PERFORMANCE: The foundation’s already failing performance against the key waiting time indicator for accident and emergency treatment deteriorated further in December.

The proportion of A&E  patients seen within four hours fell to 94.7 per cent, from 95.1 per cent in November, against a target of 98 per cent or higher, NHS Bolton board papers show.

The papers also show that RBH’s performance against the 18 week referral to treatment target for orthopaedics deteriorated in November (the last month for which it had confirmed figures). The proportion of admitted patients seen within the time limit fell to 64.9 per cent, from 75.5 per cent in October. For non-admitted patients it fell from 87.2 per cent to 78.1 per cent.

In both cases the foundation’s performance was lower than the average across the Bolton health economy.

The PCT also estimated that performance across Bolton against the non-orthopaedics 18 week RTT waiting times target had deteriorated in December.

In relation to that target, the report stated: “The issue of RBH’s poor performance was discussed at the recent joint Operational Liaisons Group meeting. RBH has been tasked with developing a robust action plan by 27th January 2011 and identified trajectories which will ensure achievement of the admitted and non-admitted targets at specialty level.”