Pressure index

The impact of Covid-19 on health services is substantial. Sadly people have died, although more have had their lives saved by health professionals. 

The pressure index has been developed by Edge Health to help identify hospitals (Trusts) and regions that are facing particularly severe pressures so that resources can be targeted where they are needed most.

It does this by looking at reported deaths after controlling for demographics and pre-Covid-19 (January) critical care capacity. Many hospitals have increased the number of critical care beds that they have over the last few weeks, but ​having the capacity ("not filling up") does not mean avoiding pressure. 

A higher index value means that there is relatively more demand (proxied by the number of reported deaths) for pre-Covid-19 capacity. The change in this index over the past few days is also reported. When this is high relative to others, it may mean that the hospital has experienced a recent surge. 

Last updated: 11 April 2020.

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Region
Trust name
Trust code
CC beds
Deaths
Pressure index
Change (%)
East of England
BASILDON AND THURROCK UNIVERSITY HOSPITALS NHS FT
RDD
34
102
3.4
16.7%
East of England
BEDFORD HOSPITAL NHS T
RC1
11
40
4.4
25.8%
East of England
CAMBRIDGE UNIVERSITY HOSPITALS NHS FT
RGT
64
24
0.3
2.3%
East of England
EAST AND NORTH HERTFORDSHIRE NHS T
RWH
18
56
4.3
17.8%
East of England
EAST SUFFOLK AND NORTH ESSEX NHS FT
RDE
25
94
4.6
32.4%
East of England
JAMES PAGET UNIVERSITY HOSPITALS NHS FT
RGP
12
30
2.6
23.4%
East of England
LUTON AND DUNSTABLE UNIVERSITY HOSPITAL NHS FT
RC9
17
60
3.4
3.8%
East of England
MID ESSEX HOSPITAL SERVICES NHS T
RQ8
21
61
4
4.4%
East of England
MILTON KEYNES UNIVERSITY HOSPITAL NHS FT
RD8
9
45
5.3
7.8%
East of England
NORFOLK AND NORWICH UNIVERSITY HOSPITALS NHS FT
RM1
20
37
2.5
16.1%
East of England
NORTH WEST ANGLIA NHS FT
RGN
22
42
2.5
21.6%
East of England
ROYAL PAPWORTH HOSPITAL NHS FT
RGM
43
4
0.1
0.6%
East of England
SOUTHEND UNIVERSITY HOSPITAL NHS FT
RAJ
26
51
2.4
0.0%
East of England
THE PRINCESS ALEXANDRA HOSPITAL NHS T
RQW
10
105
13.6
60.5%
East of England
THE QUEEN ELIZABETH HOSPITAL, KING'S LYNN, NHS FT
RCX
13
32
4.4
9.1%
East of England
WEST HERTFORDSHIRE HOSPITALS NHS T
RWG
19
84
6.1
26.6%
East of England
WEST SUFFOLK NHS FT
RGR
9
13
0.9
7.2%
London
BARKING, HAVERING AND REDBRIDGE UNIVERSITY HOSPITALS NHS T
RF4
52
131
2
0.0%
London
BARTS HEALTH NHS T
R1H
122
220
1.3
6.6%
London
CHELSEA AND WESTMINSTER HOSPITAL NHS FT
RQM
22
98
2.5
14.7%
London
CROYDON HEALTH SERVICES NHS T
RJ6
14
159
9.2
46.1%
London
EPSOM AND ST HELIER UNIVERSITY HOSPITALS NHS T
RVR
21
152
4.5
15.7%
London
GUY'S AND ST THOMAS' NHS FT
RJ1
85
72
0.4
1.2%
