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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: 12th December 2025

BHSCT 149
NHSCT 163
SET 75
SHSCT 68
WHSCT 151
REGIONAL TOTAL 606

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: 12th December 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 25 6 8 120
Belfast RVH 91 26 27 181
Belfast Belfast Total 116 32 35 301
Northern ANTRIM 111 64 66 215
Northern CAUSEWAY 47 30 31 114
Northern Northern Total 158 94 97 329
South Eastern ULSTER 142 43 46 192
South Eastern South East Total 142 43 46 192
Southern CRAIGAVON 90 47 30 198
Southern DAISY HILL 55 22 20 137
Southern Southern Total 145 69 50 335
Western ALTNAGELVIN 75 43 45 139
Western SWAH 39 17 15 109
Western Western Total 114 60 60 248
Regional Position Regional Total 675 298 288 1405

 

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 28th November 2025 -Thursday 4th December 2025
Trust Hospital ED Attendances Number of Waits > 12hrs % of Waits <4 hrs
Belfast MATER 907 159 30%
Belfast RVH 1,676 574 15%
Belfast RBHSC 1,131 16 53%
Belfast Belfast Total 3,714 749 30%
Northern ANTRIM 1,876 424 29%
Northern CAUSEWAY 1,013 156 50%
Northern Northern Total 2,889 580 36%
South Eastern ULSTER 1,720 679 14%
South Eastern LAGAN VALLEY 408 0 75%
South Eastern DOWNE 321 0 94%
South Eastern South East Total 2,449 679 35%
Southern CRAIGAVON 1,589 441 32%
Southern DAISY HILL 1,227 233 33%
Southern Southern Total 2,816 674 33%
Western ALTNAGELVIN 1,152 248 29%
Western SWAH 782 126 42%
Western Western Total 1,934 374 34%
Regional Position Regional Total 13,802 3,056 33%
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