A leading chief executive has described NHS England’s major changes to the financial architecture as ‘very risky’, amid a number of wider concerns from local leaders.
An acute trust in Yorkshire has become the first of its cohort to fully replace its electronic patient record installed under the much-criticised National Programme for IT, with another trust set to follow suit.
A West Midlands clinical commissioning group is mulling service cuts as it comes up against a £27.9m in-year deficit.
Listen to the HSJ Health Check podcast — our new episode covers the outlook for the nursing workforce as revealed by HSJ this week, norovirus and the flu turning up early for winter, and a Midlands trust landing an “outstanding” rating.
A trust has become the only acute provider in its region rated “outstanding” overall by the Care Quality Commission.
A breakdown by area of acute and combined trusts based on the share of employees experiencing violence from patients, relatives or the public in the last 12 months, according to the NHS staff survey 2018.
Commissioners have told a local hospital trust to close a temporary operating theatre opened to reduce elective waits because it was proving too expensive.
A recently departed health minister has called for the merging of more national health bodies, and said fragmentation at the centre is slowing down much-needed transformation.
Outgoing King’s Fund chief executive Sir Chris Ham has been appointed as independent chair of a sustainability and transformation partnership in the West Midlands.
Winner HM Prison Low Newton, Durham: The development of perinatal and maternity care pathways for women in the judicial system
A West Midlands hospital chain will expand to cover three trusts, following the resignation of a neighbouring trust’s chief executive.
The failure of parts of the NHS to use “bog standard” IT is undermining the case to Treasury for more technology funding, an NHS England director has said.
What NHS England isn’t telling you, and more indispensable insight for commissioners, by Dave West.
HSJ approached the 29 pathology networks proposed by NHS Improvement to ask if local trusts had signed up. In most cases the proposed “hub” trust was able to answer on behalf of its network.
The majority of NHS hospital trusts have failed to hit the three key efficiency targets set out in the Carter review on time, HSJ research has found.
Pathology chiefs in the West Midlands have tendered a major contract despite uncertainty over whether they will follow NHS Improvement’s recommendations about which trusts will be in their network.
Five trusts have been identified as offering a poor overall experience to patients in their accident and emergency departments, based on a new Care Quality Commission patient survey.
The NHS is unlikely to meet a government target to cut delayed transfers of care to 3.5 per cent of its overall 131,000 bed base by next month, analysis of official data published today suggests.
Trusts could use housing developments to tap into tens of millions of pounds in new income, after a West Midlands trust set a new legal precedent.
Two West Midlands trusts have formed a “foundation group” to create twin accountable care organisations despite being separated by an entire county.
Two incumbent community providers have been named as the lead contractors for a new £57m out of hospital services model proposed for Coventry and Warwickshire.
In the second part of our roundtable, our panellists debated sustainability, social media, the demise of heroic leadership and the changing nature of the job
Strokes services in Coventry and Warwickshire could be centralised under a plan that will see two hospitals lose all their acute stroke beds.
Almost half of NHS staff say there are not enough of them to do their jobs properly, according to the latest NHS staff survey.
Standout trends in this year’s rankings include the prevalence of the multi-trust leader, the influence of outstanding CQC ratings and the rise of women chief executives
Tracking everything that’s new in care models and progress of the Five Year Forward View. By integration reporter David Williams.
Three board members from South Warwickshire Foundation Trust are being appointed to run Wye Valley Trust in the first move towards creating a hospital chain, HSJ can reveal.
A government minister has claimed his local hospital trust is about to be taken over, and accused NHS Improvement of arranging the deal without properly consulting patients or staff.
Regulators have published proposed new ratings for every NHS trust that reflect the seriousness of the problems they face.
Tracking everything that’s new in care models and progress of the Five Year Forward View, by integration reporter David Williams.
Wide variation has been uncovered across hospitals in emergency bowel and abdominal surgery mortality rates in an annual audit.
Twenty hospitals trusts are responsible for more than half the overall decline in the annual accident and emergency waiting times performance, HSJ analysis reveals.
