HSJ’s exclusive map of delayed transfers of care performance illustrates the full extent of variability across the country in this increasingly important indicator.

As well as allowing comparison between health and wellbeing board areas, it also shows the trend in performance for every area in the country.

Areas shaded green are beating the national rate on DTOCs per 100,000 population over 12 months to November 2015. Areas shaded red have a higher than average rate. Hovering over an area brings up two pieces of data: DTOC rate per population expressed as a percentage of the national average rate; and the percentage change over the past year.

Click on the area to see local performance on delayed transfers over the past two years on the line chart below the map. The trend line represents a rolling total: the most recent point on the trend line aggregates DTOC data from December 2014 to December 2015 inclusive.

View the dashboard on Tableau

To produce this analysis HSJ used NHS England’s monthly publication of delayed transfers data by local authority area. This maps on to the health and wellbeing board footprint – no clinical commissioning group level data is available. The most recent data available is from November.

The raw data captures the total number of patients medically fit for discharge who are delayed for a day, month by month.

We have adjusted it in two ways: first, we have produced a monthly 12 month rolling total, which aggregates 12 months of data to remove seasonal variation; and second, we have calculated the rate of DTOCs per 100,000 population, to allow comparison between areas and against the national average. Delayed days per 100,000 is the measure that will be used by health and wellbeing boards for their DTOC reduction targets for 2016-17, although it is not yet clear whether this will be a monthly rate or a full year measure.

Analysed: The best and worst regions for delayed transfers of care