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  • King’s Fund says Payment by Results not fit for purpose
  • Continuing staff discontent at the CQC
  • Circle planned cut of 20pc of staff at Hinchingbrooke

1:00pm A document shared with HSJ has revealed Circle’s original business plan for its running of Hinchingbrooke Healthcare Trust outlined a cut in the hospital’s workforce of 20 per cent

The document published last month said the private franchise operator had initially anticipated cutting its then 1,600 workforce by around 320 whole time equivalents. The company yesterday told HSJ the figure was based on a “worst case scenario” and that it was unable to say how many jobs would be cut in reality.

12.30pm The board has also risk rated its recruitment process (see page five of this document). Its 222 very senior manager appointments are all green-rated. In the headquarters and London region, 1,358 posts on the Agenda for Change salary scale are rated amber. All the rest, totalling 2,608 in the Midlands and East, South and North regions are rated amber-red.

12.21pm The NHS Commissioning Board has also revealed that around 70 per cent of its posts will be considered for “job matching”. For those posts, roles in the current system will be identified to transfer directly into the new structure, or to be appointed via competition between existing staff. That accounts for 2,900 of its 4,000 core staff. The remaining 1,100 will potentially have to be appointed through open competition. In addition, another 2,500 family health service manager will be “lifted and shifted” into the board from primary care trusts.

12.00pm Papers are up in advance of the next public NHS Commissioning Board meeting, on 8 November. Scroll to the bottom of the programme report to see its latest risk register. As in previous months, the biggest concerns are around being able to recruit enough staff in time.

10.53am Just 16 per cent of staff at the Care Quality Commission think morale is good while less than a fifth think changes are effectively implemented, the CQC’s latest staff survey reveals.

10.49am A King’s Fund report released this morning says Payment by Results is “not fit for our current and future health and social care needs” and “as it stands is not well designed to promote or support larger scale shifts of care from hospital settings due to incentives facing hospitals to maintain income”.