Nine English NHS trusts now have at least half their adult acute beds occupied by covid-positive patients, with admissions still growing in every case.
HSJ’s analysis also shows that two entire health systems — Kent and Medway and East London — have hit the 50 per cent mark.
Ten out of England’s 42 health systems (known as sustainability and transformation partnerships) now have covid-19 bed occupancy of 33 per cent or more. The same situation is affecting 31 of 126 general acute trusts (25 per cent).
These findings are based on HSJ’s analysis of NHS internal figures for occupancy and total beds up to 5 January. It covers adult general and acute beds only — not intensive care, where covid pressure is also very high.
The nine trusts with 50 per cent plus occupancy include two — Whittington Health Trust and North Middlesex University Hospital Trusts — where covid occupancy is above 60 per cent. Both serve the north central London area.
The 10 health systems with at least 33 per cent include all five in London, and five in surrounding areas, stretching up to Bedfordshire in the Midlands. The trusts also include some outside the South East — two in Cheshire, one in Norfolk, and Portsmouth Hospitals Trust.
The figures for new covid cases in hospital (admissions with covid and those diagnosed in hospital) included in the tables below — as opposed to covid occupancy, which measures the number in hospital — show that in nearly all of the areas and trusts, the rate grew over the past seven days, meaning occupancy is very likely to keep increasing.
Trusts with estimated covid-19 occupancy of 33 per cent or greater:
Trust name | Current estimated covid-19 occupancy in adult G&A beds | Change in seven-day rolling covid admissions (new cases) over past seven days |
Whittington Health NHS Trust |
63% |
+ 52% |
North Middlesex University Hospital NHS Trust |
63% |
+ 23% |
Medway NHS Foundation Trust |
57% |
+ 35% |
Dartford and Gravesham NHS Trust |
54% |
+ 63% |
Homerton University Hospital NHS Foundation Trust |
54% |
+ 29% |
West Hertfordshire Hospitals NHS Trust |
53% |
+ 55% |
Milton Keynes University Hospital NHS Foundation Trust |
52% |
+ 39% |
Croydon Health Services NHS Trust |
50% |
+ 13% |
Barts Health NHS Trust |
50% |
+ 35% |
Barking, Havering and Redbridge University Hospitals NHS Trust |
49% |
+ 14% |
Mid and South Essex NHS Foundation Trust |
49% |
+ 25% |
The Princess Alexandra Hospital NHS Trust |
47% |
+ 87% |
Lewisham and Greenwich NHS Trust |
46% |
+ 36% |
Royal Free London NHS Foundation Trust |
45% |
+ 42% |
Frimley Health NHS Foundation Trust |
45% |
+ 26% |
Chelsea and Westminster Hospital NHS Foundation Trust |
45% |
+ 27% |
Kingston Hospital NHS Foundation Trust |
44% |
+ 36% |
East Sussex Healthcare NHS Trust |
44% |
-17% |
The Hillingdon Hospitals NHS Foundation Trust |
44% |
+ 2% |
Portsmouth Hospitals NHS Trust |
43% |
+ 69% |
King’s College Hospital NHS Foundation Trust |
41% |
+ 106% |
Epsom and St Helier University Hospitals NHS Trust |
40% |
+ 59% |
Ashford and St Peter’s Hospitals NHS Foundation Trust |
39% |
+ 47% |
Countess of Chester Hospital NHS Foundation Trust |
39% |
+ 28% |
London North West University Healthcare NHS Trust |
38% |
+ 102% |
East Cheshire NHS Trust |
37% |
+ 76% |
Maidstone and Tunbridge Wells NHS Trust |
37% |
+ 4% |
Royal Berkshire NHS Foundation Trust |
36% |
0% |
North Tees and Hartlepool NHS Foundation Trust |
35% |
+ 40% |
The Queen Elizabeth Hospital, King’s Lynn, NHS Foundation Trust |
34% |
+ 63% |
St George’s University Hospitals NHS Foundation Trust |
34% |
+ 62% |
Health systems (STPs) with estimated covid-19 occupancy of 33 per cent or more
STP | Current estimated covid-19 occupancy in adult G&A beds | Change in seven-day rolling covid admissions (new cases) over past seven days |
Kent and Medway |
50.7% |
+ 31.1% |
East London |
50.0% |
+ 22.8% |
Mid and South Essex |
48.6% |
+ 25.1% |
North Central London |
46.4% |
+ 41.8% |
Frimley Health |
44.8% |
+ 23.6% |
Hertfordshire and West Essex |
42.9% |
+ 66.7% |
South West London |
40.7% |
+ 40.7% |
South East London |
38.9% |
+ 56.6% |
Bedfordshire, Luton and Milton Keynes |
38.4% |
+ 26.9% |
North West London |
35.3% |
+ 37.7% |
Hospitals dealing with covid occupancy of more than 33 per cent are highly likely to be under serious operational pressure. However, this analysis cannot take full account of factors like cancelling elective care, extra beds opening or having to be closed, or the concentration of covid pressure at particular hospitals within multi-site trusts. Nor does it reflect the number of non-covid patients a trust is treating.
Source
Data shared with HSJ
Source Date
January 2021
Topics
- Acute care
- ASHFORD AND ST PETER'S HOSPITALS NHS FOUNDATION TRUST
- BARKING, HAVERING AND REDBRIDGE UNIVERSITY HOSPITALS NHS TRUST
- BARTS HEALTH TRUST
- Bedfordshire, Luton and Milton Keynes ICS
- CHELSEA AND WESTMINSTER HOSPITAL NHS FOUNDATION TRUST
- Coronavirus
- COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST
- Croydon Health Services NHS TRUST
- DARTFORD AND GRAVESHAM NHS TRUST
- EAST CHESHIRE NHS TRUST
- East London STP
- EAST SUSSEX HEALTHCARE NHS TRUST
- EPSOM AND ST HELIER UNIVERSITY HOSPITALS NHS TRUST
- FRIMLEY HEALTH NHS FOUNDATION TRUST
- Frimley ICS
- Hertfordshire and West Essex ICS
- HOMERTON UNIVERSITY HOSPITAL NHS FT
- Kent and Medway ICS
- KING'S COLLEGE HOSPITAL NHS FT
- KINGSTON HOSPITAL NHS FOUNDATION TRUST
- LEWISHAM AND GREENWICH NHS TRUST
- London
- London North West University Healthcare NHS Trust
- MAIDSTONE AND TUNBRIDGE WELLS NHS TRUST
- MEDWAY NHS FOUNDATION TRUST
- Mid and South Essex ICS
- Milton Keynes University Hospital NHS Foundation Trust
- North Central London ICS
- NORTH MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST
- NORTH TEES AND HARTLEPOOL NHS FOUNDATION TRUST
- North West London ICS
- PORTSMOUTH HOSPITALS UNIVERSITY NHS TRUST
- ROYAL BERKSHIRE NHS FOUNDATION TRUST
- Royal Free London NHS Foundation Trust
- South East London ICS
- South West London ICS
- St George’s University Hospitals NHS Foundation Trust
- THE HILLINGDON HOSPITALS NHS FOUNDATION TRUST
- THE PRINCESS ALEXANDRA HOSPITAL NHS TRUST
- THE QUEEN ELIZABETH HOSPITAL KING'S LYNN NHS FOUNDATION TRUST
- West Hertfordshire Teaching Hospitals Trust
- Whittington Health NHS Trust
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