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CommentAs a trust CEO I found it hard to keep the focus on improvement
For more than two decades, the NHS has invested heavily in improvement. There have been new operating models, structures, and performance frameworks, as well as repeated waves of leadership development. Yet across much of the service, improvement remains episodic. Gains are made, often at pace – and then lost
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HSJ PartnersWe digitised decisions. Now we must digitise delivery.
The NHS holds more clinical data than ever, yet patient flow remains a daily struggle. Not because digital transformation has failed – but because we digitised decisions while leaving delivery analogue.
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News£50m gap declared after EPR and A&E knock trust off plan
A trust has declared it will end the year with a deficit of at least £48m, admitting its breakeven plan “carried too much risk”.
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CommentWhy so many acute oncology services are unsafe by design
Despite their central role in cancer care, Acute Oncology Services remain underdesigned and overreliant on professional goodwill. Workforce redesign, not resilience, is now the critical safety issue
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NewsNHSE launches ‘sprint’ in bid to hit waiting list target
NHS England has told trusts to begin a “sprint” exercise in a bid to hit its politically critical waiting list target by March.
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CommentThe real cause of NHS leadership burnout
Pressure is visible; disorientation is not. Until the NHS names the quiet drift pulling leaders off course, burnout will continue to be misread and mismanaged
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HSJ Local‘Digital desert’ hospital group pushes £88m tech project back a year
A hospital group containing three acute trusts has been forced to delay deployment of its electronic patient record for at least another 12 months, HSJ has learned.
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CommentWaiting list falls but still not fast enough
The longest waiting specialties made the biggest improvements in waiting times in November, says Rob Findlay
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NewsNHSE’s ‘model A&E’ delayed after ‘real world value’ questioned
Senior leaders have been drafted in to draw up NHS England’s new blueprint for A&Es, following internal criticism of the highly anticipated guidance.
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Expert BriefingRecovery Watch: Unsexy and painstaking – 2026 in elective care
Elective recovery and returning the NHS to meeting the 18-week standard by 2029 is the government’s main performance priority. The Recovery Watch newsletter tracks prospects and progress against this goal. This week by bureau chief James Illman.
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CommentThe NHS risks going backwards on patient safety
NHS organisations are beginning to shift from blame-focused incident management to systems-based learning. But with old cultures still deeply embedded and operational pressures mounting, leaders and regulators must actively resist a return to defensive, compliance-driven thinking
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News‘Significant errors’ uncovered in trust’s accounts
Serious financial reporting and governance problems have been discovered by a trust’s external auditors, delaying its accounts by more than a year.
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News£44m deficit declared by first trust to abandon financial plan
A large trust has become the first to publicly admit it will fail to meet its financial plan this year and will plunge into a deficit of more than £40m.
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NewsProviders fear ‘significant commercial risk’ from NHSE contract rules
Fundamental concerns have been raised about NHS England’s proposed elective payment model for next year by NHS and private providers – with independent sector leaders branding them “not sustainable”.
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NewsTrust ‘losing £35m a year’ from integration contract
An acute trust is considering ending a 20-year partnership with a local authority as the cost of delivering adult social care services is exceeding funding by £35m per year.
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CommentA third of NHS managers should be working on transformation
NHS staff have ideas and ambition, but change rarely happens. A senior clinician explains why – and how delivery could finally improve
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NewsConfusion over ‘corridor care’ obscuring safety risks
The NHS has been told by a safety watchdog to agree a universal definition of “corridor care” following a row over the terminology used to describe the practice.
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NewsRevealed: Wide variation in resident doctors on strike
There was wide variation in the proportion of resident doctors who went on strike before Christmas amid increased national turnout, analysis of NHS England data suggests.
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NewsCEO turnover hits 25% as ‘scrutiny ratchets up’
One in four trusts saw their chief executive change last year, which senior figures say reflects “onerous” performance management being “ratcheted up” – and a problem retaining leaders.
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NewsA&E handover delays worse at 21 trusts
One in six hospital trusts have seen ambulance handover times deteriorate this winter, despite a trend of national improvement and directives from NHS England.