PERFORMANCE: Recent board papers from North Durham CCG warn that County Durham and Darlington NHS Foundation Trust is continuing to “struggle” to achieve performance in recent months against its A&E four hour target, with performance “significantly below 95 per cent”.

The CCG papers say that weekly “breach meetings” have been reinstated from beginning of June with the expectation that the trust “attain their 95 per cent performance target.”

They state: “The development of the urgent care strategy is a critical component of the longer-term planning to deliver sustained improvements in both urgent care and A&E.

“Linked to this, and in response to a requirement from NHS England, an urgent care board is being established in an effort to improve A&E performance. This board will link with the other two boards - community and intermediate care; and planned care. It is recognised that the issues experienced in A&E are a symptom of whole system working and whilst some developments are CDDFT specific some require commissioning and primary care developments.”