Health Service Journal
24 May 2012

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Adopting clinical decision support systems - FREE HSJ webinar

HSJ invites you to view and participate in an exclusive FREE webinar on the growing importance of clinical decision support systems, in association with UpToDate.
An innovative approach to redesigned oncology services

Developing a successful acute oncology service to admitted patients and those in A&E called for some innovative thinking, explain Rob Smith and colleagues.
Analysed: a healthcare crisis facing Cumbria

HSJ Local Briefing is our new in-depth analysis of the key issues facing the NHS’s major health economies. This week, HSJ looks at the healthcare crisis in Cumbria.
Analysed: faltering foundation trust ambitions in Devon

HSJ Local Briefing is our new in-depth analysis of the key issues facing the NHS’s major health economies. This week: how the transforming community services programme is affecting Devon organisations’ foundation trust ambitions.
Barts Health Trust sees Project Diamond funding fall by £1.4m

FINANCE: The central London tertiary centre’s income from NHS London fell to £8.1m in 2011-12, compared to £9.5m in 2010-11.
Basildon and Thurrock cleaning services red rated

PERFORMANCE: Cleaning services in very high risk areas have been red-rated by Basildon and Thurrock University Hospitals Foundation Trust.
Basildon and Thurrock exceeds MRSA target

PERFORMANCE: Basildon and Thurrock University Hospitals Foundation Trust exceeded its yearly target for MRSA infections when a fourth case was confirmed two days before the end of the financial year.
Basildon exceeds surplus target

FINANCE: Basildon and Thurrock University Hospitals Foundation Trust finished the year with a surplus of £4.6m - against a planned surplus of just £0.1m.
Birmingham trust introduces new skin cancer drug

Two patients at Queen Elizabeth Hospital Birmingham were among the first in the country to start receiving a new anti-cancer drug within days of it being granted a licence.
Block contract trust sets two-year deal with commissioners

FINANCE: Whittington Health Trust has agreed a two-year block contract deal with commissioners
Bristol cluster gets £1m research funding boost

RESEARCH: The Bristol, North Somerset and South Gloucestershire primary care trust cluster has been awarded almost £1m to support clinical research.
Burns go-ahead for 2012 clinical excellence awards

NHS doctors will be able to get their 2012 round of Clinical Excellence Awards after health minister Simon Burns gave the go ahead.
Cambridgeshire and Peterborough has £1.2m surplus

FINANCE: Cambridgeshire and Peterborough Foundation Trust had a surplus of £1.2m, including impairments, in the last financial year, according to its draft accounts.
Cambridgeshire and Peterborough non-compliant against 23 indicators

PERFORMANCE: Cambridgeshire and Peterborough Foundation Trust was not non-compliant for 23 out of 36 indicators, its performance report has shown.
Cambridgeshire Community Services must triple its membership

STRUCTURE: Cambridgeshire Community Services Trust needs to more than triple its membership in six months if it is to meet its target of 7000 members in October.
Care bill to follow 'soon after' white paper

A draft bill on social care reform will be published shortly after the government’s white paper on the issue, which is still officially scheduled for publication later this month.
Colchester makes £12.3m surplus

FINANCE: Colchester Hospital University Foundation Trust made a surplus of £12.3m including one off payments for 2011-12.
Colchester red-rated on C. Diff

PERFORMANCE: Three C. difficile cases may lead to Monitor red-rating Colchester Hospital Foundation Trust for governance.
Commissioning board seeks £130k GP to 'influence CCGs'

The NHS Commissioning Board is advertising a series of senior jobs with salaries over £100,000, including a deputy medical director whose job will need to “actively influence CCGs in their commissioning decisions, providing assurance the activity has robust clinical leadership”.
Commissioning outcomes framework will enable meaningful quality improvement

The commissioning outcomes framework will help in measuring meaningful improvement in long term conditions, says NICE deputy chief executive Gillian Leng.
County Durham & Darlington overshoots 2011-12 QIPP

FINANCE: NHS County Durham & Darlington achieved 109 per cent of its planned QIPP savings target for 2011-12.
CQC finds minor concern at Littlebrook Hospital

PERFORMANCE: The Care Quality Commission has warned Kent and Medway NHS & Social Care Partnership Trust that it has found cause for minor concern at one of its sites.
Croydon interim chief executive will be applying for permanent job

