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<bold>Background:</bold> Our respiratory service, one of two pilot sites, was at the forefront of setting up and delivering an acute virtual ward (VW), new to the Irish Healthcare system in University Hospital Limerick (UHL). VW facilitates patients to receive hospital level care, monitoring and treatment enabled by technology in the comfort of their own homes, monitored 24/7 in central hub. <bold>Aim:</bold> To establish VW innovative model of care in UHL and evaluate data on respiratory patient cohort. <bold>Methods:</bold> <italic>Implementation</italic>: Procurement of Digital Health Solution, Virtual hub, Education, Curriculum and Documentation development. <italic>Retrospective quantitative analysis</italic> on patients transferred. <italic>Mixed Methods Evaluation</italic> facilitated by University College Dublin under way. <bold>Results:</bold> Average age: 61.9 years (Age range from 24-82) 53% Male and 47% female. Diagnosis: COPD 40%, COPD/ILD 2 %, Asthma 16%, Asthma/COPD 5%, Covid-19 12%, Flu 9%, LRTI 14%, Lung Cancer (same day chest drain removal) 2% Average length of stay: On VW 5.2 days Patient outcomes: Transfer back to ED during VW stay: 9% Readmission to hospital within 30 days of their discharge from VW 7% <bold>Discussion:</bold> Patients must meet specific inclusion criteria and have an improving trajectory to be considered for VW. This model has demonstrated strong positive impact in terms of bed days saved and 30 day readmission rate. ANP respiratory plays a key role in improving access and integration to this model of care, with the support of the respiratory consultant clinical lead for VW. <bold>Conclusion:</bold> We have demonstrated that respiratory patients can safely be managed on an acute VW. This model also presents an effective option for reducing the burden on in-hospital bedded care capacity.