Delayed discharges in NHSScotland monthly
A National Statistics publication for Scotland
Figures for December 2022
- Delayed discharges
About this release
Timely discharge from hospital is an important indicator of quality. It is a marker that care is person-centred, effective, integrated and harm-free.
A delayed discharge occurs when a hospital patient who is clinically ready for discharge from inpatient hospital care continues to occupy a hospital bed beyond the date they are ready for discharge.
Our monthly update
This release provides a monthly update on the:
- number of people experiencing a delay in discharge from hospital at the monthly census point – the last Thursday of the month
- number of hospital bed days associated with delayed discharges in the calendar month
- number of discharges from hospital that followed a period of delay in the calendar month
The data relate to people aged 18 years and over who were clinically ready for discharge.
A selection of information from this publication is included in NHS Performs (external website).
The next release of this publication will be 7 March 2023.
Number of people delayed
At the December 2022 census point, there were 1,838 people delayed. This is a decrease of 7% from the November 2022 census point when 1,977 people were delayed. This drop between November and December is likely to be a seasonal effect and has been seen each year since July 2016, when the current guidance came into place.
Length of delay at census point
Of those delayed at the December 2022 census point, the average (median) length of delay was 28 days, an increase of 22% on the figure of 23 days reported for the previous four months.
Delayed Discharge bed use in Scotland from December 2019 to December 2022 by delay reason 1
1 Further information on the Delay Reason definitions is available in the Definitions we use section of this publication.
Average number of beds occupied per day
In December 2022, the average number of beds occupied per day due to delayed discharges was 1,878, a decrease of 4% from the November 2022 figure of 1,950 (which was the highest figure since the current guidance came into place in July 2016). This drop between November and December is likely to be a seasonal effect and has been seen each year since July 2016.
The chart above shows that the trend in the average daily number of beds occupied by people delayed in their discharge is driven by the trend in standard delays (health and social care and patient, family and carer related) reasons.
Delayed days in hospital
In December 2022, there were 58,211 days spent in hospital by people whose discharge was delayed. This is an increase of 23% compared with the number of delayed days in December 2021 (47,177).
The tables available on this page, have been revised from those published prior to May 2022 following the recommendations of the consultation on the future presentation of delayed discharge information.
Download the summary of responses to the consultation and actions. (PDF, 638KB).
The tables now show information grouped by delay reasons (see Definitions we use section for more information) and report information on the following:
- Census figures
- Information on the number of people experiencing a delay in their discharge at the - monthly census point. Information provided includes: reason for delay, location of delay and delay length.
- From the July 2022 publication, the census figures for July 2016 onwards, include delays due to infection control measures in place at hospital or care home (delay reason codes 26X and 46X).
- Bed days occupied
- The number of bed days associated with delayed discharges within a calendar month.
- Discharges following delay
- Discharge from hospital following delay, discharges from hospital to home or placement following a period of delay within a calendar month.
Download the files associated with this month's report or access the open data.
All delay reasons
This workbook contains summary statistics for delayed discharges for all delay reason groupings.
Standard delay reasons
This workbook contains statistics for delays in discharge due to standard reasons (health & social care reasons and patient & family related reasons).
Complex delay reasons
This workbook contains statistics for delays in discharge due to code 9 (complex) reasons - Adults with Incapacity (AWI) and other code 9 reasons (non-AWI).
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How we calculate our figures
The average number of beds occupied per day is calculated by dividing the total monthly number of delayed discharge bed days by the number of days in the calendar month.
We consider this daily average a better statistic for comparing month-on-month differences as the number of days in a month varies.
The percentage change is based on rounded figures.
Effects of COVID-19 on figures
The measures put in place to respond to COVID-19 have affected the delayed discharge figures in NHSScotland.
The marked fall in delayed discharges during 2020 is likely to be due to patients being moved out of hospital to increase capacity.
Definitions we use
Since April 2016, following the integration of health and social care partnerships, delays are reported in three main categories.
- Health and social care reasons
Where a person remains inappropriately in hospital after treatment is complete and is awaiting appropriate arrangements to be made by the health and social care partnership for safe discharge.
- Patient, family and carer related reasons
This includes delays due to legal reasons and disagreements.
- Code 9 complex reasons
It is acknowledged that some discharge arrangements may be more complex due to the specific care needs of the person. Complex delays have been captured as code 9 from 2006.
Delays due to health and social care reasons and patient, family and carer-related reasons can be aggregated into a single standard delay reasons category.
Code 9 complex reasons can be split into:
- code 9 - Adults with incapacity (AWI) reasons
- code 9 - other reasons
The latest data definitions and national data requirements came into effect on 1 July 2016. The Data and Intelligence site provides details on definitions and data requirements.
The figures in this publication are not directly comparable with other UK countries. This is due to differences in definitions and data reporting.
