University Hospitals Bristol and Weston handover delays

Last week University Hospitals Bristol and Weston saw some of the longest handover delays in England.

University Hospitals Bristol and Weston NHS Foundation Trust
Author: Ian Jones, PA & Bethan Holmes, Bauer MediaPublished 1st Apr 2022

More than a quarter of patients arriving by ambulance at hospitals in England last week waited at least 30 minutes to be handed over to A&E departments - the highest level since the start of winter, new figures show.

Some 21,051 delays of half an hour or longer were recorded across all hospital trusts in the seven days to March 27.

This was 26% of the 79,588 arrivals by ambulance.

University Hospitals Bristol & Weston: 69% of handover delays from ambulance staff to A&E were at least half an hour - while around 52% waited over an hour

The proportion of handovers delayed by at least 30 minutes has been rising in recent weeks, having stood at 20% in mid-February.

Figures for ambulance delays are published by NHS England and the current data runs from the start of December 2021.

There were 9,225 arrivals last week - 12% of the total - who were kept waiting more than an hour to be handed to A&E teams, up from 10% in the previous week.

Analysis of the data by the PA news agency shows that Northern Lincolnshire & Goole NHS Foundation Trust reported the highest proportion of handovers delayed by at least 30 minutes last week (74%), followed by Gloucestershire Hospitals (71%), University Hospitals Plymouth (71%) and University Hospitals Bristol & Weston (68%).

University Hospitals Plymouth topped the list for handovers delayed by more than an hour (58%), followed by Northern Lincolnshire & Goole (57%), Gloucestershire Hospitals (54%) and University Hospitals Bristol & Weston (52%).

A handover delay does not always mean a patient has waited in the ambulance. They may have been moved into an A&E department but staff were not available to complete the handover.

The figures are another sign of the pressures hospitals are facing amid the latest rise in coronavirus infections.

Separate data published on Thursday showed staff absences at NHS hospitals in England due to Covid-19 have jumped to their highest level since the end of January, with numbers climbing in all regions.

Absences averaged 27,571 a day last week - the equivalent of 3% of the workforce - up from 23,127 the previous week, though still some way below the 45,736 (5% of the workforce) reached in early January.

Responding to the figures, NHS national medical director Professor Stephen Powis said: "NHS staff remain under pressure as they deal with high numbers of patients in hospital alongside a spike in staff absences due to Covid-19 - with numbers of staff off sick due to Covid almost doubling in the last three weeks.

"Yet NHS staff are working hard to deliver as much routine care as possible, as well as rolling out the NHS spring booster programme, so if you have a health concern, please come forward for the care you need."

A total of 15,632 people were in hospital in England with Covid-19 as of March 30, up 18% week on week and the highest since January 19, NHS England said.

Patient numbers are nearing the peak reached in early January - 17,120 - but remain well below the 34,336 at the peak of the second wave of the virus at the start of 2021.

Professor Stuart Walker medical director at University Hospitals Bristol and Weston NHS Foundation Trust, said:

“ We would like to apologise to any of our patients who have experienced a longer wait at our emergency departments. Like many hospitals across the country, we are under sustained pressure in our emergency departments. Patient safety is always our first priority.

“We always aim to see and treat patients as quickly as possible, and all patients arriving at our emergency departments are triaged and assessed with the most clinically urgent being prioritised.

“Like other hospitals, our ability to admit patients in a timely way is also being impacted by staffing challenges, the number of COVID-19 patients needing admission, and infection control guidance which means we have separate wards for COVID-19 and non-COVID-19 patients to maintain safety but this reduces the flexible use of our beds.

“We also face challenges in ensuring the timely discharge of medically fit patients.

"We are working together with local health and care partners to ensure that people who need hospital care can be admitted and then discharged from hospital safely as soon as they are medically well enough to leave.

"Family and friends of patients can also help by being ready to collect their loved one from hospital when we call, and supporting them when they get home."

Hear all the latest news from across the UK on the hour, every hour, on Greatest Hits Radio on DAB, smartspeaker, at greatesthitsradio.co.uk, and on the Rayo app.