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Expert BriefingThe Download: A blueprint with no builders
The weekly newsletter that unpacks system leaders’ priorities for digital technology and the impact they are having on delivering health services. This week, written by Ben Clover and Ella Devereux. Contact HSJ in confidence here.
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NewsFirst ‘neighbourhood contract’ links GP income to A&E attendances
Some £1.7m of primary care revenue will be tied to A&E attendances from next year, under a first-of-its-kind “neighbourhood” contract deal.
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CommentPolitical whim should not drive NHS restructures
As Parliament debates the Health Bill, the focus should be on not only new structures, but on whether repeated NHS reorganisations deliver meaningful change
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Expert BriefingThe Integrator: NHSE takes aim at ‘cost shifting’
Insider tales and must-read analysis on how integration is reshaping health and care systems, NHS providers, primary care, and commissioning. This week, by correspondent Mimi Launder.
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CommentThe benefits of slow leadership
Under relentless NHS pressure, speed is replacing judgement. Leaders risk losing reflection, moral clarity, and safe decision-making in this constant acceleration
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NewsGovernment accused of ‘disconnect’ in policy over new ICB role
The government’s decision to give integrated care boards partial responsibility for delivering a new £1.8bn special needs programme is creating “real tension” with their plans to cut staffing and focus on commissioning, system leaders have warned.
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Expert BriefingThe Integrator: Are PCNs finished?
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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NewsGrowing private services creating ‘regulatory gap’, claims watchdog
There is a growing “regulatory gap” around several NHS services where private provision has grown rapidly, the Parliamentary watchdog has told HSJ.
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CommentThe growing management crisis risks undermining NHS reform
A new NHS workforce plan must finally address the overlooked management workforce needed to drive improvement, innovation, and reform
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NewsNeighbourhood plans ‘in danger’, says top five trust leader
The government’s neighbourhood health agenda is “in danger of not happening” amid a lack of clarity over governance structures and funding, the chair of England’s fourth-largest trust has claimed.
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News‘Central pressure’ forcing ICBs to cut reform investment
Integrated care boards are struggling to protect funds to deliver neighbourhood health and other 10-Year Health Plan proposals this year – with one cluster forced to withdraw a £33m fund days after launching it.
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Expert BriefingThe Integrator: NHS reform after Streeting
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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NewsMinisters take powers to overrule ‘unresponsive ICBs’
The government is taking a raft of new powers over the NHS – including one that will enable them to direct integrated care boards on virtually any of their functions – in its new Health Bill, published on Thursday.
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NewsCEO: ICB must take ‘urgent action on shameful situation’
The boss of a trust where a child recently spent over two months in A&E has urged other local system leaders to take “urgent action” to help resolve the “shameful situation” concerning vulnerable children.
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NewsThree times more GPs leaving some ICBs
Some systems saw fully qualified GPs leave their roles at three times the rate of other patches last year, according to new figures.
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Expert BriefingThe Integrator: The restructures are anything but over
Insider tales and must-read analysis on how integration is reshaping health and care systems, NHS providers, primary care, and commissioning. This week, by correspondent Mimi Launder.
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CommentWhy prevention keeps losing out
NHS leaders believe in prevention, but system design drives focus on waiting lists and activity, not long-term health outcomes
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NewsAdvice and guidance ‘adding to backlogs’, say consultants
Many medical consultants report a “mixed” experience with the advice and guidance model, saying it is “under-resourced and adding to existing backlogs”, according to research by an integrated care board.
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CommentGovernment must back ICBs or its reforms will fail
ICBs are ready to prove themselves as strategic commissioners. Now the government needs to hold up its end of the bargain
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Expert BriefingThe Integrator: Abolishing NHSE is the easy part
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