Threefold ICS variation in GP phone access revealed
Patients trying to reach their GP are almost three times as likely to fail to get through in the worst-performing integrated care systems than the best, according to analysis of new annual figures.
Exclusive: NHSE begins to claw back funding from ICSs to pay off historic debts
Three-quarters of integrated care systems face funding cuts of up to £20m as a result of NHS England’s insistence they start paying back overspends from previous years, HSJ analysis has discovered.
The Integrator: The ‘race to the bottom’ in ICS finances
Insider tales and must-read analysis on how integration is reshaping health and care systems, NHS providers, primary care, and commissioning. This week by deputy editor Dave West.
National programme seeks new ‘GP operating model’
Seven integrated care boards are to test new “operating models” for GP provision under a wide-ranging programme backed by NHS England, they announced today.
‘Inadequate’ action on cap-ex changes leading to ‘suboptimal’ decisions
Capital spending plans in some health systems are being adversely impacted by an accounting change that was not supposed to affect operational decisions.
Trust appoints fifth CEO in as many years
Embattled Norfolk and Suffolk Foundation Trust has appointed a new interim chief executive just a week after incumbent Stuart Richardson stood down.
Exclusive: Government and NHS in talks over £1bn funding gap
Government is in talks with national NHS leaders over how to fill an urgent funding gap of at least £1bn this financial year, HSJ has learned, as new analysis shows all 42 local integrated care systems were behind their own plans less than halfway through 2023-24.
Fourth CEO in five years leaves under-pressure trust
The chief executive of one of the NHS’s most troubled trusts is standing down following sustained criticism about the leadership team’s efforts to turn around the organisation.
Revealed: the ICSs where delayed discharge rates have doubled in a year
More than half of integrated care systems have managed to cut their rates of delayed discharges this year, but performance worsened in 16 ICSs.
‘We’ve got no magic fix’ admits director of trust with ‘culture of fear’
The deputy leader of a trust rated ‘inadequate’ by a health watchdog four times in the past decade has admitted the necessary changes to its culture may take a further four years.
Revealed: First ICS digital maturity ratings
HSJ can reveal the first ratings given to every integrated care system for the ‘digital maturity’ of its NHS providers.
Senior trust CEO takes on top job at second major trust
East Suffolk and North East Essex Foundation Trust chief executive Nick Hulme has been appointed interim chief at Norfolk and Norwich University Hospitals FT, the trusts have announced.
Poor data leaves trust unable to report on avoidable deaths
An independent review has raised concerns about a mental health trust’s reporting systems, including what appeared to be a large number of patient deaths shortly after leaving the trust’s care.
Four NHS chiefs awarded birthday honours alongside maternity campaigners
Four NHS chief executives were among those recognised in the King’s Birthday Honours, along with public health leaders and safety campaigners.
Revealed: the tenfold regional difference in access to GP records
Fewer than one in 10 GP practices offers patients access to their records in several areas of England, with significant variation across England, six months ahead of a new deadline.
Revealed: The integrated care partnerships with no public meetings or minutes
Six integrated care systems have not held any public meetings of their ‘partnership’ boards – and nine have not published any ICP meetings or papers – nearly a year after they were set up.
Six systems pulled up by NHSE over poor cancer diagnosis performance
NHS England has demanded recovery plans from six systems with a poor record on delivering urgent cancer checks.
Revealed: ‘How NHSE plans to split trust if turnaround fails’
Options around the future of a troubled mental health trust are set to be presented to ministers by the end of next month.
Trust staves off break-up calls after CQC upgrade
A troubled trust has most likely secured a reprieve from being broken up after the Care Quality Commission upgraded its rating, but its leaders accept they still have a ‘long way to go’.