Bed blocking crisis may see patients sent to other areas

Bicester Advertiser: CCG interim chief executive Ian Wilson CCG interim chief executive Ian Wilson

PATIENTS may be sent to community hospitals outside of their local area, after officials admitted bed blocking has created a crisis in Oxfordshire’s healthcare.

Twenty per cent of people in beds in major acute hospitals like Oxford’s John Radcliffe are there because they want to go to their local community hospital but there is no space.

But officials now say they may have to go elsewhere as they aim to tackle a problem that has persisted for months in the county.

Latest figures, for January 5, show 150 were blocked – higher than the figures in the 140s that officials had been struggling since June to bring down.

Ian Wilson, interim chief executive of the Oxfordshire Clinical Commissioning Group (CCG), told the Oxford Mail the move was needed “with the sort of crisis that we have and the need for acute beds”.

He said: “It is a long-term thing about the distribution of the community beds across the county.”

He said it would not be fixed soon.

A CCG report on the issue spells out the need to take action, saying: “With the pressure on A&E this winter, beds are urgently required in the acute hospitals and unreasonable delays of this type are not sustainable.

“A media campaign has been instigated which will explain that people do not have a right to choose their community hospital and to explain the impact that this has on preventing beds being used in acute hospitals for patients with more urgent needs.”

Bed blocking occurs when a patient – often a frail OAP – is well enough to leave major acute hospitals, but community services such as community hospitals are not available, and this has a knock-on-effect on acute waiting times in, for example, in A&E.

County MPs will today meet health and council managers in Oxford to discuss the issue after demanding a meeting.

But bosses hope the latest move will ensure that community hospital beds – in places such as Abingdon, Bicester, Chipping Norton, Didcot – are used as much as possible.

Mr Wilson yesterday told board members at a meeting in Oxford that patients may have to “accept temporary placement that in terms of geography, and not in terms of care, is less than ideal”.

He said 60 different initiatives are under way to tackle the issue, including new hospital discharge teams, and that £240,000 had been given by Oxfordshire County Council to train staff and for three new occupational therapists.

Lay member Ros Avery said of the figures: “Despite everything we’ve done this year, we are still worse than we were this time last year.”

Mr Wilson added that the £10.2m spent to ease winter pressures on the county’s health service had helped stop the issue getting much worse, but that this would be “small comfort to the families and patients waiting in hospital”.

Banbury MP Sir Tony Baldry said the issue “has to be gripped and sorted”. He added: “It would be sensible if we looked at those areas of the country which appear to have the best performance.”

Oxford East MP Andrew Smith said: “It’s of critical importance to the NHS that this delayed discharges crisis is properly addressed, and the whole situation underlines how crucial it is to get more and better community support in place whether in community hospitals or in peoples’ own homes.”

But he added: “I think careful explanation of the situation to a patient and family is more likely to be helpful than simply saying ‘you have no right to choose where you go’.”

Comments (2)

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3:45pm Fri 31 Jan 14

dyau123 says...

The JR likes to discharge people home ASAP even when they need rehabilitation first. This leads to re-admission into the JR due to falls or repeat illness which could be prevented with better community hospital provision. However, Witney community hospital is not large enough to cope with demand (and I imagine other community hospitals are in similar predicaments) and hence people are either added to the bottle-neck and have to stay in acute facilities for longer or are simply discharged and wished "good luck".

Community hospitals are key and give essential rehabilitation and additional care. However, part of their role is to be within the persons 'community'. Therefore they can have people visit which is all part of successful rehabilitation. Shipping someone 40 miles away is not a useful solution but NHS funding continues to ignore this problem and hence there aren't many other options.

The NHS is still world-leading, however, some aspects aren't brilliant and have significant scope for improvement.
The JR likes to discharge people home ASAP even when they need rehabilitation first. This leads to re-admission into the JR due to falls or repeat illness which could be prevented with better community hospital provision. However, Witney community hospital is not large enough to cope with demand (and I imagine other community hospitals are in similar predicaments) and hence people are either added to the bottle-neck and have to stay in acute facilities for longer or are simply discharged and wished "good luck". Community hospitals are key and give essential rehabilitation and additional care. However, part of their role is to be within the persons 'community'. Therefore they can have people visit which is all part of successful rehabilitation. Shipping someone 40 miles away is not a useful solution but NHS funding continues to ignore this problem and hence there aren't many other options. The NHS is still world-leading, however, some aspects aren't brilliant and have significant scope for improvement. dyau123

1:28pm Sat 1 Feb 14

Gunslinger says...

Everybody agrees more needs to be spent on community hospitals and services.

However in the present zero sum budget situation, more money spent in the community automatically means that less can be spent in acute hospitals like the JR and Horton. Which JR services do people think should be cut back or discontinued altogether?
Everybody agrees more needs to be spent on community hospitals and services. However in the present zero sum budget situation, more money spent in the community automatically means that less can be spent in acute hospitals like the JR and Horton. Which JR services do people think should be cut back or discontinued altogether? Gunslinger

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