London
HOMERTON UNIVERSITY HOSPITAL NHS FT
RQX
10
70
4
28.5%
London
IMPERIAL COLLEGE HEALTHCARE NHS T
RYJ
162
165
0.7
2.8%
London
KING'S COLLEGE HOSPITAL NHS FT
RJZ
96
234
2
8.4%
London
KINGSTON HOSPITAL NHS FT
RAX
14
68
2.1
12.2%
London
LEWISHAM AND GREENWICH NHS T
RJ2
33
148
3.6
21.2%
London
LONDON NORTH WEST UNIVERSITY HEALTHCARE NHS T
R1K
33
263
6.4
17.1%
London
NORTH MIDDLESEX UNIVERSITY HOSPITAL NHS T
RAP
10
135
10.9
43.0%
London
ROYAL BROMPTON & HAREFIELD NHS FT
RT3
104
11
0.1
0.7%
London
ROYAL FREE LONDON NHS FT
RAL
86
250
2.1
3.6%
London
ST GEORGE'S UNIVERSITY HOSPITALS NHS FT
RJ7
60
150
2
4.5%
London
THE HILLINGDON HOSPITALS NHS FT
RAS
9
90
8.5
34.8%
London
THE ROYAL MARSDEN NHS FT
RPY
16
5
0.1
1.6%
London
UNIVERSITY COLLEGE LONDON HOSPITALS NHS FT
RRV
61
69
0.7
3.7%
London
WHITTINGTON HEALTH NHS T
RKE
10
57
3.2
7.6%
Midlands
CHESTERFIELD ROYAL HOSPITAL NHS FT
RFS
15
36
2.2
10.2%
Midlands
GEORGE ELIOT HOSPITAL NHS T
RLT
8
32
5.2
0.0%
Midlands
KETTERING GENERAL HOSPITAL NHS FT
RNQ
12
40
4.1
0.0%
Midlands
NORTHAMPTON GENERAL HOSPITAL NHS T
RNS
16
48
2.8
13.4%
Midlands
NOTTINGHAM UNIVERSITY HOSPITALS NHS T
RX1
92
88
0.9
5.3%
Midlands
SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS T
RXK
19
155
10
30.1%
Midlands
SHERWOOD FOREST HOSPITALS NHS FT
RK5
11
59
4.5
23.0%
Midlands
SHREWSBURY AND TELFORD HOSPITAL NHS T
RXW
20
38
2.9
7.7%
Midlands
SOUTH WARWICKSHIRE NHS FT
RJC
7
42
6
33.2%
Midlands
THE DUDLEY GROUP NHS FT
RNA
20
126
8.2
28.2%
Midlands
THE ROBERT JONES AND AGNES HUNT ORTHOPAEDIC HOSPITAL NHS FT
RL1
4
2
0.4
7.0%
Midlands
THE ROYAL ORTHOPAEDIC HOSPITAL NHS FT
RRJ
7
2
0.3
4.4%
Midlands
THE ROYAL WOLVERHAMPTON NHS T
RL4
28
145
5.2
23.7%
Midlands
UNITED LINCOLNSHIRE HOSPITALS NHS T
RWD
31
45
1.9
15.4%
Midlands
UNIVERSITY HOSPITALS BIRMINGHAM NHS FT
RRK
93
394
3.6
15.1%
Midlands
UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE NHS T
RKB
37
89
2.8
11.4%
Midlands
UNIVERSITY HOSPITALS OF DERBY AND BURTON NHS FT
RTG
55
175
2.9
18.4%
Midlands
UNIVERSITY HOSPITALS OF LEICESTER NHS T
RWE
81
96
1.5
1.5%
Midlands
UNIVERSITY HOSPITALS OF NORTH MIDLANDS NHS T
RJE
82
82
1.1
5.7%
Midlands
WALSALL HEALTHCARE NHS T
RBK
13
73
6.9
9.4%
Midlands
WORCESTERSHIRE ACUTE HOSPITALS NHS T
RWP
21
84
4.9
11.7%
Midlands
WYE VALLEY NHS T
RLQ
6
10
2.2
7.2%
North East and Yorkshire
AIREDALE NHS FT
RCF
7
27
4.4
32.7%
North East and Yorkshire
BARNSLEY HOSPITAL NHS FT
RFF
11
38
3.4
27.1%
North East and Yorkshire
BRADFORD TEACHING HOSPITALS NHS FT
RAE
16
38
2.9
33.1%
North East and Yorkshire
CALDERDALE AND HUDDERSFIELD NHS FT
RWY
13
61
4.7
43.3%
North East and Yorkshire
COUNTY DURHAM AND DARLINGTON NHS FT
RXP
21
72
3.9
23.7%
North East and Yorkshire
DONCASTER AND BASSETLAW TEACHING HOSPITALS NHS FT
RP5
20
31
1.8
5.7%