WORKFORCE: The interim chief executve of Croydon Health Services Trust told a local paper he intends to apply for the permanent position when it is advertised.
Dartford and Gravesham records five mixed sex breaches

PERFORMANCE: Dartford and Gravesham NHS Trust has seen a slight increase in breaches of the Department of Health’s rules on mixed sex accommodation.
Data breach trust fined £90,000

A health trust plans to appeal after being fined £90,000 because details of almost 60 patients were sent to the wrong person, the information watchdog said.
Derbyshire chief executive seconded to push FT pipeline in North

WORKFORCE: Derbyshire Healthcare Foundation Trust chief executive Mike Shewan has been seconded to become director of provider development for the North of England.
Diarrhoea and vomiting at Western Sussex

PERFORMANCE: Western Sussex Hospitals NHS Trust has been hit by norovirus this month.
Drug costs 'have to be secret' under new pricing system

Drug prices agreed under the government’s proposed new pricing system would have to remain secret if drug companies are to buy into it, a senior figure in the pharmaceutical industry has warned.
East Lancs CCG given estimated operating budget of £8.98m

FINANCE: The clinical commissioning group set to replace NHS East Lancashire has been allocated an indicative running costs budget of £8.98m, a paper published by the NHS Commissioning Board today shows.
East of England fails ambulance response target

PERFORMANCE: East of England Ambulance Service Trust narrowly missed the 19 minutes ambulance response target in 2011-12 but met the target for an emergency response within eight minutes.
Enhancing communication between GPs and hospital consultants

Dr Matthew Lewis explains how the approach at his trust is improving the quality of patient referrals, and communication between primary and seconday care clinicians.
Exclusive: acutes' deficit and savings performance worsens, DH figures show

Plans to cut deficits in the acute trust sector fell further behind in the third quarter of 2011-12 as hospitals struggled to make up lost ground on challenging savings targets.
Exclusive: Commissioning board engagement and information director revealed

Tim Kelsey is to become the NHS Commissioning Board’s director of patient and public engagement, insight and informatics, HSJ understands.
Exclusive: HSJ Clinical Commissioning Groups Map Tool

HSJ reveals the 212 clinical commissioning groups authorised to go forward as announced by the Commissioning Board today.
Expand independent sector provision, says 'most powerful' hospital chief

The NHS’s most powerful hospital trust chief executive has used a HSJ interview to call for an expansion of independent sector provision.
Frimley Park FT meets infection control targets

PERFORMANCE: Frimley Park NHS Foundation Trust met its targets for MRSA and C. difficile last year but admits this year will be “challenging”.
FT ambitions will be 'very challenging' for community trusts

A leading provider of integrated health and social care looks set to abandon its ambitions to become a standalone community foundation trust in a move lawyers say could be repeated elsewhere.
FT partners with Siemens on audiology marketing

COMMERCIAL: East Kent Hospitals University NHS Foundation Trust has partnered with Siemens Hearing Instruments to boost “patient referrals and achieve smarter working”.
Getting CCGs working with health and wellbeing boards

Giles Peel looks at the ongoing development of health and wellbeing boards, and their burgeoning relationships with clinical commissioning groups.
GMB members overwhelmingly reject pension deal

Thousands of NHS workers in the GMB union have voted to reject the government’s “final” pension deal by a majority of 96.5 per cent.
Government announces extra mental health funding for veterans

War veterans and their families are to be offered greater help with their mental wellbeing, it has been announced.
Governor elections for Mid Staffs

STRUCTURE: Elections will be held to fill six public vacancies on the council of governors at Mid Staffordshire Foundation Trust and candidates are being urged to come forward to represent their areas.
GP quality monitoring project under threat from reform

PERFORMANCE: A groundbreaking project monitoring the quality of GPs faces an uncertain future once its host strategic health authority is abolished.
Guy's and St Thomas' Project Diamond funding falls by £1.2m in 2011-12

FINANCE: The central London tertiary centre’s income from NHS London fell to £6.8m in 2011-12, compared to £8m in 2010-11.
Helpdesk directs 850 patients each week

SERVICES: Around 850 patients a week are now being directed to local healthcare services or given advice by the East of England Ambulance Service Trust’s clinical support desk.
Hike in mixed sex breaches at Western Sussex

PERFORMANCE: Western Sussex Hospitals NHS Trust has experienced a significant increase in its breaches of the Department of Health’s rules on mixed sex accommodation.
How CCGs can make the best use of tightening resources

