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Data Provider: Welsh Government Management Information NHS beds by local health board and bed type

In response to the coronavirus (COVID-19) pandemic, daily information on NHS beds has been collected specifically to support transparency and understanding of NHS activity and capacity. Figures show the number of invasive ventilated beds and general and acute beds by use, 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.[Filter]
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[Collapse]WalesClick here to sortWales
Click here to sortBetsi Cadwaladr University Local Health BoardClick here to sortPowys Teaching Local Health BoardData for the LHB is only available from 23 April when community hospitals were included as it does not have acute hospitals.Click here to sortHywel Dda University Local Health BoardClick here to sortSwansea Bay University Local Health BoardClick here to sortCwm Taf Morgannwg University Local Health BoardClick here to sortAneurin Bevan University Local Health BoardThe LHB started reporting recovering patients from 7 June, but these were captured in the confirmed COVID-19 category before.Click here to sortCardiff and Vale University Local Health BoardThe LHB classified recovering patients as non-COVID-19 patients between 1 May and 22 May. Following the change in guidance, the LHB re-categorised them as COVID-19 patients, capturing them in the confirmed COVID-19 category until the recovering category was introduced on 26 May.Click here to sortVelindre University NHS Trust
[Collapse]General and acute beds available Excludes closed beds.1,8781851,0341,3431,4031,7671,715249,349
General and acute beds available Excludes closed beds.[Expand]General and acute beds occupied 1,7251659711,1951,2801,4231,438208,217
[Expand]Vacant general and acute beds 153206314812334427741,132
[Collapse]Invasive ventilated beds available Includes beds inside and oustide a critical care setting,  and excludes closed beds. There are usually around 152 critical care beds in Wales.38031373524560221
Invasive ventilated beds available Includes beds inside and oustide a critical care setting,  and excludes closed beds. There are usually around 152 critical care beds in Wales.[Expand]Invasive ventilated bed occupied29023322216430165
[Expand]Vacant invasive ventilated beds 908513813056

Metadata

Title

NHS beds by use, local health board, hospital type and date

Last update

24 September 2021 24 September 2021

Next update

27 September 2021

Publishing organisation

Welsh Government

Source 1

Digital Health and Care Wales (DHCW)

Contact email

kas.covid19@gov.wales

Designation

Management information

Lowest level of geographical disaggregation

Wales

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

Weblinks

https://gov.wales/nhs-activity-and-capacity-during-coronavirus-covid-19-pandemic

Please see the Chief Statistician’s blog for more information on data quality generally.

https://digitalanddata.blog.gov.wales/2020/06/04/chief-statisticians-update-measuring-people-in-hospital-and-some-thoughts-on-data-quality/

Please see the UK Government COVID-19 dashboard for information on healthcare at a UK level:

https://coronavirus.data.gov.uk/healthcare

Keywords

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

General description

In response to the coronavirus (COVID-19) pandemic, daily information on NHS beds has been collected specifically to support transparency and understanding of NHS activity and capacity. Figures show the number of invasive ventilated beds and general and acute beds by use, 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.

As of the week beginning May 10th, Monday's upload will only include Friday’s data and Tuesday’s upload will include Saturday, Sunday and Monday’s data.

Admissions are the number of patients admitted to hospital within a 24-hour period from midnight to midnight each day, for example, 00:00 to 23:59 Monday to be reported on a Tuesday. COVID-19 related admissions include COVID-19 suspected or confirmed patients.

A COVID-19 related admission is defined as an emergency admission to any medical specialty and is either:
• within 14 days of a positive COVID-19 sample being taken; or
• where a COVID-19 sample is taken on the first day of the admission, regardless of whether the result is positive or negative.

The emergency medical admissions criteria are intended to provide an approximation for suspected COVID-19 patients.

Patients transferred between hospitals within the same organisation should be excluded from the count of admissions.

The number of COVID-19 related hospitalisations is the number of staffed beds occupied by a patient that satisfies the definition of a ‘Confirmed’, ‘Suspected’ or ‘Recovering’ patient as set out below.

A patient is defined as ‘Confirmed’ COVID-19 only following a positive test and will remain until downgrading criteria are met. (See recovering COVID-19 below).

A patient is defined as ‘Suspected’ COVID-19 if they are awaiting the result of a test having been admitted as an emergency under a medical specialty or if they become symptomatic following admission for any other reason. This also includes patients testing negative but continuing to display COVID-19 symptoms, patients returning a low level positive test result prior to a retest, and discharged COVID-19 patients readmitted with COVID-19 symptoms prior to a retest.

A patient is defined as ‘Recovering’ COVID-19 if either they have a negative test result as confirmation of transition to recovering COVID or they meet the following criteria:

• completed 14 days post a positive COVID-19 test; and
• shown clinical improvement in their condition, with at least some respiratory recovery; and
• had no fever (> 37.8°C) for 48 hours; and
• no underlying severe immunosuppression.

A ‘Non-COVID-19’ related patient is a patient that does not satisfy any of the suspected, confirmed or recovering COVID-19 criteria described above. Where a patient has acquired a COVID-19 infection during their hospital stay and subsequently meets the downgrading criteria set out above, they should be reported as non-COVID-19.


Frequency of publication

Daily

Data reference periods

1 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

The health minister announced on 13 March 2020 that all non-urgent activity should stop to prepare for the pandemic.

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 2020 when community hospitals were included as it does not have acute hospitals.

COVID-19 related hospitalisations include patients with confirmed, suspected and recovering from COVID-19. Recovering patients was a category introduced on 26 May 2020 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 2020, 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 2020. 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 2020.

From June 2020, hospitals started to close some of the additional surge capacity that was previously put in place for the COVID-19 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 2020, the guidance 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 29 June 2020, 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 3 July 2020, guidance was updated to only include emergency admissions in the COVID-19 related admissions figures.

Data from mental health units were included retroactively from 10 July 2020 for the first time in the release on 20 August 2020. The inclusion of mental health beds had a small impact on beds occupied with COVID-19 patients’ figures but a large impact on all beds occupied with non-COVID19 patients and vacant beds, as the majority of mental health beds are not occupied by COVID-19 patients. 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.

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 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 13 November 2020, 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 2020.

From 16 November 2020, data is included from the Grange University Hospital in Aneurin Bevan University Health board. This increased the total number of beds available by around 450 beds.

From 18 January 2021, 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 resulted 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 had 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 have affected a small number of patients who are in acute hospitals or mental health settings and may have resulted in a decrease in recovering patients and an increase in non-COVID-19 patients.

From 8 March 2021, Cardiff and Vale University health board aligned their data more closely to the national guidance for SITREP reporting. This change had a small impact on the hospitalisation figures, which resulted 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 inflated the number of COVID-19 recovering patients. This 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 was seen across most health boards it mainly impacted the Swansea Bay University Health Board.

Please note that Betsi Cadwaladr UHB were unable to supply data on the number of patients admitted to Ysbyty Glan Clwyd for 13, 22, 23, 26, 27, 28 July and 3, 11 August 2021 due to a data processing issue. The number of patients admitted to this hospital with confirmed or suspected COVID-19 is now generally relatively low.