Community / rehabilitation
27.3%
Discharge bottleneck intelligence
Move from “beds are blocked” to the constraint that needs action.
July provider-level discharge exposure is paired with August coded delay reasons to prioritise investigation. The analysis is directional, not causal, and is never presented as a savings estimate.
Matched112
Providers linked
87.5% of DRD providers matched across datasets.Leading reason27.3%
Community / rehabilitation
Largest share of the August LOS 7+ coded reason series.System signal61.8%
Interface + downstream capacity
Share of the same coded reason series.RuleInvestigate
Do not assign blame
Variation identifies where to ask better operational questions.National cause mix
The biggest signals sit across organisational boundaries.
Only like-for-like LOS 7+ reason counts are used.
Hospital process
17.9%
Residential / nursing placement
13.6%
Care transfer hub
12.2%
Home care / package of care
10.0%
Cross-system interface
5.0%
See full source-family breakdown and method
Interface process
31.0%
3,885.4 aggregate reason-signal units.
Downstream capacity
30.8%
3,866.2 aggregate reason-signal units.
Hospital process
19.4%
2,436.4 aggregate reason-signal units.
Care transfer hub
13.1%
1,639.5 aggregate reason-signal units.
Wellbeing / patient factors
5.8%
722.1 aggregate reason-signal units.
This joins July 2026 DRD performance signals to August 2026 acute-discharge reason mix. It is a directional bottleneck analysis, not causal proof. Different months, coding practices and local context can affect interpretation.
Provider investigation screen
High exposure paired with the next month’s dominant coded bottleneck.
Ordered by a median counterfactual screen. This is not a cash or avoidable-waste estimate.
| Provider | Avg delay | Bed days | Screened excess | Dominant bottleneck | Share | System bucket |
|---|---|---|---|---|---|---|
| UNIVERSITY HOSPITALS SUSSEX NHS FOUNDATION TRUST SOUTH EAST | 2.16 days | 12,736 | 7,501 | Community / rehabilitation | 43.0% | Cross-system |
| SOMERSET NHS FOUNDATION TRUST SOUTH WEST | 2.00 days | 6,869 | 3,811 | Community / rehabilitation | 28.3% | Cross-system |
| EAST SUSSEX HEALTHCARE NHS TRUST SOUTH EAST | 2.15 days | 5,562 | 3,263 | Community / rehabilitation | 24.0% | Cross-system |
| MERSEY AND WEST LANCASHIRE TEACHING HOSPITALS NHS TRUST NORTH WEST | 1.59 days | 7,117 | 3,146 | Residential / nursing placement | 28.0% | Community / social care / commissioning |
| PORTSMOUTH HOSPITALS UNIVERSITY NHS TRUST SOUTH EAST | 1.66 days | 6,271 | 2,912 | Community / rehabilitation | 41.7% | Cross-system |
| LEEDS TEACHING HOSPITALS NHS TRUST NORTH EAST AND YORKSHIRE | 1.39 days | 7,183 | 2,577 | Community / rehabilitation | 23.8% | Cross-system |
| UNIVERSITY HOSPITALS DORSET NHS FOUNDATION TRUST SOUTH WEST | 1.49 days | 6,112 | 2,468 | Community / rehabilitation | 31.4% | Cross-system |
| BRISTOL NHS FOUNDATION TRUST SOUTH WEST | 1.22 days | 8,783 | 2,393 | Community / rehabilitation | 38.9% | Cross-system |
| UNITED LINCOLNSHIRE TEACHING HOSPITALS NHS TRUST MIDLANDS | 1.50 days | 5,083 | 2,082 | Hospital process | 33.2% | Provider-led / operational |
| HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST SOUTH EAST | 1.50 days | 4,825 | 1,961 | Community / rehabilitation | 25.3% | Cross-system |
| UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST SOUTH EAST | 1.35 days | 5,699 | 1,946 | Community / rehabilitation | 28.4% | Cross-system |
| NORTHERN CARE ALLIANCE NHS FOUNDATION TRUST NORTH WEST | 1.26 days | 6,517 | 1,935 | Community / rehabilitation | 41.5% | Cross-system |
How should this analysis be interpreted?
This joins July 2026 DRD performance signals to August 2026 acute-discharge reason mix. It is a directional bottleneck analysis, not causal proof. Different months, coding practices and local context can affect interpretation.
The median counterfactual is a screening tool only. It does not adjust for trust type, case mix, social-care availability, local geography, coding practice or data quality.