Imperial College London
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ProfessorAzraGhani

Faculty of Medicine, School of Public Health

Chair in Infectious Disease Epidemiology
 
 
 
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Contact

 

+44 (0)20 7594 5764a.ghani Website

 
 
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Location

 

Norfolk PlaceSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@techreport{McCabe:2020:10.25561/79837,
author = {McCabe, R and Schmit, N and Christen, P and D'Aeth, J and Lochen, A and Rizmie, D and Nayagam, AS and Miraldo, M and Aylin, P and Bottle, R and Perez, Guzman PN and Ghani, A and Ferguson, N and White, PJ and Hauck, K},
doi = {10.25561/79837},
title = {Report 27 Adapting hospital capacity to meet changing demands during the COVID-19 pandemic},
url = {http://dx.doi.org/10.25561/79837},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - RPRT
AB  - To meet the growing demand for hospital care due to the COVID-19 pandemic, England implemented a range of hospital provision interventions including the procurement of equipment, the establishment of additional hospital facilities and the redeployment of staff and other resources. Additionally, to further release capacity across England’s National Health Service (NHS), elective surgery was cancelled in March 2020, leading to a backlog of patients requiring care. This created a pressure on the NHS to reintroduce elective procedures, which urgently needs to be addressed. Population-level measures implemented in March and April 2020 reduced transmission of SARS-CoV-2, prompting a gradual decline in the demand for hospital care by COVID-19 patients after the peak in mid-April. Planning capacity to bring back routine procedures for non-COVID-19 patients whilst maintaining the ability to respond to any potential future increases in demand for COVID-19 care is the challenge currently faced by healthcare planners.In this report, we aim to calculate hospital capacity for emergency treatment of COVID-19 and other patients during the pandemic surge in April and May 2020; to evaluate the increase in capacity achieved via five interventions (cancellation of elective surgery, field hospitals, use of private hospitals, and deployment of former and newly qualified medical staff); and to determine how to re-introduce elective surgery considering continued demand from COVID-19 patients. We do this by modelling the supply of acute NHS hospital care, considering different capacity scenarios, namely capacity before the pandemic (baseline scenario) and after the implementation of capacity expansion interventions that impact available general and acute (G&A) and critical care (CC) beds, staff and ventilators. Demand for hospital care is accounted for in terms of non-COVID-19 and COVID-19 patients. Our results suggest that NHS England would not have had sufficient daily capacity
AU  - McCabe,R
AU  - Schmit,N
AU  - Christen,P
AU  - D'Aeth,J
AU  - Lochen,A
AU  - Rizmie,D
AU  - Nayagam,AS
AU  - Miraldo,M
AU  - Aylin,P
AU  - Bottle,R
AU  - Perez,Guzman PN
AU  - Ghani,A
AU  - Ferguson,N
AU  - White,PJ
AU  - Hauck,K
DO  - 10.25561/79837
PY  - 2020///
TI  - Report 27 Adapting hospital capacity to meet changing demands during the COVID-19 pandemic
UR  - http://dx.doi.org/10.25561/79837
UR  - https://www.imperial.ac.uk/media/imperial-college/medicine/mrc-gida/2020-06-15-COVID19-Report-27.pdf
UR  - http://hdl.handle.net/10044/1/79837
ER  -
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