Reducing Delayed Transfers of Care


Delayed Transfers of Care (DTOC) can cause significant problems for older people, as it can detrimentally affect their health and wellbeing. However, the causes are many, diverse and complex.

A new study has examined discharge processes by using “systems thinking”; an approach which views the hospitals, communities and individuals as complex networks. Existing evidence has been reviewed, and we have conducted a pilot of a ‘soft systems’ method to new Discharge to Assess models in one locality.

The work is being led by researchers at the University of York, with collaboration across the ARC network.



Other projects

Promoting healthy lifestyles to reduce dementia risk factors in minority ethnic communities

Better Start Bradford is making support and services for families stronger, and finding what works, so that children can have the best start in life. Born in Bradford’s Better Start...

Development and national implementation of eFI-2

Currently, the UK and international guidelines support routine identification of frailty in primary care to enable timely and targeted care for older people. Our Older people with Frailty theme lead,...

Research prioritisation

The population of older people living with frailty is increasing, and research needs to focus on improving areas of health and wellbeing for this population. There is limited evidence about...

Do you have a research idea or want to learn more about our work and how it could be implemented in your area?