Herefordshire and Worcestershire ICS


Trust’s ‘leadership behaviour’ attacked by six ICBs


Six integrated care board chiefs in the Midlands have written to an ambulance trust over a “pattern of behaviour” they claim its leadership team has displayed since its Care Quality Commission rating was downgraded.

Patients waiting

Service with 10-year waits set for overhaul


A mental health trust where waiting times for ADHD assessments reached 10 years attempted to stop running the service amid concern over “untenable” demand pressures, board papers suggest.


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.


Struggling provider fails to appoint CEO


A struggling mental health and community trust has appointed an interim chief executive after a recruitment process failed to secure a new substantive leader.


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.

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.


Trust bosses used racist language in interviews, says CQC


Trust bosses used racist language and created a closed culture, according to a Care Quality Commission report, which said the trust’s overall and leadership ratings had been downgraded following an inspection.

Nursing home

Revealed: The ICBs paying a third of care home bills late


Several commissioning boards have been routinely failing to pay the money they owe to care homes in a timely fashion.

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.


Trusts still seeking compensation a year after cyber attack


Two trusts remain in discussions with a tech firm over financial compensation a year after a cyber attack left them without access to patient records for months.


Trust CEO to retire after four decades in the NHS


A long-serving trust chief executive has announced she will retire in April after 41 years in the NHS.

Housing bill

Trust’s claim against councils thrown out by judge


A judge has sided with three councils and dismissed an acute trust’s legal challenge in a row over payments to offset demand pressure from thousands of new homes.


Trust CEO leaves to join expanding hospital group


A community trust chief executive is leaving to become the first managing director of an acute hospital which has joined an expanding provider group.


Service ‘collapses’ after department left with ‘no doctors’


A trust has been accused of presiding over the deterioration of a key service amid communication problems between senior leaders and a ‘worrying series of resignations’ which has left the department with ‘no doctors’.

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.

Worcestershire royal hospital

‘Helpless’ CEO’s report expresses ‘extreme concern’ over doctors strikes


Acute trust leaders have expressed ‘extreme concern’ over their ability to maintain safe services in the upcoming junior doctor and consultant strikes.

New homes

Trust mounts £2m legal challenge against councils


An acute trust has mounted a legal challenge against three councils after its bid to secure almost £2m to offset demand pressure from thousands of new homes was rejected.


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.