Revealed: Is Mid Yorkshire Hospitals NHS Trust coping with winter pressures?

How well is your hospital coping with winter pressures?

Monday, 14th January 2019, 12:24 pm
Updated Monday, 14th January 2019, 12:29 pm

NHS England publishes weekly reports which reveal whether hospital trusts are struggling to manage during the colder months, based on key indicators.

This is how Mid Yorkshire Hospitals NHS Trust coped from December 31 to January 6.

Bed Occupancy:

General and acute wards at Mid Yorkshire Hospitals were 96.5% full on average, well above the safe limit of 85% recommended by health experts.

The occupancy rate has remained mostly unchanged since the previous week.

British Medical Association guidelines state “to ensure safe patient care, occupancy should ideally not exceed 85%”. According to NHS Improvement, occupancy rates of 92% and above lead to significantly worse A&E performance.

The BMA also raised concerns about the number of available beds needed to cope with winter demands.

On average, Mid Yorkshire Hospitals had 995 available beds each day, of which 961 were in use.

Of those, 31 were escalation beds - temporary beds set up in periods of intense pressure, often in corridors or day care centres.

According to NHS Improvement, a higher proportion of long-stay patients can impact the ability of hospitals to accommodate urgent admissions and manage bed capacity.

At Mid Yorkshire Hospitals, 445 patients had been in hospital for a week or more, taking up more than 40% of the occupied beds.

Of these, 188 patients had been in hospital for at least three weeks, making up 20% of all occupied beds.


A total of 1,102 patients were taken by ambulance to A&E during the week. That’s a drop in emergency arrivals compared to the previous week, when 1,113 patients were brought by ambulance.

Delays left 38 patients waiting 30 minutes or more before they could be transferred.

NHS Improvement guidance states that ambulance crews should hand patients over to A&E staff within 15 minutes of arrival.

Any delay in transferring patients leaves ambulances unable to respond to other emergencies, as well as risking their patients’ safety.

Delays affected fewer patients than the previous week, when 75 patients waited more than 30 minutes to be transferred.


Norovirus, the winter vomiting bug, is highly contagious. Outbreaks spread rapidly through hospitals, causing staff to close beds to prevent infection spreading.

But at Mid Yorkshire Hospitals, no beds were closed due to norovirus outbreaks.

The previous week, when the problem was at its most severe, the trust was forced to close 30 beds beds.