The NHS is strengthening its preparations to winter-proof the health service by running ‘stress test’ exercises and delivering targeted care for vulnerable patients.

Throughout September, local NHS leaders will take part in scenario-based exercises to test the resilience of their winter plans. These include simulations of staff shortages, surges in demand, and simultaneous outbreaks of multiple viruses.

Sir Jim Mackey, NHS chief executive, said: “Despite record demand this year NHS teams have worked hard to improve waiting times, with last month’s Category 2 ambulance response times the fastest for four years – but we know the coming colder months will be much more challenging.

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“The NHS has done more preparation to be ready for the winter months than ever before, because we know the last few winters have been particularly tough for patients and staff, and we are determined for this year to be better.”

Local teams are also being asked to identify patients who are most vulnerable to winter viruses and at risk of a hospital admission, to provide targeted care and ensure they have the appropriate vaccinations.

The health service is predicting another pressured winter, with 2025 currently on track to be the busiest on record for A&Es and ambulance services.

There will be a different approach to winter this year, with more power for NHS leaders on-the-ground to deliver bespoke plans for their local population. The NHS is also working closely with local authorities and social care colleagues, so that discharge capacity can surge at times of peak demand.

Half of all ambulance services also now have access to shared care records, allowing paramedics and other clinicians to access a patient’s full medical history wherever they are.

The fresh approach follows the publication of the Urgent and Emergency Care Reform Plan in June, which was backed by £450 million in funding.

The NHS is also increasing the number of patients receiving care on virtual wards or through Urgent Community Response teams. Over £370 million of capital investment is being allocated to deliver around 40 new same-day emergency care centres and urgent treatment centres.

Health and Social Care Secretary Wes Streeting commented: “Winter is always tough for the NHS, but this year we’re ramping up preparations and doing more to protect the country. From ‘war game’ exercises to extra checks for the most vulnerable, we’re making sure the health service is ready for whatever comes its way.”

Everon Group recently praised the success of a trial by Kent Community Health NHS Foundation Trust, highlighting it as evidence of how intelligent, data-led technology can support the UK government’s commitment to a person-focused, prevention-led model of care.

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