PERFORMANCE: Minutes of a board meeting at West Middlesex University Hospital said chief executive Jacqueline Docherty noted “a number of staff from Hounslow [had been] appointed to senior positions” in the cluster and “advised the board there are concerns that the current quality monitoring meetings are not as effective as they could be”.

The minutes said Ms Docherty intended to “raise this with the [cluster] chief executive if the situation remains unchanged over the coming months.”

The sub-cluster referred to in the paper is part of the north west London cluster and consists of Hounslow, Ealing and Hillingdon primary care trusts.

The minutes also reported WMUH’s board had concerns “about the adequacy of support for mental health patients”.

The document said Ms Docherty had responded saying: “The most significant challenge facing the trust is the physical environment within A&E which is not always conducive to caring for patients with severe mental health issues. The A&E team is working with the Mental Health Unit to develop a fast track pathway.”

It added: “A review is also underway by Commissioning Support for London to review the pathways of care in the sector which is due to report recommendations in the Spring.” 

Mental health services in the area are provided by West London Mental Health Trust.