You’re missing the point. We know for sure that in Lombardy the hospitalisation rate was higher than 1 in 1000 people infected.
To get such a count we would need 100% serological testing which has not been done. We know how many were infected at the time of testing but the whole point of the Oxford model is that we do not know how many have been infected, not shown symptoms, and recovered.
Once again, the core point of the Oxford model was to emphasise the need for serological testing.
We definitely know it’s higher than 1 in 1000.
Unless you all think that the number of people infected may be higher than the number of people.