RT Journal Article SR Electronic T1 A new weaning and long term ventilation service – One year on JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP p2067 VO 38 IS Suppl 55 A1 Verity Ford A1 Robert Angus A1 Biswajit Chakrabarti A1 Nick Duffy A1 John O'Reilly A1 Karen Ward A1 Jan Bennett A1 Victoria Molyneaux A1 Jackie Walsh A1 Julie Cheney A1 Robert Parker YR 2011 UL http://erj.ersjournals.com/content/38/Suppl_55/p2067.abstract AB Introduction: In 2010 a purpose built 10 bed Ventilation Inpatient Centre (VIC) was opened. In its first year 230 patients received acute non invasive ventilation (NIV), and 164 electively established on domiciliary NIV. It now also manages weaning failure for tracheostomy ventilated ICU patients in a multidisciplinary, rehabilitation centred environment. The cost is less than half that of an ICU bed. A secondary role is assisting discharge of ventilator dependent patients to home or care facility. Well established in continental Europe and the USA, such units are rare in the United Kingdom. We reviewed our weaning cases to report our first years experience.Results:View this table:Completed patient episodes 2010-2011Conclusion: Activity has risen steadily, all weaning beds are currently used with a waiting list for transfer. Most patients had an underlying diagnosis likely to prevent complete liberation from ventilatory support. Success in weaning from invasive ventilation has been largely through the use of nocturnal NIV. The service has been well received by patients, families and referring ICUs. ICU beds can be used for acute care, it is cost effective and provides a template for other service development.