Two-thirds of all NHS trusts across England were treating more coronavirus patients last week than they did at the peak of the first wave of the pandemic, a Guardian analysis reveals.
Figures show that in 18 trusts the number of people suffering from coronavirus outnumbered all other patients.
On the current trajectory, the number of people being treated for Covid in England’s hospitals could be double that of the April 2020 peak within weeks. On Thursday, the equivalent figure stood at 32,925, 74% higher.
Health leaders have been warning for weeks about the potential for the current wave to overwhelm the NHS, but Guardian research reveals many trusts may have already reached that point.
The Guardian analysis also shows:
Six trusts, in London, the east of England and south-east, have become Covid-majority trusts (meaning that, on average last week, more than half their beds were taken up by coronavirus patients). Two others have 50% of their bed capacity taken up by Covid patients.
A further 34 trusts had at least a third of their general and acute bed capacity taken up by coronavirus cases last week
15 NHS trusts treated at least three times as many patients in the week to Tuesday as they did in the first wave.
Dr Rob Harwood, the chair of the BMA (British Medical Association) consultants committee, said that while its members were used to dealing with winter crises “this is like nothing we have experienced before”.
He said: “These statistics drive home what a perilous situation the NHS is in, and the impact on patients and staff cannot be underestimated.
“With hospitals filling with Covid patients, ambulances are already queuing at their doors, with incredibly sick people being treated in vehicles because there is no space inside. Elective care has all but stopped, with even urgent operations in some areas being postponed.
“While all efforts are being made to increase capacity, demand is rocketing and there will come a point when we cannot stretch the existing workforce any further. This is before we consider that almost 100,000 staff are absent, around half of whom are off due to Covid.”
A total of 134 of 207 trusts in England – or 65% – had more Covid patients on at least one day last week than at their first-wave peak. The trust with the highest weekly peak when compared with the first wave was East Sussex Healthcare NHS trust, where 422 Covid patients were treated on both Monday and Tuesday – 5.7 times its mid-April peak of 74 patients.
The trust has responded by increasing recruitment of staff, including of people who have left the NHS, postponing some routine operations and suspending home births and births at its midwife-led unit, because it cannot guarantee timely ambulance response times in the event of an emergency.
The trust where there has been the highest total number of Covid patients in the last week was the Mid and South Essex NHS foundation trust, which had an average of 777 patients on any day over the last week and 2.5 times as many Covid patients on one day than during its first-wave high.
On Monday, it said oxygen supply had reached a “critical situation” at the trust’s Southend University hospital because its staff were treating more and more people with the virus.
Other than the Nightingale hospital in Exeter, the highest Covid occupancy rate was in the Whittington Health NHS trust in London, where 63% of beds were occupied by coronavirus patients last week: an average of 145 beds, compared with 79 for non-Covid patients, with just seven unoccupied. Whittington hospital announced at the end of last month that it was suspending non-urgent adult services to free up ward space.
Other trusts where Covid patients took up a majority of beds were North Middlesex University Hospital NHS trust, West Hertfordshire Hospitals NHS trust, Medway NHS foundation trust, Homerton University Hospital NHS foundation trust, Dartford and Gravesham NHS trust, Milton Keynes University hospital NHS foundation trust and Croydon Health Services NHS trust.
Chris Hopson, the NHS Providers chief executive, said: “Day after day, we have seen steep increases in the number of Covid-19 cases and the number of patients being admitted to hospital.
“This relentless pressure is taking its toll across the health and care system. Hospitals, ambulances, mental health, and community services – and the dedicated staff who work in them – are under great pressure because of the pandemic.
“Rising admissions rates mean trust leaders are becoming increasingly concerned about ensuring there is enough capacity – in terms of beds and staff – to safeguard the quality of care for patients.
“The number of beds in hospital occupied and those staying over a week in hospital are both continuing to rise nationally.”
Amid concerns about the pace of vaccination of the NHS workforce and availability of appropriate PPE, Dr Samantha Batt-Rawden, the president of grassroots organisation the Doctors’ Association UK, said the wellbeing of staff “giving all” to keep patients safe must be a priority.
“The NHS is currently under enormous strain and staff are at breaking point,” said Bawden. “The number of admissions to hospitals is still increasing with patients having to be transferred from the south to the north-west to try and free up space in ICU. This is not sustainable. Doctors have told us they feel that they are running on fumes.”
Every region in England treated more patients in the week to Thursday than their first-wave peak with every region experiencing their highest-ever figure on either Wednesday or Thursday.
The east of England is treating more than two-and-a-half times as many people as it did in its first wave peak with the south-east nearing that multiple.
A recent fall in case numbers indicates that these figures may fall in the coming weeks. Data from early this week showed tentative signs of easing admissions in London and the south-east, but subsequent data is less encouraging while admissions continue to rise England-wide, although the pace has slowed.
NHS England was approached for comment.