Change needed to avoid repeat of toughest winter for NHS

Nick Ville

Responding to the latest winter performance figures from NHS England, Nick Ville, director of membership and policy at the NHS Confederation, which represents organisations across the healthcare sector, said:

“These figures show the pressure on the NHS has yet to abate. The longer this continues, the harder it will be to get back on track, and the longer it will take to return to equilibrium.

“Bed occupancy in general and acute wards remains high and there are significantly more people spending more than seven, 14 and 21 days in hospital than the same week last year. This reduces much-needed capacity and means hospitals are unable to admit as many patients to emergency departments, in turn keeping ambulances waiting with patients at hospital doors, instead of responding to calls.

“These pressures will not end when winter reporting ends. With that in mind, we must look to the next steps, such as support for social care, primary care and community services; otherwise, we will find ourselves in the same or an even worse position next year.”

Notes for editors

Full weekly data tables from NHS England.
 
A&E closures
There were no A&E closures in 2020 or the same week in 2019
 
A&E diverts
2019
There were 13 A&E diverts between 28 January-3 February 2019
 
2020
There were 14 A&E diverts between 27 January-2 February 2020

This is a change of 1 between 2019 and 2020
 
Ambulance arrivals and delays
 
28 January-3 February 2019

Total A&E attendances – 97,620
30-60 minute delays – 9,250
>60 minutes delays – 2,621
 
27 January-2 February 2020

Total A&E attendances – 96,519
30-60 minute delays – 10,910
>60 minutes delays – 2,930
 
Attendances were lower by 1,101 in 2020 compared to the same period in 2019

There were 1,660 more delays of 30-60 minutes in 2020 than 2019

There were 309 more delays of 60 minutes or more in 2020 than 2019

Overall – ambulance delays were higher this year than the same period last year

Long-stay bed occupancy
 
The total number of patients staying longer than seven, 14 and 21 days (on average per day)
 
28 January-3 February 2019
>7 days – 42,625
>14 days – 24,489
>21 days – 15,637
 
27 January-2 February 2020
>7 days – 43,812
>14 days – 25,894
>21 days – 16,631
 
Bed occupancy was higher in >7, >14 and >21 days.

For >7 days it was higher by 1,187
For >14 days it was higher by 1,405
For >21 days it was higher by 994
 
Bed closures

There were an average of 709 beds closed due to D&V/norovirus-like symptoms 28 January-3 February 2019
 
There were an average of 775 beds closed due to D&V/norovirus-like symptoms 27 January-2 February 2019
 
This is an average increase of 66 in 2020 on 2019
 
General and acute bed occupancy

28 January-3 February 2019

Occupancy Rate – 94.9%
 
27 January-2 February 2020
Occupancy Rate – 94.8%
 
Adult Critical Care bed occupancy
 
28 January-3 February 2019
Occupancy Rate – 85.6%
 
27 January-2 February 2020
Occupancy Rate – 82.2%

This is a decrease of 3.4% from 2019 to 2020 
 
Paediatric Intensive Care Unit bed occupancy
 
28 January-3 February 2019
Occupancy Rate – 80.6%
 
27 January-2 February 2020
Occupancy Rate – 78.2%

This is a decrease of 2.4% from 2019 to 2020 
 
Neonatal Intensive Care Unit bed occupancy
 
28 January-3 February 2019
Occupancy Rate – 69.1%
 
27 January-2 February 2020
Occupancy Rate – 70.4%

This is an increase of 1.3% from 2019 to 2020

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