CCGs will face enormous pressure to make spending decisions in a transparent and effective way. Gary Belfield looks at how they can make the most of their cash.
How international health links can help the NHS workforce develop

Brenda Longstaff explores how health links between the NHS and developing countries deliver benefits to the NHS workforce.
How patient perspectives can help improve service design

Patient opinions are a precious source of information. Natalie Cook and Keith Miller explain how to make listening to them a fundamental part of service design.
How to make equality and diversity a central part of your organisation

Three leaders discuss how they are working to make equality and diversity part of their organisation’s DNA.
Imperial appoints new chief operating officer

PERFORMANCE: The central London trust has appointed Steve McManus as chief operating officer, from the equivalent role at University Hospital Southampton Foundation Trust.
Imperial sees Project Diamond funding fall by £2m

FINANCE: The central London tertiary centre’s income from NHS London fell to £6m in 2011-12, compared to £8m in 2010-11.
Information Centre to focus on cost of over-60s hospital care

Patients aged 60 and over account for more than half of the income hospitals receive under the payment-by-results tariff, the Health and Social Care Information Centre has reported.
Information strategy an early example of major policy process - DH

The government’s newly launched information strategy for health and social care is an early example of how major policy will be made under its reformed system, according to the Department of Health.
Information strategy details: Lansley promises online GP access to 'end 8am rush'

The health secretary has promised patients easier interaction with GP practices, as he published the long awaited NHS information strategy today.
'It is within leaders' power to make things better'

Relatively simple changes in leadership practice can make a big difference to staff engagement and patient experience, writes Chris Ham.
James Paget's performance slumps

PERFORMANCE: Performance against some important standards slumped at the James Paget University Hospitals Foundation Trust in the last quarter of the financial year.
King's College Hospital maintains Project Diamond funding at 2010-11 levels

FINANCE: The south London acute trust’s income from NHS London held steady at £1m in 2011-12, the same level as 2010-11.
'Landmark' agreement on 212 CCGs covering England

The NHS reforms have reached the “landmark moment” of agreeing the clinical commissioning groups which will go forward to take over budgets next year, the NHS Commissioning Board has said.
Lansley against 'slamming together' health and social care

The health secretary has reiterated his opposition to forcing mergers between health and social care commissioners, ahead of the publication of a white paper on the issue.
Lansley confirms NICE will no longer take funding decisions

The National Institute for Health and Clinical Excellence will no longer directly decide whether the NHS funds a drug under the proposed new pricing system, health secretary Andrew Lansley has confirmed.
London mental health clinicians win places on fellowship programme

WORKFORCE: Two staff from South West London and St George’s Mental Health Trust have won places on the Clinical Leadership Fellowship Programme run by the NHS National Leadership Academy.
Luton and Dunstable appoints medical director

WORKFORCE: Mark Patten has been appointed as medical director at Luton and Dunstable Hospital Foundation Trust.
McKinsey dominates consultancy spend by NHS North West London

FINANCE: McKinsey accounted for nearly three-quarters of NHS North West London’s consultancy spending of £8.8m in 2011-12, new documents reveal.
Media Watch: rare agreement on good policy move

The Department of Health sold its NHS information strategy to the national press with the promise of patients being able to book GP appointments online.
Mental health charity funding falls as demand grows

Mental health services run by the charity Mind have seen a cut of 5.7 per cent in funding at the same time as a surge in demand from people requiring help.
Michael White: will information strategy deliver on its promise?

For most of us, booking a GP appointment or picking up that repeat prescription remains stuck in the bygone era of steam-age telephony and verbal contact (eventually).
Mid Staffs managers offer healthcare to Ghana

WORKFORCE: Two managers from the Mid Staffordshire Foundation Trust are to fly out to Ghana to offer healthcare to communities there.
Miliband: attacks on nursing are 'totally unfair'

Attacking the nursing profession over isolated examples of bad practice “is totally unfair”, Labour leader Ed Miliband has told HSJ’s sister title.
Minimum alcohol price set to become law

Plans for minimum alcohol pricing will be approved in Scotland today, which will become in the process the first part of the UK to pass the legislation.
Minister rejects cancer drugs fund

The Welsh health minister Lesley Griffiths has told a group of top medics she is standing firm on the issue of a cancer drugs fund for Wales, saying the scheme would not work.
Mixed sex breaches stable at Brighton and Sussex

