Open Beds Report December 2020 Published 10 March 2021 An Roinn Sláinte | Department of Health Open Beds Report — December 2020 Contents 1. Introduction .................................................................................................... 3 1.1 Data source and validation 3 1.2 Bed capacity context 3 1.3 Definitions and clarifications 3 2. Inpatient beds by year 2009 – 2020 ............................................................. 5 3. Day beds/places by year 2009 – 2020 .......................................................... 6 4. Inpatient and day beds/places by month for 2020 .................................... 7 Appendix. Available Beds Tables ......................................................................... 8 —— 2 An Roinn Sláinte | Department of Health Open Beds Report — December 2020 1. Introduction The Open Beds Report provides an outline of the average numbers of open inpatient beds and day beds/places in the acute hospital system on a monthly basis. As set out in the Sláintecare Action Plan 2019, the Department of Health is committed to fostering the support of citizens and stakeholders in the Sláintecare reform process, consulting them about its delivery, and informing them about progress through engagement and open reporting. In line with this commitment to open reporting, the purpose of the Open Beds Report is to make information on capacity in the health care system available in a transparent and accessible manner. 1.1 Data source and validation The Health Service Executive (HSE) Acute Business Information Unit (Acute BIU) provide the bed data for this report, and the figures show the average number of beds or places open in each hospital for the month or year specified. Data for 2020 are provisional and remain subject to validation by Acute BIU. The 2018 and 2019 figures for Galway University Hospital are also awaiting validation. Tables are included in the Appendix. 1.2 Bed capacity context The Health Service Capacity Review 2018 recommended an increase of 2,590 acute hospital beds across the system by 2031 to support the projected increase in demand for services in the years ahead. The National Development Plan provides for the full 2,590 beds by 2027. 1.3 Definitions and clarifications 1.3.1 Inpatient beds Average inpatient beds available is the number of funded beds occupied or ready and available for occupation each night of the reporting period. The cumulated figure is then divided by the number of days in the reporting period to provide a daily average. —— 3 An Roinn Sláinte | Department of Health Open Beds Report — December 2020 1.3.2 Day beds/places Day beds/places provide areas for day cases: patients admitted for a medical procedure or surgery in the morning and released before the evening. Average available day beds/places are beds/places which are currently occupied or ready for occupation. 1.3.3 Closed beds The numbers provided in this report are average numbers of beds or places available daily in the specified period. Beds are not available when they are temporarily closed for reasons such as infection control, maintenance/refurbishment, or staffing shortages. 1.3.4 Hospital Groups The current Hospital Group structure was established in 2013, with the Children’s Hospital Group becoming Children’s Health Ireland at the start of 2019. For the purposes of comparison and simplicity in navigating this report, hospitals are grouped as per the current Hospital Groups for all years. It should be noted that in the years from 2009–2013 these groupings did not have their current formal governance structures. The seven Hospital Groups are Ireland East Hospital Group, Dublin Midlands Hospital Group, RCSI Hospitals Groups, Saolta University Healthcare Group, South/South West Hospital Group, University of Limerick Hospitals Group, and Children’s Health Ireland. —— 4 An Roinn Sláinte | Department of Health Open Beds Report — December 2020 2. Inpatient beds by year 2009 – 2020 There was an average of 11,027 inpatient beds open during 2020 from January to December. Average Available Inpatient Beds 2009 to 2020 