Healthcare delivery
of 21.1 beds per 100k). Two other regions - North East & Yorkshire (13.8 per 100k) and South West (15.5 beds per 100k) – significantly lag behind other regions, suggesting even more substantial efforts will be needed in these regions if the NHS England targets are to be achieved. More detailed analysis at ICB level5
shows
an even wider variation across the country between individual ICBs, ranging from a low of 8.4 beds per 100k in NHS Sussex ICB to a high of 50.5 beds per 100k in NHS Northamptonshire ICB. This highlights the wide variation in maturity of development of different systems. As at the end of November 2023, only four ICBs achieved the target of 40 to 50 beds: NHS Northamptonshire ICB, NHS Black Country ICB, NHS Bedfordshire, Luton & Milton Keynes ICB and NHS Shropshire, Telford, and Wrekin ICB. Half of all ICBs have yet to achieve a Virtual Ward bed capacity of 20 beds per 100,000. But simply creating capacity will not help ease
operational pressures or improve patient flow across the system. The Virtual Ward capacity that has been created needs to be used and fully embedded and integrated into end-to-end patient pathways. Analysis of the latest data on Virtual Ward bed occupancy shows average occupancy increased from 64.1% in July 2023 to 70.2% in November 2023. This is below the
Table 3. Virtual Ward Uptake – Patients and Virtual Ward Occupancy.
target occupancy of 80% set out in the winter resilience plan, but an improvement. Again, there is wide variation between regions with two regions - South East (89.8%) and East of England (87%) - having an average occupancy well above 80% and two others having an average occupancy below 55% occupancy: North East & Yorkshire (49.8%) and North West
(53.1%). As with capacity, the variation in bed occupancy is even more apparent at individual ICB6
level, where it ranges from a low of 31.3% in NHS Gloucestershire ICB to a high of 100% in NHS Herefordshire & Worcestershire ICB and NHS Kent and Medway ICB. Overall two in five (43%) ICBs achieved the winter resilience target of 80%+ occupancy. However, as can be seen in
DECON UK Wednesday 17 April National Conference Centre, Birmingham Who should attend?
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