PERFORMANCE: The Urgent Care Centre at University College London Hospitals was criticised as over-expensive by an external team because it employs GPs rather than nurses, minute reveal.

The minutes presented to the December board said: “[The Department of Healtth] Emergency Care Intensive Support Team felt that staffing it with GPs, rather than clinical nurse practitioners, was costly.”

The minutes added: “Over the previous two quarters our performance had exceeded the 95% target and was better than the London average. However, performance in London and across the country had progressively deteriorated in the past three years owing to pressure on services, both emergency and elective. In recent weeks we had experienced unprecedented levels of attendance which, on many days, had reached 400.

“We were anticipating a continued increase over the over the next few years as no arrangements were being put in place on a wider basis that would relieve the pressure on emergency departments.”