This is a National Statistics publication.
National Statistics status means that the official statistics meet the highest standards of trustworthiness, quality and public value. They are identified by the quality mark shown on this page.
The UK Statistics Authority has designated these statistics as National Statistics. This signifies compliance with the Code of Practice for Statistics.
Once statistics have been designated as National Statistics, it is a statutory requirement that the Code of Practice shall continue to be observed.
The statistics last underwent a full assessment by the Office for Statistics Regulation (OSR) against the Code of Practice in September 2011. The OSR is the regulatory arm of the UK Statistics Authority and their website provides access to the full assessment of the statistics.
Visit the UK Statistics Authority UK website to find out more about the Code of Practice.
Find out more about National Statistics on the UK Statistics Authority website.
Under terms of the "Pre-Release Access to Official Statistics (Scotland) Order 2008", we are obliged to publish information on those receiving pre-release access ("Pre-Release Access" refers to statistics in their final form prior to publication). The standard maximum pre-release access is five working days.
Standard pre-release access for this publication is given to:
- Scottish Government Health Department
- NHS board Chief Executives
- NHS board communication leads
- Chief Officers of Integrated Joint Boards formed under the Public Bodies (Joint Working) (Scotland) Act 2014 (external website).
More information about delayed discharges
Find out more information about delayed discharges, including data definitions and data submission.
- Publication title
Delayed discharges in NHSScotland
This publication provides monthly information on the number of hospital bed days associated with delayed discharges and the number of discharges from hospital following a period of delay for a full calendar month. Information is also provided on the number of people experiencing a delay in discharge from hospital at the monthly census point.
Figures are shown for Scotland, NHS board area of treatment and local authority of residence for people aged 18 and over who were clinically ready for discharge.
Health and Social Care
HTML and Excel
- Data source(s)
Public Health Scotland (PHS) delayed discharge monthly data submission.
- Date that data are acquired
The number of people delayed as at a monthly census snapshot taken on the last Thursday of the month.
The number of bed days occupied by people delayed in their discharge from hospital in the calendar month.
The number of discharges from hospital following a period of delay in the calendar month.
These data were submitted by NHS boards to Public Health Scotland in January 2023.
- Release date
07 February 2023
- Timeframe of data and timeliness
Data are available for publication within six to eight weeks of the census month.
- Continuity of data
NHS boards submit delayed discharge information to PHS for national reporting purposes.
Revised data definitions manual and national data requirements were effective 1 July 2016. For detailed changes to the definitions since 2005, see page 2 of the latest Delayed Discharge Definitions Manual effective 1 July 2016 and a summary of changes and impact on national reporting.
Some NHS boards used the EDISON system to record people delayed in their discharge from hospital. During 2018 EDISON was retired and affected boards migrated to their own local system solutions. NHS boards are still required to report on delayed discharges as specified in the data definitions and national reporting requirements effective 1 July 2016, therefore figures remain comparable and we do not expect any reduction in the quality of the data.
- Revisions statement
Figures contained within each publication may also be subject to change in future publications. Further detail can be found on the about our statistics section of the website.
- Revisions relevant to this publication
This publication has no revisions.
- Concepts and definitions
View the delayed discharge data definitions manual (effective from 1 July 2016), national data requirements (effective 1 July 2016) and a summary of PHS validation checks.
- Relevance and key uses of the statistics
Key uses of delayed discharge information include monitoring policy obligations both locally and nationally, helping to troubleshoot in partnership areas with specific problems, facilitating benchmarking with other areas, identifying the potential release of resources to focus on more appropriate care and providing useful dialogue between health and social care agencies.
Delayed discharge information is also used to respond to information requests (including FOI requests) from a variety of customers and parliamentary questions.
The data are considered accurate. Data are validated locally by partnerships. PHS carry out further validation checks in consultation with NHS boards.
100% of the data is used for analysis.
Data are not comparable out with Scotland.
It is the policy of Public Health Scotland (PHS) to make its web sites and products accessible according to published guidelines.
- Coherence and clarity
All delayed discharge reports are available on this website. Tables and charts are presented within an interactive Excel workbook with drop down boxes.
- Value type and unit of measurement
Number of delays by length and reason at the census point.
Number of bed days occupied by delayed patients in a calendar month.
Number of discharges from hospital following a period of delay in a calendar month.
The PHS protocol on statistical disclosure is followed.
- Official Statistics designation
- UK Statistics Authority Assessment
The statistics last underwent a full full assessment by the Office for Statistics Regulation (OSR) against the Code of Practice in September 2011.
- Last published
10 January 2023
- Next published
7 March 2023
- Date of first publication
Historic quarterly data published from December 2000
Monthly data published from June 2015
First annual publication in June 2016
- Help email
- Date form completed
18 January 2023