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Fewer hospital beds available than before the Covid-19 pandemic

News

According to new NHS England data, East Suffolk and North Essex NHS Foundation Trust (ESNEFT) has seen a reduction in available overnight hospital beds compared to pre-pandemic levels.

The big picture: The Trust's bed occupancy rate has risen to 94.7%, up from 89% in the same period in 2019. This mirrors a national trend of increasing pressure on NHS resources.

A hospital bed and equipment
High occupancy rates can lead to treatment delays and force hospitals to care for patients in inappropriate settingsEast Suffolk and North Essex NHS Foundation Trust has seen a reduction in available overnight hospital beds compared to pre-pandemic levels

By the numbers:

  • 1,269 overnight beds were available on average each night at the Trust in April, May and June

  • 96.2% of general and acute care beds were occupied

  • 66.8% of maternity beds were occupied

Why it matters: High occupancy rates can lead to treatment delays and force hospitals to care for patients in inappropriate settings.

What they're saying: Dr John Dean, clinical vice president at the Royal College of Physicians, said: "Consistently high occupancy rates are leading to significant delays in treating newly presenting patients."

Between the lines: The NHS faces challenges discharging patients who no longer require hospital care. Delays affect about 12,000 beds per day, often due to a lack of space in social care.

An NHS England spokesperson said they're working to increase acute care beds and tackle delayed discharges, aiming "to ensure patients who no longer require hospital treatment can return home or be cared for in a more appropriate place for them as soon as possible."

The bottom line: The NHS acknowledges it has more to do "to deliver more timely care" as high occupancy rates continue to pressure the healthcare system.

Relief as government pledges support for Churchmans House cladding repairs

News

The government has promised action to support residents of Churchmans House in Ipswich, following concerns raised by local MP Jack Abbott.

Why it matters: Leaseholders at Churchmans House have faced uncertainty over funding for essential safety work but will now receive government support for remediation.

The details:

  • Rushanara Ali, Parliamentary Under-Secretary of State for Building Safety and Homelessness, confirmed Churchmans House is eligible for funding to remediate all necessary works identified in the March 2024 Fire Risk Assessment.

  • A Grant Funding Agreement has been executed, with an additional pre-tender support payment due next week.

  • No contribution will be sought from leaseholders for eligible works.

Headshot of Jack Abbott
Jack Abbott, MP for IpswichRoger HarrisRoger Harris Photography

What they're saying: Jack Abbott, MP for Ipswich: "I am pleased that the Minister has now confirmed with me that Churchmans House is fully eligible for government funding to fix external cladding, and that extra pre-tender support payment will be made available."

Chu Man, Churchmans House Residents Management Company thanked Abbott: "Today's news is an important milestone of progress, and my thanks go to Mr Abbott for helping to push the Government in the right direction."

What's next: Abbott pledged to continue working with residents and the government to ensure swift enforcement of pledges made following the Grenfell Inquiry.

The full letter

Here's the full transcription of the letter from Rushanara Ali, Parliamentary Under-Secretary of State for Building Safety and Homelessness:

17 September 2024

Dear Jack,

Thank you for your letter of 21 August, regarding building safety at Churchmans House, Ipswich.

My officials have spoken with Homes England, and they appreciate the concerns raised within your correspondence. They informed us that since the recent transfer of this building to the Cladding Safety Scheme, all parties have been actively engaging to ensure progress is being achieved at a pace. Homes England confirmed the building is eligible for funding to remediate all the necessary works identified in the Fire Risk Assessment of External Walls undertaken in March 2024; no contribution from leaseholders will be sought for eligible works. The Grant Funding Agreement has been executed and an additional pre-tender support payment is due to be released next week.

Where Homes England detect that there is an issue to mobilise and manage a remediation project, the Cladding Safety Scheme can offer support via a panel of client side support providers and construction specialists, who can support the applicant with technical expertise and provide appropriate challenge to achieve the required pace for remediation of the building. For this building, a client side support provider was instructed on 7 August, they supplied their initial findings on 21 August. Homes England have already considered these and retained the support providers services for a minimum 3 month period to enable them to provide a full wraparound service so that this remediation project can be mobilised and moved forward both at pace and with the right capabilities in place.

Whilst it will take some time for the remediation works to physically commence, please be assured that all parties are pro-actively working towards this happening at the earliest date possible. Leaseholders and residents will be kept fully abreast of progress via the applicant in line with their obligations under the Code. Homes England will continue to monitor progress closely and ensure that all parties remain focussed as required. More information on the Code can be found here: https://www.gov.uk/government/publications/code-of-practice-for-the-remediation-of-residential-buildings/code-of-practice-for-the-remediation-of-residential-buildings.

I also note your concerns surrounding the protection of leaseholders, and the role of responsible parties. I hope this general information is helpful.

Responsibility for undertaking the works and, in the majority of cases, paying for the works will rest with the building owner. In turn they can seek to secure funding for required works from those responsible.

Developers must pay to fix buildings they had a role in developing or refurbishing, even where they no longer own the building. The Act ensures that building owners who are - or are associated with - the developer (and so meet the developer test) must pay for the remediation of historical safety defects.

Courts have also been granted new powers to extend liability to associated companies. This ensures that civil cases for claims against defective buildings can be brought against companies associated with a developer, preventing the use of complex corporate structures to avoid liability.

This gives the High Court the power to grant Building Liability Orders as part of, for example, litigation under the Defective Premises Act where the court considers it just and equitable to do so.

For example, Building Liability Orders allow civil cases to be brought against companies which were associated with the companies which developed or refurbished a site and no longer exist. Civil claims can be brought against manufacturers of, or those who have supplied, defective or mis-sold construction products, or those supplied or marketed in breach of regulations, where these products have been incorporated in a dwelling and that has caused or contributed to a dwelling being unfit for habitation. This provision, which applies to all dwellings, has retrospective effect for cladding products with a limitation period of 30 years prior to 28 June 2022 and prospective effect for all construction products with a limitation period of 15 years.

The Building Safety Act also provides remediation contribution orders, new tools that allow interested persons to apply to the First-tier Tribunal for an order requiring building owners to pay to fix unsafe buildings. A remediation contribution order can be used to require a landlord (or other specified body corporate or partnership) to make payments for the purpose of meeting costs already incurred in remedying relevant defects (or specified relevant defects) relating to the relevant building.

Parts of the Building Safety Act have been amended under the Leasehold Freehold Reform Act which has placed beyond doubt that the costs of 'interim measures' (such as waking watches and fitting simultaneous evacuation alarms) and expert reports can be recovered through remediation contribution orders. The costs of temporary accommodation if residents are decanted from their homes on building safety grounds, can also be recovered.

There have also been amendments to remediation orders to make it clear that a remediation order can include a requirement from the First-tier Tribunal that a landlord put in place 'interim measures' and/or initiate the production of an expert report.

It should be noted that the introduction of Sections 114, 115 and 116 of the Leasehold & Freehold Reform Act, which affect Sections 123 and 124 or the Building Safety Act (BSA), is yet to commence. Commencement will be at the discretion of this Government.

Thank you for writing on this important matter. I hope the above is helpful.

Yours Sincerely,

RUSHANARA ALI MP
Parliamentary Under-Secretary of State for Building Safety and Homelessness

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