The primary reason that a patient is not able to be discharged or transferred despite being clinically ready for discharge or suitable for transfer.

Awaiting care coordinator allocation
Awaiting allocation of community psychiatrist
Awaiting allocation of social worker
Lack of agreed health care funding
Lack of agreed social care funding
Awaiting further non-acute (including community and mental health) NHS care (including intermediate care, rehabilitation services, step down service etc.)
Awaiting availability of placement in prison or Immigration Removal Centre
Awaiting availability of placement in care home without nursing
Awaiting availability of placement in care home with nursing
Awaiting commencement of care package in own home
Awaiting provision of community equipment and/or adaptations in own home
Patient or Family choice (any reason)
Disputes about responsible commissioner (including where this relates to funding issues)
Disputes about proposed pathway between clinical teams and/or care panels
Awaiting availability of private rented accommodation
Awaiting availability of social rented housing via council housing waiting list
Lack of suitable housing option – awaiting discharge to an identified supported living vacancy.
Lack of suitable housing option – awaiting discharge to a supported living vacancy, not yet identified.
Lack of suitable housing option – awaiting adaptation of an existing independent property (already purchased or rented; not part of an existing supported living scheme).
Lack of suitable housing option – awaiting sourcing of a suitable independent property through either: purchase / new build / identification of suitable general needs rental property’.
Awaiting availability of residential children’s home
Awaiting availability of secure children’s home (welfare or non-welfare)
Awaiting availability of placement in Youth Offender Institution
Child or young person awaiting family or foster placement
Awaiting Ministry of Justice agreement/permission of proposed placement
Awaiting outcome of legal requirements (mental capacity/mental health legislation)
Awaiting Court of Protection proceedings
Awaiting Deprivation of Liberty Safeguards (DOLS) Application
Delay due to consideration of specific court judgements
Awaiting residential special school or college placement or availability
Lack of local education support
Public safety concern unrelated to clinical treatment need (care team)
Public safety concern unrelated to clinical treatment need (MoJ)
Highly bespoke housing and/or care arrangements not available in the community
No lawful support available in the community (not including social care, see code 34)
Lack of social care support including social care funded placement
Delays to NHS-led assessments
Hospital staff shortages
Delays to assessments from external partners
Lack of health care service provision
No reason and/or other reason given