PERFORMANCE: Heart of England Foundation Trust is failing to achieve 30 minute handovers in nearly half of cases.

The trust is named by NHS West Midlands as failing to meet the 30 minute target on average for 2010-11. In April only 56.2 per cent of patients were handed over by ambulance crews within 30 minutes.

There has been no significant improvement across the region, with 71.5 per cent of ambulances turned around within 30 minutes.

In December, there was a significant decrease believed to be due to more unwell patients taking longer for assessment and management in A&E departments. It is likely that poor flow control was a significant contributor.

There are six Trusts that have not met 70 per cent turnaround for the majority of months- HEFT, University Hospital Birmingham FT, Dudley Group of Hospitals FT and three trusts from the Arden cluster, which covers the Warwockshire and Coventry areas.

HEFT also contributes to between 30 and 50 per cent of all handovers over 60 minutes, but with an improving trend since January.