10/09/2026
More consistent use of end-to-end hospital flow management tools is now part of a National Audit Office (NAO) recommendation for NHS trusts.
The report is clear about the need. Since 2021 hospital doctor numbers are up 34% and MRI and CT scans are up by around half, while attendances waiting over 4 hours rose from 5 to 7 million between 2021-22 and 2025-26. Despite more resources in the ED - pressure and wait times persist.
The NAO report points beyond the ED to inpatient bed availability and delayed discharge as key modifiable factors behind poor patient flow, with delayed discharge accounting for 14.7% of all bed days in April 2026 alone.
Care teams cannot manage what they cannot see, and the NAO found there is no national picture of how patients move through a hospital after admission.
94% of NHS acute trusts now have an EPR in place (Digital Health, 2025). But digitising a patient record does not digitise patient flow. The report also states that not every trust with an EPR is using it to track flow, and in our experience this challenge is common, as many EPRs were not designed to manage the challenges with flow.
That is where a real-time patient flow platform comes in, and this is what the NAO is calling for. Miya Precision brings patient status, clinical history, bed availability and discharge blockers into a single view for the whole organisation, working with existing EPRs and other systems already in place to surface the information needed.
Trusts do not need to wait for a national picture to build their own and start acting on what it shows.
You can find the report here: https://ap1.hubs.ly/H01mvT_0
Read more about the NAO report: https://ap1.hubs.ly/H01mvV00
This report looks at how well patients flow through A&E into the wider hospital in England and at the support NHSE provides.