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Monday 23/02/2026

NHS Faces Early Winter Crisis Amid Flu Surge and Potential Doctor Strikes

Crowded NHS hospital ward with patients and doctors in masks
Ethan BrooksEthan Brooks

In This Article

HIGHLIGHTS

  • NHS faces increased winter pressures due to early flu outbreak and potential doctor strikes.
  • University Hospitals Birmingham declared a critical incident with 200 flu patients but has since stood down.
  • Delayed discharges are exacerbating hospital overcrowding, with a 9% rise in bed days lost compared to last year.
  • A new offer from ministers to the British Medical Association could avert the planned five-day doctor strike.
  • The Health Foundation warns of dangerous overcrowding, with 19,000 more bed days lost this year due to discharge delays.

The National Health Service (NHS) in England is bracing for a challenging winter as an early flu outbreak and potential industrial action by doctors threaten to overwhelm healthcare services. Sally Roberts, the chief clinical quality officer for Birmingham, Black Country, and Solihull Integrated Care Board, highlighted the unprecedented demand on hospitals, which have seen a significant rise in flu cases over the past two weeks.

Flu Outbreak and Hospital Overcrowding

University Hospitals Birmingham NHS Foundation Trust recently declared a critical incident after the number of flu patients reached 200, though the situation has since stabilized. Roberts emphasized the importance of flu vaccinations, stating, "The virus can be life-threatening for the most vulnerable, making vaccination crucial."

Meanwhile, a report by the Health Foundation reveals that delayed discharges are worsening hospital overcrowding. The percentage of bed days occupied by patients fit for discharge increased by 9% from last year, equating to 19,000 additional lost bed days. This situation is expected to lead to longer waits in A&E departments and increased risks for seriously ill patients.

Potential Doctor Strikes

The NHS is also preparing for a potential five-day strike by resident doctors, set to begin on Wednesday. However, a new offer from ministers to the British Medical Association could avert the strike if accepted by union members. Roberts assured that patient safety remains a priority, with plans in place to maintain emergency care and hospital flow.

Challenges of Delayed Discharges

The Health Foundation's analysis points to delayed discharges as a significant factor in hospital overcrowding. The inability of local councils to provide adequate social care packages for discharged patients is a key issue, compounded by an ageing population and advances in medical science. Dr. Vicky Price, president of the Society of Acute Medicine, warned that these delays could make this winter even more challenging than the last.

WHAT THIS MIGHT MEAN

If the British Medical Association accepts the government's offer, the NHS could avoid the disruption of a five-day doctor strike, allowing healthcare services to focus on managing the flu outbreak and delayed discharges. However, if the strike proceeds, the NHS will need to implement contingency plans to ensure patient safety and maintain emergency services.

The ongoing issue of delayed discharges highlights the need for improved social care infrastructure to prevent hospital overcrowding. Addressing this could alleviate some of the pressures on the NHS, but it requires coordinated efforts between healthcare providers and local councils.

Experts warn that without significant intervention, the NHS could face one of its toughest winters yet, with increased risks to patient safety and service delivery.