One hospital has been asking others for iv lines - the tubes that carry fluid from bags of saline because they are running low.
Because the population in poor parts of london, has high incidences of diabetes which injures the kidneys there is a higher than usual incidence of renal failure. Kidney machines which are usually run continuously in intensive care are being shared between patients so that they can have 8 or 12 hour shifts. That might happen occasionaly - never in my icu - but since this week with increased icu bed numbers has become the norm.
Because many staff have become ill we have drafted in non icu nurses and consultants to share the workload.
Watford hospital closed at the weekend to all admissions Covid or not - no ED in one of the busiest UK hospitals. Elderly patients in homes are not being admitted and those in hospital are being discharged before they have recovered.
We have set up a transfer service so that my colleagues are transferring patients from the worst affected outer London hospitals to those with more capacity in inner London.
Just anecdotes but this is a non normal situation.
We are expecting it to get worse next week.