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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: 29 May 2026

BHSCT 124
NHSCT 144
SET 102
SHSCT 62
WHSCT 168
REGIONAL TOTAL 600

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

Date Belfast Northern South-Eastern Southern Western Grand Total
29/05/2026 24 44 93 24 70 255

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: 29 May 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 36 14 13 123
Belfast RVH 112 39 21 208
Belfast Belfast Total 148 53 34 331
Northern ANTRIM 117 54 48 256
Northern CAUSEWAY 63 21 18 146
Northern Northern Total 180 75 66 402
South Eastern ULSTER 189 55 46 177
South Eastern South East Total 189 55 46 177
Southern CRAIGAVON 88 27 28 194
Southern DAISY HILL 85 31 29 177
Southern Southern Total 173 58 57 371
Western ALTNAGELVIN 97 55 56 130
Western SWAH 59 22 22 107
Western Western Total 156 77 78 237
Regional Position Regional Total 846 318 281 1518

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 8th May 2026 -Thursday 14th May 2026

Trust Hospital ED Attendances Number of Waits > 12hrs % of Waits <4 hrs
Belfast MATER 838 117 33%
Belfast RVH 1,641 511 14%
Belfast RBHSC 828 1 67%
Belfast Belfast Total 3,307 629 32%
Northern ANTRIM 1,937 405 33%
Northern CAUSEWAY 1,064 140 50%
Northern Northern Total 3,001 545 39%
South Eastern ULSTER 1,594 569 16%
South Eastern LAGAN VALLEY 448 0 74%
South Eastern DOWNE 367 0 96%
South Eastern South East Total 2,409 569 39%
Southern CRAIGAVON 1,728 433 31%
Southern DAISY HILL 1,216 175 43%
Southern Southern Total 2,944 608 36%
Western ALTNAGELVIN 1,159 245 28%
Western SWAH 816 118 42%
Western Western Total 1,975 363 34%
Regional Position Regional Total 13,636 2,714 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