PERFORMANCE: Emergency and elective admissions have exceeded plan in Birmingham and Solihull, with particular pressure around the Heart of England Foundation Trust.

Primary care trust cluster board papers say that accident and emergency attendances across the cluster were 3.85 per cent higher than plan for the year to the end of January.

However for Heart of England that figure was nine per cent above planned levels.

The papers say: “All of the cluster’s providers are on track to deliver the A&E four hour target for both the year and for quarter four, despite recent seasonal pressures which put the target at jeopardy particularly at HEFT.

“[That] trust implemented a series of measures across all its sites to address this and these appear to have been successful in enabling the trust to deliver the target.”

Elective admissions for the year to February were four per cent above plan, and four per cent above the same time last year.

The papers say: “The most significant variances were at HEFT where elective ordinary admissions and day case admissions were almost 6 per cent higher than plan, University Hospitals Birmingham where they were 3 per cent higher, and Royal Orthopaedic Hospital where they were nine per cent higher than plan.”

While first outpatient attendances were nince per cent lower than plan, follow up attendances were more than 11 per cent above plan.