PEFORMANCE A North Durham CCG board paper warns that County Durham and Darlington NHS Foundation “continues to struggle to achieve performance” for A&E waiting times.

It says: “The impact of handover delays is being demonstrated in the non-achievement of the target.

“Activity levels are being monitored for A&E however this does not demonstrate the reason for increased pressure in the trust. This appears to be down to access to medical beds with one cause related to fact that during periods of increased demand for admissions GP urgent referrals are also brought via A&E which adds further pressure to the department,” it warns.