The data shows inpatient bed occupancy remains at a critical 94.4%, well above the safe threshold of 85%. A significant factor driving the pressure in EDs is ‘exit block’, patients deemed medically fit to leave but unable to be discharged due to insufficient social care or community support. On average, 13,251 patients occupy hospital beds each day who could safely be at home. If these patients were discharged, occupancy could fall to safe levels.
The situation has been exacerbated by a rise in Norovirus (Diarrhoea & Vomiting, D&V) cases, placing additional demand on hospital services. Staff absences have also increased, with 51,094 personnel off duty each day, 682 more than the same period last year.
Dr Jason Long, RCEM Vice President, said:
“The chaos continues, and the consequences of the government’s failure to prepare for winter are clear. Sustained pressure from a predictable illness like Norovirus would not cripple a properly functioning system.
“We need a credible, long-term plan to reduce bed occupancy and prioritise patient flow. Until then, patients will continue to suffer, and Emergency Medicine staff will continue to drop like flies.”
RCEM has warned that without urgent action, overcrowding and delayed care will persist, highlighting the need for improved planning, investment in social care, and effective winter preparedness to protect both patients and staff.
