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NewsA&E funding overhaul plan revealed
Around half of funding for emergency care would depend on cutting wait times and shifting care out of hospital, under detailed plans seen by HSJ.
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Expert BriefingImPatient: The song remains the same
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 ...
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NewsICB chief quits ahead of expected merger
The chief executive of a large integrated care board is stepping down ahead of a widely anticipated merger with its neighbour.
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Expert BriefingLondon Eye: The first cyber attack death
Essential insight into England’s biggest health economy, by HSJ bureau chief Ben Clover.
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NewsPatients to decide hospital payments under 10-year plan proposals
Patients will be able to decide whether hospitals get the full payment for their treatment under proposals in drafts of the 10-Year Health Plan, HSJ understands.
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NewsNHSE director: 50% cut to ICB costs ‘may well not be right number’
NHS England’s deputy chair has questioned the basis of its demand of 50 per cent cuts to integrated care boards and trusts’ corporate costs, saying they may be ’too much’
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NewsICB merger timetable revealed
Most integrated care boards are expected to “cluster” with neighbours “as soon as possible” and formally merge in either April 2026 or 2027, according to internal NHS England guidance seen by HSJ.
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NewsICBs shouldn’t offload functions ‘overnight’, says NHSE director
The vast majority of trusts are “not ready” to take on primary care and neighbourhood functions, one of NHS England’s medical directors has said.
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NewsNHSE delays staff transfer to ICBs
NHS England is delaying the transfer of specialised commissioning staff to integrated care boards by at least nine months, as it reconsiders the future of the functions, HSJ has learned.
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CommentReforming the NHS and local government simultaneously is a big risk
Without stronger collaboration and investment in prevention, NHS changes could undermine place-based care and strain local systems that are already stretched, warns Tom Stannard
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NewsWhich ICBs are heading for merger?
There is still fury and consternation about the decision to cut the running costs of integrated care boards in half, but plans to consolidate the number of ICBs from 42 to between 23 and 28 are well advanced.
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CommentPlaces do not know what is expected of them
Shilpa Ross explores the role of place-based partnerships in integrated care, highlighting challenges and governance variations, plus the importance of supporting local initiatives amid ongoing NHS restructuring
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CommentICBs are still needed
Cuts to ICB budgets and shifting roles risk undermining integrated care, but successful local models show how system leadership can still drive transformation in NHS services, writes Sir Chris Ham
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CommentA warning from Wales for Wes Streeting
As the English government sets about reorganising the NHS, Robert Royce discusses the lessons it can learn from devolved healthcare in Wales
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NewsDetails of new cap on ICB staff spend revealed
Each of England’s seven regions must ensure pay spend across their integrated care boards is reduced to an average of £18.76 per head of weighted population, HSJ has learned.
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CommentReal-time patient feedback should drive service improvement
Annie Williamson explores why past NHS reforms have failed, and why empowering staff, patients, and local systems is essential if the health service is to survive and thrive
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NewsCrucial emergency care system to be scrapped by NHSE within months
An IT system that prevents 999 call-handling services from being overwhelmed is set to be withdrawn by NHS England in an effort to save money.
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NewsICBs to impose ‘minimum waiting times’ for services
NHS England has proposed introducing “minimum waiting times” for certain elective specialties as system leaders grapple with how to balance clinical needs and a real terms funding cut for local services.
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NewsRevealed: ICBs divided on ‘neighbourhood teams’
HSJ analysis reveals a major split across England on the right size and shape for neighbourhood teams, which are a key part of government’s reform ambitions.
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CommentICB patient engagement expertise must not be lost
Sharon Brennan stresses the importance of NHS reforms refocusing on patient experience and calls for a return to community-centred care, patient involvement, and a national metric for patient experience