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Data Provider: Welsh Government Management Information NHS hospitalisations by date and patient type

In response to the coronavirus (COVID-19) pandemic, daily information on hospital admissions of COVID-19 patients (suspected and confirmed) and hospitalisation has been collected specifically to support transparency and understanding of NHS activity and capacity. Figures show the number of admissions and people in hospital by hospital type, local health board and date. The data are taken from management information and are subject to change. They have not been not been subject to the same validation processes undertaken for official statistics releases.

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[Collapse]Hospital typeData for acute hospitals are available from 1 April 2020, for field hospitals from 20 April 2020, for community hospitals from 23 April 2020 and mental health hospitals from 10 July 2020.[Filtered]
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[Collapse]Local Health BoardGuidance was issued to local health boards on the completion and submission of the data return. However, data collection may vary slightly between health boards.[Filtered]
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[Collapse]All hospitalisationsClick here to sortAll hospitalisations
[Collapse]Hospitalisations for COVID-19 People in hospital for COVID-19 related reasons, including suspected, confirmed or recovering COVID-19 patients.Click here to sortHospitalisations for COVID-19 People in hospital for COVID-19 related reasons, including suspected, confirmed or recovering COVID-19 patients.[Expand]Click here to sortNon-COVID-19 hospitalisations
Click here to sortHospitalisations for COVID-19 - confirmed Confirmed COVID-19 patients are patients who have received a positive test result for COVID-19 in the past 14 days.Click here to sortHospitalisations for COVID-19 - recovering Recovering patients are patients who were COVID-19 positive in hospital and who showed no symptoms for 14+ days but remained in hospital on a COVID-19 treatment pathway, often for rehabilitation.Click here to sortHospitalisations for COVID-19 - suspected Suspected COVID-19 patients are patients suspected of having COVID-19 but who have not received a positive test result.
15-Mar 2021263665569846,8277,811
16-Mar 2021253624679446,8337,777
17-Mar 2021235655749646,8107,774
18-Mar 2021215571528386,8877,725
19-Mar 2021211551388006,9487,748
20-Mar 2021187538437686,8217,589
21-Mar 2021181543457696,9167,685
22-Mar 2021172528497497,1507,899
23-Mar 2021179504467297,1477,876
24-Mar 2021173492497147,2117,925
25-Mar 2021155479516857,1917,876
26-Mar 2021142464396457,1927,837
27-Mar 2021142466416497,0347,683
28-Mar 2021136464646647,0507,714
29-Mar 2021136473676767,2487,924
30-Mar 2021123473396357,3137,948
31-Mar 2021119459586367,3217,957
01-Apr 2021120448476157,3127,927
02-Apr 2021113413635897,0007,589
03-Apr 2021114401485637,0067,569
04-Apr 2021104402355417,0917,632
05-Apr 2021102418415617,2387,799
06-Apr 2021107405415537,4668,019
07-Apr 202195378465197,5808,099
08-Apr 202189345584927,6208,112
09-Apr 202171358534827,5528,034
10-Apr 202158363494707,4197,889
11-Apr 202161366534807,5177,997
12-Apr 202160243663697,7948,163
13-Apr 202163227613517,8198,170
14-Apr 202154231623477,7448,091
15-Apr 202151212603237,7098,032

Metadata

Title

NHS hospital admissions and hospitalisation by local health board, hospital type and date

Last update

16 April 2021 16 April 2021

Next update

19 April 2021

Source 1

Digital Health and Care Wales (DHCW)

Contact email

stats.healthinfo@gov.wales

Designation

Management information

Lowest level of geographical disaggregation

Local health boards

Geographical coverage

Wales

Languages covered

English and Welsh

Data licensing

You may use and re-use this data free of charge in any format or medium, under the terms of the Open Government License - see http://www.nationalarchives.gov.uk/doc/open-government-licence

General description

In response to the coronavirus (COVID-19) pandemic, daily information on hospital admissions and hospitalisation has been collected specifically to support transparency and understanding of NHS activity and capacity. Figures show the number of admissions and people in hospital by hospital type, local health board and date. The data are taken from management information and are subject to change. They have not been not been subject to the same validation processes undertaken for official statistics releases.

Data collection and calculation

Daily return from Digital Health and Care Wales (DHCW) at a hospital level and local health board (LHB) level. Data is submitted via a TEXT file and transferred to a SQL database. As the return is sourced from management information, hospital level data are not suitable for publication.

Frequency of publication

Daily

Data reference periods

April 2020 onwards. Following further validation, data coverage prior to April 2020 was decided to not be suitable for publication. As the data collection was set up in response to the COVID-19 pandemic, not all health boards were able to provide all of the information in the first week of data collection.

