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Welsh Government
Data Provider: Welsh Government National Statistics Delay stage 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]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]
Area code[Filter]
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[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. [Filter]
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Stage of Delay 1
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[Collapse]Local Authority 1
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Local Authority 2
[Collapse]TotalClick here to sortTotal
Click here to sortWaiting for assessment or move within the NHSClick here to sortWaiting to leave hospitalClick here to sortNext stage not known
[Collapse]Total - All Areas2039038448
Total - All Areas[Collapse]Area unknown or outside WalesNon-Welsh and unknown residenceArea unknown or outside WalesNon-Welsh and unknown residence12.The data item is not applicable3
[Collapse]All Welsh Local AuthoritiesWelsh residents only1938838445
All Welsh Local AuthoritiesWelsh residents onlyIsle of AngleseyOne record from May 2014 and two from October 2014 deleted in July 201519414
GwyneddOne record from April 2014 deleted in July 2015; minor amendments made to data for June, July and August 2014 in July 2015112114
ConwyMinor amendment to data for October 2014 made in July 201537.The data item is not applicable10
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.The data item is not applicable13215
FlintshireMinor amendment to data for September 2013 made in October 201419212
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 amende113.The data item is not applicable14
Powys123.The data item is not applicable24
CeredigionFollowing further validation, one record from May 2016 amended in July 2016111113
Pembrokeshire.The data item is not applicable30.The data item is not applicable30
CarmarthenshireFollowing further validation, two records from March 2016 amended in May 2016119121
Swansea142144
Neath Port Talbot.The data item is not applicable36541
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 weblink117321
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..The data item is not applicable14115
Cardiff116.The data item is not applicable17
Rhondda Cynon TaffMinor amendment to data for November 2013 to January 2014 made in October 2014.The data item is not applicable49756
Merthyr Tydfil.The data item is not applicable617
Caerphilly417223
Blaenau Gwent.The data item is not applicable112
TorfaenMinor amendments to data for February 2015 made in April 201517311
Monmouthshire125.The data item is not applicable26
Newport.The data item is not applicable12315

Metadata

Title

Delay stage 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

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