Anaesthesia and Critical Care COVID-19 Activity Tracking Survey ACCC-Track Round 2 December 2020 Round 2: Summary response rate Number of responses: 194 Excluded: 40 Independent: 13 Duplicates: 22 Incomplete submissions: 5 Round 2: NHS response rate Total number of responses Responses by Responses by included: 154 Local Coordinator: 56% hospitals: 54% Round 2: Return rate –NHS hospitals by region 100% 79% 80% 65% 59% 56% 56% 55% 55% 60% 53% 50% 44% 40% 40% 37% 35% 20% 0% Wales London Scotland East Midlands East of England West Midlands Northern Ireland South West NorthEngland West England South East England North East England National average (mean) Yorkshire and the Humber Space, staff, stuff (equipment) and systems for restarting elective surgery Space Round 2: Space Proportion of respondents Scotland (n=14) South West England (n=15) West Midlands (n=11) East of England (n=11) London (n=25) Wales (n=7) South East England (n=14) North West England (n=20) Yorkshire and the Humber (n=16) North East England (n=5) East Midlands (n=10) Northern Ireland (n=5) 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% RED AMBER GREEN Staff Round 2: Staff Proportion of respondents Scotland (n=14) London (n=25) West Midlands (n=11) South East England (n=14) East of England (n=11) South West England (n=15) Yorkshire and the Humber (n=16) North West England (n=21) Wales (n=7) North East England (n=5) East Midlands (n=10) Northern Ireland (n=5) 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% RED AMBER GREEN Stuff Round 2: Stuff Proportion of respondents Wales (n=7) Scotland (n=14) South East England (n=14) South West England (n=15) London (n=25) West Midlands (n=11) East of England (n=11) Northern Ireland (n=5) North West England (n=21) Yorkshire and the Humber (n=16) East Midlands (n=10) North East England (n=5) 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% RED AMBER GREEN Systems Round 2: Systems Proportion of respondents Scotland (n=14) West Midlands (n=11) North East England (n=5) South West England (n=15) London (n=25) South East England (n=14) East of England (n=11) Yorkshire and the Humber (n=16) North West England (n=21) Northern Ireland (n=5) East Midlands (n=10) Wales (n=7) 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% RED AMBER GREEN State of the nation – December 2020 SPACE, STAFF, STUFF, SYSTEMS 26% 42% 32% 0% 20% 40% 60% 80% 100% At least one red No red, at least one amber All green Round 2: State of the nation – Space, Staff, Stuff, Systems December 2020 vs October 2020 Round 1 (October) 17% 37% 46% Round 2 (December) 26% 42% 32% 0% 20% 40% 60% 80% 100% At least one red No red, at least one amber All green ICU Staged Resurgence Plan (SRP) Round 2: UK – ICU Staged Resurgence Plan (n=143) ICU resurgence plan 14% 41% 30% 7% 8% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% SRP1 SRP2 SRP3 SRP4 SRP5 Opinion – perioperative care delivery Early December 2020 (round 2) compared to October 2020 (round 1) Round 2: UK - Delivery of perioperative care December 2020 vs October 2020 50% 41% 40% 31% 30% 20% 18% Proportion of hospitals of Proportion 10% 8% 3% 0% Much worse Worse About the same Better Much better Round 2: Proportion of theatres* closed 60% 55% 50% 40% 36% 30% 30% 24% 24% 19% 20% 17% 16% 15% 14% 12% 10% 10% 7% Proportion of theatres closed of theatres Proportion 0% UK Northern Wales East Yorkshire North South Scotland West North South London East of average Ireland Midlands and the West East Midlands East West England (mean) Humber England England England England *excluding non-theatre sites Round 2: Proportion of theatres* closed December 2020 vs October 2020 60% 55% 50% October 2020 42% 40% 36% December 2020 30%30% 30% 26% 24% 24%23% 19% 20% 20% 20% 16% 17% 16% 15% 15% 14% 12% 10% 8% 10% 6% 7% Proportion of theatres closed theatres of Proportion 4% 4% 5% 0% UK Northern Wales East Yorkshire North South Scotland West North South London East of average Ireland Midlands and the West East Midlands East West England (mean) Humber England England England England *excluding non-theatre sites Use of other locations for surgery e.g. independent sector, external sites Round 2: Theatre capacity increase* at other locations 20% 18% 16% 15% 14% 13% 12% 11% 11% 10% 10% 10% 10% 9% 5% 4% 2% Proportion of theatres open at other sites sites other at open theatres of Proportion 0% UK Wales NorthernYorkshire East of London East North South South West North Scotland average Ireland and the England Midlands West East West Midlands East (mean) Humber England England England England *compared to theatres open in 2019 Round 2: Theatre capacity increase* at other locations December 2020 vs October 2020 20% 18% DeC-20 Oct-20 16% 15% 15% 14% 14% 13% 13% 12% 12% 12% 11% 11% 10% 10%10% 10%10% 10% 10% 9% 9% 8% 7% 6% 5% 5% 4% 2% 0% Proportion of theatres open at other sites sites other at open theatres of Proportion UK Wales Northern