More than 1,000 days lost to bed blocking in York in a month

More than 1,000 days lost to bed blocking

More than 1,000 days lost to bed blocking

First published in News York Press: Photograph of the Author by

YORK remains among the worst places in the country for hospital bed blocking, figures have revealed.

The latest statistics from NHS England show there were 1,023 days where beds were blocked in York in February, where patients were ready to leave hospital or care but could not because there was nowhere for them to go. The highest number of delays was caused by people waiting for a nursing home placement, with 285 days of delays, 243 days with people waiting for care at home to be organised and 175 days down to patient or family choice.

As reported in The Press, recent figures showed that York was one of the worst nationally for bed blocking. National figures showed the city ranks 147th out of 151 across the whole of England for these delays in the transfer of care, performing well below the national average.

Dr Paul Edmondson-Jones, director of health and wellbeing at City of York Council, said there was a shortage of nursing and residential care in the city, partly because a high cost of property and a shortage of available care staff meant the city was less attractive to care home operators. In turn, patients and their families often did not want them to be cared for outside York.

He said: “There are too many people going into residential homes and nursing care and we need to look at how to tailor service to help people stay at home.”

In North Yorkshire, 1,000 days were lost to bed blocking - 201 with patients waiting for further hospital treatment, 161 due to patient or family care and 101 while people waited for care in their own home.

A spokeswoman for York Teaching Hospital NHS Foundation Trust and the council, said: “Clearly we would like to see fewer patients delayed in hospital beds, whatever the reason, and together we are working hard with our commissioners and partners, including community services, to improve the way all parts of the system operate and to work towards ensuring that only those patients who need acute care are in hospital.

We need to make sure that patients who are fit to leave hospital choose to be discharged, and are then able to recover in the right place with the right support. The closer integration of health and social care and joint funding through the Better Care Fund will make it easier for us to tackle this shared problem.”

Comments (5)

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8:41am Sun 30 Mar 14

gmsgop says...

So we pay Paul Edmundson Jones £150k +++ for a trite answer like that? There are very many cities with considerably more expensive property than York, that cannot be the reason for city of York Council missing the bed blocking target so dramatically.

If this is the calibre of response we get from our deputy chief executive we all have a lot to be worried about. I hope he will urgently over the next couple of weeks he will makes himself immediately available to communicate with York citizens a more robust, considered, plausible and honest rationale for York council's appalling performance and a robust strategy to address it.

Perhaps James Alexander and whomever the cabinet member is might also for once step up and talk about this appalling metric not just leave it to the fantastically paid city if York staffer.
So we pay Paul Edmundson Jones £150k +++ for a trite answer like that? There are very many cities with considerably more expensive property than York, that cannot be the reason for city of York Council missing the bed blocking target so dramatically. If this is the calibre of response we get from our deputy chief executive we all have a lot to be worried about. I hope he will urgently over the next couple of weeks he will makes himself immediately available to communicate with York citizens a more robust, considered, plausible and honest rationale for York council's appalling performance and a robust strategy to address it. Perhaps James Alexander and whomever the cabinet member is might also for once step up and talk about this appalling metric not just leave it to the fantastically paid city if York staffer. gmsgop
  • Score: -33

11:15am Sun 30 Mar 14

inthesticks says...

