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

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Data description ( of 2 selected2 selectable options)

Local health board ( of 9 selected9 selectable options)

local authority of residence ( of 25 selected25 selectable options)

Reason for delay ( of 87 selected87 selectable options)

Date ( of 29 selected29 selectable options)


Data valuesData descriptionLocal health boardlocal authority of residenceReason for delayDate
425count of days delayedWalesWalesAwaiting supported living availibility April 2025
7count of delaysWalesWalesAwaiting supported living availibility April 2025
55count of days delayedWalesVale of GlamorganAwaiting supported living availibility August 2025
5count of delaysAneurin Bevan University Health BoardWalesAwaiting supported living availibility April 2025
1count of delaysWalesNewportAwaiting supported living availibility April 2025
1count of delaysWalesVale of GlamorganAwaiting supported living availibility August 2025
280count of days delayedAneurin Bevan University Health BoardWalesAwaiting supported living availibility April 2025
47count of days delayedBetsi Cadwaladr University Health BoardOther - LA not identifiableAwaiting supported living availibility May 2025
5count of delaysAneurin Bevan University Health BoardWalesAwaiting supported living availibility June 2025
5count of delaysAneurin Bevan University Health BoardWalesAwaiting supported living availibility August 2025
13count of delaysWalesWalesAwaiting supported living availibility August 2025
2count of delaysCardiff and Vale University Health BoardWalesAwaiting supported living availibility August 2025
5count of delaysSwansea Bay University Health BoardWalesAwaiting supported living availibility August 2025
9count of delaysWalesWalesAwaiting supported living availibility July 2025
36count of days delayedWalesConwyAwaiting supported living availibility May 2025
12count of days delayedCwm Taf Morgannwg University Health BoardWalesAwaiting supported living availibility August 2025
12count of days delayedBetsi Cadwaladr University Health BoardOther - LA not identifiableAwaiting supported living availibility April 2025
62count of days delayedWalesBridgendAwaiting supported living availibility July 2025
820count of days delayedWalesWalesAwaiting supported living availibility May 2025
4count of delaysAneurin Bevan University Health BoardCaerphillyAwaiting supported living availibility April 2025
3count of delaysAneurin Bevan University Health BoardWalesAwaiting supported living availibility May 2025
1,362count of days delayedWalesWalesAwaiting supported living availibility July 2025
1count of delaysCwm Taf Morgannwg University Health BoardWalesAwaiting supported living availibility July 2025
2count of delaysWalesNeath Port TalbotAwaiting supported living availibility August 2025
537count of days delayedSwansea Bay University Health BoardWalesAwaiting supported living availibility August 2025
1count of delaysWalesVale of GlamorganAwaiting supported living availibility May 2025
1count of delaysWalesCardiffAwaiting supported living availibility May 2025
9count of delaysWalesWalesAwaiting supported living availibility May 2025
2count of delaysSwansea Bay University Health BoardWalesAwaiting supported living availibility July 2025
6count of delaysWalesCaerphillyAwaiting supported living availibility July 2025
2count of delaysSwansea Bay University Health BoardWalesAwaiting supported living availibility June 2025
2count of delaysCardiff and Vale University Health BoardWalesAwaiting supported living availibility May 2025
2count of delaysSwansea Bay University Health BoardWalesAwaiting supported living availibility May 2025
62count of days delayedCwm Taf Morgannwg University Health BoardWalesAwaiting supported living availibility July 2025
5count of delaysWalesCaerphillyAwaiting supported living availibility August 2025
1count of delaysCardiff and Vale University Health BoardWalesAwaiting supported living availibility April 2025
2count of delaysSwansea Bay University Health BoardNeath Port TalbotAwaiting supported living availibility August 2025
12count of days delayedWalesBridgendAwaiting supported living availibility August 2025
1count of delaysCardiff and Vale University Health BoardCardiffAwaiting supported living availibility April 2025
1count of delaysCwm Taf Morgannwg University Health BoardWalesAwaiting supported living availibility August 2025
1count of delaysCardiff and Vale University Health BoardCardiffAwaiting supported living availibility August 2025
1count of delaysAneurin Bevan University Health BoardNewportAwaiting supported living availibility April 2025
1,268count of days delayedWalesWalesAwaiting supported living availibility August 2025
6count of delaysAneurin Bevan University Health BoardWalesAwaiting supported living availibility July 2025
1count of delaysAneurin Bevan University Health BoardNewportAwaiting supported living availibility May 2025
663count of days delayedWalesWalesAwaiting supported living availibility June 2025
39count of days delayedSwansea Bay University Health BoardNeath Port TalbotAwaiting supported living availibility August 2025
162count of days delayedWalesVale of GlamorganAwaiting supported living availibility May 2025
