About this release

This release by Public Health Scotland (PHS) provides a monthly update on the number of hospital bed days associated with delayed discharges and the number of discharges from hospital that followed a period of delay. Information is also provided on the number of people experiencing a delay in discharge from hospital at the monthly census point. The data relate to people aged 18 years and over who were clinically ready for discharge.

Main points

  • In November 2021, there were 46,894 days spent in hospital by people whose discharge was delayed. This is an increase of 40% compared with the number of delayed days in November 2020 (33,463).
  • In November 2021, the average number of beds occupied per day due to delayed discharges was 1,563, which is more consistent with pre-pandemic figures. This is a decrease of 3% compared to October 2021 when the daily average was 1,619.
Image caption Delayed Discharge bed use in Scotland from November 2019 to November 2021
This is a line chart showing the average number of beds occupied per day by delayed discharges. The average number of beds fluctuates during 2019 and peaks in February 2020, before reducing dramatically in April 2020. The measure increases each month from June 2020 to September 2020, remains fairly steady to April 2021 and then increases to October 2021 with a decrease in November 2021.
  • At the November 2021 census point, there were 1,500 people delayed. This is a decrease of 3% compared to the October 2021 census point when 1,541 people were delayed.
  • Of those delayed at the November 2021 census point, 1,221 people were delayed more than three days, with health and social care reasons accounting for 852 delays (70%), complex needs accounting for 331 delays (27%) and patient and family-related reasons for 38 delays (3%).

Background

Timely discharge from hospital is an important indicator of quality and is a marker for person-centred, effective, integrated and harm-free care. 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.

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. PHS considers 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.

Delayed discharge figures in NHSScotland have been affected by measures put in place to respond to COVID-19. The marked fall in delayed discharges during 2020 is likely to be due to patients being moved out of hospital to increase capacity.

The census figure reflects the position as at the last Thursday of the month.

The latest data definitions and national data requirements came into effect on 1 July 2016.

It should be noted that figures presented in this publication are not directly comparable with other UK countries, due to differences in definitions and data reporting.

Further information

For further information on delayed discharges see the delayed discharge section of our website. For related topics, please see the health and social community care (external website) pages.

A selection of information from this publication is included in NHS Performs.

The next release of this publication will be 1 February 2022.

General enquiries

If you have an enquiry relating to this publication, please email phs.delayeddischarges@phs.scot.

Media enquiries

If you have a media enquiry relating to this publication, please contact the Communications and Engagement team.

Requesting other formats and reporting issues

If you require publications or documents in other formats, please email phs.otherformats@phs.scot.

To report any issues with a publication, please email phs.generalpublications@phs.scot.

Older versions of this publication

Versions of this publication released before 16 March 2020 may be found on the Data and Intelligence, Health Protection Scotland or Improving Health websites.

Last updated: 13 June 2022
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