PERFORMANCE: An action plan to tackle rising rates of delayed transfers of care has been agreed in Warwickshire.

Board papers for the Arden cluster, comprising Coventry and Warwickshire primary care trusts, say: “there has been a deterioration during July across the three main providers.

“A detailed action plan involving the local health economy has been agreed, which ensures that wards follow approved policy and that improved nursing quotas are implemented to increase ward capability and capacity.”

All three local acute trusts - University Hospitals of Coventry and Warwickshire, George Eliot Hospital, and South Warwickshire NHS Foundation Trust – are behind target.

UHCW’s rate of delayed transfers of care as a percentage of occupied beds stood at 5.44 per cent against a target of 4 per cent. For South Warwickshire the figure was 4.8 per cent against a target of 3.5 per cent, while George Eliot Hospital was running at more than double its 3.5 per cent target rate, at 7.5 per cent.

The papers say: “New ways of working to improve robustness and resilience of discharge planning in the whole health economy have been identified; inclusion of social care and reablement planning in local economy partnership meeting. The aim is to reduce discharges to a setting other than the patients home.”

It also cites “reablement flats in extra care and ICS beds in private nursing homes to create flex capacity in rehabilitation and reablement”.