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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: 6 January 2026

BHSCT 150
NHSCT 136
SET 106
SHSCT 58
WHSCT 139
REGIONAL TOTAL 589

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: 6 January 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 51 23 23 124
Belfast RVH 151 68 45 206
Belfast Belfast Total 202 91 68 330
Northern ANTRIM 142 66 64 206
Northern CAUSEWAY 61 39 37 126
Northern Northern Total 203 105 101 332
South Eastern ULSTER 197 76 65 220
South Eastern South East Total 197 76 65 220
Southern CRAIGAVON 120 63 55 183
Southern DAISY HILL 76 37 34 161
Southern Southern Total 196 100 89 344
Western ALTNAGELVIN 98 57 61 110
Western SWAH 74 35 29 107
Western Western Total 172 92 90 217
Regional Position Regional Total 970 464 413 1443

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 12th December 2025 -Thursday 18th December 2025

Trust Hospital ED Attendances Number of Waits > 12hrs % of Waits <4 hrs
Belfast MATER 826 133 31%
Belfast RVH 1,438 420 17%
Belfast RBHSC 920 11 56%
Belfast Total 3,184 564 32%
Northern ANTRIM 1,677 316 36%
Northern CAUSEWAY 909 152 46%
Northern Total 2,586 468 39%
South Eastern ULSTER 1,622 444 19%
South Eastern LAGAN VALLEY 413 2 71%
South Eastern DOWNE 323 0 97%
South East Total 2,358 446 39%
Southern CRAIGAVON 1,583 349 36%
Southern DAISY HILL 1,088 182 37%
Southern Total 2,671 531 37%
Western ALTNAGELVIN 1,028 210 30%
Western SWAH 775 137 39%
Western Total 1,803 347 34%
Regional Position Regional Total 12,602 2,356 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