Essential insight into England’s biggest health economy
Essential insight into England’s biggest health economy, by Ben Clover
Six directors have left or not reapplied for their jobs at a troubled clinical commissioning group collaboration, HSJ can reveal.
Containing and reducing emergency hospital admissions is often seen as the holy grail of sustainable and better integrated healthcare. For most it has been elusive, but HSJ has identified and spoken to several areas which appear to have seen sustained reductions in recent years.
Commissioners in north west London spent £36m on consultancy firms over the last four financial years – including millions on service redesign recently stalled by NHS Improvement.
NHS Improvement’s board has halted a £500m reconfiguration programme in north west London after concerns about activity projections.
STRUCTURE: Three trusts in north west London have decided to consolidate their pathology services in a bid to save money.
What is going on in England’s biggest health economy, by Ben Clover
FINANCE: Clinical commissioning groups in north west London have decided to retain their IVF restriction policy, so treatment will only be funded for couples who do not already have children, or children from a previous relationship.
Four fifths of clinical commissioning groups have at least one large scale GP provider group in their area, according to information collected by HSJ.
London devolution bids include a partnership in the north east of the capital that will request to locally control its own payment mechanisms.
Proposals to redesign London’s £93bn public services through wide ranging devolution from central government have been agreed by borough leaders and the city’s mayor.
FINANCE: Recently merged London North West Healthcare Trust finished the last financial year £55.9m in the red – £8m higher than its planned deficit for the year.
WORKFORCE: Hillingdon Hospitals Foundation Trust is applying to become one of six regional centres for the training of healthcare support workers.
The first clinical commissioning groups to be given control of their the primary care budgets have said they will use their new powers to implement the NHS Five Year Forward View’s new models of care and scale up GP services, HSJ has learnt.
PERFORMANCE: Hillingdon Hospitals Foundation Trust has been told to improve after Care Quality Commission inspectors had concerns about risks to patient safety and a lack of compliance with infection control.
PERFORMANCE: Major rises in A&E attendance numbers are ‘”overwhelming” the physical capacity of Hillingdon Hospitals Foundation Trust, its board papers state.