TY - JOUR T1 - A systems approach can help improve patient flow in the NHS this winter and beyond JF - Future Healthcare Journal JO - Future Healthc J SP - 93 LP - 94 DO - 10.7861/fhj.Let.10.1.1 VL - 10 IS - 1 AU - Richard M Wood AU - Zehra Onen Dumlu AU - Paul G Forte Y1 - 2023/03/01 UR - http://www.rcpjournals.org/content/10/1/93.abstract N2 - In his compelling promotion of a systems approach for the NHS, Bharadwaj Chada is quite right to underline the importance of whole system flow and how for any ‘attempt to change any single component of the system, one must first understand its dependencies and bottlenecks'.1 This is especially important for ensuring fluidity in the acute to community route for the many older and frail individuals who need ongoing support following their hospital stay. In the NHS in England, these are known as the ‘discharge to assess' (D2A) pathways.2 Well-performing community D2A services can both improve patient outcomes and … ER -