Palliative virtual wards: a cross-sectional UK survey

Various providers have piloted palliative virtual wards in the past 4 years. This survey provides the first aggregated data from across the UK.

A cross-sectional online survey distributed to UK palliative care providers using a multilevel, snowballing methodology.

86 responses were received, with responses from 22 palliative virtual wards. All services who responded support patients with unstable palliative symptoms who would otherwise need hospital or hospice admission (100%). Many provide step-down support from hospital (72%) or the emergency department (69%).Services rely on daily specialist nurse and consultant input. A few have regular input from therapists (23%) and pharmacists (17%), which is reported as valuable. Most recruited additional staff (65%). Providers use telephone contact (100%) and face-to-face contact (93%). Fewer use video consultations (69%) and remote-monitoring technology (15%).75% of services rely on charitable funding and two virtual wards have closed due to lack of funds.Palliative virtual ward professionals report that they reduce hospital admissions, facilitate patient choice and provide support for patients' loved ones.

Palliative virtual wards are increasing in number: 25% of survey respondents are considering launching one. This survey details varied models of care and reports positive outcomes for patients, carers and staff. These services resemble frailty virtual wards with an emphasis on face-to-face rather than technology-enabled care. Integrated services within a wider virtual ward show promise but are currently in the minority.Further research is needed into the comparative benefits of a palliative virtual ward model over standard care.