PERFORMANCE: Rising non-elective demand at Heatherwood and Wexham Park Foundation Trust has caused performance to slip against targets.

Board papers said that, as expected, the closure of an accident and emergency unit in nearby High Wycombe had led to greater demand for urgent care at Wexham Park.

The trust’s division A performance on cancer waiting times was sliding month on month, with 78.6 per cent of patients receiving treatment within 62 days in October, down from 83.3 per cent in September and 95.7 per cent in August.  Increased activity was among the reasons given.

The trust dipped below the target for 95 per cent of A&E patients to be discharged or admitted within four hours. The trust’s figure of 94.9 per cent for October was down from 96.2 per cent a month earlier. A mid-month figure for November stood at 90.5 per cent.

The dip in performance was “caused by a combination of both surgery and medicine experiencing acute pressure on capacity simultaneously which adversely impacted on availability of beds and flow from A&E into the wards”, papers said.

Unplanned A&E reattendances were red rated, saying persistently above 5 per cent in the three months to October.