There is a risk of a “loss of momentum” in new care models ahead of a major shift in their funding in the next financial year, the GP lead for two national vanguards has warned.
Areas covered by new care model vanguards saw a fall in the GP referral rate during 2016 and 2017, and very slightly lower growth in emergency admission rates than the rest of England, analysis by HSJ indicates.
Two Nottinghamshire clinical commissioning groups, which also lead a national vanguard, have found there is no direct link between extended GP opening hours and accident and emergency attendances.
An NHS England director has been appointed to the first managing director post of an “accountable care system”.
In-depth analysis of Care Qquality Commissioning ratings of GP surgeries shows pockets of good and bad primary care performance scattered across the England Midlands and East region.
Clinical commissioning groups with the “best performing” new care models for primary care will receive extra funding to extend GP opening hours, HSJ has learned.
The chief inspector of hospitals has recommended a troubled acute foundation trust be removed from special measures.
An out of hours provider has been forced to end provision of services across the East Midlands after it announced it intends to file for administration.
STRUCTURE: Nottingham University Hospitals Trust has been named as the preferred organisation to acquire neighbouring Sherwood Forest Hospitals Foundation Trust.
FINANCE: A consortium of seven East Midlands acute trusts has been awarded £960,000 to support its work as a vanguard site developing a new model for radiology services.
Four fifths of clinical commissioning groups have at least one large scale GP provider group in their area, according to information collected by HSJ.
COMMERCIAL: Nottinghamshire Healthcare Foundation Trust has been awarded contracts worth £148m to provide eight community services over five years.
PERFORMANCE: Regulators have said a failing foundation trust requires a ‘close tie-up with a long term partner’, after spending more than two years in special measures.
PERFORMANCE: The high profile collapse of dermatology services at Nottingham University Hospitals Trust is now having a knock-on effect on the services at a neighbouring trust, board papers indicate.
WORKFORCE: Sherwood Forest Hospitals Trust will employ a turnaround director to implement a series of recovery plans agreed with Monitor.
Making the move to capitated outcomes based commissioning
STRUCTURE: Nottinghamshire Healthcare Trust and Kent Community Health Trust have been granted foundation trust status by Monitor.
COMMERCIAL: Sherwood Forest Hospitals Foundation Trust is developing a memorandum of understanding with a GP-led provider on pathways of care linked to community services.
NHS England has revealed the 64 clinical commissioning groups that will take full control of their local primary care budgets from April.
PERFORMANCE: Sherwood Forest Hospitals Foundation Trust is in talks to enter into a formal ‘buddying’ arrangement with Royal United Hospitals Bath FT, following the end of its relationship with Newcastle Upon Tyne Hospitals FT.