Derby and Derbyshire ICS


Warning notice issued to trust which gave ‘assurances’ care was improving


An acute trust in the East Midlands has been issued with a warning notice and seen its maternity services downgraded from ‘good’ to ‘inadequate’ by the Care Quality Commission after ‘assurances’ that improvements had been made proved misleading.

Derbyshire Healthcare NHS Foundation Trust

Two trusts to miss deadline for eliminating ‘distressing’ wards


At least two trusts are set to fall short on a high-profile pledge to eradicate ‘dormitory’ style wards in mental health facilities, with delays caused by cost pressures and shortage of materials and labour.

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.

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.

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.

data network puzzle

More than half of ICSs lack ‘crucial’ health management systems


More than half of integrated care systems do not have a fully developed population health management system, despite this being a ‘core aim’, HSJ  can reveal.

John MacDonald to upload

New chair will ‘reset group model’ across three trusts


Three Midlands hospital trusts with a combined turnover of more than £2bn are moving to share a single chair, who wants to drive further collaboration and partnership between them, HSJ  can reveal.


Exclusive: NHSE halts ‘pioneer’ health centres due to lack of capital


A national plan to build new ‘super’ primary care hubs in six areas has been halted with immediate effect by NHS England because of a lack of capital funding.

Queen's Hospital, Burton

Trust told to pay more than £200k over dementia patient’s death


A hospital trust has been told to pay almost a quarter of a million pounds after pleading guilty to failing to provide safe care to a patient with advanced dementia who fatally injured himself.

Money, finance and accounts

Revealed: the 14 ICSs admitting they will end the year in deficit


At least 14 integrated care systems have now officially admitted they will end the year with a budget deficit, after just five areas said this at the start of the year.


NHS leaders fear ambulance strike ‘calm’ will not last


The first NHS ambulance strike for 32 years appears not to have had any major impact so far.


Every ICS on course to bust their agency spending cap


Internal NHS data suggests every integrated care system is set to bust the caps placed on their agency spending, many by over 50 per cent.


Trust lacks ‘grip and control’ over spending


An acute trust facing a worsening financial position has been warned it lacks ‘sufficient grip and control’ on spending.


Mental health trusts fear an ICS funding squeeze


HSJ’s fortnightly briefing covering safety, quality, performance and finances in the mental health sector — contact me in confidence.

angie-smithson (1) (002)

Trust chief to retire after four decades in NHS


The chief executive of Chesterfield Royal Hospital Foundation Trust has announced she will retire in April.


Trust tells clinicians ‘we’ll support you’ over safety risks caused by covid pressures


A trust has written to its registered workforce to reassure them of management support when delivering care in ‘extremely challenging circumstances’.


Police raised multiple concerns to regulator about hospital


Police raised concerns to the Care Quality Commission over the care at a private hospital after being called eight times by a patient, a report has revealed.

Image of Gill Morgan

Named: the first 25 integrated care board chairs


The chairs have been chosen for 25 of the 42 NHS integrated care boards which will plan health services from April.

Vaccine lab

All but eight health systems have given the covid jab to more than half of 45- to 49-year-olds


The great majority of England’s health systems have given first doses of the covid vaccination to more than half of those aged 45 to 49 in their area, according to the latest NHS England data.