Hampshire and Isle of Wight ICS

Portsmouth Hospitals Queen Alexandra Hospital

NHSE director joins trust as ‘chief officer’


An NHS England national director has been hired to lead a major hospital grappling with severe financial problems.

Lawrence Dunhill 2023

North by North West: The threat of regime change


Essential insight into NHS matters in the North West of England. Contact me in confidence here.


Revealed: The systems with a third of dental budget unspent


Nearly a third of local dental budgets are going unspent in some areas of the country, according to data obtained by HSJ.

finance money coins

NHSE ‘treads tightrope’ with new cash bailout for deficit ICSs


NHS England is set to give around £650m to some health systems to offset financial deficits and ease cash pressures, HSJ has learned.


NHSE acts as performance deteriorates in five systems


Five integrated care systems face escalations in central scrutiny and support following “deterioration” against key urgent and emergency care targets.

Gesticulating hands in meeting

HSJ’s 10 most-read finance stories of 2023


As we prepare to close the book on 2023, we’re taking stock of our most-read finance stories of the year

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.

Red deficit arrow

£38.5m deficit leaves trust needing ‘cash support to continue operations’


An ambulance trust is moving from forecasting breakeven at the end of 2023-24 to a £38.5m deficit, and declared it will need to be given extra cash ‘to support continuing operations’.

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.

Ron Shields - TW July 2020 landscape

CEO named for new trust


A chief executive has been named for a new community and mental health trust in the south of England ahead of its planned formation next year.

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.

Royal Hampshire

ICB and seven trusts put in ‘recovery’ after refusing to submit balanced financial plan


An integrated care board and all seven of its member trusts have been placed into the ‘recovery support programmes’ – formerly known as special measures – by NHS England, after declaring a deficit plan for 2023-24.


ICSs most ‘off target’ on recovery named by NHS England


Seven integrated care systems and one ambulance trust have been placed in ‘intensive support’ because of their performance against urgent and emergency care metrics.


‘Archaic’ and risky patient records still used by most GP practices


Most GP practices in England are still using ‘archaic’ Lloyd George paper records despite a commitment to digitise them, HSJ  has found.

Money, finance and accounts

Revealed: the ICSs that refused to set breakeven plans


More than half the integrated care systems in the north of England have refused to agree a balanced financial plan, HSJ has learned.

Penny Emerit_resized

Trusts to share joint chief ahead of breakup


Two trusts in the south of England have named a joint chief executive as part of a major reorganisation.

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.

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.

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.

St Mary's Hospital Isle of Wight

Two trusts to appoint single chief executive


Two trusts are set to appoint a single chief executive and executive team as they move towards a joined-up leadership model.