PERFORMANCE: The 18 week referral to treatment target at University Hospitals of Leicester Trust is being impeded by the non availability of critical care beds or normal beds.

There are also pressures in general surgery. It is unlikely the trust will achieve this target at quarter four.

In addition, despite the reconfiguration of stroke services on the trust’s sites, the target for patients to spend 90 per cent of time on a stroke unit has improved but is not achieving the cumulative target.

The issue around scans within 24 hours for patients suspected of having a transient aschaemic attack is due to diagnostic capacity and therefore the trust is looking to extend the opening hours.

The trust has been stretching targets to deliver the stroke strategy within the five locally agreed commissioning for quality and innovation payments. They include significant improvements for occupational therapy and swallow assessments.