PATIENTS are facing unnecessary delays and confusion over access to emergency care, says a report.

In the most comprehensive review of NHS emergency and urgent care services the Healthcare Commission found wide variations in how patients across England were treated.

People are confused over where to seek help, face unnecessary delays on being admitted to hospital, and some out-of-hours care is poor, it said.

More than one in three out-of-hours services cannot show they meet national requirements on assessing patients in a set time.

Kirklees Primary Care Trust was placed in the “fair” category, the third out of four sections.

Care in Calderdale PCT area was in the bottom “least performing” section.

There were also fears over how quickly patients taken to hospital accident and emergency departments in an ambulance start receiving care.

Overall, 50 primary care trust areas (33%) were ranked “best performing” in urgent and emergency care, 41 (27%) were “better performing”, 33 (22%) were “fair” and 28 (18%) were “least well performing”.

Hospital A&E services in Calderdale and Kirklees are provided by the Calderdale and Kirklees NHS Foundation Trust.

Services in the Dewsbury district are provided by the Mid Yorkshire Hospitals NHS Trust.

.