PERFORMANCE: High demand for emergency acute care at evenings and weekends led to the Portsmouth health system missing the national target on accident and emergency care.

May board papers for Portsmouth clinical commissioning group said: “The delivery of the A&E four-hour wait standard remains a challenge.

“System pressures continue to mitigate efforts to deliver the 95 per cent national standard. Quarter to date performance as at end of 28/4/13 was 88.4 per cent.”

The actual performance for the week was 93 per cent, an improvement on the previous week, they said.

“Analysis of breaches and performance against pathway standards shows that the majority of breaches occur during out of hours periods and/or are linked to backlogs created by high volumes of demand in the evenings and at weekends.”

There was an agreed system wide recovery plan in place to improve performance, the papers said.