Delayed discharge from mental health hospitals: results of an English postal survey

Health & Social Care in the Community
Ruth Lewis, Jon Glasby

Abstract

This paper reports findings from a postal survey conducted by the UK's NHS Confederation to explore the rate and cause of delayed hospital discharges in mental health inpatient services. With delayed discharges the subject of considerable UK government activity in general hospital settings, there has been debate about extending recent financial penalties to mental health, fining social services departments for delayed discharges (a system known as reimbursement). Against this background, the NHS Confederation sent a postal survey to all 83 English mental health trusts and Primary Care Trusts with responsibility for providing mental health services. This asked respondents about delayed discharges from mental health inpatient beds in terms of number of delays, duration of delay, specialty and cause. Responses were then analysed quantitatively (in terms of number and extent of delays) and qualitatively (attitudes to reimbursement and other policies that might help resolve the issue). Overall, the survey reveals high levels of delayed discharges (with from 4% to 16% of beds affected and some 25 to 2,366 bed days lost depending on specialty). The causes of delayed discharge are varied, with a range of factors interacting. Although o...Continue Reading

References

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Citations

May 14, 2016·Worldviews on Evidence-based Nursing·Yingyan ChenFrances Lin
Sep 23, 2014·The Psychiatric Bulletin·Rob PooleTony Ryan
Jul 28, 2009·Journal of Correctional Health Care : the Official Journal of the National Commission on Correctional Health Care·Meaghan A LeddyMichael L Power
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Oct 5, 2018·Administration and Policy in Mental Health·Jerrica LittleSamantha B Meyer
Jun 18, 2020·Risk Management and Healthcare Policy·Rosaria Di LorenzoPaola Ferri

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