North East and Yorkshire
GATESHEAD HEALTH NHS FT
RR7
12
42
2.9
30.4%
North East and Yorkshire
HARROGATE AND DISTRICT NHS FT
RCD
8
21
2.4
15.3%
North East and Yorkshire
HULL UNIVERSITY TEACHING HOSPITALS NHS T
RWA
44
24
0.6
4.3%
North East and Yorkshire
LEEDS TEACHING HOSPITALS NHS T
RR8
104
77
0.7
3.5%
North East and Yorkshire
MID YORKSHIRE HOSPITALS NHS T
RXF
20
71
4.3
22.4%
North East and Yorkshire
NORTH CUMBRIA INTEGRATED CARE NHS FT
RNN
15
67
5.8
34.6%
North East and Yorkshire
NORTH TEES AND HARTLEPOOL NHS FT
RVW
16
20
1.1
5.7%
North East and Yorkshire
NORTHERN LINCOLNSHIRE AND GOOLE NHS FT
RJL
14
18
1.8
16.4%
North East and Yorkshire
NORTHUMBRIA HEALTHCARE NHS FT
RTF
15
65
2.3
10.7%
North East and Yorkshire
SHEFFIELD TEACHING HOSPITALS NHS FT
RHQ
118
87
0.6
4.7%
North East and Yorkshire
SOUTH TEES HOSPITALS NHS FT
RTR
64
79
1.5
3.2%
North East and Yorkshire
SOUTH TYNESIDE AND SUNDERLAND NHS FT
R0B
24
130
5.5
36.7%
North East and Yorkshire
THE NEWCASTLE UPON TYNE HOSPITALS NHS FT
RTD
86
38
0.2
0.8%
North East and Yorkshire
THE ROTHERHAM NHS FT
RFR
13
23
2.2
18.8%
North East and Yorkshire
YORK TEACHING HOSPITAL NHS FT
RCB
19
39
2.4
12.1%
North West
BLACKPOOL TEACHING HOSPITALS NHS FT
RXL
34
39
1.3
10.0%
North West
BOLTON NHS FT
RMC
18
57
2.6
10.7%
North West
COUNTESS OF CHESTER HOSPITAL NHS FT
RJR
15
45
3.8
34.1%
North West
EAST CHESHIRE NHS T
RJN
6
25
4.1
0.0%
North West
EAST LANCASHIRE HOSPITALS NHS T
RXR
24
38
1.5
10.9%
North West
LANCASHIRE TEACHING HOSPITALS NHS FT
RXN
32
30
1.2
4.0%
North West
LIVERPOOL HEART AND CHEST HOSPITAL NHS FT
RBQ
34
3
0.1
0.6%
North West
LIVERPOOL UNIVERSITY HOSPITALS NHS FT
REM
59
148
2.5
17.1%
North West
MANCHESTER UNIVERSITY NHS FT
R0A
108
108
0.8
6.6%
North West
MID CHESHIRE HOSPITALS NHS FT
RBT
11
40
3.6
23.7%
North West
PENNINE ACUTE HOSPITALS NHS T
RW6
36
82
2.7
15.6%
North West
SALFORD ROYAL NHS FT
RM3
30
83
1.7
9.4%
North West
SOUTHPORT AND ORMSKIRK HOSPITAL NHS T
RVY
11
41
5
12.3%
North West
ST HELENS AND KNOWSLEY TEACHING HOSPITALS NHS T
RBN
14
46
2.2
14.5%
North West
STOCKPORT NHS FT
RWJ
13
54
5.3
9.8%
North West
TAMESIDE AND GLOSSOP INTEGRATED CARE NHS FT
RMP
9
46
4.6
13.4%
North West
THE CHRISTIE NHS FT
RBV
6
3
0.3
0.0%
North West
THE WALTON CENTRE NHS FT
RET
20
3
0.1
2.3%
North West
UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FT
RTX
14
88
7.1
29.5%
North West
WARRINGTON AND HALTON TEACHING HOSPITALS NHS FT
RWW
18
31
1.6
6.7%
North West
WIRRAL UNIVERSITY TEACHING HOSPITAL NHS FT
RBL
18
64
4.8
10.0%
North West
WRIGHTINGTON, WIGAN AND LEIGH NHS FT
RRF
11
36
3
13.7%
South East
ASHFORD AND ST PETER'S HOSPITALS NHS FT
RTK
13
48
3.8
5.3%
South East
BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS T
RXH
51
40
0.8
2.5%
South East
BUCKINGHAMSHIRE HEALTHCARE NHS T