PERFORMANCE: Brighton and Sussex University Hospitals Trust has recorded the same number of breaches of the Department of Health’s rules on mixed sex accommodation for two consecutive months.
Monitor calls time on smallest FT 'The Min'

STRUCTURE: Monitor has ordered the board of the country’s smallest foundation trust to develop a strategy for its future after concluding it cannot survive on its own.
Monitor directs foundation trust to tackle A&E performance

PERFORMANCE: The foundation trust regulator has stepped in at Gloucestershire Hospitals in a bid to redress its “persistent failures” to tackle long waits for accident and emergency treatment.
Morecambe Bay 'not sustainable' without reconfiguration, says new chief

Troubled foundation trust University Hospitals of Morecambe Bay “can’t work” in the future without the reconfiguration of key services, its new chief executive has told HSJ.
MPs criticise delays in education and training reform

Ministers must provide more detail on their plans to reform health education and training to avoid service disruption and putting patients at risk, the health select committee has warned.
New chief executive for South West London and St George’s Mental Health NHS Trust

WORKFORCE: South West London and St George’s Mental Health Trust has appointed a new chief executive.
New infection threats emerging to replace MRSA and C difficile

A third of healthcare associated infections are now caused by bacteria that need to be tackled with different infection control techniques to MRSA and C difficile, a report has warned.
New patient rating system plans welcomed

Patients will be able to rate the treatment they receive in hospitals to ensure that people are treated with dignity and respect on wards, the prime minister will announce today.
New tracking system helps learning disability patients

PERFORMANCE: A unique patient-tracking system has been introduced by Sussex Community Trust to help patients with learning disabilities in West Sussex get targeted specialist support on admission.
NHS North West London makes 82pc of QIPP target

FINANCE: The cluster of eight primary care trusts in north west London had set itself a savings target of £142.3m in 2011-12 but achieved £116.5m.
Non-attenders cause problems for South Essex

PERFORMANCE: Patients not attending appointments are causing problems for the South Essex Partnership University Foundation Trust.
Norfolk Community Health publishes estates plan

FINANCE: Norfolk Community Health and Care Trust has identified cost improvement plans in how it manages its estate as critical as it moves towards foundation trust status.
Norfolk trust takes over out-of-hours community nursing

SERVICES: A service aimed at keeping patients out of hospital is now being run by Norfolk Community health and Care Trust.
North East has higher than average HCAI prevalence

PERFORMANCE: The prevalence of healthcare associated infections in the North East region is slightly above the national average, according to a report from the Health Protection Agency.
North Yorkshire and York struggling on QIPP

FINANCE: A strategic health authority cluster summary shows North Yorkshire and York PCT is struggling to meet and plan for quality, innovation, productivity and prevention savings.
Northumbria Healthcare named top hospital trust

PERFORMANCE: Northumbria Healthcare NHS Foundation Trust has won an award for top hospital trusts.
Nottingham draws up death advice for children

PERFORMANCE: Parents are being given help and advice on how to talk to their children about death and serious illness by Nottingham University Hospitals NHS Trust.
NW London providers set to learn cluster's service change proposals

STRUCTURE: The provider trusts and clinical commissioning groups of north west London are to be sent a letter with the proposals for service changes on 8 June.
Ombudsman's claims on care quality complaint 'did not stand up '

An apparent failure to fully investigate a high profile complaint has led to a renewed call for changes to the system.
Open your ears to whistleblowing

National policy is in place to encourage whistleblowing, but employers need their own strategies to promote a truly transparent culture. Jennifer Taylor finds out how to remove the barriers to openness.
Overnight discharge data questioned as hospitals hit back

Misleading data has emerged as a possible explanation for claims that hospitals discharge large numbers of patients in the middle of the night.
Oxford trust plans to invest in neo natal unit

STRUCTURE: University Hospitals Oxford Trust is planning to spend more than £3m extending its intensive care unit for newborn babies, to provide space for an extra 12 cots.
Oxford trust plans to move cancer services to new centre

STRUCTURE: Oxford University Hospitals Trust is planning to move its head and neck cancer services from John Radcliffe Hospital to nearby Churchill Hospital as part of plans to develop a major cancer centre on the site.
Patient discharged with cannula

