Delayed hospital discharges: total pathway of care delays and total days delayed, April 2023 onwards

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local authority of residence ( of 25 selected25 selectable options)

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Reason for delay ( of 87 selected87 selectable options)

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Data valuesData descriptionLocal health boardlocal authority of residenceReason for delayDate
1count of delaysWalesGwyneddFunding issuesApril 2023
5count of delaysWalesConwyAwaiting joint assessmentApril 2023
1count of delaysWalesIsle of AngleseyAwaiting healthcare provision for equipment April 2023
16count of delaysWalesGwyneddAwaiting joint assessmentApril 2023
9count of delaysWalesGwyneddAwaiting RH availabilityApril 2023
10count of delaysWalesConwyAwaiting completion of assessment NursingApril 2023
12count of delaysWalesWalesHomelessApril 2023
1count of delaysWalesIsle of AngleseyHome adaptation/equipment issuesApril 2023
4count of delaysWalesIsle of AngleseyAwaiting RH availabilityApril 2023
4count of delaysWalesGwyneddAwaiting completion of assessment NursingApril 2023
1count of delaysWalesGwyneddAwaiting community care package self-funding April 2023
1count of delaysWalesGwyneddAwaiting care home manager to visit, assess and provide outcome (Nursing) April 2023
3count of delaysWalesGwyneddAwaiting Dementia Residential availability April 2023
1count of delaysWalesConwyAwaiting completion of assessment by social careApril 2023
24count of delaysWalesWalesAwaiting care home manager to visit, assess and provide outcome (residential) April 2023
37count of delaysWalesWalesHousing Related IssuesApril 2023
4count of delaysWalesIsle of AngleseyAwaiting completion of assessment NursingApril 2023
1count of delaysWalesIsle of AngleseyAwaiting funding decision FNC/CHCApril 2023
2count of delaysWalesIsle of AngleseyDisagreements /Legislation April 2023
1count of delaysWalesIsle of AngleseyAwaiting care home manager to visit, assess and provide outcome (Nursing) April 2023
3count of delaysWalesIsle of AngleseyAwaiting Dementia Nursing availability April 2023
1count of delaysWalesGwyneddAwaiting completion of assessment by social careApril 2023
4count of delaysWalesGwyneddAwaiting healthcare provision for equipment April 2023
4count of delaysWalesGwyneddAwaiting start of new community care package funded by social care April 2023
1count of delaysWalesWalesAwaiting assessment/discharge arrangements to existing care home April 2023
1count of delaysWalesGwyneddAwaiting care home manager to visit, assess and provide outcome (residential) April 2023
16count of delaysWalesWalesNHS Bed related issuesApril 2023
10count of delaysWalesGwyneddAwaiting NH availabilityApril 2023
61count of delaysWalesGwyneddTotalApril 2023
3count of delaysWalesConwyAwaiting Social worker allocationApril 2023
192count of delaysWalesWalesHome care related issuesApril 2023
15count of delaysWalesWalesSafeguarding issues impacting discharge arrangementsApril 2023
28count of delaysWalesWalesAwaiting Dementia Nursing availability April 2023
1count of delaysWalesWalesAwaiting Learning Disability bedApril 2023
1,750count of delaysWalesWalesTotalApril 2023
5count of delaysWalesIsle of AngleseyAwaiting Social worker allocationApril 2023
79count of delaysWalesWalesAwaiting completion of arrangements prior to placementApril 2023
1count of delaysWalesIsle of AngleseyFunding issuesApril 2023
5count of delaysWalesIsle of AngleseyAwaiting start of new community care package funded by social care April 2023
1count of delaysWalesWalesPatient/ family dispute CHC outcome April 2023
2count of delaysWalesIsle of AngleseySafeguarding issues impacting discharge arrangementsApril 2023
1count of delaysWalesIsle of AngleseyAwaiting completion of arrangements prior to placementApril 2023
29count of delaysWalesWalesAwaiting Dementia Residential availability April 2023
2count of delaysWalesIsle of AngleseyAwaiting NH availabilityApril 2023
25count of delaysWalesGwyneddAssessment IssuesApril 2023
4count of delaysWalesGwyneddAwaiting Social worker allocationApril 2023
1count of delaysWalesGwyneddAwaiting funding decisionApril 2023
4count of delaysWalesGwyneddHome adaptation/equipment issuesApril 2023
32count of delaysWalesWalesMental CapacityApril 2023
5count of delaysWalesGwyneddHome care related issuesApril 2023
23count of delaysWalesWalesAwaiting healthcare provision for equipment April 2023
3count of delaysWalesWalesAwaiting community care package self-funding April 2023
26count of delaysWalesGwyneddCare Home placement arrangementsApril 2023
1count of delaysWalesWalesAwaiting provision of telecare equipment April 2023
9count of delaysWalesWalesAwaiting joint funding decisionApril 2023
8count of delaysWalesWalesAwaiting funding decisionApril 2023
3count of delaysWalesWalesAwaiting palliative care specialist bedApril 2023
248count of delaysWalesWalesAwaiting completion of assessment by social careApril 2023
216count of delaysWalesWalesAwaiting Social worker allocationApril 2023
2count of delaysWalesGwyneddAwaiting Dementia Nursing availability April 2023
10count of delaysWalesWalesAwaiting Mental Health bedApril 2023
19count of delaysWalesConwyAssessment IssuesApril 2023
855count of delaysWalesWalesAssessment IssuesApril 2023
41count of delaysWalesWalesHome adaptation/equipment issuesApril 2023
7count of delaysWalesWalesAwaiting social care provision for equipment April 2023
179count of delaysWalesWalesAwaiting start of new community care package funded by social care April 2023
2count of delaysWalesWalesAwaiting provision of medicines management dispensing equipment / support April 2023
87count of delaysWalesWalesStep down to recover and assessApril 2023
19count of delaysWalesWalesAwaiting funding decision FNC/CHCApril 2023
2count of delaysWalesWalesAwaiting palliative care homeApril 2023
25count of delaysWalesWalesNo suitable abode - requires re housing April 2023
37count of delaysWalesWalesAwaiting transfer to intermediate care bedded facilityApril 2023
20count of delaysWalesIsle of AngleseyAssessment IssuesApril 2023
74count of delaysWalesWalesAwaiting reablement community care package April 2023
5count of delaysWalesWalesAwaiting community based health provision D/N CPNApril 2023
13count of delaysWalesWalesAwaiting Community Resource capacityApril 2023
11count of delaysWalesIsle of AngleseyAwaiting joint assessmentApril 2023
342count of delaysWalesWalesCare Home placement arrangementsApril 2023
5count of delaysWalesIsle of AngleseyHome care related issuesApril 2023
143count of delaysWalesWalesAwaiting joint assessmentApril 2023
8count of delaysWalesWalesAwaiting completion of adaptations essential for discharge. April 2023
36count of delaysWalesWalesAwaiting Continuing Healthcare (CHC) AssessmentApril 2023
8count of delaysWalesWalesAwaiting completion of self-funding arrangements to placement April 2023
99count of delaysWalesWalesDisagreements /Legislation April 2023
11count of delaysWalesIsle of AngleseyCare Home placement arrangementsApril 2023
41count of delaysWalesWalesAwaiting care home manager to visit, assess and provide outcome (Nursing) April 2023
212count of delaysWalesWalesAwaiting completion of assessment NursingApril 2023
28count of delaysWalesWalesPatient / family care home choice April 2023
10count of delaysWalesWalesAwaiting restart of previous community care package April 2023
63count of delaysWalesWalesAwaiting RH availabilityApril 2023
59count of delaysWalesWalesAwaiting NH availabilityApril 2023
40count of delaysWalesIsle of AngleseyTotalApril 2023
3count of delaysWalesWalesAwaiting community based health team April 2023
45count of delaysWalesWalesTransfer related issuesApril 2023
8count of delaysWalesWalesAwaiting specialist bed availabilityApril 2023
2count of delaysWalesWalesAwaiting extra care/supported living availabilityApril 2023
36count of delaysWalesWalesFunding issuesApril 2023
19count of delaysWalesWalesPatient /family disputing and/or delaying to move to any stage of care / next stage of discharge April 2023
4count of delaysWalesWalesDisputes between agenciesApril 2023
3count of delaysWalesConwyTransfer related issuesApril 2023
Showing 1 to 100 of 100,416 rows
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Main information

