Unbundling Recovery Simulation

Delayed transfers of care are at their highest since reporting began in 2010 (NHS England, December 2015). This means that many thousands of medically fit patients are being forced to remain in hospital because of a lack of support and care for them in the community.


What's more, in 2014/15, just 3.6% of patients took up 37% of total bed capacity in England, and in the first half of 2015/16 delayed transfers of care cost NHS providers £270m.

These are some of the difficult problems that the NHS England Long Term Conditions Year of Care Commissioning Programme is aiming to help tackle in its mission to transform the quality of care for people with complex care needs.

Our recovery, rehabilitation and reablement (RRR) audit is one tool which is being used to do this. It aims to improve the quality of care and outcomes for patients by delivering a seamless RRR service for acute admitted patients, based on their entire needs and not just their diagnosis. As part of this work, SIMUL8 Corporation and NHS England have developed the Unbundling Recovery Simulation Model.

The Simulation

One of the most difficult challenges facing commissioners and providers is predicting the impacts of key decisions in an ever-changing environment. Forecasting what will happen to costs and bed utilisation when patients' lengths of stay change is a prime example of this.

Our simulation model, however, enables users to do just that. Developed along with NHS England, this powerful tool allows users to input clinical audit data, and then forecasts the impacts on costs and bed utilisation while patients receive acute treatment. Users are able to experiment with 'what if?' scenarios, including changes to RRR services, to inform decisions and debate.

Please fill in your detail to access the Unbundling Recovery Simulation online and access a step-by-step guide for using the simulation.

Access the simulation

The Commissioning Model - what's it all about?

This video, through the form of illustrations, explains how the simulation works and talks through some of its key features.