Despite still missing A&E waiting time targets many west London hospitals are beginning to show improvement with many trusts are back on target.

However figures released by NHS England show that one in 10 patients are still waiting too long at some west London A&Es.

Despite being the worst performer in the area for hitting the four hour waiting time deadline, London North West NHS trust - responsible for Ealing Hospital, Northwick Park and Central Middlesex hospitals - is steadily improving.

In the week up to January 25, 89.2 per cent of patients at London North West NHS trust waited less than four hours from arrival to admission, transfer or discharge, up from 87.3 per cent the week before and up from 84.6 per cent at the start of the month.

Director of operations at London North West NHS trust, Tina Benson said: “We are not unique in experiencing pressures on our A&E departments. We are working on a range of initiatives to improve performance in our A&E departments and expect to see the results of these in the coming weeks.”

However, the A&Es are still missing the target for 95 per cent of patients to wait less than four hours, a target which has now been missed for 16 weeks running, the trust came into being at the start of October.

Imperial College Healthcare (93.3 per cent) also missed the target and has missed it for 17 weeks.

West Middlesex, Chelsea and Westminster, North Middlesex and Hillingdon hospitals all hit the target in the week to January 25.

Across England, the proportion of patients seen within four hours in A&E continues to improve following the Christmas and New Year crisis.

In the week to January 25, 93 per cent of patients waited less than four hours from arrival to admission, transfer or discharge, up from 92.4% the week before and up from 86.4 per cent at the start of the month.

Major A&Es saw 89.4 per cent of patients in four hours, up from 88.5 per cent the week before.

However, A&Es are still missing the target for 95 per cent of patients to wait less than four hours, a target which has now been missed for 17 weeks running.

Hospitals in England cancelled 1,565 elective operations in the week to January 25, down from 1,812 the week before.

In the week to January 25, 4,781 ambulances were forced to wait outside A&Es for more than 30 minutes, down from 5,638 the week before.