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683634

	registered interest
	date	02/02/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospital Beds
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what analysis they have commissioned to assess the number of delayed transfers of care by council area in the context of population size; and how many successful discharges there have been in each of those areas from hospitals to further NHS or social care services.
	tabling member printed	Lord Porter of Spalding
	uin	HL5197
	answer	answer is ministerial correction date of answer 16/02/2017 answer text <p>NHS Digital publishes annually the average daily rate of delayed transfers of care from National Health Service hospitals in England per 100,000 local authority population aged 18 years and over. Rates are shown separately for all delays, and for delays attributable to social care, the National Health Service, and jointly to social care and the NHS.</p><p>The most recently published data are for 1 April 2015 to 31 March 2016 and are attached due to the size of the data.</p><p>Information is not collected centrally on the number of successful discharges by council area. In 2015-16, there were 16.5 million finished discharged episodes of NHS commissioned care from hospitals in England.</p> answering member printed Lord O'Shaughnessy question first answered 16/02/2017 15:47:03 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Delayed transfer of care 2015-16 data.xlsx title Delayed transfer of care 2015-16 data
	tabling member	4555 label Biography information for Lord Porter of Spalding

777499

	registered interest
	date	25/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospital Beds
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many hospital beds there were in NHS hospitals in (1) 2008, (2) 2010, and (3) 2015.
	tabling member printed	Lord Jones
	uin	HL2511
	answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>From April 2010, NHS England started to publish quarterly information on the numbers of available and occupied beds open overnight and day only in National Health Service organisations. Previously, annual data was published. A table showing the numbers of NHS hospital beds is attached owing to the size of the data.</p><p> </p><p>There has been a long-term reduction in the number of general and acute beds open overnight because hospitals are dealing with patients more efficiently. The NHS now performs more day cases, length of stay is decreasing and more people are treated in community settings.</p> answering member printed Lord O'Shaughnessy question first answered 07/11/2017 15:53:15 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Average number of Hospital Beds England.docx title Average numbers of hospital beds in England
	tabling member	530 label Biography information for Lord Jones

685331

	registered interest
	date	06/02/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospital Beds
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how many people who are occupying hospital beds, despite being fit and well enough to be discharged, have been doing so for (1) between one and three months, (2) between three and six months, or (3) six months or more.
	tabling member printed	Lord Blencathra
	uin	HL5235
	answer	answer is ministerial correction date of answer 16/02/2017 answer text <p>The statistics published by NHS England on the number of patients occupying hospital beds whose discharge was delayed on the last Thursday of each month do not include any information about the lengths of stay of these patients.</p> answering member printed Lord O'Shaughnessy question first answered 16/02/2017 12:41:55 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	497 label Biography information for Lord Blencathra

678203

	registered interest
	date	24/01/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospital Beds
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether they intend to provide for a power to charge hospital patients who have overstayed in hospital and refused to leave even after doctors have certified that they are well enough to leave.
	tabling member printed	Lord Blencathra
	uin	HL4932
	answer	answer is ministerial correction date of answer 03/02/2017 answer text <p>The Department is not currently planning to provide for a power in this area.</p> answering member printed Lord O'Shaughnessy question first answered 03/02/2017 14:31:56 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	497 label Biography information for Lord Blencathra

677385

	registered interest
	date	23/01/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospital Beds
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what information they have on the number of people occupying hospital beds who are deemed well and able to leave but who are refusing to leave, or stalling leaving, hospital.
	tabling member printed	Lord Blencathra
	uin	HL4851
	answer	answer is ministerial correction date of answer 30/01/2017 answer text <p>NHS England publishes monthly data on the number of patients ready to depart from acute or non-acute care on the last Thursday of each month and who were still occupying a hospital bed, including the reasons for these delays. The most recently published data shows that there were 750 patients on the last Thursday of November with a delayed transfer of care due to patient or family choice. The guidance further defines these as patients whose assessment is complete and who have been made a reasonable offer of services, but who have refused that offer.</p><p> </p><p>The Department is not planning to introduce new powers in this area.</p><p> </p> answering member printed Lord O'Shaughnessy grouped question UIN HL4852 question first answered 30/01/2017 15:54:18 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	497 label Biography information for Lord Blencathra

677386

	registered interest
	date	23/01/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospital Beds
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether they will bring in new powers to permit hospitals to evict immediately any patients who in the opinion of doctors are well enough to be discharged but who refuse to leave.
	tabling member printed	Lord Blencathra
	uin	HL4852
	answer	answer is ministerial correction date of answer 30/01/2017 answer text <p>NHS England publishes monthly data on the number of patients ready to depart from acute or non-acute care on the last Thursday of each month and who were still occupying a hospital bed, including the reasons for these delays. The most recently published data shows that there were 750 patients on the last Thursday of November with a delayed transfer of care due to patient or family choice. The guidance further defines these as patients whose assessment is complete and who have been made a reasonable offer of services, but who have refused that offer.</p><p> </p><p>The Department is not planning to introduce new powers in this area.</p><p> </p> answering member printed Lord O'Shaughnessy grouped question UIN HL4851 question first answered 30/01/2017 15:54:18 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	497 label Biography information for Lord Blencathra

