PERFORMANCE: A lack of medical beds has seen North Bristol Trust miss the four hour accident and emergency target every month since September 2011 and is compromising performance against the 18 week referral to treatment target.

A report to January’s board sets out an action plan for addressing the problem including a review of staffing levels and daily telephone conferences with the local primary care trust “to review all patients awaiting repatriation to other hospitals”.

It blames the problems on a range of factors, incuding an “amalgamation” of two medical assessment units, pressure from the introduction of single sex accomodation requirements, an increase in ambulances arriving at A&E and a reduction of beds in the burns ward for infection control reasons.

The report warns the performance issues could have a negative impact on the trust’s foundation trust application and ambition to be designated as a major trauma centre.

Services, including A&E, are due to move into a new private finance initiative hospital in 2014.