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Clinical Rehabilitation, Vol. 20, No. 1, 79-82 (2006)
DOI: 10.1191/0269215506cr881oa
© 2006 SAGE Publications

Delayed discharge from rehabilitation after brain injury

Andrew D Worthington

Brain Injury Rehabilitation Trust, West Heath House, Birmingham

J Barrie Oldham

Brain Injury Rehabilitation Trust, Hallcroft House Wakefield, UK

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 £490 000.

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.


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