All Health Service Journal articles in April 2026 – Page 3
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CommentHow boards handle pressure is more important than any plan
Boards are constantly balancing two roles: translating external demands into something coherent, and transmitting those demands to maintain assurance. How that balance shifts under pressure has profound consequences for behaviour, learning and improvement
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Daily InsightHSJ Weekly Catch-up: Merger failings, AI rollout and A&E variation
Your essential update on health for the week
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News33 trusts promised funding for urgent care units
The government has revealed the locations of 40 new and expanded urgent care centres and same-day emergency care units.
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Daily InsightThe mythbuster: Why adding more staff makes problems worse
Poor coordination, fragmented pathways, flawed system design and a reliance on adding more clinical staff as the solution to most problems continue to undermine NHS performance, improvement efforts, and patient outcomes
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CommentLeadership resilience is not just about endurance
Leadership resilience narratives overlook systemic pressure, leaving NHS leaders internalising strain while structural demands erode decision-making, wellbeing, and organisational effectiveness
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NewsChair ‘exceeded authority’ when suspending trust chief, investigation finds
A trust chair “exceeded her authority” and “badly handled” the suspension of its chief executive, according to investigation findings seen by HSJ.
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HSJ PartnersStrengthening NHS leadership through emotional intelligence
Across the NHS, chief executives and senior leaders are facing a familiar set of pressures: falling staff morale, workforce shortages, and relentless operational demands. These challenges dominate today’s leadership conversations. Yet within them lies an opportunity to rethink how leadership itself is developed and practised.
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NewsStreeting: ‘Extraordinary vested interests’ resisted NHSE abolition
Government has faced an “extraordinary [level of] vested interest” from within the health sector opposing the abolition of NHS England, Wes Streeting has said.
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NewsICB appoints new CEO amid reopening of staff consultation
An integrated care board has recruited a new substantive CEO, to replace an exec whose £300,000 exit payment faces ongoing scrutiny.
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Expert BriefingThe Integrator: Commissioning’s ‘last role of the dice’
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
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Daily InsightDaily Insight: Stuck in the middle
The must-read stories and debates in health policy and leadership.
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NewsGovernors block CEO appointment pushed by NHSE
A trust’s governors voted to block an NHS England proposal to appoint a new chief executive without an open recruitment process, claiming the move would “bypass due process”.
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NewsEqual recruitment worst in a decade, according to NHSE data
The relative chance of minority ethnic applicants being recruited from an NHS job shortlist compared to others has fallen to the lowest level in the decade it has been monitored.
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NewsTrusts given more freedom on spending
The government has more than doubled the amount a trust can spend on procurements before they need approval from the centre.
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CommentCultural differences in British society are being ignored by NHS reform
Structural reforms ignore how to handle cultural differences within the population, leaving clinicians without frameworks for making complex decisions, risking inequity, unsafe care, and weak accountability
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Daily InsightDaily Insight: Freedom to spend – in theory
The must-read stories and debates in health policy and leadership.
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NewsGP spend share at lowest point in a decade
The proportion of the NHS budget spent on general practice has fallen to its lowest point in at least 10 years, according to figures newly released by government.
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NewsTwo directors resign amid trust leadership dispute
Two non-executive directors have resigned from a trust whose chief executive is suspended amid a dispute with the chair.
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CommentStrengthening the patient voice after Healthwatch
Removing Healthwatch threatens a decade of progress, leaving patient voice searching for structure, influence and meaningful impact
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Expert BriefingThe Download: The ‘Palantir PR project’?
The weekly newsletter that unpacks system leaders’ priorities for digital technology and the impact they are having on delivering health services. This week, written by Joe Talora. Contact HSJ in confidence here.