The government is being warned it must take corrective action now to address the overcrowding crisis in hospitals.
It comes as the latest figures from the Irish Nurses and Midwives Organisation show 11 thousand 856 patients were on trolleys in May, including 300 children.
1,857 of those were left waiting for beds at University Hospital Limerick, up 1% on the same month last year and a rise of 755 on May 2019.
The numbers were higher than January, which saw the worst levels of daily hospital overcrowding since the INMO began counting trolleys.
General Secretary of the nurses union, Phil Ní Sheaghdha says unless action is taken now the problem will be even worse next winter.