Delayed discharges and hospital type: Evidence from the English NHS

James Gaughan, Hugh Gravelle and Luigi Siciliani
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James Gaughan: Economics of Social and Health Care Research Unit, Centre for Health Economics, University of York, York, UK

No 133cherp, Working Papers from Centre for Health Economics, University of York

Abstract: Delayed discharges of patients from hospital, commonly known as bed-blocking, is a long standing policy concern. Delays can increase the overall cost of treatment and may worsen patient outcomes. We investigate how delayed discharges vary by hospital type (Acute, Specialist, Mental Health, Teaching), and the extent to which such differences can be explained by demography, casemix, the availability of long-term care and hospital governance as reflected in whether the hospital has Foundation Trust status, which gives greater financial autonomy and flexibility in staffing and pay. We use a new panel database of delays in all English NHS hospital Trusts from 2011/12 to 2013/14. Employing count data models, we find that a greater local supply of long-term care (care home beds) is associated with fewer delays. Hospitals which are Foundation Trusts have fewer delayed discharges and might therefore be used as exemplars of good practice in managing delays. Mental Health Trusts have more delayed discharges than Acute Trusts but a smaller proportion of them are attributed to the NHS, possibly indicating a relatively greater lack of adequate community care for mental health patients.

Pages: 27 pages
Date: 2016-07
New Economics Papers: this item is included in nep-ger and nep-hea
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http://www.york.ac.uk/media/che/documents/papers/r ... ges_hospital_NHS.pdf First version, 2016 (application/pdf)

Related works:
Journal Article: Delayed Discharges and Hospital Type: Evidence from the English NHS (2017)
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Persistent link: https://EconPapers.repec.org/RePEc:chy:respap:133cherp

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