Press release

Statistical press notice: Monthly critical care beds, cancelled urgent operations and delayed transfers of care data, England – July 2012

This news article was published under the 2010 to 2015 Conservative and Liberal Democrat coalition government

The main findings for July 2012 were: Critical Care Beds   There were 3,719 adult critical care beds available with 3,017 occupied, giving…

The main findings for July 2012 were:

Critical Care Beds

 

  • There were 3,719 adult critical care beds available with 3,017 occupied, giving an occupancy rate of 81.1%. This is lower than the occupancy rates observed in the past six months but is slightly higher than July 2011, where the figure was 79.5%
  • There were 409 paediatric critical care beds available and 309 occupied, giving an occupancy rate of 75.6%. This is higher than July 2011, where the figure was 70.7%, but lower than rates seen over winter, where Paediatric critical care occupancy rates are usually higher.
  • There were 1,368 neo-natal critical care beds available and 985 occupied, giving an occupancy rate of 72.0%. This is higher than July 2011, where the figure was 70.4%. Neo-natal critical care occupancy rates have been fairly stable over the past year, ranging between 70.4% and 76.4%.

Table 1 shows Critical Care Bed Occupancy rates since August 2010.

Details of critical care data for individual organisations

Cancelled Urgent Operations

 

  • The number of urgent operations cancelled was 320, which compares to 273 in June 2012 and 203 in July 2011. Cancelled urgent operations have ranged between 254 and 365 in the past 6 months.

Table 2 shows information on urgent operations cancelled from August 2010 to July 2012.

Details of cancelled urgent operations data for individual organisations

 

Data on cancelled elective operations

Delayed Transfers of Care

 

  • There were 4,042 patients delayed atmidnighton the last Thursday of the month, of which 2,398 were acute patients.
  • There were 117,476 total delayed days during the month, of which 69,959 were acute. 66% of all delays were attributable to the NHS, 27% were attributable to Social Care and 7% where both agencies were responsible.
  • The main reason for NHS delays was “patients awaiting further non-acute NHS care”, this accounted for 31% of all NHS delays. The main reason for Social Care delays was “patients awaiting a residential home placement or availability”, this accounted for 27% 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”.
  • The distribution of delays between the reasons for DTOC remains broadly similar compared to a year ago (July 2011). However, there has been an increase in delays caused by patients waiting for further non-acute NHS care and delays caused by patient or family choice (3,496 and 2,115 more delayed days respectively).
  • There has also been a slight decrease (one percentage point reduction in the share of delays) for delays caused by patients waiting for the completion of assessment, public funding, a residential home placement or availability and care package in their own home.

Table 2 shows information on delayed transfers of care from August 2010 to July 2012. Table 3 shows the number of delayed transfers of care by type of care, reason for delay and responsible organisation for July 2012.

Details of delayed transfers of care data for individual organisations

Table 1 - Critical Care Bed Occupancy Rates - August 2010 to July 2012

Month

 

    Adult Critical Care  Paediatric Critical Care ** **  Neonatal Critical Care

  Open **Occupied      **

 

**   **

     %

 

  Open Occupied    % Open Occupied    %

Aug-10

3,346

2,699

80.7%

370

258

69.7%

1,173

826

70.4%

Sep-10

3,453

2,903

84.1%

361

247

68.4%

1,217

848

69.7%

Oct-10

3,489

2,938

84.2%

372

278

74.7%

1,198

853

71.2%

Nov-10

3,515

3,025

86.1%

371

297

80.1%

1,257

932

74.1%

Dec-10

3,525

3,081

87.4%

393

335

85.2%

1,249

941

75.3%

Jan-11

3,550

3,008

84.7%

396

317

80.1%

1,251

911

72.8%

Feb-11

3,677

3,033

82.5%

393

303

77.1%

1,251

924

73.9%

Mar-11

3,679

3,065

83.3%

401

303

75.6%

1,273

882

69.3%

Apr-11

3,707

2,901

78.3%

393

274

69.7%

1,283

980

76.4%

May-11

3,706

3,053

82.4%

398

280

70.4%

1,286

976

75.9%

Jun-11

3,683

2,980

80.9%

402

292

72.6%

1,267

940

74.2%

Jul-11

3,706

2,947

79.5%

392

277

70.7%

1,281

902

70.4%

Aug-11

3,704

2,953

79.7%

396

265

66.9%

1,269

917

72.3%

Sep-11

3,718

3,042

81.8%

409

314

76.8%

1,277

924

72.4%

Oct-11

3,728

3,046

81.7%

396

307

77.5%

1,289

984

76.3%

 

Nov-11

3,702

3,121

84.3%

393

334

85.0%

1,295

988

76.3%

Dec-11

3,696

2,961

80.1%

393

335

85.2%

1,295

953

73.6%

Jan-12

3,733

3,154

84.5%

402

320

79.6%

1,291

935

72.4%

Feb-12

3,744

3,198

85.4%

405

336

83.0%

1,301

946

72.7%

Mar-12

3,738

3,193

85.4%

404

340

84.2%

1,313

985

75.0%

Apr-12

3,729

3,137

84.1%

407

309

75.9%

1,319

971

73.6%

May-12

3,722

3,189

85.7%

402

301

74.9%

1,319

1,008

76.4%

Jun-12

3,727

3,046

81.7%

395

316

80.0%

1,380

1,026

74.3%

Jul-12

3,719

3,017

81.1%

409

309

75.6%

1,368

985

72.0%

 

Notes:

  1. 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. Before February 2011, data on Critical Care beds were published bi-annually in a separate collection. Therefore, Critical Care data published until January should be treated with a degree of caution.

