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Service Pressures

The following update provides a regional overview of the current pressures and challenges across the HSC System in Northern Ireland.

Patients Declared Medically Optimised for Discharge with Complex Discharge Needs – Snapshot position as at 1030 am

Date: 8th August 2025

BHSCT 157
NHSCT 141
SET 84
SHSCT 50
WHSCT 128
REGIONAL TOTAL 560

Number of Patients in Emergency Departments

The information is taken from a live, operational dashboard and only provides a snapshot of Emergency Departments at a particular point in time. Therefore, as the situation in Emergency Departments is very dynamic, the information cannot and should not be taken as the definitive position.

Emergency Departments – Snapshot Position at 12pm Today

Date: 8th August 2025

Trust Hospital Total Waiting in Emergency Department Over 12 hours Number of Patients Waiting for Admission to a Hospital Bed (DTA) ED Attendances previous 24hrs (midnight to midnight)
Belfast MATER 45 9 11 108
Belfast RVH 107 32 19 196
Belfast Belfast Total 152 41 30 304
Northern ANTRIM 112 48 57 234
Northern CAUSEWAY 58 17 18 127
Northern Northern Total 170 65 75 361
South Eastern ULSTER 161 55 50 169
South Eastern South East Total 161 55 50 169
Southern CRAIGAVON 100 45 39 180
Southern DAISY HILL 48 10 11 155
Southern Southern Total 148 55 50 335
Western ALTNAGELVIN 81 41 38 120
Western SWAH 33 13 13 100
Western Western Total 114 54 51 220
Regional Position Regional Total 745 270 256 1389

The information is not updated on weekends or Bank Holidays.

  • Information provided relates to Type 1 sites only. Type 1 departments are defined as those with a consultant-led service with designated accommodation for the reception of emergency care patients, providing both emergency medicine and emergency surgical services on a round the clock basis.
  • In Emergency Departments, the sickest and most critically injured patients will be prioritised. People with less serious conditions unfortunately may have to wait longer to be seen, treated, and either discharged or admitted to a hospital bed. Please consider other services, including Urgent Care Centres (which are now running in RVH in Belfast and Downe Hospitals), Minor Injury Units, GP Out of Hours, or your own GP.  Pharmacists now also have additional services in place and can also offer advice and treatment for common conditions and refer patients to other healthcare professionals as appropriate.
  • These figures do not include Urgent Care & Phone First attendances.

ED Pressures – Weekly Indicators

Weekly Position: Friday 25th July 2025 -Thursday 31st July 2025
Trust Hospital ED Attendances Number of Waits > 12hrs % of Waits <4 hrs
Belfast MATER 896 105 38%
Belfast RVH 1,535 415 17%
Belfast RBHSC 649 1 68%
Belfast Belfast Total 3,080 521 34%
Northern ANTRIM 1,808 260 40%
Northern CAUSEWAY 988 161 43%
Northern Northern Total 2,796 421 41%
South Eastern ULSTER 1,533 529 14%
South Eastern LAGAN VALLEY 478 0 75%
South Eastern DOWNE 359 0 94%
South Eastern South East Total 2,370 529 39%
Southern CRAIGAVON 1,563 417 31%
Southern DAISY HILL 1,068 147 37%
Southern Southern Total 2,631 564 33%
Western ALTNAGELVIN 1,098 299 22%
Western SWAH 741 125 39%
Western Western Total 1,839 424 29%
Regional Position Regional Total 12,716 2,459 36%
PLEASE NOTE:

There have been changes to delay codes and performance monitoring targets over recent years so care must be taken when interpreting trends.

There are additional caveats regarding availability of data due to encompass implementation.

If any advice is required in terms of interpretation please contact SPPG Information at:  SPPGInformation@hscni.net

ED attendances are New & Unplanned only, and no UCC, Phone First or MIU attendances are included

Southern and Western Trust data is sourced from eEMS & Sypmhony universes within Business Objects

Belfast, Northern and South Eastern data is sourced from EPIC, though please note EPIC data currently subject to ongoing validation with Trusts