PERFORMANCE: One patient attended A&E at the Royal Wolverhampton Hospitals Trust 90 times between April and December last year - or roughly once every three days.

The frequent attender was one of 50 patients who accounted for 930 visits to A&E in the period.

“The impact of this is felt operationally where additional pressure is an placed on an extremely busy service that constantly deals with high volumes of patients,” a report to February’s board meeting heard.

Reducing these attendances would also impact on some A&E indicators such as those for patients who left without being seen or who make unplanned reattendances. The trust believes its performance on this last measure could be affected by up to 1 per cent by the frequent attenders.

The trust is now talking to mental health teams, community matrons and GPs about this “top 50” to see how their individual health and social care needs can be supported and is looking at future preventative work.