674024

	registered interest
	date	17/01/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospital Beds
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how many hospital beds, on each day in the years (1) 2015, and (2) 2016, were filled by patients who could have been discharged; what estimate they have made of the numbers of such patients in 2017; and how they intend to tackle this issue.
	tabling member printed	Lord Ouseley
	uin	HL4747
	answer	answer is ministerial correction date of answer 31/01/2017 answer text <p>The information is not available in the format requested.</p> answering member printed Lord O'Shaughnessy question first answered 31/01/2017 16:30:12 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2170 label Biography information for Lord Ouseley

657402

	registered interest
	date	12/12/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospital Beds
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what is the transfer of care rate for each local authority in England; and what assessment they have made of the reasons for any differences in the transfer of care rate between local authorities.
	tabling member printed	Lord Wills
	uin	HL4035
	answer	answer is ministerial correction date of answer 21/12/2016 answer text <p>NHS England compiles and publishes monthly delayed transfers of care data. The data is available by each local authority and National Health Service trust, and includes the reason for the delay against a defined set of 10 categories. The data set is published in an online-only, interactive format.</p><p> </p><p>Delays have multiple causes and as a result there is variation between local authorities. A wide-ranging package of support is in place to help areas improve transfers out of hospital and reduce delays, including work as part of Accident and Emergency Improvement Plans to understand and address delays in hospital discharge and promote good practice.</p><p> </p><p>The NHS and local government have also developed new resources, including a high impact change model for reducing delayed transfers of care. In addition, the Emergency Care Improvement Programme provides tailored support to local systems to support rapid and sustained improvement in performance.</p> answering member printed Lord Prior of Brampton question first answered 21/12/2016 13:53:02 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	260 label Biography information for Lord Wills

652970

	registered interest
	date	06/12/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospital Beds
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what is the annual cost to the NHS of bed-blocking delays in discharging elderly patients from hospitals because of the lack of adequate social care provision; and what strategy they have to ensure that adequate social care is provided, particularly for the elderly.
	tabling member printed	The Marquess of Lothian
	uin	HL3860
	answer	answer is ministerial correction date of answer 16/12/2016 answer text <p>The Department has made no formal estimate of the costs of delayed discharge to the National Health Service. However, the Department and NHS Improvement are working together to implement Lord Carter’s recommendations on hospital productivity. The report, <em>Operational productivity and performance in English NHS acute hospitals: Unwarranted variations </em>is attached. As part of this, the two organisations are working with providers to develop a richer dataset around all aspects of the patient pathway, including discharge.</p><p> </p><p>At the same time, the Department continues to work closely with the NHS and local government to help local areas improve transfers out of hospital, share best practice, and reduce unnecessary delays.</p><p><strong> </strong></p><p>The Care Act 2014, placed duties on local authorities to facilitate and encourage an effective market of quality providers in their area. The Department has worked with local government and the provider sector to develop guidance to help local authorities with these market shaping duties, a copy of guidance, <em>Adult social care market shaping </em>is attached. The Department also supports the Local Government Association with a programme of sector-led improvement.</p> answering member printed Lord Prior of Brampton attachment 1 file name Operational productivity and performance in English NHS acute hospitals - Unwarranted variations.pdf title Operational productivity 2 file name Adult Social Care Market Shaping.pdf title Adult social care market shaping question first answered 16/12/2016 13:12:39 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	259 label Biography information for The Marquess of Lothian

576318

	registered interest
	date	05/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospital Beds
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what is the cost of bed-blocking in NHS hospitals in each of the past three years and what plans they have to invest in social care services to reduce those costs.
	tabling member printed	Lord Ouseley
	uin	HL1558
	answer	answer is ministerial correction date of answer 14/09/2016 answer text <p>To date, the Department has made no formal estimate of the costs of delayed discharge to the National Health Service. However, the Department and NHS Improvement are working together to implement Lord Carter’s recommendations on hospital productivity. As part of this, the two organisations are working with providers to develop a richer dataset around all aspects of the patient pathway, including estimates of the cost of delayed discharge.</p><p> </p><p>At the same time, the Department continues to work closely with the NHS and local government to help local areas improve transfers out of hospital, share best practice, and reduce unnecessary delays. We are funding the NHS’s own plan for the future with £10 billion and we are giving local authorities access to up to £3.5 billion of new support for adult social care by 2019/20.</p><p> </p><p>Since April 2015, the Government’s £5.3 billion Better Care Fund has provided much needed investment in better integrated care through locally developed plans and by putting resources where the local NHS and social services think they are needed. Alongside this we are working with local areas to improve the transfer of patients back into the communities.</p><p> </p><p>In 2016-17, there is a new Better Care Fund requirement on local areas to develop a clear, focused action plan for managing delays, including locally agreed targets. The requirement is designed to reduce delays across the health and care system.</p> answering member printed Lord Prior of Brampton question first answered 14/09/2016 15:57:34 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2170 label Biography information for Lord Ouseley