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COVID-19 / Service Pressures

COVID-19 – Service Pressures

Health and Social Care (HSC) continues to respond to the unprecedented challenges presented by COVID-19 during the current surge of the pandemic in Northern Ireland.

These challenges, coupled now with traditional winter pressures, are causing significant disruption across all health and care services, including lengthy delays in our Emergency Departments (EDs) and cancellations of some planned appointments and treatment.

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


Number of people in Emergency Departments

Snapshot at 12 noon today – 8 March 2021

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 6th to midnight on 7th
Belfast MATER 6 0 0 0 6 1 47
Belfast RVH 32 3 2 1 38 7 176
Belfast Belfast Total 38 3 2 1 44 8 223
Northern ANTRIM 43 3 5 10 61 22 174
Northern CAUSEWAY 21 1 0 3 25 5 81
Northern Northern Total 64 4 5 13 86 27 255
South Eastern ULSTER 56 7 6 9 78 17 224
South Eastern South East Total 56 7 6 9 78 17 224
Southern CRAIGAVON 40 2 2 1 45 5 157
Southern DAISY HILL 28 0 0 0 28 0 100
Southern Southern Total 68 2 2 1 73 5 257
Western ALTNAGELVIN 37 1 1 6 45 8 131
Western SWAH 17 0 0 18 35 13 77
Western Western Total 54 1 1 24 80 21 208
Regional Position Regional Total 280 17 16 48 361 78 1167

Emergency Department Figures

(Updated every Wednesday at approximately 4pm)

Weekly Position: Tuesday 23 February – Monday 1 March

Trust Hospital ED Attendances Number of Waits > 12hrs % of Waits >4 hrs Non-Elective Admissions
Belfast MATER 286 3 58% 86
Belfast RVH 1460 140 30% 528
Belfast BCH 31
Belfast RBHSC 541 1 87% 95
Belfast Belfast Total 2287 144 47% 740
Northern ANTRIM 1459 144 62% 421
Northern CAUSEWAY 714 46 65% 133
Northern Northern Total 2173 190 63% 554
South Eastern ULSTER 1744 75 62% 557
South Eastern LAGAN VALLEY 353 0 83% 57
South Eastern DOWNE 245 0 100% 22
South Eastern South East Total 2342 75 69% 636
Southern CRAIGAVON 1282 156 48% 387
Southern DAISY HILL 816 29 66% 209
Southern Southern Total 2098 185 55% 596
Western ALTNAGELVIN 1043 87 51% 292
Western SWAH 584 37 64% 149
Western OMAGH 184 0 98% 49
Western Western Total 1811 124 60% 490
Regional Position Regional Total 10711 718 59% 3016

These figures do not include Urgent Care and Phone First attendances.To be seen, treated, and either discharged or admitted to a hospital bed.

[Source: Health and Social Care Board]

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 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 23 February to 1 March 2021

In total 4546 elective procedures (inpatient and daycase admission and regular attenders) were scheduled of which:

From 16 February to 22 February 2021

In total 4363 elective procedures (inpatient and daycase admission and regular attenders) were scheduled of which:

[Source: Health and Social Care Board]

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 IrelandDepartment of Health’s COVID-19 Dashboard

 

Number of HSC staff absent or self-isolating due to COVID-19

On  February 26th 2021

On February 19th 2021

*Figures correct at time of publishing. Subject to readjustment.
[Source: Trust returns]

Covid Centre update

There are currently 10 primary care COVID-19 centres across Northern Ireland. They are located in Belfast, Ballymena, Coleraine, Newtownards, Downpatrick, Lisburn, Banbridge, Dungannon, Altnagelvin and SWAH.

COVID-19 centres are a GP-led innovation that was an urgent and immediate response to the challenges posed by the COVID-19 pandemic.

The centres ensure that primary care services can be maintained, by enabling patients who have COVID-19 symptoms to be treated separately from those patients who have other conditions which require assessment or treatment in primary care. This helps reduce the spread of infection and helps ensure that patients can continue to receive timely care.

