A DTOC (or delayed discharge) occurs when a patient is ready to leave a hospital (or similar care provider) or step down to a less intensive level of care but cannot be discharged and is still occupying a bed. DTOCs commonly occur between health and social care services but also between NHS services, for example between mental health services and community inpatient services. Common reasons for delayed transfers include awaiting care packages, appropriate accommodation or waits for assessment. 

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