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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 10.30 am

Date: 30 March 2026

BHSCT 134
NHSCT 125
SET 77
SHSCT 67
WHSCT 151
REGIONAL TOTAL 554

Number of beds occupied in addition to funded capacity by HSC Trust

Date Belfast Northern South-Eastern Southern Western Grand Total
30/03/2026 27 37 58 33 91 246

Table above shows the number of beds occupied in additional to funded bed capacity.
An escalation bed is a bed in addition to the funded allocated complement that is opened on a short term temporary basis to cope with demand or increased pressures.

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

Date: 30 March 2026

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 35 10 9 89
Belfast RVH 115 38 40 140
Belfast Belfast Total 150 48 49 229
Northern ANTRIM 126 56 59 194
Northern CAUSEWAY 74 38 36 99
Northern Northern Total 200 94 95 293
South Eastern ULSTER 147 56 58 156
South Eastern South East Total 147 56 58 156
Southern CRAIGAVON 107 38 37 178
Southern DAISY HILL 58 19 18 130
Southern Southern Total 165 57 55 308
Western ALTNAGELVIN 108 54 57 117
Western SWAH 62 28 24 86
Western Western Total 170 82 81 203
Regional Position Regional Total 832 337 338 1189

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

Friday 20th March 2026 – Thursday 26th March 2026

Trust Hospital ED Attendances Number of Waits > 12hrs % of Waits <4 hrs
Belfast MATER 874 124 29%
Belfast RVH 1,680 625 14%
Belfast RBHSC 1,115 10 52%
Belfast Belfast Total 3,669 759 29%
Northern ANTRIM 1,901 403 31%
Northern CAUSEWAY 1,099 168 38%
Northern Northern Total 3,000 571 34%
South Eastern ULSTER 1,611 606 13%
South Eastern LAGAN VALLEY 420 1 72%
South Eastern DOWNE 351 0 97%
South Eastern South East Total 2,382 607 35%
Southern CRAIGAVON 1,725 535 27%
Southern DAISY HILL 1,229 228 39%
Southern Southern Total 2,954 763 32%
Western ALTNAGELVIN 1,170 285 22%
Western SWAH 844 158 39%
Western Western Total 2,014 443 29%
Regional Position Regional Total 14,019 3,143 32%

 

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