Crispin Dowler is bureau chief for the team at HSJ that covers NHS providers and NHS finances. His own focus is on NHS finance and finance policy. He has been with HSJ since 2010 covering NHS finance, private healthcare providers, and the North West. He won staff journalist of the year (professional media) in the 2012 Medical Journalists' Association awards, and was shortlisted for writer of the year (business media) in the 2013 Professional Publishers Association awards.
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Carter savings ‘won’t be enough’, experts warnSubscription
The Carter report has illustrated how difficult it will be to extract further savings from the hospital sector, think tanks have warned.
The past three years have seen a steep rise in the amount of NHS elective care being commissioned under “block contracts”, according to data shared exclusively with HSJ.
As the NHS approaches the end of one of the toughest years in its history, the Deparment of Health is going to desperate measures not to bust its budget, writes Crispin Dowler
Carter to back new measure of nurse productivitySubscription
Lord Carter’s review of NHS productivity is to recommend that a new metric – “care hours per patient day” – should become the principal measure of hospitals’ use of nurses and healthcare assistants from April, HSJ has learned.
NHS ordered to use fines to boost DH bottom lineSubscription
All fines against NHS providers for breaching performance targets in the remainder of 2015-16 must be used to prop up the health service’s financial position and help the Department of Health avoid blowing its budget, commissioners have been told.
NHS Improvement has agreed the structure of the executive team that will remain after Monitor has merged with the NHS Trust Development Authority in April, HSJ has learned.
NHS providers have been given until 8 February to agree to nationally dictated financial targets to secure their share of next year’s £1.8bn “sustainability and transformation fund”.
NHS regulators will meet with financially challenged trusts this month to agree urgent moves “including headcount reduction” aimed at reducing their deficits before the end of March, it emerged this evening.
Big cuts set out for NHS England central budgetsSubscription
NHS England aims to make significant cash cuts to its £1.7bn central budgets in coming years, as it scales back its centrally run programmes to free up funds for frontline work on service transformation.
NHS England’s chief financial officer has warned the board of a “substantial risk” that costs will ”significantly” outstrip the budget he has set for specialised commissioning next year, due to an ‘unprecedented stream’ of new and expensive drugs and treatments.