Delayed Transfers of Care. Are they a problem everywhere?

Delayed Transfers of Care (DTOCs) are clogging up the NHS!……Are they?…..Really? What do DTOCs look like in your NHS Acute Trust? What’s causing it? Whose fault is it?

In the first of our FREE INSIGHTS we have published two interactive charts which show the trends in DTOC patients over the past 3 years. They can be tailored to show any hospital provider.

The visualisations demonstrate the trend in the number of patients in hospital who have a ‘delayed transfer of care’ or DTOC. Broadly speaking these are patients who are in the wrong care setting for their current level of need and include patients who should not be occupying a hospital bed.

Overall the charts show the total beds occupied by patients with Delayed Transfers of Care rose significantly up to Winter 2016/17 but fell back by about 15% to from 6,455 to 5,487 occupied beds in the 12 months to October 2017.

DTOC beds

The first chart above analyses the total by the body responsibility for delay (NHS, Social Care or both). Click on the image to go to an interactive version of the chart so you can explore the statistics for your local hospital provider.

DTOC Beds Reason

This second chart analyses the same DTOC beds but this time the total is broken down by the reason for delay. Again click on the chart image to go to an interactive version of the chart so you can explore the statistics for your local hospital provider.

We think you’ll be surprised at how variable the problem is. We would love to hear from you with your comments, questions and discussion points.

The graphic takes data from national data sets which are supplied by providers to NHSE and are freely available in the public domain. Links to the data sources are provided on the interactive charts. We will be updating these charts monthly with each new data release from NHS England.

The data has been visualised but not manipulated, edited or redacted. Details of the definitions underpinning the datasets can be found here.