In reply to HJEdmondson:
It sounds like we're in a very similar position: I'm confident at severe and trying to take it up a notch. Trying to climb VS routes this year, I managed quite a few short local VS routes, but it feels hard to step it up on multipitch routes.
With this in mind, I was wondering why you're focused on runout as your main issue? I'm scared of the idea of running it out on a harder climb, but I've not encountered lots of runouts at VS, compared to severe. My main issues are probably:
1. Getting a partner who wants to push into VS and beyond with me.
2. Getting enough time on quality routes (e.g. in the Lakes rather than local esoteric 10m limestone routes).
3. Being efficient and strategic, so as to avoid getting pumped placing gear.
4. Dealing with 'delicate' moves and thin cracks.
5. Getting over the fear that makes me avoid getting on VS routes in the first place, setting out on S routes instead and missing the time window.
My point being - a lot holds me back before runouts even enter the picture.
If runouts remain the issue, then two things have been said to me that I find helpful (though, they might not be as helpful to others):
1. "Just don't place bad gear." Because, it's easy to spend a lot of time and energy placing poor gear you rightly have no faith in, and it's good to know that the gear beneath your feet is good, rather than trying to remember which was good and which was dodgy.
2. "You're not going to get any gear on that bit, so just focus on your climbing." That's what a friend told me as I headed up the runout start of "Jomo" (VDiff/Severe) at Trowbarrow, on one of my earliest leads. It doesn't sound helpful, but I think it helps me to put aside the rising panicked question, "surely there's gear somewhere!?", and focus instead on making moves smoothly and confidently till the next feature where gear's possible. Pretty sure I read somewhere "good climbing is the best protection". Obviously something to take with a pinch of salt.
Having said this, I (mostly) agree with Mick - don't feel pressure to move on; if you're enjoying severe, then use that to do some really good severe routes rather than feeling the need to move on. Also, in trying to push my grade, I fell twice this year! Both times where fine - almost enjoyable - but, you do want to make sure your gear and rope skills are bomber before pushing yourself. It's easier to make mistakes when you're more tense, pumped or when a route just demands good strategy.