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A quarterly report detailing feedback from patients about New South Wales' hospitals' performance has been released, and the results are not as positive as in the past, with increasing demand and patients with more severe illnesses and injuries leaving less satisfied.

While the report overall was quite positive, Australian Medical Association NSW president Dr Saxon Smith said Indigenous patients, non-English speakers and those with chronic illnesses reported lower levels of satisfaction.

鈥満诹铣怨先和鴖 in Sydney鈥檚 west and southwest are experiencing big spikes in demand for more acute service," Dr Smith said.

鈥淭his is impacting not only on patient experience but, as we saw last week, on hospitals鈥� ability to meet targets for emergency department performance.

鈥淔or example, the state average increase in the number of patients in the two most urgent triage categories are 5 per cent for triage one and 7 per cent for triage two.

鈥淲estmead鈥檚 emergency department received 15 per cent more triage one patients and 21 per cent more triage two patients in the last quarter 鈥� that鈥檚 three times the state average on both counts.

鈥淭his build-up of patient numbers has been happening year on year in NSW and western Sydney hospitals are copping the brunt of it.

鈥淭hese hospitals and the doctors and nurses that staff them are performing very good work and providing high quality care for their patients.

鈥淎t the same time, it is entirely understandable that increased patient load with increased acuity of injury and illness would take its toll on both patient experience and a hospital鈥檚 ability to meet targets. 鈥淚t shows that investment is needed in western Sydney hospitals so that their capacity reflects that of the populations they serve and the number of patients they see,鈥� Dr Smith said