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.
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.