All Health Service Journal articles in April 2025
View all stories from this issue.
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Expert BriefingThe Download: Lessons from the CQC’s failed transformation project
The fortnightly newsletter that unpacks system leaders’ priorities for digital technology and the impact they are having on delivering health services. This week written by correspondent Joe Talora. Contact HSJ in confidence here.
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Daily InsightDaily insight: Staffing costs and yawning gaps
The must-read stories and debate in health policy and leadership.
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NewsElon Musk offers Streeting help on NHS cuts
The director of the US Department of Government Efficiency, Elon Musk, is keen to provide advice on how to achieve the widespread cuts to NHS manager numbers announced last month.
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NewsDeparting NHSE boss ‘calls out’ A&E variation
NHS England’s outgoing chief operating officer has claimed there is too much unwarranted variation in the service’s emergency care performance.
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CommentAvoiding the three icebergs that could sink the NHS
The NHS should start to use programme budgeting and marginal analysis to help decision-makers gauge the effect of reallocating resources across healthcare services, thus optimising resource allocation to improve outcomes
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NewsCQC tells trust to move care of sick babies
A trust has moved the care of some sick babies out of one of its neonatal units at the Care Quality Commission’s request.
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NewsCap on elective care funding to be scrapped
NHS England is scrapping plans to cap how much trusts can earn from elective work in 2025-26.
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Daily InsightDaily insight: Mackey vows to fight NHS’s corner
The must-read stories and debate in health policy and leadership.
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NewsDon’t call NHSE ‘the biggest quango in the world’, says new chair
NHS England’s new chair has “called out” the language used over NHS England’s abolition, including terms used by the prime minister and health and social care secretary.
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NewsProvider’s board clearout sparks ‘real shock’
One of the NHS’s largest private hospital providers has cleared out its board, with its CEO, finance chief and other key figures all leaving the business in recent weeks.
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NewsTrust CEO off work after clash with chair
An NHS trust chief executive is on leave from the role following a row with their chair, HSJ has learned.
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Expert BriefingLondon Eye: Freedom to speak up
Essential insight into England’s biggest health economy, by HSJ bureau chief Ben Clover.
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Daily InsightDaily Insight: The cap is scrapped… but what comes next?
The must-read stories and debate in health policy and leadership.
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NewsLast-minute ICS bailouts ‘fuel distrust with NHSE’
Integrated care systems across the country have received last-minute bailouts to improve their financial positions at the end of 2024-25, HSJ has learned.
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NewsUnion standoff with Mackey over subcos expansion
NHS England’s chief executive has said new NHS subsidiary companies must pay NHS terms and conditions for current and future staff – while Unison has written to trusts to try to prevent the expansion of subcos.
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Expert BriefingImPatient: 15% more hopeful
Patient (Lived Experience) Leadership is about those affected by life-changing illness, injury or disability who want to influence change through being equal partners in decision-making. In this monthly expert briefing, patient leadership champion David Gilbert picks out the most significant developments in a field of increasing relevance to the NHS.
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News£150m ‘wasted’ planning for ‘paused’ new hospitals
More than £150m spent planning “new hospital” projects which are now in the long grass may need to be written off, according to estimates seen by HSJ.
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NewsHospitals to cut 800 jobs
A pair of hospital trusts has outlined plans to reduce its workforce by 7 per cent in 2025-26, in order to cut costs.
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CommentAI triage is not science fiction
Charlotte Refsum advocates for the use of AI-powered navigation tools to free up millions of appointments, reduce wait times, and revolutionise the NHS
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Daily InsightDaily Insight: A costly lesson in delay
The must-read stories and debate in health policy and leadership.











