There are 21 trusts whose performance against the four hour emergency target has been consistently below 85 per cent since April, HSJ analysis reveals.

It comes as the chief executives of two trusts whose performance has been consistently poor during 2017-18 announced their resignations.

HSJ understands that ministers and NHS Improvement do not want to allow performance on emergency care to be “normalised” below 85 per cent, and to send a clear warning to chief executives that they must do everything within their power to improve.

National data on emergency performance shows there are 21 trusts whose four hour target performance has been 85 per cent or under for at least four of the past five months.

There are 10 whose performance has been 85 per cent or under in each of the first five months of the year, and a further 11 whose performance has been 85 per cent or less in four of the five.

East Kent Hospitals University Foundation Trust has the worst performance, slumping from around 78 per cent in June to 70 per cent in August. Its chief executive Matthew Kershaw resigned on Friday afternoon.

However, there are several trusts with performance worse than that of North Middlesex, whose chief Elizabeth McManus also resigned. There are seven trusts which have been at 85 per cent or lower since the beginning of 2017-18, whose performance was under 80 per cent in August. North Middlesex has not yet dipped below 80 per cent this year.

The following trusts missed the target in each of the first five months of 2017-18.

TrustAugustJulyJuneMayApril
East Kent Hospitals University FT 70.0% 70.1% 78.2% 76.8% 76.9%
The Princess Alexandra Hospital Trust 74.9% 73.3% 75.0% 78.1% 79.0%
Portsmouth Hospitals Trust 74.0% 78.6% 81.6% 75.0% 79.1%
United Lincolnshire Hospitals Trust 77.6% 78.0% 81.5% 76.9% 82.2%
Shrewsbury and Telford Hospital Trust 76.6% 78.6% 79.6% 77.5% 84.5%
University Hospitals of Leicester Trust 83.2% 79.8% 77.6% 76.3% 81.0%
Wirral University Teaching Hospital FT 79.3% 76.9% 81.1% 79.8% 82.2%
University Hospitals of North Midlands Trust 79.8% 80.9% 81.1% 79.5% 84.7%
Worcestershire Acute Hospitals Trust 79.8% 82.4% 82.9% 82.7% 81.2%
North Middlesex University Hospital Trust 80.3% 81.9% 82.1% 83.7% 82.4%

The following trusts have missed the target in four of the first five months of 2017-18.

TrustAugustJulyJuneMayApril
North Bristol Trust 73.2% 75.7% 79.1% 78.8% 86.2%
Aintree University Hospital FT 82.3% 80.8% 78.4% 78.8% 86.1%
Walsall Healthcare Trust 79.5% 82.3% 85.0% 81.6% 85.8%
Gloucestershire Hospitals FT 88.1% 83.5% 79.9% 80.0% 82.8%
University Hospitals Coventry and Warwickshire Trust 84.4% 82.3% 83.0% 79.8% 85.1%
West Hertfordshire Hospitals Trust 82.5% 82.9% 89.0% 84.0% 76.5%
East Lancashire Hospitals Trust 88.6% 78.6% 83.6% 83.4% 81.8%
Bolton FT 78.3% 84.8% 84.7% 86.4% 82.5%
Heart of England FT 82.8% 83.6% 83.5% 83.2% 86.6%
Pennine Acute Hospitals Trust 85.0% 84.5% 83.5% 86.4% 80.9%
Nottingham University Hospitals Trust 85.5% 83.8% 82.8% 80.1% 82.3%

 

 

 

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Resignations send stark warning to chief execs on A&E performance