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Welsh Government
Data Provider: Welsh Government Experimental Statistics Pathway of Care Delays by reason for delay and date

The data represent the number of adults occupying an NHS hospital bed, who were 'clinically optimised' ready to return home or move on to the next stage of care, that experienced a delay in their transfer of more than 48 hours beyond the point they were clinically optimised. 'Next stage of care' refers to all destinations outside of NHS hospitals. The figures are a census snapshot of current delays being experienced at the third Wednesday of each month across Wales. They do not reflect the total number of delays that occurred over the month.

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[Collapse]Local authority of residence[Filtered]
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Local authority of residence 1[Filter]
[Collapse]Local health board provider[Filtered]
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Local health board provider 1[Filter]
Measure1
Date[Filter]
[Collapse]Reason for delay[Filter]
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[Collapse]Reason for delay 1
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Reason for delay 2
Click here to sortApril 2023Click here to sortMay 2023Click here to sortJune 2023Click here to sortJuly 2023Click here to sortAugust 2023Click here to sortSeptember 2023Click here to sortOctober 2023Click here to sortNovember 2023Click here to sortDecember 2023Click here to sortJanuary 2024Click here to sortFebruary 2024Click here to sortMarch 2024Click here to sortApril 2024Click here to sortMay 2024Click here to sortJune 2024Click here to sortJuly 2024Click here to sortAugust 2024Click here to sortSeptember 2024
[Collapse]Total1,7501,5261,6251,5701,5521,5981,5511,5671,3611,5481,6391,6611,7121,6261,6521,5411,6191,596
Total[Collapse]Assessment Issues855713716638616622552618486658741755754691676618677638
Assessment IssuesAwaiting Social worker allocation2161751621111141026788619513913213078104999498
Awaiting completion of assessment by social care248202203224193206187232164234257292231237228209251208
Awaiting completion of assessment NursingBefore April 2024, this category also included AHP, Medical, and Pharmacy. From April 2024, these are now reported separately.212185220174161182140144129161169166136103961049298
Awaiting Continuing Healthcare (CHC) Assessment364333284627282435242830234232254839
Awaiting joint assessment143107989910210513013097143148134168164153127134136
Assessment through the language of choice.The data item is not applicable1.The data item is not applicable2.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 applicable1.The data item is not applicable12.The data item is not applicable.The data item is not applicable.The data item is not applicable1.The data item is not applicable
Awaiting completion of assessment AHP.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.The data item is not applicable.The data item is not applicable525947374347
Awaiting completion of assessment Medical.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.The data item is not applicable.The data item is not applicable225434
Awaiting completion of assessment Pharmacy.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.The data item is not applicable.The data item is not applicable.The data item is not applicable22221
Awaiting completion of assessment Psychiatry.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.The data item is not applicable.The data item is not applicable10491197
[Collapse]Transfer related issues454633357440425350517447413755573838
Transfer related issuesAwaiting transfer to intermediate care bedded facility373719306129324441436536343348523535
Awaiting community based health provision D/N CPN56312232343132.The data item is not applicable1.The data item is not applicable.The data item is not applicable
Awaiting integrated health /social care community provision3310468555467424311
Awaiting hospital arranged transport.The data item is not applicable.The data item is not applicable1.The data item is not applicable51221.The data item is not applicable.The data item is not applicable3.The data item is not applicable.The data item is not applicable3122
[Collapse]Funding issues364050403639372541364352353246322742
Funding issuesAwaiting funding decision81920171291213111713161012139815
Awaiting funding decision FNC/CHC19152517222517923122528221628201723
Awaiting joint funding decision965625837758345324
[Collapse]Home adaptation/equipment issues412927424364523028423845463631394238
Home adaptation/equipment issuesAwaiting health completion of assessment/provision for equipment231814252436301818282332252618262822
Awaiting social care completion of assessment/provision for equipment755679865685535354
Awaiting completion of adaptations (DFG's)836441311225441015656
Awaiting provision of telecare and /or telehealth equipment112233.The data item is not applicable23122562.The data item is not applicable32
Awaiting provision of medicines management dispensing equipment/support22.The data item is not applicable55332.The data item is not applicable2121.The data item is not applicable1414
[Collapse]Home care related issues192176185192202185211190175168147187188190202162180187
Home care related issuesAwaiting start of new home care package179163175178178165202179160154132168174181192157163171
Awaiting restart of previous home care package1010761912551389987831213
Awaiting Domiciliary care package self-funding333442232124112.The data item is not applicable31
Awaiting CHC new package of care.The data item is not applicable.The data item is not applicable.The data item is not applicable41623.The data item is not applicable54651.The data item is not applicable222
[Collapse]Step down to recover and assess8761637062646768656270601076983848980
Step down to recover and assessAwaiting reablement care package744757595158555752575044825769736958
Awaiting Community Resource capacity131461111612111352016251214112022
[Collapse]Disagreements /Legislation99981351179211311914011897104108123139145132136144
Disagreements /LegislationPatient / family choice related issues282936352518263622121521142430213622
Patient/ family dispute CHC outcome1.The data item is not applicable.The data item is not applicable311253313413222
Patient / family refusing to participate in financial assessment.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 applicable11.The data item is not applicable123.The data item is not applicable11.The data item is not applicable12
Patient / family refusing to move to next stage of care/ discharge192429212133323015112626393336352741
Disputes between agencies468545341144101249446
Intervention by patient's legal representation.The data item is not applicable14141244442164753
Mental Capacity.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 applicable4241463433284335382641
Safeguarding issues impacting discharge arrangements156106433610481975356
Court of Protection delays.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 applicable121212109162022223021
Mental Capacity / Court of Protection delays32314846335250.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.The data item is not applicable
[Collapse]Care Home placement arrangements342306348369358413416393352376346343351371350337359357
Care Home placement arrangementsAwaiting completion of arrangements prior to placement797571745964657160655748546869415953
Awaiting Residential care home manager to visit and assess (Standard 3 residential)241619263750293828374122282519322726
Awaiting Nursing care home manager to visit and assess (Standard 3 residential)413239403546413524373427312822243236
Awaiting nursing/residential home self-funding84151320171698192219191617201719
Awaiting RH availability635376735577755046474673637056617466
Awaiting NH availability595445485852596753554233384745534951
Awaiting EMI residential availability292733383342454050423842433749323734
Awaiting EMI nursing availability282633414141484953463236394340483232
Awaiting specialist bed availability8121081214211916171823192121111721
Awaiting return to existing care home placement1.The data item is not applicable1.The data item is not applicable12536.The data item is not applicable23221433
Awaiting extra care/supported living availability27687812128111417151411111216
[Collapse]NHS Bed related issues161616181110131117212317201319181019
NHS Bed related issuesAwaiting Mental Health bed1089963668111010879958
Awaiting palliative care specialist bed311112.The data item is not applicable2212.The data item is not applicable11.The data item is not applicable.The data item is not applicable.The data item is not applicable.The data item is not applicable
Awaiting palliative care POC.The data item is not applicable112123.The data item is not applicable12312.The data item is not applicable3223
Awaiting palliative care home222212.The data item is not applicable22111613314
Awaiting Learning Disability bed133321414445344421
Awaiting acute bed.The data item is not applicable1.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 applicable23.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 applicable3
[Collapse]Housing Related Issues374152495848423929375347474845626153
Housing Related IssuesHomeless12111818241719221616159152014161515
No suitable abode253034313431231713213838322831464638

