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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 2024Click here to sortOctober 2024
[Collapse]Total1,7501,5261,6251,5701,5521,5981,5511,5671,3611,5481,6391,6611,7121,6261,6521,5411,6191,5961,546
Total[Collapse]Assessment Issues855713716638616622552618486658741755754691676618677638586
Assessment IssuesAwaiting Social worker allocation216175162111114102678861951391321307810499949858
Awaiting completion of assessment by social care248202203224193206187232164234257292231237228209251208209
Awaiting completion of assessment NursingBefore April 2024, this category also included AHP, Medical, and Pharmacy. From April 2024, these are now reported separately.212185220174161182140144129161169166136103961049298101
Awaiting Continuing Healthcare (CHC) Assessment36433328462728243524283023423225483947
Awaiting joint assessment143107989910210513013097143148134168164153127134136128
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.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 applicable52594737434730
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 applicable2254344
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.The data item is not applicable
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 applicable104911979
[Collapse]Transfer related issues45463335744042535051744741375557383841
Transfer related issuesAwaiting transfer to intermediate care bedded facility37371930612932444143653634334852353536
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 applicable1
Awaiting integrated health /social care community provision33104685554674243111
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 applicable31223
[Collapse]Funding issues36405040363937254136435235324632274254
Funding issuesAwaiting funding decision8192017129121311171316101213981521
Awaiting funding decision FNC/CHC1915251722251792312252822162820172327
Awaiting joint funding decision9656258377583453246
[Collapse]Home adaptation/equipment issues41292742436452302842384546363139423834
Home adaptation/equipment issuesAwaiting health completion of assessment/provision for equipment23181425243630181828233225261826282216
Awaiting social care completion of assessment/provision for equipment75567986568553535411
Awaiting completion of adaptations (DFG's)8364413112254410156563
Awaiting provision of telecare and /or telehealth equipment112233.The data item is not applicable23122562.The data item is not applicable322
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 applicable14142
[Collapse]Home care related issues192176185192202185211190175168147187188190202162180187201
Home care related issuesAwaiting start of new home care package179163175178178165202179160154132168174181192157163171187
Awaiting restart of previous home care package10107619125513899878312139
Awaiting Domiciliary care package self-funding333442232124112.The data item is not applicable312
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 applicable2223
[Collapse]Step down to recover and assess876163706264676865627060107698384898072
Step down to recover and assessAwaiting reablement care package74475759515855575257504482576973695851
Awaiting Community Resource capacity13146111161211135201625121411202221
[Collapse]Disagreements /Legislation99981351179211311914011897104108123139145132136144132
Disagreements /LegislationPatient / family choice related issues28293635251826362212152114243021362231
Patient/ family dispute CHC outcome1.The data item is not applicable.The data item is not applicable3112533134132223
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 applicable123
Patient / family refusing to move to next stage of care/ discharge19242921213332301511262639333635274118
Disputes between agencies4685453411441012494463
Intervention by patient's legal representation.The data item is not applicable141412444421647532
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 applicable424146343328433538264136
Safeguarding issues impacting discharge arrangements15610643361048197535610
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 applicable12121210916202222302126
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.The data item is not applicable
[Collapse]Care Home placement arrangements342306348369358413416393352376346343351371350337359357355
Care Home placement arrangementsAwaiting completion of arrangements prior to placement79757174596465716065574854686941595347
Awaiting Residential care home manager to visit and assess (Standard 3 residential)24161926375029382837412228251932272629
Awaiting Nursing care home manager to visit and assess (Standard 3 residential)41323940354641352437342731282224323628
Awaiting nursing/residential home self-funding8415132017169819221919161720171919
Awaiting RH availability63537673557775504647467363705661746656
Awaiting NH availability59544548585259675355423338474553495168
Awaiting EMI residential availability29273338334245405042384243374932373439
Awaiting EMI nursing availability28263341414148495346323639434048323240
Awaiting specialist bed availability812108121421191617182319212111172116
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.The data item is not applicable
Awaiting extra care/supported living availability2768781212811141715141111121613
[Collapse]NHS Bed related issues16161618111013111721231720131918101917
NHS Bed related issuesAwaiting Mental Health bed10899636681110108799589
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 applicable1
Awaiting palliative care POC.The data item is not applicable112123.The data item is not applicable12312.The data item is not applicable32233
Awaiting palliative care home222212.The data item is not applicable221116133142
Awaiting Learning Disability bed1333214144453444212
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.The data item is not applicable
[Collapse]Housing Related Issues37415249584842392937534747484562615354
Housing Related IssuesHomeless1211181824171922161615915201416151517
No suitable abode25303431343123171321383832283146463837

Metadata

Title

Pathway of Care Delays

Last update

21/11/2024 21/11/2024

Next update

19/12/2024

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.