Hospitals are also busier so staff being up doesn't always solve an issue
For example
Oct-march weave a won't escalation ward. 28 beds. This ward is now medical escalation and is all year round We have another ward open for winter escalation which is 24 bed. However it's open sept-may generally and they are looking at keeping this open. Both covered by bank and agency with only a handful of perm staff.
Amu I has gone from 36-50 beds. No extra perm staff.
Decision unit has gone for 8 bed to 20 with a 4 patient clinic. The old 8 bed is now frail and elderly decision. Decision unit perm staff hasn't increased. It's covered by bank and agency.
Liver clinic in gastro has moved to out patients. Gastro inc from 30 to 36 beds. No extra staff.
A surgical ward has no had 8 of it's 28 beds turned into step down from crit care. These patients should be nursed at a 1:4 ration. However only 3 staff are on shift due to staffing and if there's no staff to be moved they have to crack on with more demanding patients and less time for the other patients
We have had 2 modular 38 bed wards built. Again not enough perm staff to cover them.
Our old discharge lounge has been turned into a 16 bed ward. No extra staff despite patients on there requiring more intervention and care.
This is just off the top of my head. There will have been changes in areas I'm unaware of. But numbers rising in staffing doesn't ness match the increase in patients or their needs.