A clinical commissioning group has abandoned its high profile competitive tender for community services in favour of a joint programme with two neighbouring commissioners.
Tracking everything that’s new in care models and progress of the Five Year Forward View, by our senior correspondent on integration David Williams.
Commissioners in the West Midlands have embarked on a competitive tender process for out of hospital care in the face of criticism from the main incumbent provider.
COMMERCIAL: Pharmaceutical companies will no longer be allowed to sponsor events organised by South Warwickshire Clinical Commissioning Group.
Trusts that cannot achieve new benchmarks for pathology will have to agree by next January to outsourcing or sharing services with other providers, Lord Carter is expected to recommend.
By using publicly available data, HSJ has been able to closely match the methodology used by Lord Carter to produce trusts’ headline “savings opportunity” figures. Here we list the least and most efficient trusts according to the headline measure, as well as data for all trusts.
COMMERCIAL: A foundation trust is planning a joint bid with GPs to run out of hospital care after commissioners decided to run a competitive tender to improve local services.
The chief executive of South Warwickshire Foundation Trust has joined a new emergency support team set up by the national regulators and the Department of Health.
COMMERCIAL: South Warwickshire Foundation Trust has established a partnership with a large scale GP federation, with the intention of bidding together for a local community services contract.
Integrating personal and NHS health records
WORKFORCE: South Warwickshire Foundation Trust has appointed a new chair.
What the new recruits can do for the Department of Health
NHS England and Monitor are facing calls to exempt ‘vanguard’ areas from requirements to tender services, amid fears that procurement processes could undermine efforts to establish integrated primary, community and acute care models.
Five accident and emergency consultants have resigned from a troubled West Midlands acute trust across two hospitals, including all four consultants from one department.
WORKFORCE: The chief executive of Coventry and Warwickshire Partnership Trust has announced she will retire later this year.
South Warwickshire Foundation Trust set up three discharge-to-access pathways that cut down the length of hospital stay for older patients
The NHS spent £1.78m on an abandoned procurement to find an organisation to take over George Eliot Hospital Trust, HSJ can reveal
Four clinical commissioning groups are among the top 10 Best Places to Work in healthcare
A private firm wholly owned by a Midlands foundation trust is to take over the running of a private clinic from Circle
Private healthcare provider Circle is expected to have to dip into its own coffers for the second year running to cover a deficit at Hinchingbrooke Health Care Trust, HSJ has learned.
A tender process for the running of George Eliot Hospital Trust has been abandoned, it was announced today.
South Warwickshire Foundation Trust has announced it is working with George Eliot Hospital Trust to provide a new breastfeeding support service for mothers across Bedworth, Nuneaton and North Warwickshire.
University Hospitals Coventry and Warwickshire Trust was forced to leave the bidding process to run nearby George Eliot Hospital due to financial concerns, HSJ understands.
PERFORMANCE: Monitor has closed its investigation into waiting times at South Warwickshire NHS Foundation Trust.
University Hospitals Coventry and Warwickshire Trust has pulled out of the bidding process to run neighbouring George Eliot Hospital Trust, making it appear certain a private firm will be involved in its management.
The building of a £20m new hospital in Stratford-upon-Avon has received approval by South Warwickshire Foundation Trust’s council of governors.
Problems must be fixed throughout the system
COMMERCIAL: South Warwickshire Foundation Trust has appointed Amey as its hotel services provider, the trust has announced.
WORKFORCE: South Warwickshire Foundation Trust has appointed a new medical director.
The five contenders through to the next stage of the competition to take over George Eliot Hospital Trust have been announced.
A deliberate slowdown in the treatment of people with less serious ailments and the discovery of groups of patients who were not previously recorded in national statistics could be behind growing waiting lists, experts have said.
The Department of Health and Treasury have approved a process that could lead to a second district general hospital trust being franchised to a private company.
PERFORMANCE: A clinical commissioning group has had to resort to “verbal feedback” to monitor its contract with a provider trust.
