More than 10,000 days were spent in Lothian hospitals by people whose discharge was delayed in February, new figures have revealed.

The number of occupied bed days far outstripped any other health board, making up more than a quarter of Scotland’s total, and was the highest figure for NHS Lothian since 2015.

At the same time, the crisis at the A&E department in the Royal Infirmary of Edinburgh has deepened, with just 57.9 per cent of patients seen within the target four hours in the week ending March 25.

That was by far the worst of any hospital in the country, with the Scottish average standing at 88.3 per cent.

Labour Lothian MSP Kezia Dugdale has challenged SNP Health Secretary Shona Robison to urgently intervene to address the crisis.

In 2015, Ms Robison said: “I want over the course of this year to eradicate delayed discharge out of the system and I am absolutely determined to do that.”


Kezia Dugdale said:

“Shona Robison’s broken promise on delayed discharge has cost Scottish taxpayers hundreds of millions of pounds, which could have been reinvested in our NHS to deliver better patient care and staff support.

“NHS Lothian is the epicentre of the crisis, with more than 10,000 days spent in hospital by people whose discharge was delayed in February.

“Much of the delay in discharging patients is due to social care issues and delays in care assessments – the result of years of an SNP government slashing local authority budgets, with Edinburgh City Council facing financial pressures again this year.

“The A&E department at the Royal Infirmary of Edinburgh has been underperforming for far too long, but these latest figures are simply unacceptable.

“The SNP has left our doctors and nurses over-worked, under-valued and under-resourced. Shona Robison is letting patients and NHS staff down in the Lothians, and she needs to urgently tackle this crisis.”



Delayed Discharge

In February 2018, 38,394 days were spent in hospital by people across Scotland whose discharge was delayed. This is a decrease of 5% compared with 40,246 days in February 2017.

This means a total of 1,596,175 days have been lost to delayed discharge since Shona Robison pledged to eradicate it.  This has cost the NHS an estimated £371,908,775

In NHS Lothian, 10,428 days were spent in hospital by people whose discharge was delayed. This is an increase of 15& compared with 9,049 days in February 2017.



During the week ending 25 March 2018:

There were 26,697 attendances at Emergency Departments across Scotland.

88.3% of people attending Emergency Departments were admitted, transferred or discharged within 4 hours.


Location of Treatment 25-Mar-18
Royal Infirmary of Edinburgh at Little France 57.9%
Forth Valley Royal Hospital 83.9%
Royal Alexandra Hospital 85.3%
St John’s Hospital 86.3%
Aberdeen Royal Infirmary 86.4%
Wishaw General Hospital 87.4%
Glasgow Royal Infirmary 89.2%
University Hospital Crosshouse 90.4%
Hairmyres Hospital 90.4%
Royal Hospital for Children 91.0%
Queen Elizabeth University Hospital 91.3%
University Hospital Ayr 91.7%
Gilbert Bain Hospital 92.1%
Dumfries & Galloway Royal Infirmary 92.2%
Galloway Community Hospital 92.2%
Borders General Hospital 92.5%
Raigmore Hospital 93.7%
Inverclyde Royal Hospital 93.8%
Royal Hospital for Sick Children (Edinburgh) 94.1%
Balfour Hospital 94.5%
Monklands District General Hospital 95.5%
Caithness General Hospital 96.0%
Dr Gray’s Hospital 96.3%
Victoria Hospital 96.5%
Ninewells Hospital 96.9%
Royal Aberdeen Children’s Hospital 97.0%
Lorn & Islands Hospital 97.3%
Perth Royal Infirmary 97.8%
Belford Hospital 98.9%
Western Isles Hospital 99.2%
NHS Scotland 88.3%


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