Delays by organisation and percent of NHS beds

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

Area code

Measure1

Facility

Patients delayed in mental health and non mental health facilities. Non mental health facilities include acute and community hospitals, rehabilitation centres and other facilities.

Facility 1

LHB or Trust Note 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.

Note 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.

LHB or Trust 1

All facilities

All facilities

Mental Health only

Excluding Mental Health

All Health Boards and Trusts

4.5

4.2

All Health Boards and Trusts

Betsi Cadwaladr University HB Following further validation, one record from April 2015 amended and one from June 2015 deleted in January 2016

6.9

3.2

3.6

Powys Teaching HB

2.5

11.5

9.8

Hywel Dda HB Minor amendments to data for February 2015 made in April 2015

15.1

4.4

5.4

Swansea Bay University Health Board

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.

7.9

5.3

5.6

Abertawe Bro Morgannwg University HB

Cwm Taf Morgannwg University Health Board

1.7

5.9

5.1

Cwm Taf HB

Aneurin Bevan HB

0.0

4.5

4.1

Cardiff and Vale University HB

2.5

1.6

1.7

Velindre NHS Trust Data for January 2012 revised in October 2012; Data not available for October 2014.

0.0

Metadata

Summary information
High level information
Weblinks
Keywords
Statistical quality information
Open Data

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.

Some of the percentages in this table may have changed compared with the previously published version. This is because we have updated the beds data used to calculate the percentages.

Previously all figures were calculated using bed data up to the 2013-14 financial year. We have now calculated the percentages using data from the same financial year for both beds and delayed transfers of care (for example, to calculate the percentages in 2015-16, the beds data is also taken from 2015-16).

This has a small impact on the data. For example, in November and December 2016 the Wales figure increased by 0.1% percentage points compared to the percentages previously published.

Title

Delays by NHS organisation by per cent of NHS beds

Last update

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

Weblinks

https://gov.wales/delayed-transfers-care
https://gov.wales/hospital-discharge-service-requirements-covid-19

https://cwmtaf.wales/welsh-government-announce-decision-on-bridgend-boundary-change/
https://gov.wales/written-statement-health-board-boundary-bridgend-associated-planning

Keywords

Delayed Transfers of Care

Statistical quality

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

Name

Hlth0812