This is the 2020/21 edition of State of Care
The COVID-19 pandemic has highlighted the need to be able to respond appropriately to the increase in demand for critical care services across NHS trusts.
Adult critical care was affected the most by the pandemic compared with, for example, bed occupancy in neonatal and paediatric intensive care, which remained relatively unchanged. NHS providers carried out a huge and rapid exercise to repurpose both clinical environments and staff to rapidly increase critical care capacity. This added pressure on staff and had an impact on elective treatment, as shown in the section below on NHS acute capacity.
Between April 2019 and February 2020, critical care bed capacity in NHS trusts remained steady at just over 4,000 beds available, with an average occupancy of around 3,300 beds (figure 1). By April 2020, capacity had rapidly increased. The total number of beds available peaked at 5,814 in April 2020, as the total number of beds occupied also rose.
In January 2021, when infection rates were high, occupancy reached its highest levels, with an average of 4,837 beds occupied. This exceeded the average number of beds available before April 2020, indicating the increased requirement for critical care support at this time. It also shows the NHS’s ability to expand its critical care capacity to respond to needs of the patient population at a time of crisis.
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Contents
People's experiences of care
- Impact of the pandemic
- Health inequalities further exposed
- Increased challenges for people with a learning disability
- Rising demand for mental health care
- Children’s and young people’s mental health
- Increased strain on carers
- Workforce stress and burnout
Flexibility to respond to the pandemic
- Critical care expansion
- NHS acute capacity
- Ambulance handovers
- Discharging patients
- Infection prevention and control
- The central role of adult social care
- Adult social care fragility
- Access to GP care
- Access to dental care
Ongoing quality concerns
Challenges for systems