PERFORMANCE: Gloucestershire Hospitals Foundation Trust only managed to treat just over 90 per cent of patients in A&E in December within four hours.

Although the 95 per cent standard has been missed each month since September, the trust still expects to meet the standard overall for the year.

A report to January’s board meetings says that total first attendance at Cheltenham was 2 per cent up on the same period last year whereas the increase in Gloucester was 5.9 per cent.

The trust has revised its emergency nurse practitioner rota, opened winter pressure beds and is trying to address length of stay to improve bed availability for patients being admitted from A&E.

*The trust also had 239 breaches of the six week wait for diagnostics in December, reflecting issues in endoscopy which is seeing increased numbers of referrals.