Doctors warn hospital overcrowding has reached the worst level on record

If you’ve found yourself waiting longer than ever in a hospital emergency department lately, you’re not alone—and you’re certainly not imagining things.

Doctors are sounding the alarm, saying this winter’s overcrowding is the worst they’ve ever seen.

With winter illnesses like the flu and respiratory infections surging, our hospitals are under more pressure than ever, and it’s leaving many of us wondering: what’s really going on, and what can we do to protect ourselves and our loved ones?


According to NSW Health Minister Ryan Park, more than 45,000 people presented to emergency departments (EDs) in just five days this July.

Monday alone saw almost 10,000 presentations—a whopping 9.2 per cent increase compared to the same time last year.


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Severe overcrowding has been reported in NSW hospital emergency departments, with this winter described as the worst for patient numbers and wait times. Credit: Pexels


And it’s not just the sniffles: over 900 people showed up with influenza-like illnesses in a single week.

Doctors on the front lines are feeling the strain. Speaking anonymously, one emergency physician from south-west Sydney described the situation as 'the worst winter by far' and said the level of overcrowding is 'the worst we’ve ever seen.'

The problem, they say, is getting worse every year, with staff being asked to do more with the same resources, all while the population ages and GP appointments become harder to secure.


It’s a perfect storm of factors. While the number of less urgent cases (like minor injuries or mild illnesses) coming to EDs has actually dropped by about 10 per cent—thanks to more alternatives like urgent care clinics and telehealth—those who do come in are sicker and need more care.

Dr Rhys Ross-Browne, NSW chair for the Australasian College for Emergency Medicine, says these very sick patients take up most of the resources and time, but often can’t get a bed elsewhere in the hospital.

Many hospital beds are occupied by patients who no longer need acute hospital care but cannot be discharged.

The main culprits: a shortage of aged care places and NDIS-supported accommodation. This means people who are ready to leave the hospital are stuck, and new patients can’t get in.

The numbers are sobering. In the first quarter of 2025, the median time for a patient to be treated and either admitted or transferred was eight hours.


The target is for 80 per cent of patients to be admitted or transferred within six hours, but 10 per cent of people needing admission or transfer waited almost 22 hours. That’s nearly a full day in the ED!

Minister Park says the government is working to relieve pressure by creating more 'alternative pathways to care' outside hospitals.

He’s encouraging people to call Healthdirect—a 24-hour health advice hotline—for non-life-threatening conditions.

Healthdirect’s chief operations officer, Travis Hodgson, says their nurses can safely de-escalate the need for an ED visit 61 per cent of the time, connecting callers to urgent care clinics, GPs, or virtual care services.

But not everyone is convinced. Some doctors argue that Healthdirect can only do so much, since nurses can’t physically examine patients over the phone, and many callers end up being sent to the hospital anyway.


The government also points to new investments: 2,500 new nurses are being recruited, and there are nearly 3,000 more health workers in the public system than a year ago.

More hospital beds are on the way, and efforts are being made to address the backlog of patients waiting for aged care or NDIS placements.


The truth is, our health system is facing challenges that go beyond just winter bugs. An ageing population, a shortage of GPs, and a lack of aged care and disability accommodation are all putting pressure on hospitals.

While the government is taking steps to address these issues, it’s clear that more needs to be done to ensure everyone gets the care they need, when they need it.
Key Takeaways
  • NSW hospitals are experiencing extreme overcrowding in emergency departments, with doctors describing this winter as the worst they’ve ever seen for patient numbers and wait times.
  • Health Minister Ryan Park has urged people with non-life-threatening conditions to call Healthdirect instead of attending the ED, but some doctors question the effectiveness of this advice.
  • A major factor behind the overcrowding is a lack of available hospital beds, with many acute beds occupied by patients who can’t leave due to delays in aged care or NDIS accommodation placements.
  • Despite claims of more health workers and new beds in the system, frontline staff and the doctors’ union continue to call for greater state government investment in public health to address capacity and resourcing issues.
Have you or a loved one experienced long waits in a NSW emergency department? Do you think the government is doing enough to fix the problem? What alternatives have you tried for non-urgent care? We’d love to hear your stories, tips, and suggestions—share your thoughts in the comments below.

