• Updated 18 January: Covid pressure on hospitals gets wider but shallower
  • Download heatmap PDFs: Trusts and STPs

Thirteen more hospital trusts now have a third or more of their beds filled by covid patients than a week ago, but those under the most extreme pressure have seen it begin to subside.

The total number of general acute trusts with at least 33 per cent covid occupancy in adult general and acute beds was 58 on 18 January (46 per cent) – up from 51 three days ago, and 45 a week ago.

But the number of trusts at 50 per cent and above was six – down from eight three days ago, and 10 a week ago.

This is because most of the hospital trusts whose general beds are at the top end of covid occupancy are now seeing numbers slowly fall, but a wider set of trusts across England are still seeing growth. Eighty trusts had increases in the week to 18 January, 43 saw reductions, and two stayed the same (see heatmap for full list).

Of the 15 trusts with covid occupancy of at least 45 per cent in adult general and acute beds, 10 saw the number of covid patients fall over the seven days to 18 January, and a further two had daily growth of less than one percentage point. Reductions were quite small, however, at a maximum of 2 per cent a day, and this does not include intensive care, where there remains more growth and widespread pressure.

Trusts under the most severe pressure see tentative reductions

TrustAreaCovid patients in general and acute bedsDaily growth of covid patients in general and acute beds over past weekCurrent confirmed covid patients, as a per cent of all general and acute beds (covid occupancy)
Whittington Health NHS Trust North London 135 -1.6% 59%
North Middlesex University Hospital NHS Trust North London 253 -0.8% 55%
Medway NHS Foundation Trust Kent 221 -0.5% 54%
West Hertfordshire Hospitals NHS Trust Hertfordshire 287 -1.4% 51%
Sandwell and West Birmingham Hospitals NHS Trust West Midlands 306 3.1% 50%
Croydon Health Services NHS Trust South London 217 -0.1% 50%
King’s College Hospital NHS Foundation Trust South East London 625 0.2% 49%
Barts Health NHS Trust East London 632 -0.6% 48%
Lewisham and Greenwich NHS Trust South East London 406 -0.7% 48%
Dartford and Gravesham NHS Trust Kent 218 -1.7% 47%
North Cumbria Integrated Care NHS Foundation Trust North West 231 0.3% 47%
The Hillingdon Hospitals NHS Foundation Trust West London 138 0.5% 46%
Portsmouth Hospitals University National Health Service Trust South 405 -2.0% 46%
East Sussex Healthcare NHS Trust South East 344 -1.0% 46%
East Suffolk and North Essex NHS Foundation Trust East 448 1.8% 45%

But many trusts still saw growth in covid-confirmed patients numbers over the past week – such as Sandwell and West Birmingham and East Suffolk and North Essex in the table above. This includes some with rapid growth, in parts of the south west, west midlands, north west and Yorkshire.

The nine hospital trusts with covid-occupancy of at least 20 per cent in adult general and acute beds, and with daily growth of at least 5 per cent in covid-positive patients over the past seven days, include Walsall, nearby to Sandwell and West Birmingham.

Provider codeAreaCovid patients in general and acute bedsDaily growth of covid patients in general and acute beds over past weekCurrent confirmed covid patients, as a per cent of all general and acute beds (covid occupancy)
Walsall Healthcare NHS Trust West Midlands 224 6.1% 43%
Salisbury NHS Foundation Trust South West 151 6.9% 37%
Liverpool University Hospitals NHS Foundation Trust North West 501 5.8% 34%
Isle of Wight NHS Trust South 66 5.2% 30%
St Helens and Knowsley Teaching Hospitals NHS Trust North West 195 9.1% 29%
Calderdale and Huddersfield NHS Foundation Trust West Yorkshire 120 7.0% 23%
Stockport NHS Foundation Trust Greater Manchester 123 5.8% 22%
Airedale NHS Foundation Trust West Yorkshire 70 9.3% 21%
Royal United Hospitals Bath NHS Foundation Trust South West 104 6.7% 20%


G&A beds make up the core of the hospital bedbase, and NHS England is publishing weekly figures on them, but there are different ways of measuring occupancy, and hospitals’ own operational figures often suggests their covid occupancy is higher than reported here.

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, the way beds are counted and reported, 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. Changes to the total number of beds at each trust (both occupied and unoccupied), means the share of total beds occupied can fall in past weeks, compared to previous analyses.

This story is updated regularly.

Download heatmap PDFs: Trusts and STPs

Trust heatmap

G&A-cov-occupancy-trusts-heatmap-180121

Health system (sustainability and transformation partnership) heatmap

G&A-cov-occupancy-heatmap-STPs-180121