The Scotsman

NHS Lothian ‘bed-blocking’ figures are 10 per cent higher after error

- By KEVAN CHRISTIE Health Correspond­ent

One of Scotland’s largest health boards recorded “bed-blocking” figures that were 10 per cent higher than previously submitted due to a reporting error.

NHS Lothian posted statistics that were incorrect with data omitted that subsequent­ly had to be revised by the Informatio­n Services Division.

This resulted in an average increase of 1,123 delayed bed days over the period September 2017 to January 2018.

The latest error comes as the troubled health board lurches from one crisis to another with the number of occupied bed days for NHS Lothian far outstrippi­ng any other authority.

The total number of delayed days for a single patient is the number of days from when they were medically ready to be transferre­d to the date they were transferre­d or discharged.

In December 2017, NHS Lothian posted the worst performanc­e for A&E waiting time targets since the publicatio­n of weekly figures began three years ago.

The health board was forced to remodel reporting practices surroundin­g emergency department waiting times in December after the Royal Infirmary of Edinburgh, the Royal Hospital for Sick Children and a unit at the Western General Hospital all breached guidelines and underrepor­ted waiting times. Incidents rose from 5.7 per cent in October 2015 to 10.5 per cent in September 2017.

The latest error was flagged up by NHS Lothian after officials realised mistakes had been made as computer software crossed over from one system to another.

Conservati­ve health spokesman Miles Briggs said: “These updated figures, due to a computer system error, show that delayed discharge figures are even worse in NHS Lothian for September 2017 to January 2018 than we thought.

“Delayed discharge is an ongoing issue and these figures reflect the social and health care crisis affecting NHS Lothian.

“It is deeply concerning that NHS Lothian remains by the far the lowest performing region in Scotland on delayed discharge. Delayed discharge can have a huge impact on patients who are stuck in hospital and not able to get back on with their lives.”

“If Nicola Sturgeon thinks that the crisis we have in our NHS over delayed discharge is improving it shows just how out of touch she is and it is definitely not the case in Lothian.

“This is an ongoing crisis that SNP ministers have consistent­ly failed to deal with over the last ten years that they have been in charge of NHS Scotland.”

Delayed discharge, also known as “bed-blocking”, can occur for a variety of reasons, but is usually due to a lack of appropriat­e care or services available in the community.

Jim Crombie, acting chief executive, NHS Lothian, said: “We have resolved a data collivings­ton, lection issue in the statistics we provide to the Informatio­n Statistics Division each month in relation to delayed discharges from hospital.

“It had recently come to light that a small change in a computer system had introduced a minor error for the affected months of September 2017 to January 2018. This only became apparent with the latest data. NHS Lothian’s analytical services picked up the discrepanc­ies, alerted ISD to the problem immediatel­y and made sure it was resolved.”

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