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Welsh Government
Data Provider: Welsh Government National Statistics Delay reason by LA of residence

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]Age[Filtered]
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Age 1[Filter]
Area Code[Filter]
[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]
Measure1
[Collapse]Delay reasonCommunity care related reasons for delay include waiting for completion of assessment as well as issues regarding housing or home adaptation/equipment, provision of home care, residential care placement, capacity restrictions or funding. Healthcare related reasons for delay include waiting for assessment (by a specialist, therapist, or community health service) and waiting for rehabilitation, bed transfer, or equipment as well as issues regarding NHS funded nursing care or continuing NHS health care. Selection of care home and waiting for availability of care home apply to both residential and nursing placements. Other reasons specified include protection related issues and inability to discharge to a safe environment. For 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. (Ascending)[Filter]
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[Collapse]Delay reason 1
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Delay reason 2
[Collapse]Local Authority of Residence[Filter]
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[Collapse]Local Authority of Residence 1
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Local Authority of Residence 2
[Collapse]All reasonsClick here to sortAll reasons
[Expand]Click here to sortAll community care[Expand]Click here to sortAll healthcare[Expand]Click here to sortSelection of care home[Expand]Click here to sortWaiting for availability of care home[Expand]Click here to sortProtection issues, unable to discharge to safe environment[Expand]Click here to sortPrincipal reason not agreed[Expand]Click here to sortDisagreements[Expand]Click here to sortLegal / Financial[Expand]Click here to sortOther
[Collapse]Total - All Areas20276415628116523448
Total - All Areas[Collapse]Area unknown or outside WalesNon-Welsh and unknown residenceArea unknown or outside WalesNon-Welsh and unknown residence.The data item is not applicable2.The data item is not applicable1.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 applicable3
[Collapse]All Welsh Local AuthoritiesWelsh residents only20274415528116523445
All Welsh Local AuthoritiesWelsh residents onlyIsle of AngleseyOne record from May 2014 and two from October 2014 deleted in July 201534.The data item is not applicable51.The data item is not applicable1.The data item is not applicable.The data item is not applicable14
GwyneddOne record from April 2014 deleted in July 2015; minor amendments made to data for June, July and August 2014 in July 20153434.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 applicable14
ConwyMinor amendment to data for October 2014 made in July 201523121.The data item is not applicable.The data item is not applicable.The data item is not applicable110
DenbighshireMinor amendments to data for July and October 2014 made in July 2015; one record from September 2015 deleted in July 2016; minor amendments to data for April, October and December 2015 and March 2016 made in July 2016; onerecord from July 2016 amended in August 201633221.The data item is not applicable12115
FlintshireMinor amendment to data for September 2013 made in October 201413311.The data item is not applicable21.The data item is not applicable12
WrexhamMinor amendments to data for August 2013 to January 2014 made in October 2014; minor amendment to data for July 2014 made in July 2015; one record from April 2015 amended and one from June 2015 deleted in January 2016; one record from February 2016 amended in May 2016; one record from July 2016 amended in August 201681221.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable14
Powys14118.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 applicable24
CeredigionFollowing further validation, one record from May 2016 amended in July 201663.The data item is not applicable2.The data item is not applicable.The data item is not applicable1.The data item is not applicable113
Pembrokeshire206.The data item is not applicable3.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable130
CarmarthenshireFollowing further validation, two records from March 2016 amended in May 2016125.The data item is not applicable3.The data item is not applicable.The data item is not applicable1.The data item is not applicable.The data item is not applicable21
Swansea2213431.The data item is not applicable1.The data item is not applicable.The data item is not applicable44
Neath Port Talbot167565.The data item is not applicable.The data item is not applicable.The data item is not applicable241
BridgendFrom 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.51461.The data item is not applicable3.The data item is not applicable121
Vale of GlamorganMinor amendments to data for August 2013 and for November 2013 to January 2014 made in October 2014; two records from May 2014 deleted in May 2015.8.The data item is not applicable22.The data item is not applicable.The data item is not applicable1.The data item is not applicable215
Cardiff72211.The data item is not applicable.The data item is not applicable.The data item is not applicable417
Rhondda Cynon TaffMinor amendment to data for November 2013 to January 2014 made in October 2014344239.The data item is not applicable.The data item is not applicable.The data item is not applicable456
Merthyr Tydfil4.The data item is not applicable2.The data item is not applicable1.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable7
Caerphilly1172.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable2123
Blaenau Gwent1.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable1.The data item is not applicable.The data item is not applicable.The data item is not applicable2
TorfaenMinor amendments to data for February 2015 made in April 201543.The data item is not applicable.The data item is not applicable1.The data item is not applicable2.The data item is not applicable111
Monmouthshire123512.The data item is not applicable1.The data item is not applicable226
Newport61112.The data item is not applicable2.The data item is not applicable215

Metadata

Title

Delay reason by LAA

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 authorities

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

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

March 2004 onwards

Users, uses and context

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

Revisions information

Two records have been amended to show the correct age of patients in November 2019, following data amendments from health boards.

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.

Keywords

Delayed Transfers of Care