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Found 70 results
  1. News Article
    The upcoming 10-Year Health Plan is set to propose the introduction of “virtual hospitals” based on patients directly contacting consultants on an Uber-style platform, HSJ has been told. Senior sources have indicated the proposal will involve a major overhaul and expansion of the existing “advice and guidance” model, whereby GPs can seek advice from a consultant before referring a patient to hospital, in the hope of finding an alternative. Described by one well-placed official as “Uber for consultants”, the new proposal would create a system for GPs and individual patients to directly seek advice from any consultants, including those outside their home area, who make themselves available. It is being described as “virtual hospitals” or “virtual clinics”. Speaking at a session hosted by HSJ at NHS ConfedExpo this week, NHS England chair Penny Dash described a similar model which she said was “in the foothills” of development and could reap large benefits. She said there should be a “much easier way” of GPs getting advice “from anywhere in the country” to help divert a patient from secondary care. Dr Dash said: “It could be, for example, a model whereby you put in your question, let’s initially say as a GP or a practice nurse, it goes into a central repository as it were, and you have a team of [consultants] who are available for that time who are looking at it and responding to it. “It doesn’t have to be the [consultant] in your local district general hospital, it could be anyone anywhere in the country.” Read full story (paywalled) Source: HSJ, 13 June 2025
  2. Event
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    This collaborative workshop will explore what safety means when hospital-level care is delivered at home through Virtual Wards. The workshop will be a space to reflect on a draft version of practical safety guidance shaped by lived experience from Patient and Public Involvement contributors. You will be invited to share ideas on what resonates, what’s missing, and how to support safer, more person-centred care in Virtual Wards. It's looking for a range of perspectives - whether you work in Virtual Wards, support safety and quality improvement, represent patient voices, or research care in the community. Register
  3. Content Article
    Hospital at home and virtual wards provide safe alternatives to hospital care in the community. There is considerable variation in how they are operationalised at a local level. In general, their common feature is to provide healthcare in people’s homes through a multidisciplinary clinical team. Care is delivered both remotely and face to face. They aim to help avoid admission as well as facilitate rapid discharge. The models vary in terms of who leads the service; the hours of operation; the staffing model; the conditions they support; the length of support; how technology is used; and how patients and professionals access the service. In March 2025, NIHR Evidence held a webinar showcasing research on two home-based alternatives to hospital care from three evidence reviews: admission avoidance hospital at home and virtual wards for people with frailty. The webinar addressed: the key elements of hospital at home and virtual wards their impact on outcomes their impact on service costs factors that contribute to their success.
  4. News Article
    The cost of discharging patients to virtual wards becomes “equitable” with inpatient care over time, analysis suggests – despite initial findings that it was much more expensive. A research project conducted at Wrightington, Wigan and Leigh Teaching Hospitals in 2022 published its results last year, which found the cost of avoiding a bed day in hospital by discharging a patient to a virtual ward was £935 per day, compared to an average cost of £536 per day for keeping a patient in a general inpatient hospital bed. But, the study’s lead author has now told HSJ that, following a second year of monitoring, the cost of step-down virtual ward care had decreased to be roughly the same as traditional inpatient care. The initial study sparked significant debate, and was met with criticism from NHS England, which said the results were “misleading”, particularly due to its limited scope and time frame. Having evaluated WWL’s virtual ward provision again in 2023, Martin Farrier, director of digital medicine at WWL and lead author of the original paper, said the cost of step-down virtual ward care was “still significant” but now “equitable” with keeping a patient in a hospital bed. Dr Farrier said the majority of the cost per patient was from staffing, and this had fallen significantly in year two. He said: “In the first year, [staff] said they were flat out, but they weren’t flat out, they were just getting used to their system. They sped up with time, [so] the capacity of the system becomes much larger… [There’s] a mixture of things going on. But what you then get… is the costs come down and they become equitable with the cost of hospital care.” Read full story (paywalled) Source: HSJ, 10 March 2025
  5. Content Article
    Examples of how two NHS trusts have designed a virtual ward using the system-wide digital healthcare platform, Luscii. The team at Maidstone and Tunbridge Wells NHS Trust (MTW) in collaboration with the Home Treatment Service (HTS) have designed a virtual ward to cater for frailty patients, allowing them to provide acute-level care without the need for hospital admission. MTW’s innovative approach means patients are empowered to live fuller and freer lives with access to hospital care from the comfort of their own homes. Maidstone and Tunbridge Wells NHS Trust_ Frailty Case Study.pdf Nurses at London North West University Healthcare NHS Trust (LNWH) have created a virtual ward caring for hundreds of heart failure patients. The new virtual heart failure ward is a fascinating case study of the power and potential for technology to optimise the use of critical resources and improve care outcomes. The Future of Care - Inside LNWH's Virtual Heart Failure Ward (1).pdf
