Bristol, North Somerset and South Gloucestershire ICS


Revealed: The ICBs most reliant on private hospitals


Up to 20 per cent of NHS elective patients are now being treated by private hospitals in some areas, analysis by HSJ  suggests.

industrial action strike placard protest

Manager and doctor ‘camaraderie’ eroded by strikes, ICBs warn


“Camaraderie” between NHS managers and senior doctors has been eroded during the past year of medical strikes, a review by several integrated care boards has warned.

Money, finance and accounts

‘Inadequate’ action on cap-ex changes leading to ‘suboptimal’ decisions


Capital spending plans in some health systems are being adversely impacted by an accounting change that was not supposed to affect operational decisions.

Money, finance and accounts

Nearly a third of ICSs admit finance plans will be missed


At least 13 integrated care systems have now admitted they will miss the financial plans they signed up for at the start of the year.

agreement, handshake,merger,merge,takeover

City’s two acutes to share CEO and chair


A city’s two acute trusts have announced plans to share a chair and chief executive.

Surgeons operating

Rush to reduce elective backlog increasing ‘never events’, report finds


Moving less complex procedures out of operating theatres and into other care settings to free up capacity to support elective recovery has ‘inadvertently’ increased the risk of ‘never events’ at an acute trust, a report has warned.

Nick Carding 2023

West Country Chronicle: ICBs learn different lessons from procurement debacle


From Cornwall to the Cotswolds, West Country Chronicle offers essential insight into NHS matters in the South West. Contact me in confidence here.

Car steering wheel

ICB battling legal challenge over patient transport contracts


The award of two patient transport contracts, worth a combined £42m, by an integrated care board is being challenged in court by the losing bidder.

money 2180330280

ICBs must pay £1.7m for competition failure


Three integrated care boards have had to pay £1.7m to a technology firm, after commissioners manipulated a procurement, new figures reveal.

Money, finance and accounts

Exclusive: Government and NHS in talks over £1bn funding gap


Government is in talks with national NHS leaders over how to fill an urgent funding gap of at least £1bn this financial year, HSJ has learned, as new analysis shows all 42 local integrated care systems were behind their own plans less than halfway through 2023-24.

Hospital beds

Revealed: the ICSs where delayed discharge rates have doubled in a year


More than half of integrated care systems have managed to cut their rates of delayed discharges this year, but performance worsened in 16 ICSs.

Digital innovation

Revealed: First ICS digital maturity ratings


HSJ  can reveal the first ratings given to every integrated care system for the ‘digital maturity’ of its NHS providers.


Trust leaders using ‘aggressive tactics’ to ‘break’ strikes, BMA claims


The BMA has hit out at a trust after it emerged that striking junior doctors could ‘needlessly’ have eight days’ wages deducted from July’s pay, despite there being five days of strike action this month.


Trust loses £85m contract for local services after winning work 200 miles away


A foundation trust has lost an £85m contract to provide healthcare services in its local prisons to a private company, after taking over the same services from the same company 230 miles away.

Mobile phone

Revealed: the tenfold regional difference in access to GP records


Fewer than one in 10 GP practices offers patients access to their records in several areas of England, with significant variation across England, six months ahead of a new deadline.

Nick Carding 2023

West Country Chronicle: ‘You know what CEOs are like – they like a challenge’


From Cornwall to the Cotswolds, West Country Chronicle offers essential insight into NHS matters in the South West. Contact me in confidence here.

agreement, handshake,merger,merge,takeover

ICBs hire same tech provider following court order to redo procurement


Two integrated care boards have hired the same tech supplier after a court order to re-procure due to a previous purchasing process being deemed unlawful.

Shane Devlin

‘Traffic control’ forecasts will give ICB ‘line of sight for every patient’


An integrated care system is hoping to be among the first to use predictive analytics to plan services, after hiring the firm credited with success of the NHS covid data store, as well as the 2016 Vote Leave campaign.

University of Washington

Children must wait for ‘crisis’ before autism diagnosis, say overwhelmed systems


New restrictions are being introduced for autism assessments, with some areas now only accepting referrals for patients in crisis, HSJ has learned.

Nick Carding 3x2

West Country Chronicle: Staff survey reveals a county of contrast


From Cornwall to the Cotswolds, West Country Chronicle offers essential insight into NHS matters in the South West. Contact me in confidence here.