PERFORMANCE: Burton Hospitals Foundation Trust has reported a never event incident to its board involving a patient who was discharged with a cannula still in place.
PCTs to pay GPs an extra £1.1m following system error

The Department of Health has told primary care trusts to make an additional £1.1m of payments to GPs by the end of June, to correct an error dating back to 2004.
Pension reform deterring would-be doctors - BMA

Junior doctors have been urged to fight for their pensions amid fears government reforms could dissuade talented students from studying medicine.
Physio phone triage rolled out in Surrey

STRUCTURE: Physiotherapy patients in mid Surrey are now benefiting from telephone triage within 48 hours of GP referral, according to the county’s main community social enterprise.
Plan to double radiotherapy service in Sussex

PERFORMANCE: NHS organisations in Sussex have announced plans to more than double radiotherapy provision by 2014, with the help of the private sector.
Providers urged to collaborate to speed clinical trial approvals

Providers need to work together to speed up the approval process for clinical trials if the NHS is to realise its potential as a research resource, a senior pharmaceutical industry figure has said
Public health staff to keep NHS pension

Public health staff who transfer to local government next year will retain their NHS pension, it has been revealed. However, it remains uncertain whether they will keep the pension if they subsequently change jobs within public health.
RCN prepared to battle government over regional pay plans

The Royal College of Nursing is “prepared to take the government on” in its plans to impose regional pay in the NHS, according to the college’s chief executive and general secretary Peter Carter.
Readers' letters - 24 May 2012

Trusts slow to sign up to an important public health deal
Results: chief executives survey on what makes an FT excellent

A survey of chief executives reveals insight into what they believe can make a foundation trust excellent, report colleagues at Finnamore.
Royal Brompton's Project Diamond funding falls by £800k

FINANCE: The central London specialist trust’s income from NHS London fell to £6.7m in 2011-12, compared to £7.5m in 2010-11.
Royal United Hospital Bath refunds commissioners

FINANCE: Royal United Hospital Bath Trust has had to refund commissioners £34,000.
Sally Gainsbury: immigrants don't hurt the NHS; dentists do

Another NHS Protect press release, another low-paid NHS worker prosecuted after training and working in the NHS without the requisite immigration status.
Several CCGs to be larger than outgoing PCTs

Three parts of the country will have clinical commissioning groups larger than the primary care trusts they will replace.
Sherwood FT two years without MRSA

PERFORMANCE: Sherwood Forest Hospitals Foundation Trust has now gone two years without a case of MRSA making it one of the best performing hospitals in the NHS.
Shortage of safeguarding staff in Luton and Peterborough

PERFORMANCE: A significant fall in the number of staff undergoing training in safeguarding children in Luton and Peterborough is causing concern for Cambridgeshire Community Services Trust.
Shropshire Healthwatch consultation

STRUCTURE: Shropshire Council has launched a consultation on plans to set up its local Healthwatch.
Slight fall in mixed sex breaches at Medway FT

PERFORMANCE: Medway NHS Foundation Trust has recorded a slight decrease in breaches of the Department of Health’s rules on mixed sex accommodation.
Smoking target poses problem for Norfolk Community Health

PERFORMANCE: Norfolk Community Health and Care Trust expects to fall short of its planned number of smoking quitters in 2011-12.
South Essex faces £43m QIPP challenge

FINANCE: South Essex PCTs have a ‘QIPP challenge’ of over £43m in 2012-13 - and CCGs in the area will have to pool their risks as their small size means they may not have the flexibility to manage budget flexibilities.
South Essex service restriction policy likely to change

SERVICES: A mapping exercise of clinical priority policies across the East of England is likely to lead to changes in some PCTs’ policies.
South Tees FT chief executive steps down to 'develop next stage of my career'

WORKFORCE: South Tees Hospitals NHS Foundation Trust chief executive Simon Pleydell is stepping down after nine years at the trust.
South West trusts set up 'pay cartel'

Sixteen NHS trusts in the South West have banded together in a bid to make “radical” changes to staff pay, terms and conditions outside of the national Agenda for Change agreement.
Southampton surgeons pioneer new knee surgery technique

RESEARCH: Surgeons in Southampton have pioneered an operation to repair damaged knees without the need for a total replacement – halving recovery times.
Southampton trust misses A&E target

PERFORMANCE: University Hospital Southampton fell short of its accident and emergency waiting time target in March.
Southampton trust turns corner on CIP after gaining FT status

