Five beds a day are blocked at Royal

IN ONE MONTH, PA­TIENTS SPENT A TO­TAL OF 170 DAYS WAIT­ING

Sunderland Echo - - News -

care oc­curs when a pa­tient re­mains in a bed af­ter be­ing of­fi­cially de­clared safe for trans­fer by both a doc­tor and a multi-dis­ci­plinary team, which could in­clude so­cial or men­tal health care work­ers.

The fig­ures do not in­clude de­lays in trans­fer­ring a pa­tient be­tween wards, or from one acute hos­pi­tal to an­other.

De­layed trans­fers of care have the great­est im­pact on el­derly pa­tients. Ac­cord­ing to the NHS, for a per­son over 80 a hos­pi­tal stay of more than 10 days can lead to 10 years of mus­cle age­ing.

Across Eng­land, an av­er­age of 4,737 beds a day were blocked in Oc­to­ber, rep­re­sent­ing roughly 4.3% of all oc­cu­pied beds. The Govern­ment’s tar­get is 3.5%.

The na­tional rate peaked in Fe­bru­ary 2017 at a rate of 6,660 beds per day, but has de­creased fairly steadily over the past year.

A re­port on de­liv­er­ing care for older peo­ple re­leased this year by the Care Qual­ity Com­mis­sion (CQC) high­lighted con­cerns about govern­ment tar­gets for de­layed trans­fers of care.

The re­port, Be­yond Bar­ri­ers, cau­tioned that trusts fo­cus­ing on try­ing to hit govern­ment tar­gets might end up de­liv­er­ing lower qual­ity care as a re­sult.

TheCQC­saidthati­tis­rec­om­mend­ing a more joinedup ap­proach to health and so­cial care, and per­for­mance mea­sures for the care of el­derly peo­ple.

A CQC spokesper­son said: “As our re­port high­lights, there is too much in­ef­fec­tive co-or­di­na­tion of lo­cal health and care ser­vices – lead­ing to frag­mented care for older peo­ple.

“Our mea­sures would re­flect the con­tri­bu­tion of all health and care or­gan­i­sa­tions, rather than re­ly­ing pri­mar­ily on in­for­ma­tion col­lected by acute hos­pi­tals.”

A spokesman for the NHS said: “A grow­ing pro­por­tion of peo­ple are get­ting same day emergency care which pre­vents the need for an overnight stay.

“Hos­pi­tals also have freed up an ad­di­tional 742 beds, by work­ing closely with coun­cils to help more peo­ple re­turn home with the right care in place.”

Dr Sean Fen­wick, di­rec­tor of op­er­a­tions at South Ty­ne­side and City Hos­pi­tals Sun­der­land NHS Foun­da­tion Trusts, said: “In both South Ty­ne­side and Sun­der­land we con­sis­tently per­form amongst the best in the NHS, both re­gion­ally and na­tion­ally, for mak­ing sure pa­tients get safely home as soon as pos­si­ble af­ter a stay in hos­pi­tal.

“We have very strong re­la­tion­ships with col­leagues in so­cial care, men­tal health and other parts of the lo­cal health care sys­tem to make sure the needs of our pa­tients, and their car­ers, can be met at the right time and in the right care set­ting as we know peo­ple gen­er­ally re­cover much bet­ter in the com­fort of their own home.

“It is im­por­tant to un­der­stand that there can of­ten be many com­plex rea­sons why pa­tients some­times stay in hos­pi­tal longer than nec­es­sary, in­clud­ing pa­tient or fam­ily choice, and our col­lec­tive pri­or­ity is al­ways to make sure each and ev­ery per­son re­ceives safe, timely and ef­fec­tive care which de­liv­ers the best pos­si­ble out­comes.

“This truly in­te­grated ap­proach in­volves teams from dif­fer­ent or­gan­i­sa­tions work­ing to­gether for the ben­e­fit of pa­tients and our #TheresNoBedLikeHome ini­tia­tive is a very good ex­am­ple of our com­bined ef­forts to help iden­tify any wasted time in a pa­tient’s care jour­ney and re­solve de­lays to get pa­tients safely dis­charged home.”

The #TheresNoBedLikeHome team at Sun­der­land Royal Hos­pi­tal.

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