COVID-19 Hospital Activity

A number of data collections have been implemented to support incident management. The collections were activated at short notice and the content of the collections has evolved as the incident has developed. The data collected is classified as management information. It has been collected on a daily basis with a tight turn round time. No revisions have been made to the dataset. Any analysis of the data should be undertaken with this in mind.

Note that the data is collected on a daily basis, and the publications below are updated monthly, weekly and daily. The following definitions cover the data items used in all three of the following publications.

Note: NHS patient testing guidance was updated on 30th March. Details of the changes, which came into effect from 1st April, can be found at the following link – living-with-covid-19-testing-update. The definition of a confirmed Covid patient will be updated in the publications definitions document below to reflect the changes to the testing required for hospital patients. Users of this data should be aware of these changes to the testing regime and how the numbers of reported Covid hospital admissions and the total number of Covid patients in hospital might be affected by these changes.

Publication Definitions (PDF, 513KB)

The methodology for construction of the admissions measures is outlined in the PDF document below:

Daily Admissions Publication Note (PDF, 738KB)

 

Monthly publication of COVID-19 data

The publication covers:

  • the number of patients in hospital with Covid including those in mechanical ventilation
  • the number of patients admitted to hospital with Covid
  • the number of patients diagnosed in hospital with Covid
  • the number of patients discharged from hospital
  • staffing absences

Next publication: Thursday 16 June 2022

This monthly publication file provides a trust level breakdown of the five admission indicators which are provided at regional and national level each day on this page of our website. The admission indicators have been published daily since 22 September 2020 and contain a time series which starts on 1 August 2020 and that time series is added to each day with the release of data. The indicators are derived from various data components within the daily Covid sitrep and the data for these components was deemed to be of sufficient quality from 1 August 2020 for such indicator construction.

Data quality notes:

  • Data quality notes for the periods prior to 1 April 2022 are viewable within the historical Monthly COVID Publication files below.
  • Data quality notes for the period from 1 April 2022 to date are viewable within the Daily publication paragraphs below.

Monthly COVID Publication up to 31 July 2020 (XLSX, 5.5MB)

Monthly COVID Publication from 1 August 2020 up to 6 April 2021 (XLSX, 11.8MB)

Monthly COVID Publication from 7 April up to 30 September 2021 (XLSX, 8MB)

Monthly COVID Publication from 1 October 2021 up to 31 March 2022 (XLSX, 8.5MB)

Monthly COVID Publication May 2022 (XLSX, 2MB)

 

Weekly publication of COVID-19 admissions and bed occupancy data

This file contains Covid data on measures of:-

  • hospital admissions
  • number of beds occupied by Covid patients
  • number of MV beds (capable of supporting mechanical ventilation) occupied by Covid patients
  • number of Adult G&A beds: occupied by Covid patients; occupied by non-Covid patients; unoccupied; and unoccupied, available to non-Covid patients
  • number of Adult Critical Care beds: occupied by Covid patients; occupied by non-Covid patients; unoccupied; and unoccupied, available to non-Covid patients

For the majority of items relating to Adult G&A and critical care beds the data is from 17 November 2020. These data items were first collected on 10 November 2020 and have been deemed of usable quality as from the 17th. The unoccupied, available to non-Covid patients data items were first collected on 15 December 2020 and have been deemed to be of usable quality as from 13 January 2021. Adults represent 99% of Covid admissions to hospital.

For other items, the file provides trust level information from 1 August 2020 up to the latest week. This trust data is consistent with the daily release of admissions data, which is at regional and national level. The methodology for construction of these measures at trust level is the same at regional and national level (see PDF above).

Data quality notes:

  • Data quality notes for the periods prior to 1 April 2022 are viewable within the historical Weekly Admissions and Beds files below.
  • Data quality notes for the period from 1 April 2022 to date are viewable within the Daily publication paragraphs below.

Weekly Admissions and Beds up to 6 April 2021 (XLSX, 4.0MB)

Weekly Admissions and Beds from 7 April up to 30 September 2021 (XLSX, 2.6MB)

Weekly Admissions and Beds from 1 October 2021 up to 31 March 2022 (XLSX, 2.6MB)

Weekly Admissions and Beds 19 May 2022 (XLSX, 867KB)

A supplementary analysis of confirmed COVID-19 patients who are being treated primarily for COVID-19 can be found in the file below. Note that this covers acute providers only.