  6. News Article
    Recently-opened cancer testing centres and virtual wards will be among the services cut back as the NHS seeks to eliminate a £6.6bn forecast deficit, senior leaders have told HSJ. Plans also include restricting treatments, extending waiting times, de-funding the third sector, and significant job cuts for clinicians as well as managers. HSJ asked NHS trust and commissioner CEOs and finance directors across the country what actions would be required in their organisation, after NHSE last week demanded they “get a grip” of deficits and “accelerate” decisions. Cost-cutting measures being proposed or considered locally include: Closing community diagnostic centres (CDCs), and cancelling plans for more CDCs. Closing or reducing the size of virtual wards, whose expansion since Covid-19 has been repeatedly declared as one of the most significant reforms to shift care out of hospital. Cuts to schemes to carry out more elective work, including reducing out-of-hours “waiting list initiative” sessions and cancelling planned “elective hubs”. Cutting staff numbers, most often corporate and non-clinical, but in some areas extending to reductions to clinical staff. Extending waiting times for planned operations and treatment, especially for procedures which currently have short waits, such as ophthalmology, which are often provided by the private sector. One CEO said it required “rationing of care” in these areas. There will be further delays and limiting of patients’ “right to choose” to use private services which diagnose autism and ADHD. Read full story (paywalled) Source: HSJ, 10 March 2025
  7. News Article
    A mum-of-four has praised a hospital-at-home service – hailing it as a “life changing miracle” for her family. Maria Hicklin, whose two young sons Roman, aged seven, and Ricco, aged two, have both battled respiratory conditions, knows firsthand the benefits of the Paediatric Virtual Ward delivered at Sandwell and West Birmingham NHS Trust. The service has treated over 2,000 children with 143 of these being via direct access to the virtual ward, effectively saving 3,800 bed days and making a cost saving of over £1.7 million. Maria, from Oldbury, explained how it has helped her two boys: “The virtual ward service has transformed our experience and saved us money. We’ve had minimal hospital admissions and the medical team provides home visits, monitoring equipment, and offers continuous support. “They’ve even helped build my confidence in administering medication. The team comes out within an hour if we need help, and they know the boys by name. Roman and Ricco are now comfortable and less anxious about their medical conditions. “It’s a stark change from previous winters. Every cold and flu season, we were constantly rushing to A&E. It was destroying our family. “Roman is also autistic, and this made hospital visits even more traumatic. He wouldn’t eat hospital food, and the constant needles and medical procedures were overwhelming for him.” NHS England introduced virtual wards to allow patients to get hospital-level care at home safely and in familiar surroundings, helping speed up their recovery while freeing up hospital beds for patients that need them most. Dr Maria Atkinson, Consultant Paediatrician, said: “Our virtual ward allows us to provide acute medical care directly in patients’ homes, reducing the stress of hospital admissions and keeping families together during challenging medical periods. “Roman has had a particularly challenging medical journey, having first contracted COVID-19 and then developed severe asthma and pneumonia, leading to repeated hospital visits. His younger brother Ricco suffers from viral-induced wheeziness, which added to the family’s medical challenges. “This isn’t just about saving money. We’re providing personalised, compassionate care that keeps children in their home environment through admission avoidance, and by facilitating a reduced length of hospital stay this can support the entire family.” Read full story Source: NHS Sandwell and West Birmingham, 6 February 2025
  8. Content Article
    England is likely to need between 23,000 and 39,000 more hospital beds by 2030/31. Providing hospital care in people’s homes could be a practical alternative to building more NHS facilities, helping to reduce risks and improve efficiency. There have been high expectations of remote monitoring as a key element of NHS England’s virtual ward (otherwise known as “Hospital at Home”) programme. But its use on virtual wards caring for people with frailty has been low compared with other virtual wards. The reasons why remote tech monitoring hasn’t had such high uptake on frailty wards aren’t clear – so THIS Institute set out to find out. This study looks at the views and experiences of people involved in virtual wards – for example as health professionals, managers, policymakers, or evaluators. The project was guided by a patient and public involvement group. What the study found There were four main challenges with using remote monitoring in virtual wards for frailty care: Healthcare professionals weren’t sure about the benefits of remote monitoring for people with frailty. Some people said that that remote monitoring would require significant changes in how patients, carers, and staff worked. The right tools and technology weren’t always available, and products needed to be improved to give frail patients and virtual wards better support. Virtual wards differed greatly in operation and use of remote monitoring, making comparison difficult. Standardisation efforts were sometimes viewed as unhelpful, and the balance between standardisation and local flexibility wasn’t always right. Although using remote monitoring has been a major goal of the NHS virtual wards programme, this study highlights several of the key challenges in making it work for frail patients. If technology is going to work, the solutions will need to be co-designed with input from patients, carers, and staff who care for patients with frailty across different health and social care sectors.
