NHS Continuing Care (Hansard, 11 January 2001)

§ Mr. Chidgey
To ask the Secretary of State for Health, pursuant to his answer of 19 December 2000,Official Report, column 148W, how many patients were released by the Southampton and South West Hampshire health authority from NHS hospital care in their area to nursing or residential home care under the supervision of social services in each month from August 1998 to November 2000, inclusive. [144496]

§ Mr. Hutton
Figures showing the destination of discharge for patients resident in the Southampton and South West Hampshire health authority are for 1998–99 (latest data available) and appear in the table.
599W

Discharge destination November December January February March Total

88 Non-NHS (other than Local Authority) run Hospice 4 1 1 2 5 26

89 Non-NHS institution (old coding) 25 30 37 37 37 414

Not applicable (ie not discharged) 0 1 0 0 0 2

Not known: a validation error 56 33 49 44 51 588

Total 12,186 9,775 10,086 9,991 11,712 122,091

Note:
Figures in this table have not yet been adjusted for shortfalls in data.
Source:
Hospital Episode Statistics (HES) Department of Health

§ Mr. Chidgey
To ask the Secretary of State for Health, pursuant to his answer of 19 December 2000,Official Report, column 148W, how many patients were deemed by the Southampton and South West Hampshire health authority to be ready for release from hospital care in their area to residential or nursing home care under the supervision of social services and had continued to occupy a hospital bed for more than two weeks from the date they were deemed eligible for release in each month from August 1998 to November 2000, inclusive. [144497]

§ Mr. Hutton
Quarterly information for Southampton and South West Hampshire health authority on discharge delayed while awaiting social service department funding for a residential/nursing home package or awaiting a nursing/residential home placement is in the table. Information on the length of time the discharge was delayed is not available centrally.

Total number of patients resident in Southampton and South West Hampshire health authority aged 75 and over ready for discharge but still occupying an acute hospital bed

Reason for delayed discharge¹

Awaiting SSD funding to residential/nursing home package Awaiting nursing/residential home placement

1998–99

April-June 4 30

July-September 17 32

October-December 11 33

January-March 11 24

April-June ²— ²—

1999–2000

July-September 25 20

October-December 17 35

January-March 22 27

2000–01

April-June 21 27

July-September 29 34

¹ CIC guidance defines Delayed Discharges as: Total number of patients aged 75 and over ready for discharge from an acute bed but still occupying an acute bed in a hospital (ie no longer needing acute clinical interventions), excluding those under the care of a psychiatric consultant and learning disabilities, because of the following principal reason:

awaiting assessment—assessment in progress, no care plan agreed. awaiting SSD funding to residential/nursing home package—assessment completed but awaiting SSD funding.

awaiting transfer to non-acute NHS care other than in an acute bed in hospital (e.g. rehab or continuing care)—assessment completed but awaiting transfer to NHS funded non-acute bed in hospital, nursing, residential care or group home.

awaiting nursing/residential care home placement—care plan agreed but patient awaiting placement in a non-NHS-funded nursing home or residential care home—perhaps waiting for a place in a home of their choosing under the direction on choice.

600W

awaiting domiciliary package—care plan agreed but awaiting services to be put in place to facilitate discharge.

other reason

² Data not available due to a data quality problem

Source:
Common Information Core (CIC) Quarterly Monitoring returns. CIC information is currently collected quarterly (at HA level) by survey. The figures are therefore based on an in quarter 'snapshot' of activity. Data has been 'cleaned' for inappropriate rates and null returns

Discharge destination	November	December	January	February	March	Total
88 Non-NHS (other than Local Authority) run Hospice	4	1	1	2	5	26
89 Non-NHS institution (old coding)	25	30	37	37	37	414
Not applicable (ie not discharged)	0	1	0	0	0	2
Not known: a validation error	56	33	49	44	51	588
Total	12,186	9,775	10,086	9,991	11,712	122,091

Total number of patients resident in Southampton and South West Hampshire health authority aged 75 and over ready for discharge but still occupying an acute hospital bed
	Reason for delayed discharge¹
	Awaiting SSD funding to residential/nursing home package	Awaiting nursing/residential home placement
1998–99
April-June	4	30
July-September	17	32
October-December	11	33
January-March	11	24
April-June	²—	²—
1999–2000
July-September	25	20
October-December	17	35
January-March	22	27
2000–01
April-June	21	27
July-September	29	34
¹ CIC guidance defines Delayed Discharges as: Total number of patients aged 75 and over ready for discharge from an acute bed but still occupying an acute bed in a hospital (ie no longer needing acute clinical interventions), excluding those under the care of a psychiatric consultant and learning disabilities, because of the following principal reason:
awaiting assessment—assessment in progress, no care plan agreed. awaiting SSD funding to residential/nursing home package—assessment completed but awaiting SSD funding.
awaiting transfer to non-acute NHS care other than in an acute bed in hospital (e.g. rehab or continuing care)—assessment completed but awaiting transfer to NHS funded non-acute bed in hospital, nursing, residential care or group home.
awaiting nursing/residential care home placement—care plan agreed but patient awaiting placement in a non-NHS-funded nursing home or residential care home—perhaps waiting for a place in a home of their choosing under the direction on choice.