Patients in the region are being left in hospital for up to a month before being discharged into care homes and home care providers, a study has found.
The survey of 568 care homes and home care providers across England, Wales, Scotland and Northern Ireland found wide regional variations and prompted sector leaders to say “enough is enough” as they repeated calls for urgent reform of the social care system.
Across the UK, the survey revealed almost a fifth of care providers across the UK reported weeks-long waiting times for people to be transferred into their care with the government calling the the NHS hospital discharge system “broken”.
In North Yorkshire and York, ten per cent of the providers surveyed said it took over three weeks to get a patient admitted into their care - which is a larger percentage than the likes of the North West and large part of the South of England.
A lack of agreement on how the person’s social care would be paid for was the most common reason for delayed admission to a care provider, the survey found, with more than 200 respondents citing this reason.
Others said wrong or insufficient information provided to them by hospital discharge teams, a lack of communication, waits for patients to have care assessments or transport not being agreed upon all contributed to delays in people being moved from hospital to a care provider.
Autumna, which carried out the survey and describes itself as the UK’s largest and most comprehensive later-life care directory, said that the latest NHS figures, for July, show that across England an average of 22,310 hospital patients a day were ready to be discharged – to several settings rather than just to care homes.
Of these, a total of 9,984 (45 per cent) were discharged and 12,326 (55 per cent) were not, according to NHS England.
Mike Padgham, chairman of the Independent Care Group (ICG), representing adult social care providers in York and North Yorkshire, said: “This is the latest in a long line of reports that paint a bleak and unacceptable picture for people who need care.
“Enough is enough, the system needs reform so that people can get the care they need, when and where they need it.”
He described the current process as an “unnecessarily complex system which delays people from getting where they want to be”, adding: “We need a system that allows hospitals to discharge people directly to care providers to get people moving more quickly.”
Professor Martin Green, chief executive of Care England which represents many providers across the country, said the report “clearly outlines a system that is failing and will only get worse unless remedial action is taken”.
He added: “Care providers are frustrated and angry by the lack of a clear and strategic approach to discharge, and the fact that nobody is delivering a national perspective.
“We are constantly hearing about bottlenecks within hospitals, the root cause of which is often a lack of a clear and strategic approach to appropriately discharge patients.
“This pressure on the NHS is often self-made and is a symptom of a system that is obsessed with organisations and processes and has forgotten that people and outcomes should be the priority.”
He said more effective work with the social care sector, including giving it the required resources, would mean “the solutions would be easily and readily available”.
Autumna founder Debbie Harris said the survey was the first to “probe the experiences of social care providers of the hospital discharge system” and finds a system that is “failing due to poor relationships caused by poor communication”.
She added: “Our findings are a wake-up call to Keir Starmer and Wes Streeting that the system is broken and urgently needs reform.
“The pressures are only going to get worse as our population gets older, so we need to fix the system now, before it completely breaks down.”
A Government spokesperson said: “Our broken NHS hospital discharge system is blocked by an inadequate and neglected social care system.
“This Government is committed to reforming the adult social care sector and building a National Care Service to deliver high-quality care across the country and ease pressure on the NHS so it is fit for the future.”
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An NHS spokesperson said: “All health and social care partners recognise that the current level of delayed discharge is unacceptable.
“We are working closely with colleagues in social care and local government to make improvements, following the successful rollout of care transfer hubs, which help to coordinate care and support for people who need it, alongside our new discharge ready date measure, which records the length of delay once a patient is ready to leave to reduce it.
“We know there is more to do to improve processes and maintain the appropriate capacity in all parts of the system, and this will be a key priority for us as we go into winter.”
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