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Welsh Government
Data Provider: Welsh Government National Statistics Delay reason by LHB Provider

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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[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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[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. [Filter]
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[Collapse]AreaNote that because all current LHBs were re-organised from October 2009, a new time series has been started. Figures for the old Trusts are not shown.[Filter]
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[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]All Health Boards and Trusts20276415628116523448
All Health Boards and TrustsBetsi Cadwaladr University HBFollowing further validation, one record from April 2015 amended and one from June 2015 deleted in January 2016201911175.The data item is not applicable43281
Powys Teaching HB12.The data item is not applicable18.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 applicable21
Hywel Dda HBMinor amendments to data for February 2015 made in April 2015391318.The data item is not applicable.The data item is not applicable2.The data item is not applicable265
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.3622897.The data item is not applicable1.The data item is not applicable285
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.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.489991013.The data item is not applicable594
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.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 HB359825.The data item is not applicable52672
Cardiff and Vale University HB124331.The data item is not applicable1.The data item is not applicable630
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.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 reason 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

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.

Keywords

Delayed Transfers of Care

Statistical quality

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