Delayed discharge from rehabilitation after brain injury

OBJECTIVE: To investigate the extent of, and factors contributing to, delayed discharges for younger adults in rehabilitation. METHOD: Survey of patients discharged and awaiting discharge in a six-month period in five centres across England operated by a leading independent sector provider. Discharge was classified as delayed if a person had been waiting more than 30 days for transfer. RESULTS: One in three beds was occupied by a delayed discharge (median delay > seven months). Common reasons were absence of a suitable placement (41%) and failure to obtain funding for postdischarge support (31%). Delays were also associated with poor indoor mobility and additional physical/mental health problems. We estimated earlier discharge would have resulted in overall cost savings of almost ł490 000. CONCLUSION: Delayed discharge remains a significant obstacle to the development of cost-effective care pathways for younger adults. Our study suggests that health and social services are not exploiting the UK government's legislation for flexible partnership working in this area.