FINANCE: South Warwickshire clinical commissioning group has spent £2.3m by cutting the use of contract penalties for emergency care.
PERFORMANCE: Persistent performance breaches have caused Monitor to open a formal investigation into South Warwickshire Foundation Trust.
In the HSJ Briefing week we examine the proposals for changing NHS payment systems.
PERFORMANCE: Two of South Warwickshire Foundation Trust’s transformation plans have been rated amber.
STRUCTURE: South Warwickshire Foundation Trust has begun “scoping work” on two new transformation projects, both involving working with “strategic partners”.
FINANCE: South Warwickshire Foundation Trust finished January on a £3.2m surplus – more than double the expected amount.
HM Revenue and Customs is examining hospital trusts’ tax arrangements amid a growing trend to lawfully avoid paying VAT on outpatient drugs, HSJ has learned.
COMMERCIAL: George Eliot Hospital Trust has been given permission to go to market to seek a “strategic partner” to secure its long-term future.
FINANCE: Efficiency schemes fell 40 per cent short of target in the Warwickshire Primary Care Trust area over the first six months of 2012-13.
STRUCTURE: South Warwickshire Foundation Trust is asking staff and its local communities to think of an “innovative” new name for its Royal Leamington Spa Rehabilitation Hospital.
STRUCTURE: South Warwickshire Foundation Trust has launched a new intravenous therapy service, which will see patients treated in their own homes rather than in hospital.
PERFORMANCE: South Warwickshire Foundation Trust has extended visitor restrictions due to an ongoing norovirus outbreak.
PERFORMANCE: South Warwickshire Foundation Trust has banned visits to four wards due to a suspected norovirus outbreak.
STRUCTURE: Health leaders in Coventry and Warwickshire widely expect services to be removed from George Eliot Hospital Trust regardless of whether or not it enters a into a partnership with an NHS or private organisation it has emerged.
The Coventry and Warwickshire health economy is seeking a sustainable future for local trusts and clinical specialties
PERFORMANCE: Delayed discharges are far above target at South Warwickshire Foundation Trust.
FINANCE: South Warwickshire Foundation Trust is beating its surplus target thanks to high activity levels.
FINANCE: South Warwickshire clinical commissioning group has admitted that it did not know whether some of its local efficiency schemes were working.
PERFORMANCE: An 11.5 per cent rise in emergency admissions has prevented South Warwickshire Foundation Trust from closing winter capacity as planned.
Two of the bidders to take over the management of a district general hospital trust have announced a partnership deal.
PERFORMANCE: Latest death rate figures have highlighted ongoing problems at George Eliot Hospital Trust, and suggest that a spike in mortality rates elsewhere in Warwickshire earlier this year was short-lived.
PERFORMANCE: The proportion of high risk South Warwickshire “mini stroke” patients assessed and treated within 24 hours stood at just 39 per cent in May, following a service reconfiguration.
PERFORMANCE: South Warwickshire Foundation Trust has blamed a rise in delayed transfers of care on a shortage of social workers.
PERFORMANCE: All three acute provider trusts in the Warwickshire area are reporting mortality rates significantly above the national average.
FINANCE: South Warwickshire Foundation Trust ended month two of 2012-13 with a deficit of £457,000 - £517,000 worse than planned.
STRUCTURE: South Warwickshire Foundation Trust is planning to spend up to £500,000 redesigning its emergency care pathways to ensure services are safe and comply with national standards.
STRUCTURE: George Eliot Hospital Trust’s preference for a franchise deal to secure its future has been described as “rather disappointing” by would-be suitor South Warwickshire Foundation Trust.
PERFORMANCE: Acute providers in Warwickshire are struggling against targets for emergency admissions and ambulance handovers.
An NHS contender to partner with George Eliot Hospital Trust has said it may have to withdraw its bid, following signals that the trust might opt for a Hinchingbrooke-style franchise deal.
FINANCE: South Warwickshire Foundation Trust has been set a “challenging” efficiency target of £10m for 2012-13.
