University Hospitals Birmingham NHS Foundation Trust (UHB) completed a merger by acquisition of Heart of England NHS Foundation Trust (HEFT) on 1st April 2018. Due to historical differences in data collection/reporting across UHB and the former Heart of England NHS Foundation Trust this response has been provided by hospital site.
Queen Elizabeth Hospital Birmingham
1) The total number of adult emergency and elective inpatient beds across the Trust, excluding maternity (and paediatric) beds.
There are 1069 elective and non-elective inpatient beds at the QE. In addition, we regularly utilise day case spaces to accommodate inpatients when there are particular pressures that require us to exceed the 1069 beds available. In addition to the 1069 general and acute beds, there are up to around 82 ITU beds in use, depending on the complexity and acuity of patients which determines the level of care required (i.e. if all ITU patients required 1:1 nursing we would be able to accommodate 67 ITU patients routinely).
2) The total number of adult emergency and elective ‘inpatient episodes’ within the most recently recorded 12 month period, excluding maternity (and paediatric) episodes.
| Discharges between 1 January – 31 December 2018 | ||||
| Day Case | 56045 | |||
| Elective | 15634 | |||
| Emergency | 82802 | |||
| * Adult defined as patients 18 years and older. | ||||
3) The number of emergency and elective ‘inpatient episodes’ belonging to adults aged 65 years or over, within the most recently recorded 12 month period.
| Discharges between 1 January – 31 December 2018 | ||||
| Day Case | 20686 | |||
| Elective | 5911 | |||
| Emergency | 38512 | |||
4) Of the number of emergency and elective ‘inpatient episodes’ belonging to adults aged 65 years or over within the most recently recorded 12 month period, how many of these required a domiciliary social care package to be implemented prior to discharge?
The Trust does hold this information, however in order to retrieve it 44, 423 patient records would need to be manually checked, which would take in excess of 18 hours. We are therefore withholding this information under section 12 of the Freedom of Information Act.
5) The sum of the number of days each inpatient bed was occupied by an adult aged 65 years or over whilst he/she was deemed ‘medically fit for discharge’ but was unable to be discharged due to inadequate social care provision, in the most recently recorded 12 month period. (Please give data separately for each emergency and elective bed types if readily available, otherwise combined data is acceptable).
The sum of the number of days each inpatient bed was occupied by an adult aged 65 years or over, whilst deemed medically fit for discharge, but was unable to be discharged due to waiting for social care provision (Residential care, Nursing Home care, domiciliary care) from January 2018 – December 2018 was 6145 days.
6) The average cost of an inpatient bed occupied by an adult aged 65 years or over, per 24 hour period, for each emergency and elective beds (or emergency and elective beds combined if separate data is not readily available).
£202, excluding medical costs.
7) The name(s) and email address(es) of the Trust’s ‘Lead Discharge Co-ordinator(s)’.
Equivalent role: Clinical Manager Complex Discharge – Carol Jagpal
Heartlands, Good Hope and Solihull Hospital
1) The total number of adult emergency and elective inpatient beds across the Trust, excluding maternity (and paediatric) beds.
1412 beds, excluding maternity (and paediatric) beds
2) The total number of adult emergency and elective ‘inpatient episodes’ within the most recently recorded 12 month period, excluding maternity (and paediatric) episodes.
| Day Case | 147812 |
| Elective | 13010 |
| Emergency | 166891 |
3) The number of emergency and elective ‘inpatient episodes’ belonging to adults aged 65 years or over, within the most recently recorded 12 month period.
| Day Case | 79163 |
| Elective | 6053 |
| Emergency | 87738 |
4) Of the number of emergency and elective ‘inpatient episodes’ belonging to adults aged 65 years or over within the most recently recorded 12 month period, how many of these required a domiciliary social care package to be implemented prior to discharge?
The Trust does hold this information, however in order to retrieve it 93, 791 patient records would need to be manually checked, which would take in excess of 18 hours. We are therefore withholding this information under section 12 of the Freedom of Information Act.
5) The sum of the number of days each inpatient bed was occupied by an adult aged 65 years or over whilst he/she was deemed ‘medically fit for discharge’ but was unable to be discharged due to inadequate social care provision, in the most recently recorded 12 month period. (Please give data separately for each emergency and elective bed types if readily available, otherwise combined data is acceptable).
The sum of the number of days each inpatient bed was occupied by an adult aged 65 years or over, whilst deemed medically fit for discharge, but was unable to be discharged due to waiting for social care provision (Residential care, Nursing Home care, domiciliary care) from January 2018 – December 2018 was 13010 days.
6) The average cost of an inpatient bed occupied by an adult aged 65 years or over, per 24 hour period, for each emergency and elective beds (or emergency and elective beds combined if separate data is not readily available).
£213, excluding medical costs.
7) The name(s) and email address(es) of the Trust’s ‘Lead Discharge Co-ordinator(s)’.
Carmel Carney – Group Support Manager, Complex Discharge
carmel.carney@heartofengland.nhs.uk
