The main findings for December 2012 were:
Critical Care Beds
- There were 3,758 adult critical care beds available with 3,067 occupied, giving an occupancy rate of 81.6%. This is the lowest occupancy rate observed this winter, but higher than December 2011 were the figure was 80.1%.
- There were 426 paediatric critical care beds available and 326 occupied, giving an occupancy rate of 76.5%. This is lower than occupancy rates observed so far this winter and lower than December 2011 were the figure was 85.2%.
- There were 1,376 neo-natal critical care beds available and 951 occupied, giving an occupancy rate of 69.1%. This is the lowest occupancy rate observed since publication started in August 2010, where previously figures had ranged between 69.3% and 76.4%.
Table 1 shows Critical Care Bed Occupancy rates since August 2010.
Details of critical care data for individual organisations are available on the Department of Health website.
Cancelled Urgent Operations
- The number of urgent operations cancelled was 220, which compares to 318 in November 2012 and 389 in December 2011. This is the lowest number observed in the past 12 months, were previously figures ranged from 229 to 389.
Table 2 shows information on urgent operations cancelled from August 2010 to December 2012.
Details of cancelled urgent operations data for individual organisations are available on the Department of Health website.
In addition, data on cancelled elective operations can be found on the Department of Health website.
Delayed Transfers of Care
- There were 3,449 patients delayed at midnight on the last Thursday of the month, of which 2,040 were acute patients.
- There were 107,631 total delayed days during the month, of which 63,743 were acute. 66.9% of all delays were attributable to the NHS, 26.6% were attributable to Social Care and 6.5%, where both agencies were responsible.
- The main reason for NHS delays was “patients awaiting further non-acute NHS care”, this accounted for 29% of all NHS delays. The main reason for Social Care delays was “patients awaiting a residential home placement or availability”, this accounted for 30% of all Social Care delays. Where both the NHS and Social Care are attributable, the major reason for delay was “patients awaiting completion of assessment”.
- This distribution of delays against responsible organisation has been gradually changing over the last year. Delays attributable to Social Care have decreased by 4,624 days since December 2011 and now account for 26.6% of all delayed days, compared to 29.7% in December 2011.
Table 2 shows information on delayed transfers of care from August 2010 to December 2012. Table 3 shows the number of delayed transfers of care by type of care, reason for delay and responsible organisation for December 2012.
Details of delayed transfers of care data for individual organisations are available on the Department of Health website.**
Statistical Notes to Editors
1. **Critical Care data**
Data relating to the number of available and occupied critical care beds is a monthly snapshot taken at midnight on the last Thursday of each month and can fluctuate from month to month.
2. **Delayed Transfers of Care data**
A delayed transfer of care occurs when a patient is medically fit for discharge from acute or non-acute care and is still occupying a bed. For a more detailed definition please read the guidance on the Department of Health website.
Data on the number of patients with a delayed transfers of care is a monthly snapshot taken at midnight on the last Thursday of each month and can fluctuate from month to month. Data on the number of delayed days is a cumulative figure for the month and therefore, the two are not comparable.
Data on delayed transfers of care is collected from providers of NHS funded care and is split by:
- Local Authority that is responsible for each patient delayed
- Agency responsible for delay (NHS, Social Services or both)
- Type of care that the patient receives (acute or non-acute)
- Reason for delay
A detailed breakdown of the data can be found on the Department of Health website in CSV format.
3. **Trust and Local Authority level data **
Delayed transfers of care data covers NHS patients in English Hospitals, who may or may not reside in England and is published on both a trust and Local Authority basis.
Trust level reflects data at organisation level for those organisations that provide NHS funded care, for example acute Trusts, community providers, mental health trusts and Social Enterprise organisations.
Local Authority data reflects data on a regional population basis, i.e. Councils with Adult Social Services Responsibility (CASSRs) that are responsible for all patients who reside in their region.
4. **Data Quality**
Monthly SitReps data has been collected and published since August 2010. Prior to August 2010, data was collected weekly and was un-validated management information.
Delayed transfers of care data published during the early months of the collection from August 2010 to October 2010 should be treated with a degree of caution as a change from a weekly to a monthly data collection led to data quality issues. Since October, there has been a significant improvement in the coverage and accuracy of this data.
Critical care data published until January should be treated with a degree of caution as data on Critical Care beds was published bi-annually in a separate collection until January 2011. Since February 2011, there has been a significant improvement in the coverage and accuracy of this data.
5. **Data Availability**
Monthly Sitreps data is published approximately 3 - 4 weeks after the end of the reference period.
Revisions to previous month’s data are made in line with the Department of Health’s revisions protocol for performance monitoring data. Future revisions will be made on a six monthly cycle. The revisions protocol can be found on the Department of Health website.
7. **Feedback Welcomed**
We welcome feedback on the content and presentation of Critical Care, Cancelled Operations and Delayed Transfers of Care statistics within this Statistical Press Notice and those published on the DH website. Please email any comments on this, or any other issues regarding the SitReps data and statistics, to: firstname.lastname@example.org
The Government Statistical Service (GSS) statistician responsible for producing these data is:
Knowledge and Intelligence
Department of Health
Room 4E63, Quarry House, Quarry Hill, Leeds LS2 7UE
For data queries, email: email@example.com
Dec 12 Monthly SitRep tables