PERFORMANCE: The proportion of high risk South Warwickshire “mini stroke” patients assessed and treated within 24 hours stood at just 39 per cent in May, following a service reconfiguration.

The figure was up one percentage point from April, July board papers for the Arden primary care trust cluster show.

The target for 2012-13 is for 90 per cent of people at high risk of stroke who suffer a transient ischaemic attack to be assessed and treated within a day.

However performance has been consistent under this level over the past 12 months, and dropped to below 40 per cent from 69 per cent in March.

The papers show that the South Warwickshire clinical commissioning group raised the issue at a “board to board” meeting between themselves, the cluster and South Warwickshire Foundation Trust in late May.

The papers said: “TIA services have recently been reconfigured in Warkwickshire, so that high risk patients will transfer straight to University Hospitals Coventry and Warwickshire Trust at weekends.

“South Warwickshire Foundation Trust performance dropped significantly in April. The trust have confirmed at the last [commissioner and provider] meeting that the TIA issue was now fixed, and that a total of 8 patients breached; 4 of which were due to referrals being received on a Friday afternoon/Saturday.”

The other four were due to a shortage of “Doppler capacity” – referring to the carotid Doppler test, which assesses stroke risk.

Doppler capacity “has not previously been flagged as an issue”, the papers said. Two extra weekly Doppler slots have been added.