  9. Event
    Hospital at home and virtual wards use technology to monitor someone’s condition and provide remote as well as face-to-face care. These services aim to help avoid hospital admissions and facilitate early discharge. In this webinar, researchers and a clinician will present evidence from 3 reviews on hospital at home and virtual wards. Presentations will be followed by a Q&A session. The webinar will help participants understand: what are the key elements of hospital at home and virtual wards what is their impact on outcomes? what is their impact on service costs? what factors contribute to their success? Register
  10. Content Article
    Virtual wards, also known as Hospital at Home, treat patients in their own homes who would traditionally be cared for in hospital. Their rapid rollout by NHS England has led to lots of discussion – heralded as both a potential solution for the capacity pressures on the NHS and cautioned against due to a lack evidence about their effectiveness.  The current 11,635 virtual ward ‘beds’ across England represent a huge investment of funding, staff and other resources during a time of unprecedented pressures on the NHS. With an initial allocation of £450m over 2 years, it’s not a surprise many have been asking – do virtual wards actually work? That’s a very complex question to answer. The Improvement Analytics Unit, a partnership between the Health Foundation and NHS England, has been working to understand the evidence – and gaps in evidence – on virtual wards.
  11. Event
    until
    This webinar from GovConnect will look at: Developing a successful Virtual Ward CUH Virtual Ward @ home (Cambridge University Hospitals) Challenges CUH faced and why they implemented Virtual Wards The journey so far and working with stakeholders What equipment is needed? Platform/technology selection Daily management: referral, on-boarding, care plan Performance and pathways Patient experience Challenges and obstacles Next steps Agenda Welcome and introduction with moderator Dr Iain Goodhart Developing a Virtual Ward @ home with Gemma Czech, Clinical Nurse Lead for Virtual Wards at Cambridge University Hospitals NHS Foundation Trust Outcomes, performance and next steps for CUH Virtual Ward @ home with Andy Bailey, Operations Manager Virtual Wards, Cambridge University Hospitals NHS Foundation Trust will cover how Interactive panel discussion Register for the webinar
  12. Event
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    Join Fallon Hughes, DNP, RN, senior director of Nursing Practice, Innovation, Research and EBP for WellSpan Health, and Alisha Wike, RN, bedside nurse at WellSpan Good Samaritan Hospital, in an educational webinar on virtual nursing. They will discuss current evidence on the role of virtual nursing in healthcare and the role of the virtual nurse in an acute care setting, compare virtual nurse operational considerations to those of a traditional nurse staffing model, identify implications for patient safety, and interpret virtual nurse implementation outcomes for application at your own facility. Register for this webinar, hosted by the Pennsylvania Patient Safety Authority.