12,000 11,369 11,500 10,990 11,027 10,856 10,951 11,000 10,694 10,665 10,480 10,473 10,592 10,337 10,411 10,500 10,000 9,500 9,000 8,500 8,000 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 A breakdown of the average available inpatient beds by Hospital Group for the years 2009-2020 is shown below. Average Available Inpatient Beds by Hospital Group 2009 to 2020 12,000 11,369 10,990 10,951 11,027 316 10,694 10,665 10,856 Children's 10,480 10,473 10,592 310 285 10,337 10,411 334 336 765 285 330 Hospitals 746 326 334 788 281 277 322 774 765 10,000 734 747 732 728 708 676 663 1,689 UL Hospitals 1,617 1,720 1,795 Group 1,559 1,618 1,662 1,500 1,532 1,574 1,551 1,596 8,000 RCSI Hospitals 1,794 1,760 Group 1,732 1,752 1,747 1,795 1,657 1,694 1,747 1,743 1,760 1,774 Saolta 6,000 2,249 2,183 2,057 2,078 1,945 1,920 1,985 1,979 1,965 1,971 2,037 2,096 South/South 4,000 West 2,255 2,211 1,931 1,975 2,014 2,010 1,947 2,192 2,142 2,179 2,019 1,998 Dublin Midlands 2,000 Ireland East 2,301 2,188 2,114 2,084 2,101 2,153 2,217 2,259 2,265 2,283 2,316 2,296 0 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 —— 5 An Roinn Sláinte | Department of Health Open Beds Report — December 2020 3. Day beds/places by year 2009 – 2020 There was an average of 2,290 day beds/places open during 2020 from January to December. Average Available Day Beds/Places 2009 to 2020 2,500 2,400 2,290 2,290 2,300 2,240 2,170 2,200 2,140 2,049 2,100 2,021 2,006 2,026 2,000 1,936 1,857 1,900 1,772 1,800 1,700 1,600 1,500 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 A breakdown of the average available day beds/places by Hospital Group for the years 2009-2020 is shown below. Average Available Day Beds / Places from 2009 to 2020 2,500 2,290 2,290 2,240 Children's 2,170 91 93 2,140 80 Hospitals 2,049 2,026 80 2,021 2,006 80 181 185 199 2,000 1,936 72 60 70 187 UL Hospitals 1,857 68 185 1,772 70 144 137 141 152 Group 60 141 380 375 363 60 141 369 379 141 347 351 346 360 RCSI 339 1,500 313 297 355 368 392 345 353 Saolta 357 359 354 337 329 356 317 1,000 440 442 440 400 375 South/South 369 387 367 375 326 354 West 331 335 328 345 354 Dublin 359 331 330 314 324 315 313 Midlands 500 306 Ireland East 484 401 401 418 437 461 476 450 320 373 363 396 0 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 —— 6 An Roinn Sláinte | Department of Health Open Beds Report — December 2020 4. Inpatient and day beds/places by month for 2020 There were 11,024 inpatient beds and 2,315 day beds/places open in December 2020. A breakdown by month and Hospital Group is shown in the figures below. Monthly Average Available Inpatient Beds for 2020 12,000 11,131 11,148 11,101 10,946 10,946 11,048 11,066 11,115 10,997 10,944 11,018 11,024 351 353 345 287 277 287 273 276 315 322 320 323 Children's Health 764 763 765 752 767 814 819 823 823 765 807 Ireland 10,000 777 1,726 1,751 UL Hospitals 1,755 1,792 1,814 1,815 1,815 1,803 1,804 1,799 1,840 1,848 Group 8,000 RCSI Hospitals 1,831 1,832 1,824 1,778 1,803 1,792 1,791 1,797 1,793 1,791 1,772 1,752 Group 6,000 Saolta 2,103 2,100 2,097 2,113 2,080 2,079 2,096 2,117 2,061 2,066 2,131 2,142 South/South 4,000 West 2,017 2,014 1,991 1,931 1,928 1,965 2,024 2,013 1,934 1,920 1,928 1,910 Dublin Midlands 2,000 2,339 2,335 2,324 2,279 2,289 2,291 2,261 2,280 2,267 2,269 2,262 2,242 Ireland East 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Monthly Average Available Day Beds / Places for 2020 2,500 2,372 2,351 2,361 2,315 2,271 2,264 2,268 98 98 2,247 2,259 2,243 2,260 2,247 98 97 88 88 88 98 Children's Health 186 199 88 88 98 96 186 199 Ireland 186 199 186 199 186 176 199 2,000 199 376 375 374 UL Hospitals 350 367 352 356 354 354 379 354 368 Group RCSI Hospitals 1,500 412 417 421 373 392 Group 378 390 390 392 394 388 357 Saolta 442 447 442 453 1,000 443 452 447 436 436 436 436 434 South/South West 353 354 354 354 343 354 354 354 354 354 354 360 Dublin Midlands 500 484 484 484 467 433 433 432 433 431 431 431 483 Ireland East 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec —— 7 An Roinn Sláinte | Department of Health Open Beds Report — December 2020 Appendix.