Monitor has warned Derby Hospitals Foundation Trust that it must improve emergency department waiting times and its financial performance.

This comes after the trust failed to meet two key targets it had been set in April, when it was agreed that the trust would develop an action plan to ensure it met the target to deal with 95 per cent of accident and emergency patients within four hours and would break even financially.

The trust has failed to meet the A&E target and has a deficit of £1.9m.

Monitor is also concerned that the trust is not taking action to tackle the number of C difficile cases or to reduce the number of patients waiting more than 18 weeks to be referred for treatment.  

Adam Cayley, the regulator’s regional director, said: “We agreed a clear plan of action with the trust, so it is disappointing to see that it has been unable to deliver on the commitments it made in April.”

He added: “Patients expect that they will be seen quickly and receive good quality care from their local hospital. For this to happen, a trust needs to be well run. Derby must ensure immediate and effective action is now taken. Monitor will have to consider what changes will need to be made if the trust does not demonstrate rapid improvements.”

In the trust’s latest board papers the failure to meet A&E targets was put down to “a higher acuity of patients than experienced in previous years” and “higher overall unscheduled care admissions”.