NHS Hospitals Struggle with Capacity Amid Rising Norovirus Cases
High occupancy rates and delayed discharges contribute to significant pressure on English hospitals as norovirus cases rise.
Hospitals across England are facing critical capacity issues, with health officials reporting that 96% of adult beds are occupied, primarily due to delayed discharges of medically fit patients.
As of last week, a total of 98,101 patients were hospitalized each day, marking the highest figure for this winter season.
The latest NHS England performance report reveals that an average of 13,776 hospital beds were filled daily by patients ready for discharge, an increase from 13,426 the previous week.
Only 41% of patients deemed fit to leave were discharged on average each day, creating a backlog in hospital services.
In addition to these challenges, hospitals are also contending with a notable rise in norovirus cases.
Data indicates that an average of 961 beds were occupied by patients exhibiting norovirus symptoms last week, a 7% increase from 898 the previous week.
Norovirus, commonly known as the winter vomiting bug, typically resolves within two days, though certain populations, including young children and the elderly, may experience more severe symptoms.
Conversely, flu cases in hospitals have shown a decline for the fourth consecutive week, with an average of 2,461 patients receiving treatment, including 122 in critical care.
Hospital emergency departments are also experiencing delays, with 32.2% of ambulance patients waiting at least 30 minutes for handover to A&E teams, compared to 31.2% the previous week.
Additionally, 12.5% of ambulance handovers were delayed by over an hour, a slight increase from 11.3% the previous week but significantly lower than the peak of 21.3% earlier this month.
Professor Julian Redhead, NHS England's national clinical director for urgent and emergency care, noted that hospitals are treating many patients suffering from norovirus, with current case rates being the highest recorded for this time of year since 2020. He emphasized that the dual pressures from winter viruses and patient discharges are causing hospitals to approach full capacity, despite efforts to increase bed availability.
Epidemiologist Amy Douglas from the UK Health Security Agency highlighted the abnormal rise in norovirus cases, urging the public to remain vigilant and to take precautions to prevent spreading the infection, particularly in hospital and care home settings.
Dr. Adrian Boyle, president of the Royal College of Emergency Medicine, described the current situation in hospitals as gridlocked, noting that insufficient discharge rates hinder the flow of patients through emergency departments, affecting care quality.
Patricia Marquis from the Royal College of Nursing echoed these concerns, emphasizing that thousands of patients remain in hospitals due to inefficiencies within the primary and social care systems.
The pressures are compounded by ongoing bed closures linked to norovirus outbreaks and limited community healthcare resources.
Dr. Layla McCay from the NHS Confederation reiterated that these issues are leading to longer hospital stays and reduced capacity for new admissions.
Despite these challenges, NHS England reported a 2.4% increase in acute productivity over the first seven months of the financial year, alongside a 6.3% increase in acute activity.
The organization also announced that £5.7 billion in savings had been achieved this year through reduced staffing costs.
However, the ongoing situation highlights significant challenges facing the NHS during this winter season.
As of last week, a total of 98,101 patients were hospitalized each day, marking the highest figure for this winter season.
The latest NHS England performance report reveals that an average of 13,776 hospital beds were filled daily by patients ready for discharge, an increase from 13,426 the previous week.
Only 41% of patients deemed fit to leave were discharged on average each day, creating a backlog in hospital services.
In addition to these challenges, hospitals are also contending with a notable rise in norovirus cases.
Data indicates that an average of 961 beds were occupied by patients exhibiting norovirus symptoms last week, a 7% increase from 898 the previous week.
Norovirus, commonly known as the winter vomiting bug, typically resolves within two days, though certain populations, including young children and the elderly, may experience more severe symptoms.
Conversely, flu cases in hospitals have shown a decline for the fourth consecutive week, with an average of 2,461 patients receiving treatment, including 122 in critical care.
Hospital emergency departments are also experiencing delays, with 32.2% of ambulance patients waiting at least 30 minutes for handover to A&E teams, compared to 31.2% the previous week.
Additionally, 12.5% of ambulance handovers were delayed by over an hour, a slight increase from 11.3% the previous week but significantly lower than the peak of 21.3% earlier this month.
Professor Julian Redhead, NHS England's national clinical director for urgent and emergency care, noted that hospitals are treating many patients suffering from norovirus, with current case rates being the highest recorded for this time of year since 2020. He emphasized that the dual pressures from winter viruses and patient discharges are causing hospitals to approach full capacity, despite efforts to increase bed availability.
Epidemiologist Amy Douglas from the UK Health Security Agency highlighted the abnormal rise in norovirus cases, urging the public to remain vigilant and to take precautions to prevent spreading the infection, particularly in hospital and care home settings.
Dr. Adrian Boyle, president of the Royal College of Emergency Medicine, described the current situation in hospitals as gridlocked, noting that insufficient discharge rates hinder the flow of patients through emergency departments, affecting care quality.
Patricia Marquis from the Royal College of Nursing echoed these concerns, emphasizing that thousands of patients remain in hospitals due to inefficiencies within the primary and social care systems.
The pressures are compounded by ongoing bed closures linked to norovirus outbreaks and limited community healthcare resources.
Dr. Layla McCay from the NHS Confederation reiterated that these issues are leading to longer hospital stays and reduced capacity for new admissions.
Despite these challenges, NHS England reported a 2.4% increase in acute productivity over the first seven months of the financial year, alongside a 6.3% increase in acute activity.
The organization also announced that £5.7 billion in savings had been achieved this year through reduced staffing costs.
However, the ongoing situation highlights significant challenges facing the NHS during this winter season.
