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.
| Trust | August | July | June | May | April |
|---|---|---|---|---|---|
| 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.
| Trust | August | July | June | May | April |
|---|---|---|---|---|---|
| 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% |
Topics
- Acute care
- AINTREE UNIVERSITY HOSPITAL NHS FOUNDATION TRUST
- BOLTON NHS FOUNDATION TRUST
- EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST
- EAST LANCASHIRE HOSPITALS NHS TRUST
- Emergency care
- GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST
- Leadership
- NHS Improvement
- NORTH BRISTOL NHS TRUST
- NORTH MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST
- NORTHERN LINCOLNSHIRE AND GOOLE HOSPITALS NHS FOUNDATION TRUST
- NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST
- PENNINE ACUTE HOSPITALS NHS TRUST
- Policy
- PORTSMOUTH HOSPITALS NHS TRUST
- Quality and performance
- SHREWSBURY AND TELFORD HOSPITAL NHS TRUST
- THE PRINCESS ALEXANDRA HOSPITAL NHS TRUST
- UNITED LINCOLNSHIRE HOSPITALS NHS TRUST
- UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST (formerly HEFT)
- UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE NHS TRUST
- UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST
- UNIVERSITY HOSPITALS OF NORTH MIDLANDS NHS TRUST
- WALSALL HEALTHCARE NHS TRUST
- WEST HERTFORDSHIRE HOSPITALS NHS TRUST
- WIRRAL UNIVERSITY HOSPITAL NHS TRUST
- WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST
Resignations send stark warning to chief execs on A&E performance
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