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Is the answer to the NHS bed crisis virtual? episode artwork

Feb 10, 2026 37 min

Is the answer to the NHS bed crisis virtual?

from File on 4 Investigates Hosted by BBC Radio 4

Virtual Wards, where patients receive hospital care at home, were heralded as one solution to help deal with the bed crisis in NHS hospitals. The system is popular with patients and has had successes, but some health boards in England have put the brakes on and the number of virtual beds has stalled in the last 12 months. Jane Deith meets the doctors on the front line of providing care to patients with acute conditions in their own homes and the people who benefit from being able to stay out of hospital. Supporters of virtual wards or hospital at home say it's better for patients, saves money and prevents a significant number of hospital admissions. But some doctors question whether the system can make much difference unless it is introduced at scale. District nurses are the original method of keeping people well and out of hospital. But in the last fifteen years, their number in England has almost halved - down 43 percent. Jane goes out with one nurse on a shift to see the work they do and hears from nurse leaders about concerns that district nurses are overstretched, leading to concerns about patient care. Reporter: Jane Deith Producer: Paul Grant Technical Producer: Cameron Ward Production Co-ordinator: Tim Fernley Editor: Tara McDermott

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Is the answer to the NHS bed crisis virtual?

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