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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 10.30am

Date: 19 August 2026

BHSCT 123
NHSCT 144
SET 101
SHSCT 62
WHSCT 126
REGIONAL TOTAL 556

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

Date Belfast Northern South-Eastern Southern Western Grand Total
19/08/2026 -20 42 69 15 60 166

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 12 noon

Date: 19 August 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 42 6 2 101
Belfast RVH 134 44 30 223
Belfast Belfast Total 176 50 32 324
Northern ANTRIM 126 57 60 225
Northern CAUSEWAY 67 34 32 137
Northern Northern Total 193 91 92 362
South Eastern ULSTER 175 54 41 181
South Eastern South East Total 175 54 41 181
Southern CRAIGAVON 96 41 34 226
Southern DAISY HILL 61 18 11 159
Southern Southern Total 157 59 45 385
Western ALTNAGELVIN 90 50 47 167
Western SWAH 53 21 21 116
Western Western Total 143 71 68 283
Regional Position Regional Total 844 325 278 1535
  • 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.