RXQ
20
26
1.2
1.6%
South East
DARTFORD AND GRAVESHAM NHS T
RN7
10
36
3.7
6.9%
South East
EAST KENT HOSPITALS UNIVERSITY NHS FT
RVV
30
72
3.3
24.1%
South East
EAST SUSSEX HEALTHCARE NHS T
RXC
19
30
1.9
14.7%
South East
FRIMLEY HEALTH NHS FT
RDU
24
153
6.1
19.9%
South East
HAMPSHIRE HOSPITALS NHS FT
RN5
24
55
3.1
15.1%
South East
ISLE OF WIGHT NHS T
R1F
6
8
1.8
7.5%
South East
MAIDSTONE AND TUNBRIDGE WELLS NHS T
RWF
19
39
2.6
6.7%
South East
MEDWAY NHS FT
RPA
29
16
0.7
0.0%
South East
OXFORD UNIVERSITY HOSPITALS NHS FT
RTH
70
62
1.1
5.1%
South East
PORTSMOUTH HOSPITALS NHS T
RHU
18
102
8.1
45.2%
South East
ROYAL BERKSHIRE NHS FT
RHW
15
37
2
0.0%
South East
ROYAL SURREY COUNTY HOSPITAL NHS FT
RA2
21
33
1.4
7.0%
South East
SURREY AND SUSSEX HEALTHCARE NHS T
RTP
16
94
3.7
29.2%
South East
UNIVERSITY HOSPITAL SOUTHAMPTON NHS FT
RHM
110
56
0.5
1.6%
South East
WESTERN SUSSEX HOSPITALS NHS FT
RYR
22
32
1
3.3%
South West
DORSET COUNTY HOSPITAL NHS FT
RBD
8
14
2.1
9.8%
South West
GLOUCESTERSHIRE HOSPITALS NHS FT
RTE
20
70
4.1
31.3%
South West
GREAT WESTERN HOSPITALS NHS FT
RN3
12
30
3.4
11.3%
South West
NORTH BRISTOL NHS T
RVJ
46
39
0.8
3.6%
South West
NORTHERN DEVON HEALTHCARE NHS T
RBZ
8
2
0.4
6.0%
South West
POOLE HOSPITAL NHS FT
RD3
11
19
2
3.6%
South West
ROYAL CORNWALL HOSPITALS NHS T
REF
15
36
3.9
18.1%
South West
ROYAL DEVON AND EXETER NHS FT
RH8
18
19
1.1
6.0%
South West
ROYAL UNITED HOSPITALS BATH NHS FT
RD1
13
34
2.8
0.0%
South West
SALISBURY NHS FT
RNZ
10
21
2.5
7.8%
South West
TAUNTON AND SOMERSET NHS FT
RBA
14
12
0.9
0.0%
South West
THE ROYAL BOURNEMOUTH AND CHRISTCHURCH HOSPITALS NHS FT
RDZ
12
25
2.1
13.8%
South West
TORBAY AND SOUTH DEVON NHS FT
RA9
10
19
2.1
0.0%
South West
UNIVERSITY HOSPITALS BRISTOL NHS FT
RA7
55
38
0.6
2.7%
South West
UNIVERSITY HOSPITALS PLYMOUTH NHS T
RK9
42
27
0.6
6.3%
South West
WESTON AREA HEALTH NHS T
RA3
5
3
0.9
0.0%
South West
YEOVIL DISTRICT HOSPITAL NHS FT
RA4
10
7
0.9
0.0%

Note: (1) Critical care bed number data are from January 2020. (2) Data on reported deaths are from 10th April 2020. Data from the 6th to the 10th of April are subject to some change as deaths as there is often a lag in a death being reported - delays often show up as 0 on the slope index. 

Download underlying data here.

Some caution should be taken in interpreting these results. Some trusts may record Covid-19 deaths even when this was not the primary reason for death. It is also hard to say at present how well trusts prepared for Covid-19 and are therefore able to meet the increase in demand.

If you have any questions or concerns with the pressure index, or the data used to create it, please contact George.

Further details of the pressure index can be found here

More on our recent work below.