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Service Pressures

Service Pressures

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


Number of people in Emergency Departments

Snapshot at 12 noon on 20 May 2022
Trust Hospital 0-4 hours Over 4 – 8 hours Over 8 to 12 hours Over 12 hours Total Waiting in Emergency Department Number of Patients Waiting for Admission to a Hospital Bed (DTA) ED Attendances midnight on 18th to midnight on 19th
Belfast MATER 17 1 5 5 28 8 98
Belfast RVH 47 12 5 23 87 22 307
Belfast Belfast Total 64 13 10 28 115 30 405
Northern ANTRIM 36 8 5 12 61 19 274
Northern CAUSEWAY 26 3 2 17 48 21 134
Northern Northern Total 62 11 7 29 109 40 408
South Eastern ULSTER 49 7 1 32 89 38 296
South Eastern South East Total 49 7 1 32 89 38 296
Southern CRAIGAVON 31 2 0 13 46 15 234
Southern DAISY HILL 35 4 4 7 50 9 171
Southern Southern Total 66 6 4 20 96 24 405
Western ALTNAGELVIN 27 1 2 25 55 26 176
Western SWAH 21 2 3 11 37 16 119
Western Western Total 48 3 5 36 92 42 295
Regional Position Regional Total 289 40 27 145 501 174 1809

 

  • 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.
  • 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.

Emergency Department Figures

(Updated every Monday at approximately 4pm)
Weekly Position: 6 May – 12 May 2022

Trust Hospital ED Attendances Number of people who waited more than 12 hours1 % number of people who waited less than 4 hours1 Non-Elective Admissions
Belfast MATER 691 86 47% 118
Belfast RVH 2,150 406 42% 563
Belfast BCH 30
Belfast RBHSC 964 1 64% 126
Belfast Belfast Total 3,805 493 49% 837
Northern ANTRIM 1,910 194 51% 427
Northern CAUSEWAY 864 65 57% 163
Northern Northern Total 2,774 259 53% 590
South Eastern ULSTER 2,078 380 43% 530
South Eastern LAGAN VALLEY 456 0 80% 48
South Eastern South East Total 2,534 380 50% 578
Southern CRAIGAVON 1,613 281 42% 424
Southern DAISY HILL 1,078 88 61% 140
Southern Southern Total 2,691 369 50% 564
Western ALTNAGELVIN 1,338 217 35% 319
Western SWAH 766 76 57% 155
Western OMAGH 357 0 99% 76
Western Western Total 2,461 293 51% 550
Regional Position Regional Total 14,265 1,794 50% 3,119
  • Information provided relates to Type 1 and Type 2 ED sites. 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 around the clock basis. Type 2 departments are consultant-led service with designated accommodation for the reception of emergency care patients, but do not provide both emergency medicine and emergency surgical services and/or has time-limited opening hours.

[Source: Strategic Planning and Performance Group, DoH]

Cancelled elective procedures

HSC Trusts continue to make extremely difficult decisions to cancel some elective procedures to free nursing and medical resources to support the Intensive Care Units and the increasing number of patients with COVID-19 admitted to medical wards.

Unfortunately, cancer services have been adversely affected. Trusts are working very hard to maintain cancer care in so far as that is possible during the current surge.

Cancer services are seeking to maintain chemotherapy, radiotherapy and other non-surgical treatments and alternative treatments will be provided in the absence of surgical options.

A regional approach has also been developed to ensure that any available theatre capacity across Northern Ireland is allocated for those patients most in need of surgery, both during the surge and as we come out of this surge.

HSC is working to ensure that any cancelled procedures are rescheduled as soon as possible.

Cancellations will be kept under review as the impact of COVID-19 is being felt in all areas of the system and it is anticipated that this pressure will continue over the next number of weeks.

HSC would like to apologise to those patients, their families and carers who have been affected by surgeries being postponed and for any anxiety and distress caused to them.

From 6 May to 12 May 2022

In total 6400 elective procedures (inpatient and daycase admission and regular attenders) were scheduled of which:

  • 6326 elective procedures (inpatient and daycase admission and regular attenders) went ahead as planned.
  • There were 74 cancellations (1%).
  • Of the 74 cancellations, there were: – 25 Red Flag suspected cancer procedures or confirmed cancer procedures cancelled. Trusts are actively working to offer new dates as soon as possible.

From 29 April to 5 May 2022

In total 5401 elective procedures (inpatient and daycase admission and regular attenders) were scheduled of which:

  • 5342 elective procedures (inpatient and daycase admission and regular attenders) went ahead as planned.
  • There were 59 cancellations (1%).
  • Of the 59 cancellations, there were: – 26 Red Flag suspected cancer procedures or confirmed cancer procedures cancelled. Trusts are actively working to offer new dates as soon as possible.

From 22 April to 28 April 2022

In total 6534 elective procedures (inpatient and daycase admission and regular attenders) were scheduled of which:

  • 6405 elective procedures (inpatient and daycase admission and regular attenders) went ahead as planned.
  • There were 129 cancellations (2%).
  • Of the 129 cancellations, there were: – 61 Red Flag suspected cancer procedures or confirmed cancer procedures cancelled. Trusts are actively working to offer new dates as soon as possible.

Bed pressures

Visit the Department of Health’s COVID-19 Dashboard and click on the General Bed Occupancy link for all the latest bed information across hospitals in Northern Ireland.

DoH-COVID-19-dashboard

Department of Health’s COVID-19 Dashboard

 


Further information

For enquiries about the information available on this page contact the Communications Office at the Health and Social Care Board Tel: 028 9536 3278

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