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News£50m gap declared after EPR and A&E knock trust off plan
A trust has declared it will end the year with a deficit of at least £48m, admitting its breakeven plan “carried too much risk”.
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CommentWhy so many acute oncology services are unsafe by design
Despite their central role in cancer care, Acute Oncology Services remain underdesigned and overreliant on professional goodwill. Workforce redesign, not resilience, is now the critical safety issue
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News‘Online hospital’ trust seeks first chair
The new national “online hospital” dubbed NHS Online is to be formally established as an NHS trust in June with the appointment of its inaugural chair.
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NewsTwo trusts scrap faxes following Streeting pressure
All trusts in England except one will stop using fax machines this month, HSJ has learned.
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NewsPrestigious trust ends joint chair arrangement
A major trust is to end its shared chair agreement with its neighbour when the incumbent leaves later this year.
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HSJ Local‘Digital desert’ hospital group pushes £88m tech project back a year
A hospital group containing three acute trusts has been forced to delay deployment of its electronic patient record for at least another 12 months, HSJ has learned.
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NewsMapped: RTT waiting times
An interactive map of local NHS waits around England in November 2025, showing the pressures, with links to all the details by organisation and specialty.
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HSJ LocalTrust plans big increase in private care ‘fuelled by limited NHS capacity’
A North West trust is planning a significant expansion to its private patient unit to cash in on rising demand “fuelled by limited NHS capacity”.
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Expert BriefingRecovery Watch: Unsexy and painstaking – 2026 in elective care
Elective recovery and returning the NHS to meeting the 18-week standard by 2029 is the government’s main performance priority. The Recovery Watch newsletter tracks prospects and progress against this goal. This week by bureau chief James Illman.
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News‘Significant errors’ uncovered in trust’s accounts
Serious financial reporting and governance problems have been discovered by a trust’s external auditors, delaying its accounts by more than a year.
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NewsPioneering chair stands down after a decade
A trust chair is standing down after more than a decade, having developed a pioneering group of four hospital providers.
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NewsExclusive: NHSE director to head major trust
A national director is leaving NHS England to head up one of England’s major trusts, HSJ can reveal.
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NewsRegion seeks firm to replace ‘ageing critical infrastructure’
Six trusts in the West Midlands are letting a £290m contract to build and run a regional sterile drugs production unit, to replace current outdated facilities.
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NewsRevealed: Wide variation in resident doctors on strike
There was wide variation in the proportion of resident doctors who went on strike before Christmas amid increased national turnout, analysis of NHS England data suggests.
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NewsCEO turnover hits 25% as ‘scrutiny ratchets up’
One in four trusts saw their chief executive change last year, which senior figures say reflects “onerous” performance management being “ratcheted up” – and a problem retaining leaders.
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NewsRevealed: The trusts forecast to miss the elective target
Only around a quarter of trusts are on track to hit their original elective target for 2025-26 if they continue on their current trajectories, according to analysis shared with HSJ.
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NewsRise in flu beds slows following government ‘collapse’ fears
The rise in hospital flu cases slowed last week – following NHS England and government claims that the service was facing an “unprecedented… worst-case scenario”.
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NewsTwenty failing trusts need new ‘intervention’ approach, says Mackey
NHS England’s interventions for the trusts with the biggest problems “haven’t really worked” and will be reconsidered in the new year, Sir Jim Mackey has said.
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News‘High risk’ patients waiting years for struggling service
Several reviews are under way of a hospital’s struggling ophthalmology service, after it reported backlogs of hundreds of patients at high risk of harm.












