The Department of Plastic Surgery within Barts Health NHS Trust introduced a pathway to treat complex plastic surgery wounds using a single-use, negative-pressure wound therapy (NPWT) device. The pathway was developed in a response to the lack of acute beds. Methods: A retrospective review was conducted per financial year from 2012 to 2017, on all wounds within the department, treated using the pathway. The number of bed days released was calculated according to admission type.  Results: 213 wounds were reviewed. Median patient age was 50 years, with an even gender divide. Total calculated bed management efficiency, across five financial years, was £76,591.60. A total of 367 bed days were released during this period.