Table 2 - Cancelled Operations and Delayed Transfers of Care - August 2010 to July 2012

Month

Urgent Operations Cancelled

Delayed Transfers of Care

Patients Delayed

Total Days Delayed

August 2010

172

4,940

109,918

September 2010

185

5,004

115,855

October 2010

173

4,588

113,246

November 2010

211

4,409

113,091

December 2010

322

3,861

116,466

January 2011

222

4,597

114,346

February 2011

248

4,404

112,386

March 2011

237

4,170

123,130

April 2011

219

3,910

108,064

May 2011

205

4,056

113,364

June 2011

251

4,137

117,075

July 2011

203

4,228

115,517

August 2011

254

4,144

117,297

September 2011

310

4,165

117,194

October 2011

301

4,150

116,878

November 2011

419

4,165

114,705

December 2011

389

3,617

112,096

January 2012

322

4,147

111,962

February 2012

352

4,065

109,484

March 2012

282

4,035

119,416

April 2012

254

3,980

108,120

May 2012

365

3,874

119,015

June 2012

273

4,085

110,112

July 2012

320

4,042

117,476

 

Notes:

  1. A change from weekly to monthly data in Aug-10 led to data quality issues with the first few months of delayed transfers of care data in the monthly collection.
  2. Information on the numbers of people delayed on the last Thursday of the reporting period and the total number of Delayed Days are not directly comparable because the first is a ‘snapshot’ and the second a cumulative total.

Table 3 - Delayed Transfers of Care by Type of Care, Reason for Delay and Responsible Organisation - July 2012

 

Type of Care

Reason For Delay

Patients Delayed

Total Days Delayed

NHS

Social Care

Both

NHS

Social Care

Both

Acute A) Awaiting completion of assessment

312

101

100

9,415

3,192

2,412

B) Awaiting public funding

54

14

1

1,576

418

61

C) Awaiting further non-acute (including PCT and mental health) NHS care (including intermediate care, rehabilitation services etc)

668

NA

NA

20,042

NA

NA

Dii) Awaiting nursing home placement or availability

124

80

17

3,480

2,282

577

Di) Awaiting residential home placement or availability

72

80

NA

1,949

2,489

NA

E) Awaiting care package in own home

95

99

31

2,790

3,240

690

F) Awaiting community equipment and adaptations

71

3

9

2,072

112

254

G) Patient or family choice

361

27

NA

10,204

490

NA

H) Disputes

40

5

NA

940

149

NA

I) Housing - patients not covered by NHS and Community Care Act

34

NA

NA

1,125

NA

NA

Non-Acute A) Awaiting completion of assessment

113

108

53

2,862

2,902

1,476

B) Awaiting public funding

36

63

22

1,023

2,043

697

C) Awaiting further non-acute (including PCT and mental health) NHS care (including intermediate care, rehabilitation services etc)

120

NA

NA

3,582

NA

NA

Dii) Awaiting nursing home placement or availability

70

99

34

2,046

3,089

1,093

Di) Awaiting residential home placement or availability

90

214

NA

2,730

6,220

NA

E) Awaiting care package in own home

52

107

26

1,205

3,309

851

F) Awaiting community equipment and adaptations

25

6

4

976

266

108

G) Patient or family choice

205

50

NA

5,274

1,456

NA

H) Disputes

15

13

NA

551

254

NA

I) Housing - patients not covered by NHS and Community Care Act

119

NA

NA

3,504

NA

NA

 

Notes:

  1. NA means the combination of reason and responsible organisation is not permitted.
  2. Information on the numbers of people delayed on the last Thursday of the reporting period and the total number of Delayed Days are not directly comparable because the first is a ‘snapshot’ and the second a cumulative total.

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 DH website.

Data on the number of patients with a delayed transfers of care is a monthly snapshot taken atmidnighton 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.

6.      **Revisions**

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.

All data in this publication was last revised in April 2012.

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: unify2@dh.gsi.gov.uk

Additional Information

For press enquiries, please visit the Department of Health website to find contact details for the relevant press officer.

The Government Statistical Service (GSS) statistician responsible for producing these data is:
Mark Svenson
Knowledge and Intelligence
Department of Health
Room 4E63, Quarry House, Quarry Hill, Leeds LS2 7UE
For data queries, email: unify2@dh.gsi.gov.uk