Metadata

Title

Pathway of Care Delays

Last update

24/10/2024 24/10/2024

Next update

21/11/2024

Publishing organisation

Welsh Government

Source 1

Pathways of Care Delays, NHS Delivery Unit

Contact email

stats.healthinfo@gov.wales

Designation

Experimental statistics

Lowest level of geographical disaggregation

Local authorities

Geographical coverage

Local health boards

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

A delayed discharge occurs when a patient who is clinically ready for discharge cannot leave hospital because the necessary ongoing care and support or suitable accommodation for them is not yet accessible.
The data represent the number of adults occupying an NHS hospital bed, who were 'clinically optimised' ready to return home or move on to the next stage of care, that experienced a delay in their transfer of more than 48 hours beyond the point they were clinically optimised. 'Next stage of care' refers to all destinations outside of NHS hospitals.
The figures are a census snapshot of current delays being experienced on a specific day in each month across Wales. They do not reflect the total number of delays that occurred over the month.
The data are used to monitor the number of delays, and the reasons for delays, assisting NHS and Local Authority partners to develop regional plans with a focus on outcome based actions to reduce discharge delays across the health system.

Data collection and calculation

Data are provided by Local Health Boards and validated jointly with Local Authority partners.
The Pathway of Care Delays is a snapshot census that identifies people with a discharge delay and reason at a given point each month. Health Boards are required to extract the data from local systems on a census day in each month, and validate the delays with Local Authority partners. Subsequently, data records are entered via a web-based tool and submitted to NHS Wales.


Frequency of publication

Monthly

Data reference periods

April 2023 onwards

Revisions information

Data are subject to revision

Keywords

Discharge Discharges

Statistical quality

Data are provided by Local Health Boards and validated jointly with Local Authority partners.
The Pathway of Care Delays is a snapshot census that identifies people with a discharge delay and reason at a given point each month. Health Boards are required to extract the data from local systems on a census day in each month, and validate the delays with Local Authority partners. Subsequently, data records are entered via a web-based tool and submitted to NHS Wales.
At the start of the COVID-19 pandemic, the Welsh Government suspended delayed transfers of care (DTOC) reporting requirements, along with many other datasets. The Welsh Government introduced the COVID-19 Discharge Requirements, which included an updated discharge process with increased focus on rehabilitation and reablement to improve patient flow and support better outcomes. From July 2020, delayed discharge data were collected as management information on a weekly basis. These data were not formally validated.
Subsequently a formal replacement, Pathways of Care Delays (POCD) has been developed and tested to replace DTOC. This system has now been rolled out across all Local Health Boards & Local Authorities and the first fully validated and quality assured data are available from april 2023.
Welsh Government discharge guidance (COVID-19 Discharge Requirements) sets out the default approach to hospital discharges – the Discharge to Recover then Assess (D2RA) pathways (or 'recovery pathways').
The D2RA approach is based on evidence of better outcomes for people who transfer as soon as possible to their usual residence or other suitable care setting for rehabilitation or reablement prior to assessments for longer term care. A D2RA pathway (or recovery pathway) could be in a person’s own home, in a community hospital or in an alternative step-down setting.