Read more: Hospital trial pushes for better support for senior Aussies. How can you benefit from it?
 

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I think it is a problem in every state and territory of Australia. Ambulance ramping is at it's worst here in WA and the premier was trying to deny it for months. Talk about bury your head in the sand. Not going to make any ground with that sort of attitude. A racetrack is of far more importance you know than the people's health of WA!
 
I think it is a problem in every state and territory of Australia. Ambulance ramping is at it's worst here in WA and the premier was trying to deny it for months. Talk about bury your head in the sand. Not going to make any ground with that sort of attitude. A racetrack is of far more importance you know than the people's health of WA!
I am in WA. Could not agree more. My mum (102 in october) is in hospital at the moment. She has lived with me for 44 years and I am her full time carer. She has a recurring pnuemonia problem and needs to be in hospital. Could not get into Joondalup as there was a 10 hour wait, did not want to go to charlies with all the problems so we paid a $300.00 admittance fee to get into Hollywood. No waiting and a bed guaranteed. Worth every penny. Great staff and they look after me as mum in isolation. I have to be with her during the night. Who wants a track that cars just go round and round.
 
I needed a change in antibiotics as the one I was currently given had given me the severe runs. The instructions were if you are a patient. Press 1 o.k. further instructions if this is an emergency ring 000. In future tele consults will not be bull billed. Sorry your current G.P. Is away the only available G.P has a vacancy 3 days time.RIGHT I Have RUN OUT OF Gastro STOP AND MY Chest IS WORSE. PUFFERS ARE NOT WORKING. OK GO TO WESTMEAD AND SIT FOR 8 HRS. turning blue with.my emergency. Ok.try an ambulance.Wait times ?. OH WELL I AM 81 PASSED MY USED BY DATE.
 
I am in WA. Could not agree more. My mum (102 in october) is in hospital at the moment. She has lived with me for 44 years and I am her full time carer. She has a recurring pnuemonia problem and needs to be in hospital. Could not get into Joondalup as there was a 10 hour wait, did not want to go to charlies with all the problems so we paid a $300.00 admittance fee to get into Hollywood. No waiting and a bed guaranteed. Worth every penny. Great staff and they look after me as mum in isolation. I have to be with her during the night. Who wants a track that cars just go round and round.
I’ve been to Hollywood hospital for minor surgery. Have to agree, it’s a great hospital. You actually feel like a person there instead of just another burden.
 
At least the author of the article acknowledges the problem is not the shortages of ambulances, but the shortage of hospital beds and hospital staff!
It's about time the politicians realised this instead of commissioning more ambulances to ramp...
 
some stupid people take their kids, even if they have a sore big toe.
it is the parents without plain basic child skills who are the problem. my thoughts.
 
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Yep, that's what happens when the cost of living means you can't afford to pay for a doctor's visit, because the majority don't bulk bill anymore, and those who can afford it have to wait anything up to 3 weeks (my experience) for a serious issue, which the hospital does not recognise as "urgent"!

Where else can you go and what else can you do????
GO TO THE NEAREST HOSPITAL...!
It's not bloody rocket science!
 
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some stupid people take their kids, even if they have a sore big toe.
it is the parents without plain basic child skills who are the problem. my thoughts.
Because, they know if they go to a private doctor (if they can get an appointment) he will send them to a private radiologist, who will send results for another appointment to the private doctor to get it sorted!
Work out the cost!
Or, send you to a public hospital for X-rays... back to square one!

Medical Care is a human right, not a luxury!
 
