Suffolk and North East Essex ICS

Dave West 2023

The Integrator: The ‘race to the bottom’ in ICS finances


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.

Doctor at GP surgery

National programme seeks new ‘GP operating model’


Seven integrated care boards are to test new “operating models” for GP provision under a wide-ranging programme backed by NHS England, they announced today.

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.


Trust appoints fifth CEO in as many years


Embattled Norfolk and Suffolk Foundation Trust has appointed a new interim chief executive just a week after incumbent Stuart Richardson stood down.

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.

Stuart Richardson RESIZE

Fourth CEO in five years leaves under-pressure trust


The chief executive of one of the NHS’s most troubled trusts is standing down following sustained criticism about the leadership team’s efforts to turn around the organisation.

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.


‘We’ve got no magic fix’ admits director of trust with ‘culture of fear’


The deputy leader of a trust rated ‘inadequate’ by a health watchdog four times in the past decade has admitted the necessary changes to its culture may take a further four years.

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.

Nick Hulme

Senior trust CEO takes on top job at second major trust


East Suffolk and North East Essex Foundation Trust chief executive Nick Hulme has been appointed interim chief at Norfolk and Norwich University Hospitals FT, the trusts have announced.

Stuart Richardson-013

Poor data leaves trust unable to report on avoidable deaths


An independent review has raised concerns about a mental health trust’s reporting systems, including what appeared to be a large number of patient deaths shortly after leaving the trust’s care.

Angela Hillery 3x2

Four NHS chiefs awarded birthday honours alongside maternity campaigners


Four NHS chief executives were among those recognised in the King’s Birthday Honours, along with public health leaders and safety campaigners.

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.


Revealed: The integrated care partnerships with no public meetings or minutes


Six integrated care systems have not held any public meetings of their ‘partnership’ boards – and nine have not published any ICP meetings or papers – nearly a year after they were set up.

Breast cancer radiology

Six systems pulled up by NHSE over poor cancer diagnosis performance


NHS England has demanded recovery plans from six systems with a poor record on delivering urgent cancer checks.

Hellesdon Hospital, NSFT

Revealed: ‘How NHSE plans to split trust if turnaround fails’


Options around the future of a troubled mental health trust are set to be presented to ministers by the end of next month.

NSFT CEO Stuart Richardson45

Trust staves off break-up calls after CQC upgrade


A troubled trust has most likely secured a reprieve from being broken up after the Care Quality Commission upgraded its rating, but its leaders accept they still have a ‘long way to go’.


Trust warned by CQC over staff sleeping on duty


A mental health trust has received a warning from the Care Quality Commission over staff sleeping on duty and other serious concerns.

Gareth Davies

‘Unauthorised payoffs’ made to senior staff at six NHS organisations


NHS England has been criticised by national auditors after a spate of unauthorised payoffs to departing commissioning staff, and warned that the move to integrated care boards may bring more.