FINANCE: University Hospital Southampton has beaten its cost improvement target in the six months since it has become a foundation trust, but still fell short of its target for 2011-12.
Southend agrees contract for 2012-13

FINANCE: Southend University Hospital Foundation Trust has signed a ‘principles’ letter for 2012-13 with its main commissioner.
Southend breaches C. diff target

PERFORMANCE: Southend University Hospital Foundation Trust has breached its C. difficile target for the year, the South Essex PCT cluster heard.
St George's breast cancer service wins award

PERFORMANCE: The breast cancer service team at the south west London acute won an NHS Improvement award for reducing the amount of time that patients spend in hospital following surgery.
St George's earmarked as hub for south-west London pathology services

COMMERCIAL: The Tooting-based acute provider is to become the “hub” for pathology services serving the south-west’s GPs and four general hospitals.
St George's loses £500k in Project Diamond funding

FINANCE: The south west London acute trust’s income from NHS London fell to £1m in 2011-12, compared to £1.5m in 2010-11.
Stop wasting money on innaccurate data

So it appears the NHS has not been inappropriately discharging patients at night – despite the furore created by recent press reports. The problem was inaccurate data, not little old ladies being pitched out into the freezing dark.
Surplus for East Kent Hospitals

FINANCE: East Kent Hospitals University NHS Foundation Trust said it finished the last financial year with a surplus.
Surplus target for Frimley Park FT

FINANCE: Frimley Park NHS Foundation Trust has set out its financial target for the end of the financial year 2012-13.
Surrey and Sussex Healthcare improves mixed sex figures

PERFORMANCE: Surrey and Sussex Healthcare NHS Trust has seen a slight decrease in breaches of the Department of Health’s rules on mixed sex accommodation.
'The NHS needs strong leadership at all levels'

Skilled and confident leaders are vital in helping the NHS overcome the challenges it faces, writes Institute of Leadership and Management chief executive Charles Elvin.
Treasury targets off-payroll public sector salaries

The chief secretary to the Treasury has stressed that all public sector employees “should be on the payroll and paying the correct amount of tax”.
Trust rips up FT plans and seeks merger

The board of Torbay and Southern Devon Health and Care Trust has voted unanimously to abandon plans to become a foundation trust and will instead seek a merger.
UCLH's Project Diamond funding falls £1m

FINANCE: New figures reveal the central London tertiary centre saw its specialist top-up funding from from NHS London fall to £9m in 2011-12.
Unpaid work experience scheme to be extended to more hospitals

A scheme that gives unpaid job seekers the chance to provide patient care in the wards of a hospital is set to be extended, it has emerged.
Wait control: a new system for better waiting list management

Creating a new system for waiting list management - the “active patient tracking list” - will help trusts nail their waiting times targets, writes Rob Findlay.
We should expect more questions than answers from good leaders

The conventional wisdom is that greater competition is needed in the NHS to drive out the inefficiencies that some believe are inherent in sectors dominated by publicly owned providers.
West Mids volunteers respond to 999 calls

PERFORMANCE: Volunteer paramedics in the West Midlands responded to more than 400 999 calls last month, it has emerged.
West Suffolk finishes year with £619k surplus

FINANCE: West Suffolk Foundation Trust finished the year with a surplus of £619,000 - below the planned surplus of £1m.
West Suffolk struggles to meet stroke target

PERFORMANCE: West Suffolk Foundation Trust struggled to meet stroke targets in March with performance on some key indicators deteriorating.
West Yorks PCTs QIPP plan not signed off due to cash problems

FINANCE: The 2012-13 quality, innovation, productivity and prevention plan for the Calderdale, Kirklees and Wakefield PCT Cluster has not been finally signed off, an SHA cluster board report notes.
Western Sussex in hospital 'top 40'

PERFORMANCE: Western Sussex Hospitals NHS Trust has been named among the CHKS 40Top Hospitals for the fourth time at an awards ceremony in London.
Whittington sets two year savings target

FINANCE: Whittington Health Trust has set a savings target of £38.9m over next two years.
Yorks & Humber trusts remain outliers on mortality

PERFORMANCE: Hull and East Yorkshire Hospitals NHS Trust and Scarborough and North East Yorkshire Health Care NHS Trust remain outliers on hospital-level mortality indicators, according to an SHA cluster report.

Alastair McLellan

Health Service Journal24 May 2012

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