  13. Event
    The Virtual Wards Conference aims to bring together senior healthcare professionals, policy leaders, and industry stakeholders to examine and tackle key challenges in the sector. By fostering collaboration and sharing knowledge among NHS peers, the conference aims to improve the virtual wards sector, leading to enhanced patient care. This event serves as a timely platform to promote innovation and collaboration, crucial for the effective management of virtual wards within the NHS and the overall improvement of the healthcare industry. Key content streams: Virtual Ward Planning and Implementation: creating understanding, confidence and credibility among patients and clinicians during the process of creating a virtual ward service for patients. The Future of Virtual Wards: the use of digital innovations to reduce pressures on the health and care system. Challenges and Opportunities of Virtual Wards: looking at the solutions to improve virtual wards, increasing their efficiency and ability to provide an effective pathway for both clinicians and patients and overcome any new and existing challenges. Workforce Narrative: implications of the workforce, how the NHS workforce long-term plan will play a role to better the virtual ward service. Register
  14. Event
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    On the NHS75 anniversary, NHSE announced that paediatrics will be the next priority pathway for the rollout of virtual wards. With over 350,000 children in the queue for treatment, capacity pressures continue to mount for paediatric teams. The stage is set for paediatric virtual wards to address these pressures head-on, and emerging evidence is promising. Pilot sites have demonstrated paediatric virtual wards can: Reduce a child’s length of stay in hospital by an average of 3 days Decrease hospital readmission by 38% for children with chronic conditions. So what is needed to build paediatric virtual wards that work for both children and their caregivers? This webinar will dive into the nuanced approach required when caring for children at home, bringing in insights and learnings from leading UK paediatric clinicians and experts working in the field. In this webinar you will learn: The need for a fresh approach: the huge potential for paediatric virtual wards to reduce pressure in paediatric departments and why these pathways require teams to think differently Lessons from the front-line: the key take-aways from one of the first NHS sites to trial paediatric virtual wards How to build a successful paediatric virtual ward: what is needed to set up a paediatric virtual ward pathway and team for success Speakers: Zoe Tribble, Children's Nurse Jim McDonald, Black Country ICB Juliana Faleti, Paediatric Nurse Register for the webinar
  15. Content Article
    In January 2023, NHS England’s Delivery plan for recovering urgent and emergency services committed the health service to ease the growing pressure on hospitals by scaling up the use of ‘virtual wards’. Also known as ‘hospital at home’, virtual wards allow people to receive treatment and care where they live, rather than as a hospital inpatient, while still being in regular contact with health professionals. This article by The Health Foundation looks at how NHS staff and the UK public feel about the use of virtual wards, based on the results of a survey of 7,100 members of the public and 1,251 NHS staff members. The survey aimed to assess how supportive these groups are of virtual wards and what they think is important for making sure they work well. Key findings The UK public is, overall, supportive of virtual wards (by 45% to 36%). But this support is finely balanced – with a further 19% unsure whether they are supportive or not. So there is further to go in raising awareness and in understanding and addressing the public’s concerns as this model of care is developed. Support for virtual wards is higher among disabled people and those with a carer – groups that typically have greater health needs and who might therefore be expected to be more intensive users of virtual wards. Those in socioeconomic groups D and E are on balance unsupportive of virtual wards, so it will be important to understand and address needs and concerns here. Notably, survey respondents in these socioeconomic groups who said that they would not want to be treated through a virtual ward were also more likely to say that their home would not be suitable for a virtual ward compared with those in other socioeconomic groups. Nearly three-quarters of the UK public (71%) are open to being treated through a virtual ward under the right circumstances, while 27% said they would not be – suggesting that, if implemented well, virtual wards should be acceptable to a large majority of service users. Interestingly, a higher proportion of the public, 78%, told us that they would be happy ‘to monitor their own health at home using technologies, instead of in a hospital’ – describing a scenario often seen as part of a broader virtual ward service, but avoiding the term ‘virtual ward’ – with only 13% saying they would not. This raises the question of whether using different terminology or providing more explanation could help alleviate concerns and build wider support. NHS staff in our survey were, on balance, clearly supportive of virtual wards (by 63% to 31%). When asked what will matter for making sure virtual wards work well, their top two factors were the ability to admit people to hospital quickly if their condition changes, and the ability for people to talk to a health professional if they need help.
  16. Content Article
    Access outline their virtual ward offer and 10 case studies from NHS trusts and other organisations from which they present findings as testimony, to show the impact of virtual wards on the NHS’ ability to provide care.
  17. Content Article
    NHS England believes virtual wards could create much-needed capacity for the NHS, but progress against the national body’s 2022-2023 guidance in this area has been inconsistent. An HSJ roundtable, in association with Akeso and Masimo, explored the barriers to adoption and how they can be tackled.
  18. Content Article
    In this blog, Angela Osei, associate director, NICE implementation support, sets out to understand some of the challenges, benefits and considerations of setting up and running a virtual ward, from the perspective of teams on the front lines.
  19. Content Article
    This report summarises the findings of an evaluation conducted by Health Innovation East and Health Innovation Manchester on behalf of the national Innovation Collaborative for digital health. It presents findings from an evaluation of a chronic obstructive pulmonary disease (COPD) virtual ward that falls within a virtual hospital managed by South and West Hertfordshire Health and Care Partnership. It aims to inform the potential wider adoption of the virtual ward model across the UK and understand the model’s potential to support people with other health conditions. It also considers the success of South and West Hertfordshire Health and Care Partnership Virtual Ward objectives to improve patient care, clinical outcomes, healthcare utilisation, and patient and staff satisfaction. 