FINANCE: South Warwickshire Foundation Trust is in negotiations with local clinical commissioning groups for a “significant reduction” in income.
STRUCTURE: Heart of England Foundation Trust has pulled back from a mooted takeover of George Eliot Hospital Trust, HSJ has learnt.
FINANCE: South Warwickshire NHS Foundation Trust reported a surplus of more than double its target amount at the end of 2011.
FINANCE: The chief executive of South Warwickshire NHS Foundation Trust has criticised a draft local “system plan” for assuming providers will deliver services for below tariff prices.
STRUCTURE: South Warwickshire NHS Foundation Trust has proposed taking over neighbouring George Eliot Hospital NHS Trust.
PERFORMANCE: Emergency demand has outstripped capacity at South Warwickshire NHS Foundation Trust.
FINANCE: An injection of “deferred income” has enabled South Warwickshire NHS Foundation Trust to deliver more than double its target surplus for September.
STRUCTURE: South Warwickshire NHS Foundation Trust is “confident” it will be allowed to take ownership of community hospitals in its area.
PERFORMANCE: South Warwickshire NHS Foundation Trust is reporting a “general improvement in performance” for the second quarter of 2011-12.
FINANCE: Warwickshire primary care trust is over-spending on its acute contracts amid “exceptionally high” emergency activity.
PERFORMANCE: An action plan to tackle rising rates of delayed transfers of care has been agreed in Warwickshire.
STRUCTURE: A planned merger that would create England’s largest NHS trust would require £116m of support in its first year.
PERFORMANCE: South Warwickshire NHS Foundation Trust has been issued with a performance notice by commissioners after a recording high numbers of mixed sex accommodation breaches.
A fifth hospital trust has said it will consider private franchise management.
FINANCE: South Warwickshire NHS Foundation Trust reported a £971,000 surplus at the end of June, £264,000 better than expected, following widespread overperformance on contracts.
PERFORMANCE: South Warwickshire NHS Foundation Trust has identified concerns with its performances on infection control and accident and emergency.
STRUCTURE: South Warwickshire NHS Foundation Trust is proposing that it takes over the Royal Leamington Spa Rehabilitation Hospital.
WORKFORCE: Winston Weir has been appointed director of finance at South Warwickshire NHS Foundation Trust.
PERFORMANCE: The Care Quality Commission found the trust was meeting standards relating to dignity and nutrition, but also noted minor concerns on the nutrition standard, during a spot check as part of a wider investigation into how older patients are treated.
FINANCE: The succession of bank holidays in April has led to a lower than expected level of elective activity at South Warwickshire NHS Foundation Trust, which is reporting an above-forecast deficit.
STRUCTURE: A plan to reduce the number of beds at South Warwickshire NHS Foundation Trust stalled when it was forced to re-open a ward.
PERFORMANCE: South Warwichshire Foundation Trust has underachieved on two key “national priorities”, according to a report from Warwickshire PCT.
FINANCE: South Warwickshire FT is reporting a £2m surplus for the year, according to board reports.
PERFORMANCE: South Warwickshire FT has said that a review triggered by a mortality alert found there were not “evident shortcomings in care” at the trust.
FINANCE: The Coventry and Warwickshire health economy’s efficiency plan is “outdated”, according the chief executive of South Warwickshire FT.
PERFORMANCE: Oral surgery at South Warwickshire Foundation Trust is performing well below the 18 weeks standard, with performance deteriorating further from last month.
NHS hospitals are putting lives at risk by failing to comply with key alerts on patient safety, a report has said.
Chris White has won Warwick and Leamington for the Tories, casting further doubt on proposals to centralise specialist care.
South Warwickshire General Hospitals Trust has been awarded foundation status by regulator Monitor.
South Warwickshire General Hospitals Trust’s re-application for NHS foundation trust status has been accepted by Monitor, the independent regulator.
NHS chief executive is a high profile job and every now and then one such leader suffers a public execution - but these days there is no guarantee of another job in the system for those who leave under a cloud. Alison Moore asks what fate has in store for ...