Most recent update
26 September 2025
Next update expected
23 October 2025
Designation
Official statistics
Data provider
NHS Delivery Unit
Data source
Pathways of Care Delays

Data notes

Overview

Summary of dataset and variables

The Pathway of Care Delays data identifies patients with a discharge delay, and the reason for the delay, at a given point each month.

A delayed discharge occurs when a patient who is clinically ready for discharge cannot leave hospital because the necessary ongoing care and support or suitable accommodation for them is not yet accessible.

The data represent the number of adults occupying an NHS hospital bed, who were 'clinically optimised' ready to return home or move on to the next stage of care, that experienced a delay in their transfer of more than 48 hours beyond the point they were clinically optimised. 'Next stage of care' refers to all destinations outside of NHS hospitals. Data for local health board provider, relates to the local health board where the service was being provided and where the delay was experienced. This will include data from patients who reside from areas outside of the local health boards usual coverage. E.g. a service could be provided in the Cardiff and Vale health board, but the patient may reside in Bridgend (which is usually covered by Cwm Taf Morgannwg).

Data collection or calculation

Data are provided by Local Health Boards and validated jointly with Local Authority partners.

The Pathway of Care Delays is a snapshot census that identifies people with a discharge delay and reason at a given point each month. Health Boards are required to extract the data from local systems on a census day in each month, and validate the delays with Local Authority partners. Subsequently, data records are entered via a web-based tool and submitted to NHS Wales.

Statistical quality

Data are provided by Local Health Boards and validated jointly with Local Authority partners.

The Pathway of Care Delays is a snapshot census that identifies people with a discharge delay and reason at a given point each month. Health Boards are required to extract the data from local systems on a census day in each month, and validate the delays with Local Authority partners. Subsequently, data records are entered via a web-based tool and submitted to NHS Wales.

At the start of the COVID-19 pandemic, the Welsh Government suspended delayed transfers of care (DTOC) reporting requirements, along with many other datasets. The Welsh Government introduced the COVID-19 Discharge Requirements, which included an updated discharge process with increased focus on rehabilitation and reablement to improve patient flow and support better outcomes. From July 2020, delayed discharge data were collected as management information on a weekly basis. These data were not formally validated. Subsequently a formal replacement, Pathways of Care Delays (POCD) has been developed and tested to replace DTOC. This system has now been rolled out across all Local Health Boards & Local Authorities and the first fully validated and quality assured data are available from april 2023. Welsh Government discharge guidance (COVID-19 Discharge Requirements) sets out the default approach to hospital discharges – the Discharge to Recover then Assess (D2RA) pathways (or 'recovery pathways').

The D2RA approach is based on evidence of better outcomes for people who transfer as soon as possible to their usual residence or other suitable care setting for rehabilitation or reablement prior to assessments for longer term care. A D2RA pathway (or recovery pathway) could be in a person’s own home, in a community hospital or in an alternative step-down setting.

Related reports

Published by

Organisation
Welsh Government
Contact email
stats.healthinfo@gov.wales

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