EP232 - Delayed Discharges – How do we compare post pandemic?

Abstract Aims A delayed discharge is when a patient is declared medically fit for discharge (MFFD), yet still requiring an inpatient bed as other circumstances prevent leaving the hospital. This 2nd cycle audit was to assess the proportion of inpatients that are MFFD in comparison to the previous data collected in 2019, assessing level of improvement, implications of cost on the NHS and reasons for delayed discharge. Methodology The data was collected on the 27th of February 2023 encompassing 17 different wards in the hospital, compared to the 1st cycle on 26th February 2019. Analysis covered; Specialty, Age, Reason for the delay, Gender and Number of Days delayed. The number of inpatients on the day (n=432), of which 78 were MFFD (18%). The procurement team provided a figure of £392 for cost per bed per night. Results Findings showed approximately 1 in 5.5 patients had a delayed discharged in 2023 in comparison to that of 1 in 4 patients as seen in 2019. With estimated costs incurred being approximately £31,000 on the day cost in the 2nd cycle in comparison to £27,000 in the 1st cycle. The Audit highlighted the most common reason for delay in discharge was Completion of Assessment (Occupational Therapy/Physiotherapy/Social Worker) and Further Non-Acute NHS Care. Conclusion Even though there was considerable improvement in the number of people experiencing a delayed discharge, the estimated costing was still appreciably higher. To improve financial sustainability taking advantage of Government funding would see £200milion put towards the safe discharge of patients.