Some patients in England face delays of months – and in one case over a year – to leave hospital, the BBC has learnt.
Hospital records suggest nearly three-quarters of NHS trusts had seen patients stranded for more than 100 days in the past three years.
Those caught up in the problem said the experience had left them feeling down, isolated and frightened.
But hospitals said they had been left with no choice as there was a shortage of community care for frail patients.
Eileen Kirton, 85, from North Yorkshire, spent over a month in hospital after being admitted with a stomach bug.
“I was isolated in a little room. I was very down. I thought I was never going come out. I was frightened.”
She said she was delighted when she finally left to move into a newly-built rehabilitation care unit.
But some patients are not so lucky.
The case of Iris Sibley, 89, has been featured by the BBC’s Today programme. She has spent over six months at Bristol Royal Infirmary waiting for a nursing home place.
Her husband, Arthur, who is 90, told the BBC: “I’m not sure that being alone in the room is good for her. We’ve tried all sorts of ways to hurry things up but if they can’t find a vacancy, they can’t find a vacancy.”
The BBC investigation used the Freedom of Information to obtain details about the worst waits.
Among the longest delays were stroke patients who spent eight and 10 months each waiting for follow-up care to be arranged and a patient who spent 11 months because a care home place could not be found.
The single longest wait was one of 449 days a 62-year-old patient at Mid Yorkshire NHS Trust experienced. No details were given about their case.
None of the identities of the patients who were stranded the longest were revealed. In total 130 patients have waited 100 days or longer to be discharged from hospital over the past three years.
The longest patients have been stranded in hospital
449 days – 62-year-old patient at Mid Yorkshire Hospitals NHS Trust
342 days – Royal Devon and Exeter NHS Trust patient waiting for care home placement
324 days – paralysed patient at Robert Jones and Agnes Hunt Orthopaedic Hospital awaiting care at home
313 days – stroke patient at Leeds Teaching Hospital NHS Trust. Lack of care meant family or patient unable to cope following discharge
295 days – multiple sclerosis patient at Central Manchester Hospitals NHS Trust waiting for nursing home placement
294 days – patient at Royal Devon and Exeter NHS Trust waiting for care in own home
288 days – 82-year-old patient at Walsall Healthcare NHS Trust
274 days – stroke patient at Central Manchester Hospitals NHS Trust waiting for council care
265 days – epilepsy patient at Central Manchester Hospitals NHS Trust waiting for care package in own home
265 days – patient at Buckinghamshire Healthcare NHS Trust. No details provided
Source: BBC FoI
The NHS routinely collects figures on the overall number of delays, which show the problem is getting worse.
The numbers of days lost to delays has nearly doubled since 2010 to 200,000 a month.
But little is known about just how long some patients are left waiting.
FOI requests were sent to 122 hospital trusts in England for information about their five longest delayed discharges.
A total of 91 responded, but only 62 provided information about their longest delays.
Of those, 45 trusts confirmed they had had patients stuck in hospital for 100 days or more.
The average cost of a hospital bed is £400 a day.
Mid Yorkshire Hospitals NHS Trust, which reported the longest wait, said it could not comment on individual cases.
The Royal Devon and Exeter NHS Trust had five patients who were delayed for over 100 days – all were linked to a lack of social care.
A spokeswoman for the trust acknowledged getting patients access to care packages, including nursing home places and help in the home for daily tasks, such as washing and dressing, was proving difficult.
“Many of our patients are elderly with complex conditions and may require significant care both inside and outside hospital,” she added.
Over the past four years, the number of older people getting help from councils has fallen by quarter, while the NHS district nursing workforce has shrunk by 29% in the past five years.
The Department of Health blamed councils, saying there was a “thirtyfold difference” between the best and worst performing areas when it came to delays discharging patients.
A spokeswoman said councils had been provided with dedicated money to fund social care.
“Elderly patients should never be in hospital unnecessarily,” she added.
But Councillor Izzi Seccombe, of the Local Government Association, said the care system was facing a funding gap of £2.6bn by 2020.
She said government policies, such as giving councils the ability to increase council tax to pay for care, fell “well short” of what was needed.
“Only genuinely new additional government funding for social care will give councils any chance of protecting the services caring for our elderly and disabled and ensure they can enjoy dignified, healthy and independent lives, live in their own community and stay out of hospital for longer,” she said.
Councils are expected to spend £16bn this year on social care – topping this up to over £19bn once contributions from individuals are included.
Additional reporting by George Greenwood
NHS Health Check
A week of coverage by BBC News examining the state of the NHS across the UK as it comes under intense pressure during its busiest time of the year.
- Inside AE: ‘Times are desperate’
- 10 graphs that show the NHS is in trouble
- ‘How the NHS has changed our lives’
- Voices from NHS frontline
- Video: What happens when a hospital clogs up
- Guide: Find out what’s for the chop where you live?
- Video: Cradle to the grave: What the NHS does for you
- Explainer: How each part of the UK compares