The must read stories and most important developments on Monday

Big beast Barts gets bigger

The most immediately striking story from our analysis of the most recent specialised services income figures, showing trusts’ revenue from NHS England in 2015-16 for these often-coveted service areas, is one about the NHS’s big beasts.

The top 10 providers are, unsurprisingly, dominated by the big regional teaching hospital centres.

Barts Health Trust - already a giant - had the largest year-on-year increase, with a £55.5m cash terms increase. This appears to be a result of it taking on cardiac services previously provided by University College London Hospitals Foundation Trust. 

Barts moves up the league table of the biggest specialised services providers from eighth in 2014-15 to third in 2015-16. Its overall income leapt from £1.32bn to £1.34bn.

UCLH, which said the principal reason for the change was the cardiac transfer, saw its overall income fall by about £5m to £940.3m in cash terms.

Another finding, perhaps more important, is that the figures indicate there has been no significant tackling of the so-called “long tail” of smaller providers of specialised services. Many would like to see consolidation of much of their services into bigger organisations. However, in 2015-16 the top ten providers accounted for 27.1 per cent of total specialised spend, compared to 27.7 per cent in 2014-15.

A step close to success

HSJ has now unveiled the hotly awaited shortlists for the HSJ Awards 2016. 

Click through to find out who might be in line for glory at the biggest event of its kind.

They will now be subject to further scrutiny from our judges (including Salford Royal Foundation Trust chief excutive Sir David Dalton, NHS Improvement chief executive Jim Mackey, and Care Quality Commission chief inspector of primary care Steve Field) with winners unveiled amid glitz and glamour on 23 November at the InterContinental O2, London.