HSJ’s round up of Thursday’s biggest talking points

Roundtable refresher

HSJ readers with good memories may recall that in June we reported on comments by NHS Improvement chief executive Jim Mackey that NHS providers were on course to finish 2016-17 £500m in the red (later that same day, NHSI set out its plans to bring the deficit down to £250m, such as back-office consolidation and identifying unsustainable services).

Mr Mackey, who also hinted at some of the steps to come in last month’s “reset”, was speaking at an HSJ/Capsticks roundtable on provider finances. The full write-up of the discussion has now been published on hsj.co.uk.

Joining Mr Mackey at the event were Health Foundation chief economist Anita Charlesworth and five trust chief executives, responding to the question: “Do you believe that the NHS can operate within its current financial settlement over the coming four years without a significant deterioration in performance, or care quality and safety?”

Prevention rallying cry

Following this week’s judicial review verdict that NHS England does have the power to commissioner PrEP – a preventive HIV drug – and the national body’s decision to appeal, public health director Jim McManus has called for a “change of attitude, behavior and style” by NHSE.

In a comment piece he argues that “NHS England can no longer pick and choose between preventive interventions it likes and doesn’t… NHS England has a prevention role. That must be true.” Otherwise “the whole system is an endless illness repair workshop”.

“The financial situation we are in requires system-wide action on preventing need for public services,” he continues. “[But] we have neither a proper framework for prevention nor joined up leadership nationally for it.”

Cost of Kernow

HSJ’s South West correspondent Will Hazell has been looking at the problems facing struggling Kernow CCG, and what is happening to try to get it back on track.

On Wednesday we reported that the CCG must revisit a financial package worth £396,000 for recruiting a new interim turnaround director to comply with NHS England’s new cap on interim managers’ pay.