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Dublin: 8 °C Sunday 19 May, 2013

Delayed patient discharges costing €550,000 per night

680 patients are occupying hospital beds around the country at a cost of €800-900 per night each, according to figures put before the Public Accounts Committee.

John Sherwin from the Dublin City charity, Care Local, visits 87-year-old Joe Reddin to deliver groceries.
John Sherwin from the Dublin City charity, Care Local, visits 87-year-old Joe Reddin to deliver groceries.
Image: Mark Stedman/Photocall Ireland

THE DELAYED DISCHARGE of patients is costing €550,000 per night, according to figures made public today.

680 patients are occupying hospital beds around the country at a cost of €800-900 per night, despite the fact that their acute care has ended and they are medically fit to be discharged, said Home and Community Care Ireland (HCCI). They estimate this as costing the same as 25,000 hours of home care.

Almost 90 per cent of these are elderly patients over the age of 65 for whom alternative arrangements have not been put in place.

‘These figures are extremely worrying. In times of difficult decisions being made, red tape and bureaucracy is leading to this massive backlog in the system, which is piling up costs by the minute” said Michael Harty, Co-Chair of HCCI. “The Government needs to overhaul how we fund care for older people, and how people access that care, to give choice back to the patient and encourage a more cost-effective approach based on need and preference.”

A HSE report supplied to the Public Accounts Committee showed that 44 patients have been waiting six months or more to be discharged. Using the HSE’s own figures, HCCI estimate that this could amount to a cost of €6,336,000 – over half the proposed €12.5 million cut to home care services recently announced by the HSE.

“Delayed discharges are just one part of a much wider problem in the existing system which favours the ring-fencing of one type of care over another”, added Mr Harty.

The Fair Deal scheme currently accounts for over 70% of the total €1.4 billion budget despite the fact that it is stated government policy and patient’s overwhelming preference to remain in the home as long as possible. Not only could improved home care provision speed up discharges, but it could help elderly, dependent people to live longer at home and prevent unnecessary admission in the first place.

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Comments (16 Comments)

  • I used to work in hospitals and saw people bringing in their elderly relatives and refusing to take them home post discharge….more nursing homes and home care packages needed but its actually worse its getting….

    Reply
  • aisloy 26/09/12 #

    You’re missing the point. Consultants medically discharge them, there is no where for these patients to go, it is not the fault of the consultants. BOften families refuse to take them home for many reasons, often legitimate ones,of not being able to cope with the burden of care. Are you saying consultants should throw them on the streets? The waiting time for placement in a public nursing home is the issue.
    Interestingly by freeing up these beds more acutely ill patients will be seen and more tests and scans ordered etc costing a lot more than a ” bed blocker” awaiting long term care. Efficiency in the health care system paradoxically costs more money. When these beds are emptied there are plenty of sick people waiting to fill them. I know of no health care system where the beds would just sit cheaply empty.

    Reply
  • its not really the consultants fault that there’s no nursing home beds or that a homecare package isn’t in place. More to do with lack of funding…

    Reply
  • EJPC 27/09/12 #

    I worked in a hospital in England. I always remember one incident where a woman in her 60s was ready for discharge on the Monday but her children left her in there because they weren’t bothered. 2 days later she was diagnosed with hospital acquired pneumonia. She was dead by the weekend. In some of these cases I blame the children for ignoring their parents in old age. It’s easy to blame the system but a lot of things happen because people are callous and irresponsible and always expect the state to do everything. Although much of what is happening must be down to medical mismanagement at times the public themselves must be to blame

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  • Only 680? Seems like a very low figure – 20ish per county strikes me as an underestimate.

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  • aisloy 26/09/12 #

    I am sick to the back teeth of those cat woman and wonder woman fans taking up our much needed beds.

    Reply
  • debbie 26/09/12 #

    It’s not just the elderly would like to see the figures on heroine addicts there should be a separate hospital it’s getting outa hand and well we all know it. . .

    Reply
  • Typical example of lack of joined up thinking in administration. Spend €1000 on research,€5000 on Spin doctors and public relations €15,000 on consultancy fees….to save a tenner.

    Reply
  • In my own personal experience the hospitals cannot wait to get rid of you even if you wave your VHI membership in their face

    Reply
  • Deduct the charges from consultants pay. The only way to speed up the process.

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    • Micheal 26/09/12 #

      I was wondering how long it would take someone to blame the medical staff. First comment, impressive, well done.
      The speed and efficiency with which a discharge can be made has nothing to do with medical staff, but with the availability of aftercare services, and funding required to fund these aftercare services.
      Other reasons include equipment not being made available, home care packages being delayed, and non-availability of home help / home care – all this due to infamous HSE cuts.
      As much as the consultant would like to discharge a patient the second they’re ready for discharge, to discharge one without the proper services being brought in is worthy of resignation.
      If you think a consultant has power over the availability of aftercare support, you’re giving them far more power than they actually have. (Granted, a power they would actually like!)
      You should research your comments a little further before throwing allegations around willy-nilly – it’s not cool.

      Reply
  • ehh. how does it cost 900.00 per night to leave a patient in a hospital bed. how much did this report cost and can we have our money back please.

    Reply
    • The rough cost of a hospital bed is about 900 euro per night – that’s how much it costs to have the nurses, doctors, physios, cleaners etc looking after the patient. That’s the basic, no frills, Ryanair headline figure – tests and scans and treatments are extra on top of that.

      Reply

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