1count of delaysCardiff and Vale University Health BoardCardiffAwaiting supported living availibility May 2025
594count of days delayedWalesCaerphillyAwaiting supported living availibility August 2025
1count of delaysWalesConwyAwaiting supported living availibility May 2025
105count of days delayedSwansea Bay University Health BoardWalesAwaiting supported living availibility May 2025
243count of days delayedSwansea Bay University Health BoardWalesAwaiting supported living availibility June 2025
650count of days delayedSwansea Bay University Health BoardWalesAwaiting supported living availibility July 2025
125count of days delayedCardiff and Vale University Health BoardWalesAwaiting supported living availibility August 2025
1count of delaysWalesCardiffAwaiting supported living availibility August 2025
133count of days delayedCardiff and Vale University Health BoardWalesAwaiting supported living availibility April 2025
330count of days delayedCardiff and Vale University Health BoardWalesAwaiting supported living availibility May 2025
162count of days delayedCardiff and Vale University Health BoardVale of GlamorganAwaiting supported living availibility May 2025
55count of days delayedCardiff and Vale University Health BoardVale of GlamorganAwaiting supported living availibility August 2025
7count of delaysWalesWalesAwaiting supported living availibility June 2025
1count of delaysWalesCardiffAwaiting supported living availibility April 2025
1count of delaysWalesNewportAwaiting supported living availibility May 2025
5count of delaysWalesCaerphillyAwaiting supported living availibility June 2025
4count of delaysWalesCaerphillyAwaiting supported living availibility April 2025
1count of delaysBetsi Cadwaladr University Health BoardConwyAwaiting supported living availibility May 2025
2count of delaysWalesCaerphillyAwaiting supported living availibility May 2025
206count of days delayedWalesCaerphillyAwaiting supported living availibility May 2025
5count of delaysAneurin Bevan University Health BoardCaerphillyAwaiting supported living availibility June 2025
3count of delaysSwansea Bay University Health BoardSwanseaAwaiting supported living availibility August 2025
168count of days delayedWalesCardiffAwaiting supported living availibility May 2025
1count of delaysBetsi Cadwaladr University Health BoardOther - LA not identifiableAwaiting supported living availibility April 2025
243count of days delayedWalesSwanseaAwaiting supported living availibility June 2025
3count of delaysWalesSwanseaAwaiting supported living availibility August 2025
2count of delaysAneurin Bevan University Health BoardCaerphillyAwaiting supported living availibility May 2025
96count of days delayedWalesNewportAwaiting supported living availibility May 2025
70count of days delayedWalesCardiffAwaiting supported living availibility August 2025
133count of days delayedWalesCardiffAwaiting supported living availibility April 2025
498count of days delayedWalesSwanseaAwaiting supported living availibility August 2025
2count of delaysWalesSwanseaAwaiting supported living availibility June 2025
105count of days delayedWalesSwanseaAwaiting supported living availibility May 2025
420count of days delayedAneurin Bevan University Health BoardCaerphillyAwaiting supported living availibility June 2025
243count of days delayedSwansea Bay University Health BoardSwanseaAwaiting supported living availibility June 2025
36count of days delayedBetsi Cadwaladr University Health BoardConwyAwaiting supported living availibility May 2025
133count of days delayedCardiff and Vale University Health BoardCardiffAwaiting supported living availibility April 2025
12count of days delayedWalesOther - LA not identifiableAwaiting supported living availibility April 2025
498count of days delayedSwansea Bay University Health BoardSwanseaAwaiting supported living availibility August 2025
650count of days delayedWalesCaerphillyAwaiting supported living availibility July 2025
420count of days delayedWalesCaerphillyAwaiting supported living availibility June 2025
2count of delaysWalesSwanseaAwaiting supported living availibility May 2025
96count of days delayedAneurin Bevan University Health BoardNewportAwaiting supported living availibility May 2025
1count of delaysWalesOther - LA not identifiableAwaiting supported living availibility April 2025
594count of days delayedAneurin Bevan University Health BoardCaerphillyAwaiting supported living availibility August 2025
2count of delaysSwansea Bay University Health BoardSwanseaAwaiting supported living availibility July 2025
1count of delaysCwm Taf Morgannwg University Health BoardBridgendAwaiting supported living availibility August 2025
1count of delaysWalesOther - LA not identifiableAwaiting supported living availibility May 2025
2count of delaysSwansea Bay University Health BoardSwanseaAwaiting supported living availibility June 2025
650count of days delayedWalesSwanseaAwaiting supported living availibility July 2025
83count of days delayedBetsi Cadwaladr University Health BoardWalesAwaiting supported living availibility May 2025
1count of delaysCwm Taf Morgannwg University Health BoardBridgendAwaiting supported living availibility July 2025
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.

Published by

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

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