Delayed Transfers of Care (DTOC) PDF 374 KB - Gloucestershire ...

and more timely referrals are now being made, and GCC has increased Social Work capacity
which is aligned to the hospital teams to support this.
Reimbursable delays are those attributable to social care and they attract a daily fine, paid by
the council to the NHS, of £100 per day, per patient. There have been no reimbursable bed
days in Gloucestershire since August 2010. However the reports sent to the Department of
Health and circulated locally indicate a small number of acute delays attributable to ASC.
These are an anomaly of the reporting system, referred to earlier in this report as a data quality
issue, and it is expected that the current sign off process will prevent this from occurring
prospectively.
The reimbursable delay process does not apply to people being discharged from community
hospital beds. However, all community hospitals use the same system of denoting patients as
‘medically fit’ and report delays in the same way to NHS Gloucestershire. Gloucestershire Care
Services have consistently met their target and are currently performing better than target. A
robust internal sign off process takes place to ensure correct reporting of any delays.
The following graph shows how Gloucestershire performs compared to other councils in
delayed transfers of care.
35
NI 131 (May 2011 - April 2012) Rolling Year -
Gloucestershire nearest neighbour comparator group
30
25
20
15
10
5
0
Essex
Leicestershire
Hampshire
Kent
Worcestershire
North Yorkshire
Somerset
Staffordshire
Gloucestershire
Northamptonshire
Cumbria
Cambridgeshire
West Sussex
Devon
Warwickshire
Oxfordshire
The following graph shows how GNHFT performs compared to other acute hospital trusts in the
South West.
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