From 6 April 2020 to 28 February 2021

From 22 February to 28 February 2021

From 15 February to 21 February 2021

[Source: Health and Social Care Board]


Data archive

Title and link to downloadDate
19 Jan - 25 Jan 2021 Cancelled elective procedures and staff absent or self isolating19th February 2021
26 Jan - 1 Feb 2021 Cancelled elective procedures and staff absent or self isolating19th February 2021
Number of people in EDs Snapshot at 12 noon - 18 February18th February 2021
Number of people in EDs Snapshot at 12 noon - 17 February 2021 18th February 2021
Number of people in EDs Snapshot at 12 noon - 16 February 202118th February 2021
Number of people in EDs Snapshot at 12 noon - 15 February 202118th February 2021
Number of patients in EDs - Snapshot 12 Noon -12 February 202112th February 2021
Number of patients in EDs - Snapshot 12 Noon - 11 February 202111th February 2021
Number of People in EDs Snapshot at 12 noon - 09 February 20219th February 2021
Number of People in EDs Snapshot at 12 noon - 08 February 20218th February 2021
12-18 January 2021 Cancelled or Elective Procedures and Staff Absent or Self Isolating8th February 2021
Number of People in EDs - Snapshot at 12 Noon - 04 February 20214th February 2021
Number of people in EDs Snapshot 12 Noon - 03February 20213rd February 2021
Number of people in EDs Snapshot at 12 Noon Position - 02 February 20212nd February 2021
Number of people in EDs Snapshot at 12 Noon - 01 February20212nd February 2021
05-11 January 2021 Cancelled Elective Procedures And Staff Absent or Self Isolating28th January 2021
number of people in EDs - Snapshot 12 Noon - 28 January 202128th January 2021
Number of people in EDs - Snapshot 12 Noon - 27 January 202127th January 2021
Number of people in EDs - Snapshot 12 Noon - 26 January 202126th January 2021
Number of people in EDs - Snapshot 12 Noon - 25 January 202125th January 2021
Number of people in EDs - Snapshot 12 Noon - 22 January 202122nd January 2021
Number of people in EDs - Snapshot 12 Noon - 21 January 202121st January 2021
22 - 28 December 2021 Cancelled Elective Procedures And Staff Absent Or Self Isolating20th January 2021
28 - 04 January Cancelled Elective Procedures And Staff Absent Or Self Isolating20th January 2021
Number of people in EDs - Snapshot 12 Noon - 20 January 202120th January 2021
Number of people in EDs Snapshot - 12 Noon -19 January 202119th January 2021
Number of people in EDs - Snapshot 12 Noon - 14. January 202114th January 2021
Number of people in EDs - Snapshot 12 Noon - 13 January 202113th January 2021
Number of people in EDs - Snapshot at 12 Noon - 12 January 202112th January 2021
Number of people in EDs - Snapshot at 12 noon - 11 January 202111th January 2021
Number of people in EDs Snapshot - 12 Noon - 08 January20218th January 2021
Number of people in EDs - Snapshot at 12 noon - 07 January 20217th January 2021
Number of people in EDs - Snapshot at 12 noon - 06 January 20216th January 2021
Number of people in EDs – Snapshot at 12 noon - 05 January 20215th January 2021
Number of people in EDs - Snapshot 12 noon - 04 January 20214th January 2021
Number of people in EDs - Snapshot at 12 noon - 31 December 202031st December 2020
Number of people in EDs - Snapshot at 12 noon - 30 December 202030th December 2020
08-14 Dec 2020 Cancelled Elective Procedures and Staff Absent or Self-isolating14th December 2020
01-07 Dec 2020 Cancelled Elective Procedures and Staff Absent or Self-isolating7th December 2020
24-30 Nov 2020 Cancelled Elective Procedures And Staff Absent Or Self-isolating30th November 2020
17-23 Nov 2020 Cancelled Elective Procedures And Staff Absent Or Self-isolating23rd November 2020
10-16 Nov 2020 Cancelled Elective Procedures And Staff Absent Or Self-isolating18th November 2020
03-09 Nov 2020 Cancelled Elective Procedures And Staff Absent Or Self-isolating11th November 2020

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