Delayed transfers of care: join the queue

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Comments

Pearl Baker

Position
Independent Mental Health Advocate and Advisor/Carer,
Organisation
Independent
Comment date
09 November 2015
If you suffer from a Mental Illness, delayed transfers of Care re 'integration' makes absolutely no difference, the Panorama Programme identified the realism of a Service the Mentally Ill and their Carers know to often 'Revolving door' the less ill are discharged to enable the more seriously ill to be admitted, then it starts all over again.

I am absolutely fed up to the 'teeth' when all we here is the 'talk' about everybody else but the Mentally Ill.

The answer is more funding to the LA based on population, and better Leadership, based on their knowledge of the system, and various subject matters to whom they assigned.

I am sorry to Report there is an enormous waste of money, and in some cases 'man power', who run around like 'headless chicken'. not knowing who is doing what.

Mark Outhwaite

Position
System Coach,
Organisation
Outhentics Consulting
Comment date
10 November 2015
Hohummmm. Are we missing the blindingly obvious here? So busy focusing on social care when the majority of the problem still lies with the NHS and its own internal processes?

The risk is that we divert too much attention to Social Care as an issue and an excuse rather than put the NHS house in order. The biggest impact on delayed discharges will come from systematic, consistent and sustained local approaches to the mapping and redesign of NHS discharge processes.

The Treasury are likely to think like this as well!

Mike Bradley

Position
None,
Organisation
None
Comment date
10 November 2015
I do not find anything in Figure 3 that supports your view. But what, in your view, might have caused a deterioration in NHS performance between 2010 and 2015? My impression, admittedly a general one, is that the difficulties lie elsewhere.

Lee Adams

Position
Semi retired ex CEO council,
Organisation
Various universities
Comment date
16 November 2015
My own experience with my mothers care in hospital in London was that social care was brilliant what delayed discharge was total lack of communication. Between hospital gp and nhs community services

John Oates

Position
Data Analyst NHS (retired),
Organisation
ESHT
Comment date
22 January 2017
I was very interested to read the above and the quick guide. The contention that there are issues with this data will come as no surprise to anyone that has dealth with data collection in the NHS and gives half a damn about whether it actually measures what it purportss to. Regional meetings about data in most areas quickly show you that not only are there differences of interpretation at regional level but that the definitions determined by Richmond House are often - what word can I use - silly? For example, as you sensibly point out, why on earth are the DTOC stats based on a cut off point of Thursday midnight? Sometimes one can only conclude that definitions are created in order to obfuscate the true picture for political ends, not least the DTOC stats. In that context I have a question. On the Andrew Marr show today, in response to a question about "bed blocking" the on the Andrew Marr show this morning, the Prime Minister said that rather than a funding issue the cause was to do with the variability of practice between Local Authorities and the answer was employing best practice. Notwithstanding the issues with the data, I wondered whether the Kings Fund knew what data was being relied on for this statement or whether the Fund had done anywork on this area itself?

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