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Health > Complex Home Care

Freedom of Information request Complex Home Care

Response published: 7 May 2026

FOI Request

Under the Freedom of Information Act, I would like to request the following information relating to patients requiring complex home care packages on discharge from hospital. For clarity, “complex home care” refers to high-acuity packages requiring significant care input (e.g. ventilation, tracheostomy care, enteral feeding, or complex neurological support) that goes beyond basic domiciliary home care assistance. Failing that definition, please define “complex home care” as any home care package eligible for funding under the NHS Continuing Healthcare (CHC) funding pathway. Please note I have requested a breakdown of the data by age group. If data cannot be broken down by requested age bands, then please provide total figures across all age groups, adults aged 18+ and children aged 0-17. If data for the full year 2025/26 is not yet available, then please provide the latest yearly snapshot data for 2025/26. Where possible, please kindly include responses on the attached spreadsheet. 1. Please provide the name, telephone number and email address of the person responsible for coordinating / liaising discharge from hospital to community health and social care providers. 2. For each of the following years (2022/23, 2023/24, 2024/25, and latest 2025/26 data), please provide the total number of bed days lost due to delays in arranging CHC-funded complex home care packages across: a. All age patients b. Adult patients aged 18-64 years c. Child patients aged 0-17 years 3. Please provide the most recent available snapshot (e.g. March 2026) of the total number of patients currently in hospital who are medically fit for discharge but are awaiting a CHC-funded complex home care package across: a. All age patients b. Adult patients aged 18-64 years c. Child patients aged 0-17 years 4. If available, please also provide latest equivalent snapshots for prior years (e.g. March 2025, March 2024, March 2023) of the total number of patients currently in hospital who are medically fit for discharge but are awaiting a CHC-funded complex home care package across: a. All age patients b. Adult patients aged 18-64 years c. Child patients aged 0-17 years 5. For each of the following years (2022/23, 2023/24, 2024/25, and latest 2025/26 data), please provide the average time (in days) from being medically fit for discharge to discharge where a CHC-funded complex home care package is required across: a. All age patients b. Adult patients aged 18-64 years c. Child patients aged 0-17 years 6. For each of the following years (2022/23, 2023/24, 2024/25, and latest 2025/26 data), please provide the number of patients who were assessed as requiring complex home care but were discharged to an alternative setting (e.g. residential or nursing care) due to a lack of CHC-funded complex home care packages across: a. All age patients b. Adult patients aged 18-64 years c. Child patients aged 0-17 years Kind regards,

FOI Response

Freedom of Information Request – Ref: FOI 131-2026

Thank you for your recent Freedom of Information request. Please find our response below.

You asked:

1. Please provide the name, telephone number and email address of the person responsible for coordinating / liaising discharge from hospital to community health and social care providers.

Our response:

This does not sit with one person.  The integrated Flow Hub based in Gloucestershire Royal Hospital have responsibility for decisions regarding complex discharge pathways, therefore you may wish to redirect your questions to Gloucestershire Hospitals NHS Foundation Trust:  ghn-tr.foi@nhs.net.

You asked:

2. For each of the following years (2022/23, 2023/24, 2024/25, and latest 2025/26 data), please provide the total number of bed days lost due to delays in arranging CHC-funded complex home care packages across:
a. All age patients
b. Adult patients aged 18-64 years
c. Child patients aged 0-17 years

3. Please provide the most recent available snapshot (e.g. March 2026) of the total number of patients currently in hospital who are medically fit for discharge but are awaiting a CHC-funded complex home care package across:
a. All age patients
b. Adult patients aged 18-64 years
c. Child patients aged 0-17 years

4. If available, please also provide latest equivalent snapshots for prior years (e.g. March 2025, March 2024, March 2023) of the total number of patients currently in hospital who are medically fit for discharge but are awaiting a CHC-funded complex home care package across:
a. All age patients
b. Adult patients aged 18-64 years
c. Child patients aged 0-17 years

5. For each of the following years (2022/23, 2023/24, 2024/25, and latest 2025/26 data), please provide the average time (in days) from being medically fit for discharge to discharge where a CHC-funded complex home care package is required across:
a. All age patients
b. Adult patients aged 18-64 years
c. Child patients aged 0-17 years

6. For each of the following years (2022/23, 2023/24, 2024/25, and latest 2025/26 data), please provide the number of patients who were assessed as requiring complex home care but were discharged to an alternative setting (e.g. residential or nursing care) due to a lack of CHC-funded complex home care packages across:
a. All age patients
b. Adult patients aged 18-64 years
c. Child patients aged 0-17 years

Our response for Q2 to Q6:

We do not discharge patients from our community hospitals with the high acuity packages you have outlined in your request, therefore you may wish to redirect your questions to Gloucestershire Hospitals NHS Foundation Trust: ghn-tr.foi@nhs.net

For the follow up criteria regarding funding, we do discharge a limited number of patients on ‘FastTrack’ pathways who would meet this criteria however we do not hold means of identifying these patients in the data and therefore cannot provide an answer.

Next steps:

Should you have any queries in relation to our response, please do not hesitate to contact us. If you are unhappy with the response you have received in relation to your request and wish to ask us to review our response, you should write to:

Louise Moss
Head of Legal Services / Associate Director of Corporate Governance
c/o Gloucestershire Health and Care NHS Foundation Trust
Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
Brockworth, GL3 4AW
E-mail: louise.moss@ghc.nhs.uk

If you are not content with the outcome of any review, you may apply directly to the Information Commissioner’s Office (ICO) for further advice/guidance. Generally, the ICO will not consider your case unless you have exhausted your enquiries with the Trust which should include considering the use of the Trust’s formal complaints procedure. The ICO can be contacted at: The Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF.