All Change management articles
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NewsSenior churn stifling hospital group, warns leading CEO
A trust “alliance” that includes England’s top-rated general acute provider has been stifled by leadership churn and a shift in national policy, but will now develop an ambitious joint clinical strategy, it has revealed.
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News21 trusts ‘delivered year’s elective recovery in single month’
Twenty-one trusts delivered their entire 2025-26 elective improvement in March alone, analysis shows, prompting concerns about the “fragility and sustainability” of the NHS’s waiting list recovery.
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CommentThe growing management crisis risks undermining NHS reform
A new NHS workforce plan must finally address the overlooked management workforce needed to drive improvement, innovation, and reform
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NewsNeighbourhood plans ‘in danger’, says top five trust leader
The government’s neighbourhood health agenda is “in danger of not happening” amid a lack of clarity over governance structures and funding, the chair of England’s fourth-largest trust has claimed.
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CommentWhy 30 years of commissioning reforms have failed
NHS commissioning reforms repeatedly fail due to structural, financial and political barriers, raising doubts over whether latest changes can succeed
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NewsTrust wasted £15m restoring unusable incinerator
“Systemic governance failures” lay behind a hospital trust wasting £15m restoring an incinerator which rapidly went out of use, a review has found.
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CommentPatient power payments risk driving defensive medicine in the NHS
Giving patients greater influence over provider payment could improve accountability, but clinicians warn it may encourage defensive practice and place further strain on NHS services
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NewsRevealed: Huge variation in NHSE regional job cuts
The level of job cuts across the NHS England regional teams is set to vary significantly, with London’s headcount reduced by around half but another region facing a cut of around just 15 per cent, HSJ can reveal.
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NewsTrust loses ‘outstanding’ rating
A trust’s leadership has been downgraded from an “outstanding” rating to “requires improvement” by the care watchdog, which cited poor management practices, “pockets of poor culture” and bullying.
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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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News‘Plan ahead’ to avoid EPR delays, says veteran tech lead
Trusts need to “plan ahead” to avoid “interventions from NHS England” when launching electronic patient record systems, according to a leading tech chief.
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NewsICBs accused of ‘nonsensical’ job matching in ‘rushed’ merger
Three integrated care boards have been accused of overseeing a “deeply flawed” merger programme, including a “nonsensical job-matching process”.
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HSJ LocalCEO: We have ‘hurt and let down’ our staff
A hospital group CEO says its leaders have “managed to let people down” and, in some cases, “disconnected” from their staff, in response to very poor NHS Staff Survey scores.
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CommentSuccessful tech business cases do not have to offer cash savings
Humber Teaching Foundation Trust’s new EPR delivered no cash savings – by design. Lee Rickles, its chief information officer, argues the real return lies in clinical time, safety and user experience, not balance sheet gains
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CommentIs it possible to be a compassionate leader in today’s NHS?
Compassionate leadership endures in intent, but sustained system pressure is quietly exceeding the human capacity required to sustain it
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CommentUnder-pressure boards abandon curiosity for grip at their peril
When under strain, boards signal what truly matters, and those signals decide whether learning thrives, stalls, or disappears when needed most
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CommentWhy improvement programmes fade away
Improvement endures only when boards protect learning, and do not treat it as optional
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CommentSlow NHS decision-making makes it vulnerable to cyber attacks
When time-critical risks escalate, NHS governance that treats delay as neutral can unintentionally amplify harm and undermine patient safety
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CommentBeware: Reassurance is not assurance
When confidence in NHS service models wobbles, senior oversight can reassure – but without explicit governance, it may fall short of providing real assurance
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NewsICB chief apologises for restructure ‘mistakes’
An integrated care board chief has apologised for “mistakes” made in the organisation’s redundancy process.