Press release

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

The main findings for October 2012 were: Critical Care Beds   There were 3,731 adult critical care beds available with 3,083 occupied,…

The main findings for October 2012 were:

Critical Care Beds

 

  • There were 3,731 adult critical care beds available with 3,083 occupied, giving an occupancy rate of 82.6%. This is high compared to rates observed over the summer months and higher than October 2011 where the figure was 81.7%.
  • There were 410 paediatric critical care beds available and 320 occupied, giving an occupancy rate of 78.0%. This is high compared to rates observed over the summer months and higher than October 2011 where the figure was 77.5%.
  • There were 1,377 neo-natal critical care beds available and 963 occupied, giving an occupancy rate of 69.9%. This is the lowest occupancy rate observed in the past year, where the figures have ranged between 69.9% 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 DH website.

Cancelled Urgent Operations

 

  • The number of urgent operations cancelled was 301, which compares to 244 in September 2012 and 301 in October 2011. Cancelled urgent operations have ranged between 229 and 419 in the past 12 months.

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

Details of cancelled urgent operations data for individual organisations are available at DH website.

In addition, data on cancelled elective operations can be found on the DH website.  

Delayed Transfers of Care

 

  • There were 4,126 patients delayed atmidnighton the last Thursday of the month, of which 2,533 were acute patients.
  • There were 117,251 total delayed days during the month, of which 71,077 were acute. 66% of all delays were attributable to the NHS, 28% were attributable to Social Care and 6% where both agencies were responsible.
  • The main reason for NHS delays was “patients awaiting further non-acute NHS care”, this accounted for 30% of all NHS delays. The main reason for Social Care delays was “patients awaiting a residential home placement or availability”, this accounted for 26% 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 the NHS have increased by 4,401 days since October 2011 and now account for 66% of all delayed days, compared to 62% in October 2011.
  • The split between acute and non-acute delays is similar to recent months (61% and 39% of all delays, respectively), but the share of delays that are in acute care has risen 6 percentage points over the last year (from 55% in October 2011).
  • The distribution of delays between the reasons for DTOC remains broadly similar compared to a year ago (October 2011). However, there has been an increase in delays caused by patients awaiting completion of assessments and delays caused by patients waiting further non-acute NHS care (2,674 and 1,010 more delayed days respectively).

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

Details of delayed transfers of care data for individual organisations are available on the DH website. 

 

 

 

Table 1 - Critical Care Bed Occupancy Rates - August 2010 to October 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%

1,324

 

973

73.5%

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%

Aug-12

3,712

2,891

77.9%

411

287

69.8%

1,374

979

71.3%

Sep- 12

3,730

 

3,059

 

82.0%

 

405

 

298

 

73.6%

 

1,368

 

957

 

70.0%

 

Oct-12

3,731

 

3,083

 

82.6%

410

320

78.0%

1,377

963

69.9%

 

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 October 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

4,094

111,934

February 2012

352

4,007

109,532

March 2012

282

4,028

119,736

April 2012

229

3,961

108,566

May 2012

314

3,866

119,474

June 2012

250

4,088

110,528

July 2012

256

4,034

117,590

August 2012

242

3,960

120,123

September 2012

244

4,101

114,703

October 2012

301

4,126

117,251

 

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 - October 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

393

120

82

10,582

3,900

2,041

B) Awaiting public funding

51

33

2

1,769

693

79

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

682

NA

NA

19,916

NA

NA

Dii) Awaiting nursing home placement or availability

131

77

35

4,071

2,217

939

Di) Awaiting residential home placement or availability

67

65

NA

2,017

1,947

NA

E) Awaiting care package in own home

91

131

23

2,528

3,400

537

F) Awaiting community equipment and adaptations

76

12

5

1,738

226

199

G) Patient or family choice

367

21

NA

9,715

598

NA

H) Disputes

38

3

NA

940

134

NA

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

28

NA

NA

891

NA

NA

Non-Acute A) Awaiting completion of assessment

105

102

60

2,729

2,551

1,513

B) Awaiting public funding

35

71

19

1,031

2,055

633

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

117

NA

NA

3,305

NA

NA

Dii) Awaiting nursing home placement or availability

58

106

27

1,827

3,297

790

Di) Awaiting residential home placement or availability

96

216

NA

2,840

6,574

NA

E) Awaiting care package in own home

52

116

22

1,334

3,206

617

F) Awaiting community equipment and adaptations

33

11

1

931

284

57

G) Patient or family choice

168

47

NA

5,058

1,554

NA

H) Disputes

17

8

NA

485

358

NA

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

106

NA

NA

3,145

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. 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.

 

  1. 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 inEnglandand 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. The revisions protocol can be found on the DH 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: unify2@dh.gsi.gov.uk

Additional Information

For press enquiries, please contact the DH press office.

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

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