalClick here to sortTotal
Click here to sort0 - 3 weeksClick here to sort4 - 6 weeksClick here to sort7 - 12 weeksClick here to sort13 - 26 weeksClick here to sort26 + weeks
[Collapse]All Health Boards and Trusts24768605914448
All Health Boards and TrustsBetsi Cadwaladr University HBFollowing further validation, one record from April 2015 amended and one from June 2015 deleted in January 20164611129381
Powys Teaching HB1551.The data item is not applicable.The data item is not applicable21
Hywel Dda HBMinor amendments to data for February 2015 made in April 201545398.The data item is not applicable65
Swansea Bay University Health BoardFrom 1st April 2019 health service provision for residents of Bridgend local authority moved from Abertawe Bro Morgannwg to Cwm Taf. For more information see the joint statement from Cwm Taf and Abertawe Bro Morgannwg University Health Boards (see weblinks). The health board names have changed with Cwm Taf University Health Board becoming Cwm Taf Morgannwg University Health Board and Abertawe Bro Morgannwg University Health Board becoming Swansea Bay University Health Board. A link to the statement from the minister for health and social service can be found in the weblinks section.22191820685
Abertawe Bro Morgannwg University HB.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Cwm Taf Morgannwg University Health BoardFrom 1st April 2019 health service provision for residents of Bridgend local authority moved from Abertawe Bro Morgannwg to Cwm Taf. For more information see the joint statement from Cwm Taf and Abertawe Bro Morgannwg University Health Boards (see weblinks). The health board names have changed with Cwm Taf University Health Board becoming Cwm Taf Morgannwg University Health Board and Abertawe Bro Morgannwg University Health Board becoming Swansea Bay University Health Board. A link to the statement from the minister for health and social service can be found in the weblinks section.54151112294
Cwm Taf HB.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Aneurin Bevan HB6173.The data item is not applicable172
Cardiff and Vale University HB48610230
Velindre NHS TrustData for January 2012 revised in October 2012; Data not available for October 2014..The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable

Metadata

Title

Delay length by NHS organisation

Last update

23 April 2020 23 April 2020

Next update

TBC

Publishing organisation

Welsh Government

Source 1

Delayed transfers of care database, NHS Wales

Contact email

stats.healthinfo@gov.wales

Designation

National Statistics

Lowest level of geographical disaggregation

Local health boards

Geographical coverage

Wales

Languages covered

English and Welsh

Data licensing

You may use and re-use this data free of charge in any format or medium, under the terms of the Open Government License - see http://www.nationalarchives.gov.uk/doc/open-government-licence

Keywords

Delayed Transfers of Care

General description

Data on the numbers of people experiencing a delay in the arrangements for them to leave hospital, for example to go home, or to move to another more appropriate facility within the NHS, eg from an acute bed to a rehabilitation bed.

Data collection and calculation

The major source of data for this release is an administrative system, the Delayed Transfers of Care (DToC) database. The DToC database is an all-Wales census system operated by the NHS Wales Informatics Service to which each NHS Local Health Board enters a record for each patient with a delayed transfer. The census date is the third Wednesday of each month. Three weeks are allowed for validation by the relevant LHB and local authorities before the data is downloaded by the Statistical Directorate as an Excel spreadsheet. Data is then transferred to an ACCESS database; any queries on the new data in the context of the time series are discussed with policy colleagues and data suppliers in LHBs and Trusts.

From 1st April 2019 health service provision for residents of Bridgend local authority moved from Abertawe Bro Morgannwg to Cwm Taf. For more information see the joint statement from Cwm Taf and Abertawe Bro Morgannwg University Health Boards (see weblinks). The health board names have changed with Cwm Taf University Health Board becoming Cwm Taf Morgannwg University Health Board and Abertawe Bro Morgannwg University Health Board becoming Swansea Bay University Health Board. A link to the statement from the minister for health and social service can be found in the weblinks section.

Frequency of publication

Monthly

Data reference periods

October 2009 onwards

Users, uses and context

This information is included in the related Statistical Release - see weblink.

Revisions information

In the unlikely event of incorrect data being published, revisions to data would be made and users informed in conjunction with the Welsh Government’s Revisions, Errors and Postponements arrangements. This would include a statement in the statistics explaining the nature and extent of the revisions.

Statistical quality

This information is included in the related Quality Report - see weblink.

Name

Hlth0818