County bed-block crisis worst in country again

Herald Series: Paul Brennan Paul Brennan

THE ratio of bed-blocked hospital patients is more than double a target, latest figures show.

Oxford University Hospitals NHS Trust clinical director Paul Brennan said delays “remain a major cause of concern”.

Bed-blocked patients are ready to leave hospital but cannot because community services are not available.

Official figures show Oxfordshire was the worst area out of 151 in England in the 12 months to March.

May figures show 8.2 per cent of occupied beds were blocked against a 3.5 per cent target.

An average 128 were blocked at one time and the latest snapshot survey, on June 19, recorded that 104 were blocked.

Bed-blocking is a major concern for managers as delays can have a knock-on effect on other departments.

For example, people waiting in A&E can be delayed being taken to a bed as it is being taken by a bed-blocked patient.

Mr Brennan said daily staff conferences and a weekly “care summit” with social care and NHS staff was helping to tackle the issue.

Oxfordshire Clinical Commissioning Group, which decides where most NHS cash is spent, has pledged to cut delays at any one time to under 100 by next October.

It said “timely, efficient communications amongst those involved in a patient’s care before and after discharge” is key between the NHS and Oxfordshire County Council, responsible for social services.

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7:05pm Sat 12 Jul 14

Andrew:Oxford says...

I asked a few people "in the know" about this...

Apparently the CCGs don't like to criticise one another, but a major issue is when an individual is transferred to the JR or Churchill from hospitals in other "shires" for a specialist procedure.

Once the procedure is done and their recovery is progressing, they should be returned to the originating hospital...

Oddly enough the originating hospital will never *plan* to readmit the transferred patient on a standardised schedule, but will wait for the Oxford hospital to initiate a transfer back then obstruct for as long as possible.
I asked a few people "in the know" about this... Apparently the CCGs don't like to criticise one another, but a major issue is when an individual is transferred to the JR or Churchill from hospitals in other "shires" for a specialist procedure. Once the procedure is done and their recovery is progressing, they should be returned to the originating hospital... Oddly enough the originating hospital will never *plan* to readmit the transferred patient on a standardised schedule, but will wait for the Oxford hospital to initiate a transfer back then obstruct for as long as possible. Andrew:Oxford
  • Score: 1

8:02am Sun 13 Jul 14

the wizard says...

Quote,

For example, people waiting in A&E can be delayed being taken to a bed as it is being taken by a bed-blocked patient.

People in A+E normally needing admission get transferred to AEU first where they can be kept for up to 24hrs, while a bed is being sorted. While staying in AEU they have a high standard of care, and tests and treatment is normally started there before being transferred to the wards. However the investigation should be more focused to look at re admissions after discharge. This is often due to the Registrar relying on follow up "out patients" appointments to finalize any issues.
Some medical teams under some JR consultants do not listen to carers concerns regarding the patient and get teams from other disciplines involved to get the patient the appropriate care and the mis management of these issues lead to re admission of the patient leading to more time being spent on a second or even third admission when if they had listened one admission would have been enough.
Quote, For example, people waiting in A&E can be delayed being taken to a bed as it is being taken by a bed-blocked patient. People in A+E normally needing admission get transferred to AEU first where they can be kept for up to 24hrs, while a bed is being sorted. While staying in AEU they have a high standard of care, and tests and treatment is normally started there before being transferred to the wards. However the investigation should be more focused to look at re admissions after discharge. This is often due to the Registrar relying on follow up "out patients" appointments to finalize any issues. Some medical teams under some JR consultants do not listen to carers concerns regarding the patient and get teams from other disciplines involved to get the patient the appropriate care and the mis management of these issues lead to re admission of the patient leading to more time being spent on a second or even third admission when if they had listened one admission would have been enough. the wizard
  • Score: 2

6:43pm Sun 13 Jul 14

Feelingsmatter says...

If we continue to strangle community services by withholding funding and closing beds it is inevitable that acute beds will be blocked. The bigger issue is that acute beds are not suitable for those who have rehabilitation or ongoing care needs. Community hospitals are unable to recruit nursing staff as it is seen as a boring job and poor pay adds to the problem.
If we continue to strangle community services by withholding funding and closing beds it is inevitable that acute beds will be blocked. The bigger issue is that acute beds are not suitable for those who have rehabilitation or ongoing care needs. Community hospitals are unable to recruit nursing staff as it is seen as a boring job and poor pay adds to the problem. Feelingsmatter
  • Score: 0

7:42am Mon 14 Jul 14

Sandy Wimpole-Smythe says...

This is all part of Cameron et al's masterplan to be able to say the NHS is failing but will be wonderful in the private sector.
This is all part of Cameron et al's masterplan to be able to say the NHS is failing but will be wonderful in the private sector. Sandy Wimpole-Smythe
  • Score: 0

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