Responding to the latest NHS hospital performance data for April 2019, published by NHS Digital today (13 June 2019), Julie Ogley, President of the Association of Directors of Adult Social Services, said:

“Despite continued reductions in delayed transfers of care attributable to social care, hospitals are still struggling due to more people coming through the front door and staying longer.

“This serves to further highlight the vital importance of investing in social care, primary and community services and the need to focus more on supporting people at home as the best way to improve overall performance and outcomes.

“In particular, the NHS Long-Term Plan needs to bring forward investment in GPs and district nurses to help relieve the demand placed on hospital urgent care services from people needlessly staying in hospital for longer than necessary due to a lack of care support at home."


  • The latest Delayed Transfers of Care Data is available here:

  • The number of DToC Beds attributable to adult social care has decreased by 7.8 per cent from March to April 2019.


  • The number of DToC Beds attributable to adult social care has decreased by 18.2 per cent from April 2018 to April 2019.


  • The number of GPs per head of 100,000 population in England has fallen from 64 in 2014 to 58 in 2018 (Nuffield Trust)


  • There has been a 43 per cent drop in the number of district nurses in England in the last 10 years. The number of NHS district nurses has fallen from 7,055 to 4,031 working the equivalent of full-time in just 10 years