The spread of COVID-19 will have a profound impact in the UK. The latest modelling shows that it will be a significant challenge to meet the national requirement for hospital beds. The demand for ICU beds will outstrip current surge capacity by almost 100%, even general hospital bed capacity will be insufficient to meet demand. The NHS has responded with urgent guidance requiring all providers to increase critical care capacity by emptying hospitals of any dischargeable patients. Crucially, to be able to discharge patients from acute hospitals, it means increasing capacity in community services.