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In the meantime instead of building hospitals the government is building phucking windmills. We need medical treatment not cracked wheat?
 
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some stupid people take their kids, even if they have a sore big toe.
it is the parents without plain basic child skills who are the problem. my thoughts.
So agree. A number of years ago, I took my Husband, Type 1 Diabetic, to the local Hospital, Saturday. Sitting in Emergency, Parents with kids, who need discipline, running around, banging into people, (Husband had ripped his shin open,) parents outside smoking. After 3 hrs, my Husband said `go home, I will get them to ring when I`m seen to. Another 3 hours later he rang. Long overdue for his insulin, food etc. Not Staffs` fault, but the bludgers who block up the emergency department.
 
I think it is a problem in every state and territory of Australia. Ambulance ramping is at it's worst here in WA and the premier was trying to deny it for months. Talk about bury your head in the sand. Not going to make any ground with that sort of attitude. A racetrack is of far more importance you know than the people's health of WA!
That is the whole point of that racetrack. The Romans, you see, pioneered that tactic to create a diversion with their hero Gladiators and Chariot races so the people don't notice what is really going on.
I noticed that since I was just into my teenage years. as long as the beer flows and the Footy gets played no one cares. Case in point, what was deemed essential services during Covid lockdown. YES the beer and the Footy/Tennis.
 
Who are they kidding? I work in an E.D. and the minor injuries and ailments that come through there is just amazing. People come in with a sniffle, with a small cut and so many other underwhelming problems. People are now calling an ambulance for a minor trauma thinking that they'll get a bed straight away. That's not the way it works. They're taking up valuable Ambo's time when it would be better served them going to what they're there for, "EMERGENCIES". I had a lady come in one day with a wart that had been there for ages on a Saturday afternoon and wondered why she was not seen immediately! If you have a cold or a scratch, stay at home and go to bed instead of spreading what you have with people that have serious injuries/sickness. I'v e seen people sit there for hours, complaining about not being seen, they don't see the people coming in having a heart attack or another major trauma. Ultimately a lot of them go home with some antiseptic and a bandaid. When they come in and wait for 20 minutes then leave, how serious was the ailment in the first instance. I understand that not many Drs bulk bill any more but it's called an Emergency Department for a reason. So please once again, if you have a sniffle or a paper cut, please stay home. This will make a big difference to the wait time for people with serious conditions.
 
  • Like
Reactions: DLHM
Who are they kidding? I work in an E.D. and the minor injuries and ailments that come through there is just amazing. People come in with a sniffle, with a small cut and so many other underwhelming problems. People are now calling an ambulance for a minor trauma thinking that they'll get a bed straight away. That's not the way it works. They're taking up valuable Ambo's time when it would be better served them going to what they're there for, "EMERGENCIES". I had a lady come in one day with a wart that had been there for ages on a Saturday afternoon and wondered why she was not seen immediately! If you have a cold or a scratch, stay at home and go to bed instead of spreading what you have with people that have serious injuries/sickness. I'v e seen people sit there for hours, complaining about not being seen, they don't see the people coming in having a heart attack or another major trauma. Ultimately a lot of them go home with some antiseptic and a bandaid. When they come in and wait for 20 minutes then leave, how serious was the ailment in the first instance. I understand that not many Drs bulk bill any more but it's called an Emergency Department for a reason. So please once again, if you have a sniffle or a paper cut, please stay home. This will make a big difference to the wait time for people with serious conditions.
So true, why do some people feel entitled. Maybe there should be someone on the door asking what is wrong before they are allowed in. At times when my mum has been in the ED waiting for a bed on the wards there are people with police that are drunk or overdosed taking up a valuable bed.
 
Health direct is useless. They tell you you need to see a doctor. Yep that’s why I called my doctor is closed. My husband was discharged from hospital and put on Hospital At Home. The best service ever. If a nurse can check you over the phone, why can you not get a nurse to do house calls.
 

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