The Integrator: Doing more to fix general practice
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.
ICS freed from ‘intensive’ central oversight for first time
Norfolk and Waveney Integrated Care System has been lifted out of the lowest category of NHS England’s performance management regime.
North by North West: The threat of regime change
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Revealed: The systems with a third of dental budget unspent
Nearly a third of local dental budgets are going unspent in some areas of the country, according to data obtained by HSJ.
‘Untenable stalemate’ is halting GP practice upgrades, say ICBs
An “untenable stalemate” in funding has virtually halted GP practice building work, despite national commitments to expand primary care, multiple NHS organisations are warning.
ICS row breaks out over patients being shunted to GPs
A row has broken out between senior leaders in Norfolk and Waveney over the volume of work being passed to GPs by the acute sector.
Revealed: Four trusts report quarter of all ‘critical incidents’
More than a quarter of ‘critical incidents’ have been declared by just four trusts since the start of the crisis in urgent and emergency care.
Australian CEO returns to lead challenged trust
Norfolk and Norwich University Hospitals Foundation Trust has appointed former Medway FT boss Lesley Dwyer as chief executive, HSJ has learned.
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.
‘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.
Long-serving CEO takes on second trust
Cambridgeshire Community Services Trust chief Matthew Winn has been appointed interim CEO of Norfolk Community Health and Care for a 12-month period.
Execs accused of ‘bullying culture and misuse of power’
Former commissioning chiefs have been accused of presiding over a ‘culture of bullying’ at the predecessor organisation to Norfolk and Waveney Integrated Care Board, as part of a legal claim from a former employee.
Three trusts pick US firm for £150m EPR scheme
Three acute trusts in one of the NHS’s least digitally mature health economies have hired US firm Meditech to provide a single electronic patient record under a contract worth around £155m.
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.
‘Get stuck into ICSs’, Hewitt tells local leaders
NHS leaders ‘who might be hesitating about whether or not to really commit’ to their local integrated care system should ‘put aside all of those doubts [and] get stuck in’, Patricia Hewitt has claimed.