  20. News Article
    The chief executive at a trust behind one of the UK’s first ‘virtual hospitals’ has said this model is the ‘new gold standard’ for care provision and the trust is looking at a significant expansion. West Hertfordshire Teaching Hospitals Trust boss Matthew Coats said the trust aimed to eventually have “hundreds” of virtual beds for patients to be monitored at home. The trust has been at the forefront of NHS England’s programme to significantly expand the use of virtual wards across the NHS. It was also among the first to launch a virtual ward to monitor Covid patients at home during the pandemic. Its virtual ward model has since evolved beyond covid, to what the trust calls its “virtual hospital”, providing remote care for patients across several different pathways and specialties, including heart failure, respiratory and frailty patients, who are admitted from either a hospital bed, the emergency department or by GPs. Mr Coats told HSJ its virtual hospital is not only supporting better flow through the hospital, but is also leading to better patient experience. Read full story (paywalled) Source: HSJ, 25 September 2023
  21. News Article
    The NHS has heralded a “new era” of healthcare that will see hundreds of thousands of patients avoid lengthy hospital stays and instead be treated in their own homes. From September, 10,000 acutely ill patients will be cared for on “virtual wards”, using remote monitoring technology which automatically transmits data on their condition to teams of doctors and nurses several miles away. Health chiefs believe the massive expansion of the scheme, which is already the largest in the world, is essential to free hospital capacity — preventing another winter A&E crisis and helping to bring down record waiting lists. Every NHS region has set up virtual wards for frail over-65s, including dementia patients, as well as for respiratory conditions such as asthma or lung disease. From this month the scheme will be rolled out to cover under-18s, allowing terminally ill children to remain at home surrounded by family. Read full story (paywalled) Source: The Times, 28 July 2023
  22. Content Article
    This is the recording of a roundtable hosted by the Institute of Health & Social Care Management (IHSCM) about virtual wards. Roy Lilley, IHSCM Chair and health policy analyst, discusses reducing waiting times, being innovative and sustainable and improving patient outcomes and patient journeys with a panel of speakers. The panel includes: Kris Glover, MD & Founder of Neon Health Solutions Paul Rylance, CTO, JKMCare Dr Folarin Majekodunmi, Director at Peopletoo
  23. Content Article
    This is the recording of a webinar hosted by The Patients' Association, looking at how virtual wards work and patients' experiences of virtual wards. A panel answered questions about who was suitable for care on a virtual ward, how they are staffed and what happens if you're not tech-savvy. The panel was: Jono Broad, a patient leader in the southwest of England. He is a Senior Manager for Personalised Care, NHS England South West, works on patient experience, safety and quality. Emma Matthews, Regional Community Development Lead NHS England South West, Consultant Practitioner Older People and Frailty. Dr Shelagh O’Riordan, Consultant Community Geriatrician at Kent Community Health NHS Foundation Trust and Professional Adviser to the virtual ward team at NHS England. She is also Clinical Director for Frailty in East Kent and runs a large frailty virtual ward. Dr Crystal Oldman CBE, Chief Executive, The Queen's Nursing Institute. Crystal qualified as a nurse at University College Hospital, London. In 2017, Crystal was awarded a CBE in the Queen’s Birthday Honours List for services to community nursing and her leadership of the QNI. Crystal is an Honorary Professor at London South Bank University. Patients Association member, Alan Bellinger, who represents patients on the Hospital at Home programme in Hertfordshire, and is a patient representative on the Eastern Academic Health Science Network Review of Remote Monitoring.
  24. Content Article
    Hospital at Home is a short-term, targeted intervention that provides a level of acute hospital care in an individual’s own home, or homely setting that is equivalent to that provided within a hospital. In mid-2020, the ihub within Healthcare Improvement Scotland began working with a number of NHS boards and health and social care partnerships to support the implementation of Hospital at Home services across Scotland. This toolkit was created as part of that work, providing a range of tools and resources to support areas to implement and expand Hospital at Home services.
  25. Content Article
    This long read by the Nuffield Trust looks at priority areas where further development and action could help improve the effectiveness of virtual wards. It outlines different models for virtual wards and looks at how to ensure effective system oversight. It also highlights the need to ensure the workforce is equipped to run virtual wards effectively and safely.
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