It has absolutely nothing to do with the cost of property, what a load of rubbish.
Also PEJ comments that there is a shortage of care staff and we need to tailor the service to help people stay at home. How are you going to tackle that Paul?
There isn`t a shortage of care staff, there`s a shortage of people who are willing to work for these private companies who pay minimum wage or just over for a very hard job which often involves cleaning up other people`s bodily mess. To say that we need to help people stay at home is ridiculous simply because it is the same reason that agencies have a problem accepting new clients who could be discharged from hospital and be cared for at home - they have a shortage of staff who stay in the job because the pay is poor and home care workers only get paid for every half hour (or the ridiculously short time at the call the social worker allows them) - all travel time is not paid. For example, if a home care worker has 6 calls to make in the morning to get clients up and washed and dressed and fed, they have a short time to do each one and half of the morning is spent driving to and from each house, the total time taken for the visits and the travel is 6 hours but the travel time accounts for half of the morning, the worker only gets 3 hours pay. Who in their right mind would do that?
It`s easier to do a domestics job or sit on a shop till and quite often better paid. It`s not just a problem in York, I appreciate that, but with several of our residential facilities being barred from taking in new residents recently because of poor care standards (caused by lack of staff and bad pay and conditions IMO) we have a real care crisis here.
Think of it this way - if we have 200+ elderly at a time taking up beds in our hospital, that`s actually 7 wards used as a spill over residential home.
Blocked beds are shown on the A&E tracker on BBC website. This week (March 30th) it`s 197 beds blocked. 197 elderly who could be discharged but have no care available so nurses are looking after them. Shocking. It`s not just the money either, if elderly are cooped up in a bed without normal facilities like living rooms, places to walk and experiences that give quality of life, it`s also cruel.
It has absolutely nothing to do with the cost of property, what a load of rubbish. Also PEJ comments that there is a shortage of care staff and we need to tailor the service to help people stay at home. How are you going to tackle that Paul? There isn`t a shortage of care staff, there`s a shortage of people who are willing to work for these private companies who pay minimum wage or just over for a very hard job which often involves cleaning up other people`s bodily mess. To say that we need to help people stay at home is ridiculous simply because it is the same reason that agencies have a problem accepting new clients who could be discharged from hospital and be cared for at home - they have a shortage of staff who stay in the job because the pay is poor and home care workers only get paid for every half hour (or the ridiculously short time at the call the social worker allows them) - all travel time is not paid. For example, if a home care worker has 6 calls to make in the morning to get clients up and washed and dressed and fed, they have a short time to do each one and half of the morning is spent driving to and from each house, the total time taken for the visits and the travel is 6 hours but the travel time accounts for half of the morning, the worker only gets 3 hours pay. Who in their right mind would do that? It`s easier to do a domestics job or sit on a shop till and quite often better paid. It`s not just a problem in York, I appreciate that, but with several of our residential facilities being barred from taking in new residents recently because of poor care standards (caused by lack of staff and bad pay and conditions IMO) we have a real care crisis here. Think of it this way - if we have 200+ elderly at a time taking up beds in our hospital, that`s actually 7 wards used as a spill over residential home. Blocked beds are shown on the A&E tracker on BBC website. This week (March 30th) it`s 197 beds blocked. 197 elderly who could be discharged but have no care available so nurses are looking after them. Shocking. It`s not just the money either, if elderly are cooped up in a bed without normal facilities like living rooms, places to walk and experiences that give quality of life, it`s also cruel. inthesticks
  • Score: -31

2:43pm Sun 30 Mar 14

nowthen says...

Perhaps PEJ would like to accompany a care worker on their rounds ( in his own time of course ) and perhaps he might change his tune ; although I doubt it , ' wouldn't want to jeopardise his position at CoYC , but if he does , remind him to go the long way round avoiding Lendal bridge.
Perhaps PEJ would like to accompany a care worker on their rounds ( in his own time of course ) and perhaps he might change his tune ; although I doubt it , ' wouldn't want to jeopardise his position at CoYC , but if he does , remind him to go the long way round avoiding Lendal bridge. nowthen
  • Score: -24

6:04pm Sun 30 Mar 14

againstthecuts says...

Problem is patients are not getting discharged from hospital quick enough when they are fit and well
Problem is patients are not getting discharged from hospital quick enough when they are fit and well againstthecuts
  • Score: 4

8:48pm Sun 30 Mar 14

inthesticks says...

againstthecuts wrote:
Problem is patients are not getting discharged from hospital quick enough when they are fit and well
And why`s that then?
[quote][p][bold]againstthecuts[/bold] wrote: Problem is patients are not getting discharged from hospital quick enough when they are fit and well[/p][/quote]And why`s that then? inthesticks
  • Score: -2

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