The majority of inpatients with Covid-19 are admitted as a result of the infection. A subset of those who contract Covid in the community and are asymptomatic, or exhibited relatively mild symptoms that on their own are unlikely to warrant admission to hospital, will then be admitted to hospital to be treated for something else and be identified through routine testing. However these patients still require their treatment in areas that are segregated from patients without Covid, and the presence of Covid can be a significant co-morbidity in many cases. Equally, while the admission may be due to another primary condition, in many instances this may have been as a result of contracting Covid in the community. For example research has shown that people with Covid are more likely to have a stroke (Stroke Association); in these cases people would be admitted for the stroke, classified as ‘with’ Covid despite having had a stroke as a result of having Covid.

The headline published numbers in publications to date have been “inpatients with confirmed Covid” without differentiating between those in hospital “for” Covid and those in hospital “with” Covid. Recognising the combination of high community infections rates, with the reduced likelihood of admission for those who contract Covid in the community and are fully vaccinated, the Covid SitRep was enhanced in June 2021 to add a requirement for providers to distinguish between those being primarily treated ‘for’ Covid and those ‘with’ Covid but for whom the primary reason for being in hospital was non-Covid related. In practice this distinction is not always clear at the point of admission when the patient’s record has not been fully clinically coded. In light of this, trusts have been asked to provide this “for” and “with” split on a ‘best endeavours’ basis.

Primary Diagnosis Supplement from 18 June up to 30 September 2021 (XLSX, 28KB)

Primary Diagnosis Supplement from 1 October 2021 up to 31 March 2022 (XLSX, 39KB)

Primary Diagnosis Supplement 19 May 2022 (XLSX, 25KB)

 

Daily publication of COVID-19 admissions and bed occupancy data

This file contains Covid data on measures of hospital admissions and the number of beds occupied by Covid patients and the number of MV beds (beds capable of supporting mechanical ventilation) occupied by Covid patients. It provides regional and national level information from 1 August up to the latest day.

Data quality notes:

    • Data quality notes for the periods prior to 1 April 2022 are viewable within the historical Daily Admissions and Beds files below.

Data for the following days are impacted by missing data submissions. This impact should be borne in mind when interpreting both the level of national and regional figures and the recent trend.

    • 15 April 2022.  Two acute trusts did not submit data – Royal Free and Guy’s and St Thomas’ (Royal Brompton site). Previous data submissions showed that Royal Free reported 170 Covid patients and Royal Brompton 24.
    • 16 April 2022.  Three acute trusts did not submit data – Royal Free, Guy’s and St Thomas’ (Royal Brompton site) and Oxford University Hospitals (partial return). Previous data submissions showed that Royal Free reported 170 Covid patients, Royal Brompton 24 and Oxford University Hospitals 44.
    • 17 April 2022.  Three acute trusts did not submit data – Royal Free, Leeds Teaching Hospitals and Guy’s and St Thomas’ (Royal Brompton site). Previous data submissions showed that Royal Free reported 170 Covid patients, Leeds Teaching 161 and Royal Brompton 24.
    • 18 April 2022.  Four acute trusts did not submit data – Royal Free, Liverpool University Hospitals, Princess Alexandra and Guy’s and St Thomas’ (Royal Brompton site). Previous data submissions showed that Royal Free reported 170 Covid patients, Liverpool 159, Princess Alexandra 51 and Royal Brompton 24.

Daily Admissions and Beds up to 6 April 2021 (XLSX, 191KB)

Daily Admissions and Beds from 7 April up to 30 September 2021 (XLSX, 72KB)

Daily Admissions and Beds from 1 October 2021 up to 31 March 2022 (XLSX, 80KB)

Daily Admissions and Beds from 1 April 2022 up to 20 May 2022 (XLSX, 37KB)

Additional Information

The following summary shows the initial data we collected at the start of the pandemic in March 2020. The current collection mechanism commenced on 20 March 2020, but a limited amount of information was collected prior to that on other collection systems. The figures produced in these earlier periods were affected by data completeness.

March 2020 data (XLSX, 12KB)

A supplementary analysis of reported admissions and diagnoses by age category at England level can be found in the file below. Note that this covers acute providers only. This file has been enhanced to include a more granular breakdown of the 18-54 age bands and will be updated monthly (next update Thursday 16 June 2022).

Admissions Analysis by Age Group Supplement up to 6 April 2021 (XLSX, 23KB)

Admissions Analysis by Age Group Supplement from 7 April up to 30 September 2021 (XLSX, 22KB)

Admissions Analysis by Age Group Supplement from 1 October up to 31 March 2022 (XLSX, 30KB)

Admissions Analysis by Age Group Supplement May 2022 (XLSX, 21KB)