Labour proposes solution for bed blocking

Cheshire East has been a black spot for Delayed Transfers of Care (DTOC).
Despite recent improvements, DTOC remains a significant issue that results
in unnecessary spend of millions of pounds a year. Nationally it is
estimated that one third of hospital beds are occupied by those over 65 and
that 10% of all beds are taken up by patients who should not be there.

At the Cheshire East Council meeting on 23rd February, Labour councillors
proposed a solution to the problem of Delayed Transfers of Care (bed

The problem of DTOC is exacerbated by the structure of the NHS. Patients who
should be at home occupy a hospital bed; it is the hospitals and patients
who experience the problem. The funding for solving the problem is with
Clinical Commissioning Groups (CCGs). The people with the expertise to help
the patients get back home safely with a proper package of care are employed
by councils. So under the crazy NHS structures the problem, the funding and
the solution are all kept separate. It is now clear that the massive top
down reorganization of the NHS instigated by David Cameron wasted £4bn and
made problems such as DTOC worse.

The solution is obvious. Cheshire East Council should use its expertise to
move patients out of hospital and back into their homes, but the current NHS
structures do not reward such behaviour.

Sam Corcoran proposed “That a review should be carried out into ways to
reduce Delayed Transfers of Care from hospitals (DTOC) which should include
the option of setting up a wholly owned company to provide services on a
commercial basis.”

Cllr Laura Jeuda said, “The Conservatives voted against even carrying out a
review of the proposals. The Conservatives voted instead to stick with the
policies that have failed to solve the problem of DTOC in the past.”

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