For those who don't fully understand what is up with the NHS, here is a thread for you that might help. I'm a consultant physician working as a doctor in the NHS in Yorkshire and Wales for 32 years now. I have experienced the NHS at its best (2008) and its worst (2022).

@peteneville65 @NHSMillion Great explainer, Peter. Thanks. Think it’s 12-14% delayed discharges, though. Unless you have another source.

@peteneville65 @danielgoyal @NHSMillion If care homes are full and patients are ‘fit’ to be discharged, could they just go home? (Presuming the had a home before they were sick). Or if not, could they be discharged to a hotel (perhaps with attendant nurse)? A hotel charges less than a care home.

@d_w_k @danielgoyal @NHSMillion A hotel charges less than a care home because they don't provide care. Your proposal is viable as a quick fix. Not really viable long term. More progressive trusts (eg Sheffield) are using "discharge to assess" models where all the assessments are done in the patient's home.

@peteneville65 @danielgoyal @NHSMillion The quotes from various doctors in different hospitals varies between 40-50% of hospital patients being medically fit for discharge. These are estimates.

@peteneville65 @danielgoyal @NHSMillion Thanks for explaining

@peteneville65 @danielgoyal @NHSMillion Very good thread which I as a daughter of an elderly Mum have experienced 100%. NHS staff are brilliant, resourceful and caring but I can see the tipping point is close.

@peteneville65 @danielgoyal @NHSMillion I have mentioned this before and I’m still waiting to be told I’m way off beam but In a nutshell how about if private medicine was nationalised Left to operate as is ( apart from forensic audit) All profits go to NHS We have 2 tier medicine anyway so make it’s profits work for us

@peteneville65 @danielgoyal @NHSMillion Brilliant piece, hope many more will read and understand a little better about the future of the NHS