‘10,000 NHS beds’ filled by people waiting for home care

Hospitals risk grinding to a halt because of ‘staggering’ number of frail and elderly stuck on wards, say experts

AROUND 10,000 hospital beds are currently occupied by elderly people for want of care to look after them at home, NHS leaders have warned.

Senior figures said hospitals were “grinding to a halt” because of a growing crisis in social care, which has left “staggering” numbers of frail and vulnerable people stuck on wards for weeks on end.

Experts said shortages of care home staff – with an estimated loss of around 70,000 such workers in six months – had left hospitals overcrowded, even before winter starts and amid fears the spread of the omicron variant could make things worse.

Chris Hopson, chief executive of NHS Providers, said: “From our conversations with NHS trust leaders we think around one in 10 beds is now occupied by people who are medically fit to be discharged; that’s around 10,000 beds.”

Before the start of the pandemic, NHS trusts regularly published figures assessing the number of people – largely elderly – who were stuck in hospital, waiting for assessment or help from care workers.

Since then, data publication has been stopped. But NHS trust leaders believe that the crisis has escalated sharply in recent months, and is now a major factor heaping pressures on hospitals.

Mr Hopson said: “Many of the risks that are most visible are at the front door of the hospital; the ambulance handover delays, the long trolley waits in A&E departments.

“But this is very significantly driven by delays discharging patients from hospitals, and we really need to see radical action here. Hospitals need as much help as possible to tackle this in order to avoid hospitals grinding to a halt.”

NHS Providers, which represents hospitals, has already called on ministers to offer bonuses of up to £1,000 to social care workers, warning that too many staff are opting for other sectors, such as hospitality, with more lucrative rewards.

Mr Hopson urged ministers to look again at the proposal, warning that NHS hospitals are now having to deploy their own staff to take on care duties in the community, in order to free up hospital beds.

He said that while the workforce crisis may have been exacerbated by the introduction of compulsory jabs for care workers, the vast majority of it seemed to be linked to more attractive rewards in other sectors.

NHS chiefs warned that long stays in hospital could lead to a significant deterioration in the long-term prospects of elderly patients.

It follows warnings that among the most elderly, a 10-day stay in hospital could equate to a decade’s ageing in terms of lost muscle mass.

Last week, ministers published a social care green paper setting out a vision to reform the sector.

But charities and MPS said the plans lacked substance, with Jeremy Hunt, the former health secretary, saying that without further measures and investment “we will continue to see hospital wards full of people who should be discharged and older people not getting

‘Despite the appearance of government activity as regards social care, nothing fundamental has changed’

the care they need.” Caroline Abrahams, charity director at Age UK, told The Daily Telegraph: “The staggering numbers of older people now stuck in hospital when medically fit to leave are what happens when a government starves social care of the investment it needs, of all times during a pandemic.

“Despite the appearance of government activity as regards social care this autumn, nothing fundamental has changed.”

A Department of Health and Social Care spokesman said: “We are working hard to support safe and timely hospital discharges, and have invested £478million to help get patients out of hospital and into the best place for their care and support to continue.

“Alongside this, we’ve supported care homes and providers with a £162.5million workforce retention and recruitment fund, put £500million into boosting staff training, qualifications and well-being, and are continuing to help attract people into a career in care through our national social care recruitment campaign.”