Yorkshire East of London East North South South West North Scotland average Ireland and the England Midlands West East West Midlands East (mean) Humber England England England England *compared to theatres open in 2019 Round 2: Designated ‘low risk’ COVID-19 theatre area December 2020 vs October 2020 DeC-20 Oct-20 40% 37% 37% 30% 28% 25% 24% 20% 17% 18% 13% 10% Proportion of hospitals Proportion 0% Yes - on-site & eXternal Yes - eXternal site onlY Yes - on site onlY No Presence of a ‘low/lower risk’ COVID-19 theatre area Round 2: Designated ‘low risk’ COVID-19 theatre area Proportion of hospitals Scotland (n=14) Northern Ireland (n=5) London (n=25) North West England (n=21) Yorkshire and the Humber (n=16) South East England (n=14) West Midlands (n=11) South West England (n=15) East Midlands (n=9) East of England (n=11) Wales (n=7) North East England (n=5) 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Yes - on-site & external Yes - external site only Yes - on site only No Round 2: Theatre productivity in open theatres December 2020 vs October 2020 DeC-20 Oct-20 60% 48% 50% 45% 41% 40% 38% 30% 20% 9% 8% 10% 5% Proportion of hospitals Proportion 4% 2% 1% 0% <25% 25-50% 50-75% 75-100% >100% Proportion of cases completed in each theatre compared to corresponding months in 2019 Anaesthesia activity: December 2020 vs 2019 • Comparative data added from round 1 (October 2020 vs 2019) Round 2: Non-cancer elective operations December 2020 vs 2019 100% 87% 80% 75% 74% 64% 66% 65% 64% 60% 58% 60% 52% 51% 47% 40% 26% 20% Proportion of hospitals Proportion 0% Wales London Scotland East Midlands East of England West Midlands Northern Ireland UK average (mean) North East England South East EnglandSouth West EnglandNorth West England Yorkshire and the Humber Round 2: Non-cancer elective operations DeCember 2020 vs 2019 October 2020 vs 2019 100% 87% 79% 82% 75% 74% 80% 71% 70% 67% 66% 65% 64% 61% 64% 57% 60% 60% 58% 60% 60% 58% 60% 52% 51% 47% 40% 36% 26% 29% 20% Proportion of hospitals Proportion 0% Wales London Scotland East Midlands East of England West Midlands Northern Ireland UK average (mean) North East England South East EnglandSouth West EnglandNorth West England Yorkshire and the Humber Round 2: Paediatric surgery December 2020 vs 2019 100% 88% 85% 84% 81% 78% 80% 65% 68% 58% 60% 55% 46% 45% 35% 40% 30% 20% Proportion of hospitals Proportion 0% Wales London Scotland East Midlands East of England West Midlands Northern Ireland UK average (mean) South East England South West England North East NorthEngland West England Yorkshire and the Humber Round 2: Paediatric surgery 100% DeCember 2020 vs 2019 88% 85% 84% 81% 82% 81% October 2020 vs 2019 80% 78% 68% 65% 65% 61% 63% 62% 63% 58% 60% 58% 55% 60% 53% 51% 46% 45% 40% 35% 36% 31% 30% 20% Proportion of hospitals Proportion 0% Wales London Scotland East Midlands East of England West Midlands Northern Ireland UK average (mean) South East England South West England North East EnglandNorth West England Yorkshire and the Humber Round 2: Cancer operations December 2020 vs 2019 100% 85% 83% 79% 78% 77% 80% 75% 75% 75% 74% 72% 66% 59% 60% 55% 40% 20% Proportion of hospitals Proportion 0% Wales London Scotland East Midlands East of EnglandWest Midlands Northern Ireland UK averageSouth (mean) West England North West England South East England North East England Yorkshire and the Humber Round 2: Cancer operations DeCember 2020 vs 2019 October 2020 vs 2019 100% 85% 83% 79% 79% 81% 78% 81% 80% 75% 74% 75% 77% 75% 75% 74% 77% 77% 80% 70% 72% 72% 70% 66% 66% 66% 59% 60% 55% 40% 20% Proportion of hospitals Proportion 0% Wales London Scotland East Midlands East of EnglandWest Midlands Northern Ireland UK average South(mean) West England North West England South East England North East England Yorkshire and the Humber Round 2: Emergency surgery December 2020 vs 2019 100% 96% 96% 95% 94% 91% 90% 89% 89% 87% 86% 85% 83% 81% 80% 60% 40% 20% Proportion of hospitals Proportion 0% Wales Scotland London East Midlands East of EnglandWest Midlands Northern Ireland UK average (mean) South West England North West England South East England North East England Yorkshire and the Humber Round 2: Emergency surgery DeCember 2020 vs 2019 October 2020 vs 2019 100% 96% 94% 96% 95% 94% 94% 90% 92% 91% 89% 91% 89% 87% 86% 86% 87% 85% 86% 85% 87% 85% 80% 82% 83% 81% 80% 78% 60% 40% 20% Proportion of hospitals Proportion 0% Wales Scotland London East Midlands East of EnglandWest Midlands Northern Ireland UK average (mean) South West England North West England South East England North East England Yorkshire and the Humber Round 2: UK activity 2020 vs 2019 63% Non-cancer elective operations 62% Oct-20 65% Paediatric surgery 61% 75% Cancer operations 75% 90% Emergency surgery 87% 0% 20% 40% 60% 80% 100% Percentage of 2019 activity The total number of operations completed in all theatre locations over 24 hours Excluding non-theatre environments.