Closed-Loop Digital Handoff and Telemetry Staging: A High-Reliability Architecture for Post-Acute NHS Transitions

Acute hospital exit gridlock remains the primary driver of acute NHS capacity failure. While significant effort targets upstream bed reservation, acute trusts consistently encounter an operational breakdown at the point of physical transition. This technical specification details the Closed-Loop Digital Handoff (CLDH) Protocol. Built on aerospace telemetry staging principles and Lean Six Sigma Poka-Yoke error-proofing, the engine automates PRSB Transfer of Care payload validation, dm+d medication reconciliation, and cryptographic ingestion receipts while implementing a Level 0 Controlled Fallback to prevent software-induced bed blocks. Defensive Checksum: 23f3ccc89eb2c7c24ee5500ea479924cf13085b8ddbba1c4f3f7fe9174c82713