All articles by Dave West
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News‘We have to prove’ ICBs have value, says Mackey
Integrated care boards have to prove they can deliver major improvements if questions over their future are to stop, NHS England chief executive Sir Jim Mackey has told HSJ.
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Mackey: We’ll reduce our reliance on resident doctors in response to strikes
The NHS will accelerate work to design clinical models less reliant on resident doctors in response to continuing strike action by medics, NHS England chief executive Sir Jim Mackey has told HSJ.
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Expert BriefingThe Integrator: Hospital discharge policy is stranded
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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NewsGovernment scraps £20 advice and guidance fee for GPs
The government is scrapping the £20 fee paid for each time a GP seeks “advice and guidance” from a specialist.
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NewsNo neighbourhood provider contracts for another year
None of the neighbourhood contracts proposed in the 10-Year Health Plan will go live until at least April 2027, HSJ understands.
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Not only doctors who need new ‘deal’ from NHS, says Mackey
The NHS needs a “reset” of its “deal” with all of its staff – improving working conditions in return for performance and productivity – its CEO has said.
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NewsNHSE to revive 2000s-style improvement collaboratives
NHS England plans to revive compulsory “structured improvement collaboratives” for outpatients, urgent and emergency care, and frailty services – in an echo of the Modernisation Agency approach of the 2000s.
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NewsMore strikes unlikely amid ‘increasingly positive’ negotiations, says doctors’ leader
A resident doctors’ leader has predicted that further strike action is unlikely, thanks to “increasingly positive” and “constructive” negotiations.
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Expert BriefingThe Integrator: Social care gets a taste of NHS targets and terror
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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NewsExclusive: NHS failing to honour £1bn funding deal
The NHS is rowing back on plans agreed with the Treasury, but never published, to boost community services spending, HSJ can reveal.
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Expert BriefingThe Integrator: Stabilising the ICB leadership crisis
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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NewsCEO turnover hits 25% as ‘scrutiny ratchets up’
One in four trusts saw their chief executive change last year, which senior figures say reflects “onerous” performance management being “ratcheted up” – and a problem retaining leaders.
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NewsNHSE to scrutinise provider’s management
One of the NHS’s biggest independent providers must review its executive team and regularly report on its cashflow, under special measures agreed with NHS England.
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NewsAmanda Pritchard made a Dame
Former NHS England chief executive Amanda Pritchard has been made a Dame in the King’s new year honours.
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Expert BriefingThe Integrator: How the 10YHP got lost
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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Expert BriefingThe Integrator: Is the government changing its mind on ICBs?
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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NewsPrevention shift ‘left behind’ as budgets are held flat
Public health allocations are due to be held flat in real terms for three years, despite the government’s intended “shift from treatment to prevention”.
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News38 trusts move league table segment
Thirty-eight trusts have moved segments in the NHS England league tables for the second quarter of 2025-26, despite very few recording a significant change in their performance score.
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Ex-health secretary buys NHS data firm
A former health secretary’s company has bought health data firm Dr Foster, with plans to return to its practice of highlighting poor quality care in the NHS.











