Reason to reside (R2R)
| 1 | Requiring Intensive Care (ITU) or High Dependency Unit (HDU) care |
| 2 | Requiring oxygen therapy/ Non Invasive Ventilation (NIV) |
| 3 | Requiring intravenous fluids |
| 4 | National Early Warning Score (NEWS) 2 >3 (clinical judgement required in persons with Atrial Fibrilliation (AF) and/or chronic respiratory disease) |
| 5 | Diminished level of consciousness where recovery realistic |
| 6 | Acute functional impairment in excess of home/community care provision |
| 7 | Last hours of life |
| 8 | Requiring intravenous medication more than twice daily (BD) (including analgesia) |
| 9 | Undergone lower limb surgery within 48 hours |
| 10 | Undergone throrax-abdominal/pelvic surgery within 72 hours |
| 11 | Within 24 hours of an invasive procedur (with attendant risk of acute life-threatening deterioration) |
The policy and operating model for hospital discharge and community support within the National Health Service in England states that every person on every general ward should be reviewed on a twice daily ward round to determine whether they meet R2R. If the answer to each question is ‘no’, the policy states that active consideration for discharge to a less acute setting must be made.1 In daily data returns, the number of patients to whom this applied were counted at a single, locally defined, time point.