PERFORMANCE: GP referrals in the Birmingham and Solihull area are 32 per cent above plan in May this year, with other activity level indicators also showing significant overperformance.

Cluster board papers show that for month two of 2012-13 that GP referrals were 15 per cent higher than for the same period last year, meaning that they were 32 per cent off target.

The papers suggested the problem could be concentrated on high activity levels at Heart of England Foundation Trust, which serves the Solihull and Birmingham East and North primary care trust areas.

In Solihull and Birmingham East and North they were even worse, at 21 per cent and 17 per cent up on last year respectively.

First outpatient attendances were almost 8 per cent above plan at the end of May, and 7 per cent higher than at the same stage last year, with the largest increase of 16 per cent taking place in Solihull.

Other referrals were 25 per cent above plan and 19 per cent higher than in 2011-12, with the greatest increases again at Solihull (31 per cent) and Birmingham East and North (28 per cent).

Elective admissions were 16.5 per cent above plan and 8.5 per cent higher than at the same stage last year across the cluster.

However the largest elective admissions increase was in the Heart of Birmginham area where there was a 14 per cent year on year increase. All the other localities had a rise of around seven per cent.

The board papers said: “A piece of work to analyse and check these figures is currently underway between the business intelligence and finance departments.

Non-elective activity was 1.55 per cent down on plan in May and 1.3 per cent lower than at the same stage last year.