Discharge delays (Acute)

Acute Discharge SitRep

Daily returns are collected from acute trusts through the COVID-19 acute daily discharge situation report (SitRep) and include data on daily discharges from acute settings.

Note that daily data are collected on discharges from acute hospitals, and a weekly snapshot is collected for information on patients who have remained in hospital since no longer meeting the criteria to reside decision was made.

The publication contains management data which has been set up for COVID-19 incident management and collected on a rapid turn-round basis from the NHS. The speed of the collection only permits minimal validation to be undertaken but the data is considered ‘fit-for-purpose’ as NHS management information.


Background and Scope

The published monthly data file includes daily numbers of patients:

  • Who no longer meet the criteria to reside;
  • Discharged;
  • Not discharged by the end of the day

Monthly totals for

  • Discharge destinations

Monthly averages for

  • Delay reasons for patients with 14+ days length of stay

And a weekly snapshot of:

  • Number of additional days in total patients have remained in hospital since no longer meeting the criteria to reside decision was made (7+ days, 14+ days, and 21+ days length of stay);

Data are shown at regional, system and provider organisation level.

The published monthly time series file shows the metrics above at national level only.

This SitRep collects data for all inpatients 18 and over including critical care and COVID-19 positive patients but excluding paediatrics, maternity, and deceased patients. This includes data for acute trusts with a type 1 A&E department. Mental Health Trusts, specialised Trusts (including Children’s and Women’s Trusts) are not in scope of this collection.


Discharge Ready Date

The UEC Recovery Plan (30/01/2023) committed to publishing, by the start of winter 2023, a metric or suite of metrics based on the time from a patient’s discharge-ready date to their actual date of discharge.

This publication will be classed as an Official Statistic in Development and include only those trusts providing acceptable data throughout the reporting period.

Background and Scope

The suite of metrics report on the percentage of discharges within certain thresholds and the total bed days after Discharge Ready Date for patients discharged within certain thresholds.

Data are shown at national and provider organisation level.

This dataset is for all acute trusts and more information on the metrics and exclusions can be found in the Technical Guidance file further down.


Other collections

Weekly timeseries discharge delays data for the 22/23 winter period can be found here –


Please note the monthly publication and weekly timeseries figures are likely to differ.

Monthly publications data can be revised prior to publication where as weekly publications data do not undergo a revisions process.


Other information relating to delays is available in the Delayed Transfer of Care (DTOC) page here –


The DTOC metric is no longer being collected and publication has therefore ceased. The last publication of these data was for delays occurring in February 2020, published on 9th April 2020.

The DTOC data is not comparable with acute discharge delays data published on this page but does offer historic data on patients and days delayed at provider organisation level.



Monthly publication

April 2022: Daily-discharge-sitrep-monthly-data-webfile-April2022-revised

May 2022: Daily-discharge-sitrep-monthly-data-webfile-May2022-revised

June 2022: Daily-discharge-sitrep-monthly-data-webfile-June2022-revised

July 2022: Daily-discharge-sitrep-monthly-data-webfile-July2022-revised

August 2022: Daily-discharge-sitrep-monthly-data-webfile-August2022-revised

September 2022: Daily-discharge-sitrep-monthly-data-webfile-September2022-revised

October 2022: Daily-discharge-sitrep-monthly-data-webfile-October2022-revised

November 2022: Daily-discharge-sitrep-monthly-data-webfile-November2022-revised

December 2022: Daily-discharge-sitrep-monthly-data-webfile-December2022-revised

January 2023: Daily-discharge-sitrep-monthly-data-webfile-January2023-revised

February 2023: Daily-discharge-sitrep-monthly-data-webfile-February2023-revised

March 2023: Daily-discharge-sitrep-monthly-data-webfile-March2023-revised

April 2023: Daily-discharge-sitrep-monthly-data-webfile-April2023-revised

May 2023: Daily-discharge-sitrep-monthly-data-webfile-May2023-revised

June 2023: Daily-discharge-sitrep-monthly-data-webfile-June2023-revised

July 2023: Daily-discharge-sitrep-monthly-data-webfile-July2023

August 2023: Daily-discharge-sitrep-monthly-data-webfile-August2023

September 2023: Daily-discharge-sitrep-monthly-data-webfile-September2023


October 2023: Daily-discharge-sitrep-monthly-data-webfile-October2023


August 2023 – publications have been republished to include additional metrics and revised data.
October 2023 – August 2023 publication revised as 4 weeks of snapshot data were originally included when there should have been 5 weeks included.
October 2023 – publications revised due to incorrect ICB mapping which affected the following ICBs



Discharge Ready Date Guidance

DRD Guidance


Pre-release access list

Acute Discharge SitRep: Pre-release access list October 2023

Discharge Ready Date: Pre-release access list September 2023


Monthly timeseries from April 2021 onwards




For further information about the published statistics, please contact us at:
Email: england.nhsdata@nhs.net