Evidence that rural sites have particular 'flow' challenges

Evidence that rural sites have particular 'flow' challenges

Build up the evidence base to why rural locations require to be considered differently, possibly requiring extra funding. What I'd like to see is more focus on the extent to which a small number of patients, say top 5% longest stays, 'consume' a vast proportion of bed days. Big variation between acute sites in Scotland and suspect correlates with rurality and flow pressures. Not just Delayed Discharges. Rural locations likely to have particular challenges with recruitment of staff and economies of scale are not there for private care home providers, for example.

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