PERFORMANCE: University Hospitals Bristol Foundation Trust has improved performance against the time to initial assessment A&E indicator by 15 per cent in a month.

At the end of April just 76 per cent of patients who arrived in A&E by ambulance had their initial assessment within 15 minutes of arrival against a target of 95 per cent, in line with the new A&E indicators which were due to come into effect on 1 July.

At the end of May performance was 91 per cent.

A report to the June’s board meeting revealed data collection had been significantly below the 95 per cent standard, partly due to issues with the process of data capture, but also “due to the initial assessment time being carried-out when the clinical management plan was started in some cases (e.g. patients requiring resuscitation)”.

It stated: “This meant a treatment time had been recorded, but an initial assessment time was missing. Where the initial assessment time is missing, treatment times are now used as the assessment time.”

The trust has developed a programme of work to improve patient flow and enable the 95 per cent four-hour standard and the new A&E indicators to be met during 2011-12.

It has three workstreams: front door, patient flow and patient discharges.