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NewsNHSE to revive 2000s-style improvement collaboratives
NHS England plans to revive compulsory “structured improvement collaboratives” for outpatients, urgent and emergency care, and frailty services – in an echo of the Modernisation Agency approach of the 2000s.
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CommentBlaming individuals for care failures is sometimes the right response
The Great Ormond Street scandal exposes a growing imbalance in NHS patient safety policy. In moving away from blame, the system has also lost sight of individual competence, leadership responsibility, and the non-negotiables needed to prevent serious harm
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PodcastHSJ Podcast: The secret plan for ICBs, and other restructure woes
This week, we cover a mysterious update to the “model ICB” blueprint that hasn’t been formally published or endorsed by NHS England, but instead passed in whispers.
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CommentNone of the government’s ‘three shifts’ will reduce the cost of healthcare
Andi Orlowski argues why the NHS needs to stop chasing savings and start making explicit value choices
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NewsExclusive: New national mental health director revealed
An integrated care board chief and former mental health trust leader is set to be appointed as the new national director for mental health and learning disabilities.
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HSJ LocalTrust CEO departs after five years
A chief executive has announced he will retire this summer after five years in leadership roles at a small acute trust in the North West.
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NewsEx-banker made chair of hospital group
A group chair has been appointed at two hospitals in Surrey to “strengthen continuity” between the organisations.
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CommentIs your performance dashboard revealing what you need to know?
Digital decision-support tools are widespread in the NHS, but their impact remains limited. Digitisation has focused on generating insights without creating the organisational architecture needed to act on them
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NewsNHSE digital chief steps down
A national technology chief is stepping down in the spring after 16 years in the NHS.
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CommentThe plan to regulate managers is well-intentioned but dangerous
Chief nurses are not opposed to accountability for managers and leaders – but they think the government has designed the wrong system
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PodcastHSJ Podcast: Lord Hunt on the Health Bill clashes to come
On this episode we’re joined by Lord Philip Hunt of King’s Heath, a minister in the Labour government until last year, and someone who has played a huge role in NHS leadership.
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NewsEngland’s biggest ICB appoints interim chief executive
England’s largest integrated care board has appointed an interim chief executive from a neighbouring system ahead of its formal launch in April.
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News‘Evidence-free’ mandatory training to be rationalised, says CEO
A leading trust chief executive has said mandatory staff training is an “evidence-free zone” and its impact on patient outcomes is “very difficult to work out”.
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CommentCompassionate leadership is not just about ‘being nice’
Compassionate leadership isn’t the problem for the NHS; practising it superficially is. Real compassion already includes clarity, boundaries, and action
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News‘Disconnected’ staff report bullying and blame culture
A hospital trust’s staff feel disconnected from senior leaders and are often concerned about bullying and harassment, two external reviews have found.
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CommentAs a trust CEO I found it hard to keep the focus on improvement
For more than two decades, the NHS has invested heavily in improvement. There have been new operating models, structures, and performance frameworks, as well as repeated waves of leadership development. Yet across much of the service, improvement remains episodic. Gains are made, often at pace – and then lost
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CommentProfessional regulators make it too hard for patients to complain
Employers and regulators should support patients and colleagues who give evidence against registered professionals and embed lessons learnt, writes Emerita Professor Louise Wallace and Dr Annie Sorbie
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Expert BriefingPatient Safety Watch: The deeply concerning state of home birth services
HSJ hosts the Patient Safety Watch newsletter, written by Patient Safety Watch chief executive James Titcombe
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PodcastHSJ Podcast: The trust CEO who became a very expensive whistleblower
On this episode, we cover one of the most expensive employment tribunals in the NHS and why a trust must pay its former chief executive £1.4m in damages.
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CommentThe AI risks that NHS boards are missing
The risk for boards is not that AI will fail loudly, but that it will work efficiently while quietly missing harm. Governance that cannot see false negatives is not governance at all











