PERFORMANCE: Monitor has warned Cambridge University Hospitals Foundation Trust it may declare it in ‘significant breach’ of its terms of authorisation.

The trust said Monitor had sent it written warning and that it would face the regulator’s provider regulation executive, which would make the final decision.

Cambridge interim chief executive Karen Castille said: “The issues that Monitor raises are significant and we take them very seriously.

“We are already addressing many of these concerns and are improving our performance towards meeting targets every month.

“We are disappointed that Monitor is considering this step but if we are held in breach we are determined to reverse the situation as quickly as possible.”

The trust added it was working on an action plan “addressing the issues of concern”.

Monitor called the trust to its offices to discuss the issue last month, as reported by HSJ.  

The trust has been failing to meet a number of national standards, including those for referral-to-treatment and accident and emergency waiting times.

However, a report to its council of governors suggests the immediate cause of the regulator’s concern was Cambridge’s failure to treat a sufficient proportion of cancer patients within 62 days of urgent referral - a target it has missed for three consecutive quarters, triggering a red rating for governance.

Cambridge’s performance failings are analysed here.