Quarterly performance of the NHS provider sector: quarter 1 2018/19


The start of the financial year saw frontline staff cope with record A&E attendances, high bed occupancy levels and improved discharge rates. The sector ended the quarter £814 million in deficit – £22m better than planned at the beginning of the year but £78m worse than the same quarter last year.

Key findings

  • despite intense operational pressure, NHS staff saw more people in under four hours than in the same period last year

  • freeing bed capacity will improve providers’ ability to perform elective work and prepare for winter

  • results are mixed on performance standards for planned care

  • operational pressures continue to have a material impact on NHS finances

  • agency spend remains under control, but there are high levels of vacancies that are difficult to fill

  • providers are achieving significant savings but below ambitious cost improvement targets, and their continued focus on productivity is critical 

  • despite constrained capital funds, major improvements in patient facilities were given the go-ahead

  • staff vacancies are increasing and are forecast to rise more throughout the year

"Staff are working extremely hard to cope with a rise in A&E attendances and high occupancy levels.

A&Es up and down the country have been successful in treating more patients than ever before within four hours. We are helping trusts ensure that no-one stays in hospital longer than they need to, so that beds are free for other patients who urgently need them.”

Ian Dalton, Chief Executive of NHS Improvement

Is there anything wrong with this page?

Help us improve this website

Do not include any personal, sensitive or confidential information.