Revisions information

Historic data are subject to revision at any point as hospitals can re-submitted a return anytime, and therefore may differ to that previously published information.

Statistical quality

Figures include data from acute hospitals from 1 April 2020, field hospitals from 20 April 2020, community hospitals from 23 April 2020, mental health units from 10 July, and exclude data from private hospitals. Mental health units' data are submitted each Friday, and the Friday position is used as proxy for the following week, unless there is a major change in circumstances.

Data for Powys is only available from 23 April when community hospitals were included as it does not have acute hospitals. Prior to 10 July 2020, Cardiff and Vale and Cwm Taf Morgannwg health boards captured some mental health bed figures in their acute hospitals figures. From June 2020, hospitals started to close some of the additional surge capacity that was previously put in place for the COVID-19 pandemic.
COVID-19 related hospitalisation include patients with confirmed, suspected and recovering from COVID-19. Recovering patients was a category introduced on 26 May to capture patients who were COVID-19 positive in hospital and who showed no symptoms for 14+ days but remained in hospital on a COVID-19 treatment pathway, often for rehabilitation. Aneurin Bevan started reporting recovering patients from 7 June, but these were captured in the confirmed COVID-19 category before. Cardiff and Vale classified recovering patients as non-COVID-19 patients between 1 May and 22 May. Following the change in guidance, Cardiff and Vale re-categorised these patients as COVID-19 patients, capturing them in the confirmed COVID-19 category until the recovering category was introduced on 26 May.

Admissions are the number of patients admitted to hospital between 9am on the update date and 9am the day before. COVID-19 related admissions include COVID-19 suspected or confirmed patients. The health minister announced on 13 March that all non-urgent activity should stop to prepare for the pandemic. Following the re-introduction of elective procedures from June 2020, patients admitted for elective procedures suspected of having COVID-19 were initially captured in COVID-19 related admissions, even if they received a negative test later. This inflated the numbers of suspected cases in hospital at the time of reporting. From 29 June, patients admitted for elective procedures were only included in COVID-19 related admissions if they received a positive COVID-19 test result on arrival at the hospital. From 29 June, the guidance also changed to explicitly ask health boards to exclude transfers between acute and community hospitals from admissions figures. Prior to this, some transfers may have been captured as new admissions. From 19 October 2020 specialist critical care beds and specialist acute beds have been included in these figures. These beds have been included in the data as they are part of the available bed stock, and may be used for COVID-19 patients in exceptional circumstances. From 13th November, only critical care beds that could be staffed should be included as available. Previously, all critical care beds had been included, regardless of whether they could be staffed. However, not all health boards implemented this change on that date. Following and update to guidance, more local health boards implemented this change from 4 December.
From 18 January, no patients occupying an invasive ventilated bed (critical care bed) should be counted as “recovering” COVID-19 patients. Any patient previously reported as “recovering” will now be counted under “confirmed”. This will result in an increase in the number of invasive ventilated beds occupied by “confirmed” COVID-19 patients and no invasive ventilated beds showing as occupied by “recovering” patients. This change will have no impact on the total number of COVID-19 related patients.
From 1 February 2021, guidance was reiterated to health boards that patients who were already in hospital and contracted COVID-19, but have now recovered and are back on their original setting, should be reported as non-COVID-19. This may affect a small number of patients who are in acute hospitals or mental health settings and may result in a decrease in recovering patients and an increase in non-COVID-19 patients.
From 8 March 2021, Cardiff and Vale University health board have aligned their data more closely to the national guidance for SITREP reporting. This change has had a small impact on the hospitalisation figures resulting in a small increase in the number of confirmed COVID-19 patients and a small decrease in the number of recovering COVID-19 patients.
To ensure accurate and consistent reporting of Covid-19 recovering patients in the hospitalisations data, all health boards have been reminded to follow the national guidance for SITREP reporting, and were asked to ensure any necessary changes to their daily reporting were implemented 12 April 2021. Contrary to the guidance, some health boards were counting long stay patients who had fully recovered from COVID-19 in the COVID-19 recovering category, rather than the non-COVID-19 category, which was inflating the number of COVID-19 recovering patients. This has resulted in a step-change decrease in the number of recovering patients (a decrease of around 123 patients at the point of implementation). Whilst the impact has been across most health boards it is mainly seen in the Swansea Bay University Health Board. A further reduction may be seen over the next week, as Cardiff and Vale have only been able to implement the change in mental health sites on 12 April 2021.

Keywords

COVID-19, Coronavirus, NHS, patients, beds, hospital