Waiting time targets at North Middlesex University Hospital are struggling to be met, a report has revealed.

The investigation into the impact of the closure of accident and emergency at Chase Farm Hospital by Healthwatch Enfield has shown that attendances at North Mid’s A&E have not soared to the predicted levels.

Figures suggest a slight rise at the hospital, in Sterling Way, Edmonton, from around 3,000 a week to 3,500 a week, under half the predicted figure when the Enfield hospital controversially closed its A&E in December 2013.

However, figures from the health watchdog show the hospital has continued to miss the percentage target for seeing patients within four hours in A&E.

The average in the last quarter was down at 91 per cent of patients seen within four hours, the lowest in the past three years.

Yet the report found that the drop in patients seen was not as a consequence of the services closing at Chase Farm Hospital.

In addition, waiting times at Barnet Hospital, in Wellhouse Lane, have improved since the closure of Chase Farm A&E

Chase Farm Urgent Care Centre is seeing an increasing number of patients (up to 900 a week at the busiest time) and consistently seeing them within a two-hour time target.

Lorna Reith, Healthwatch Enfield chief executive, said: “Local people should feel reassured that the closure of the A&E at Chase Farm Hospital has not resulted in poorer urgent and emergency care services at local hospitals.

“However, performance at the North Middlesex University Hospital A&E remains a concern. We have raised this with the trust and appropriate authorities and we are aware that the hospital is taking action to improve the service. We will continue to monitor local A&E and urgent care services and make this information available to local residents.”

The report concluded that the closure of the A&E at Chase Farm has not had an adverse impact on the people of Enfield accessing emergency services.

A spokesman for North Middlesex University Hospital said: "All patients are prioritised on arrival in A&E depending on clinical need and their waiting time varies accordingly, the most urgent being seen first.

“Mostly we achieve the national waiting time target for all 500 A&E patients we see on average each day, admitting or discharging 19 out of 20 patients within four hours of arrival. We are continuing to work hard with our health partners to improve waiting time for everyone."