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Expert BriefingThe Integrator: A new direction for integration
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
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NewsLeaders lukewarm about key provider reforms
Leading trust chief executives are split on the desirability of becoming advanced foundation trusts, an HSJ roundtable has heard.
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NewsRevealed: NHSE plan to ‘grip’ GP performance
NHS England intends to “improve operational grip” on GP performance and has warned it may lead to “contractual action”.
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NewsRevealed: The ICBs closest to hitting new access target
More than one in five clinically urgent GP appointments were not seen on the same day – but some areas are coming close to delivering the NHS England access requirement in 90 per cent of cases – new data reveals.
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NewsICB orders all GPs to use ‘distrusted’ IT system
An integrated care board has ordered all of its 337 GP practices to use a single digital access system and is switching off five rival products to save money.
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NewsNeighbourhood providers to gradually replace PCNs
Integrated care boards will be expected to offer GP practices additional services and funding to drive them to form new “neighbourhood providers” – but will get no new national money to do so.
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NewsDispute flares up over health centre development
An integrated care board is in dispute with one of its primary care networks over a bid to convert a former police station into a health centre.
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NewsRevealed: Promised ‘neighbourhood health centres’ already met requirements
Nearly all the first wave of “neighbourhood health centres” – currently being developed for launch by next year – were already doing the job required of the model, government documents reveal.
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NewsFirst ‘neighbourhood contract’ links GP income to A&E attendances
Some £1.7m of primary care revenue will be tied to A&E attendances from next year, under a first-of-its-kind “neighbourhood” contract deal.
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CommentThe default model for complex care is no longer fit for purpose
Providers and GPs across North Central London tested a proactive neighbourhood model that improved coordination for patients with multiple long-term conditions
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NewsThree times more GPs leaving some ICBs
Some systems saw fully qualified GPs leave their roles at three times the rate of other patches last year, according to new figures.
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NewsGP upgrades ‘stuck in layers of approval’
A string of bureaucratic barriers are still holding up development of buildings for primary and community care, multiple NHS and industry organisations have warned.
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CommentEverybody needs good ‘neighbours’
The NHS must prioritise leadership, integration and long-term partnerships to turn neighbourhood health plans into meaningful, system-wide change
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CommentNeighbourhood health is not ‘fluffy’
Neighbourhood health can improve outcomes and efficiency, but only if leadership, metrics and resources align with complex local population needs
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NewsMajor trust accused of shifting work to GPs
A major trust has been accused of inappropriately shifting work to GPs in the capital.
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NewsICBs given three years to ‘begin’ IHO rollout
Integrated care boards have been given three years to begin implementing outcome-based contracts, including integrated health organisations.
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NewsDHSC sets first targets for neighbourhood health
The first targets for neighbourhood health have been set in long-awaited government guidance.
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CommentWhy pharmacy is still excluded from neighbourhood care
Community pharmacy is one of the NHS’s most accessible assets, yet it remains largely excluded from new integrated care models.
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CommentEffective remote monitoring requires much more than choosing the right tech
A major evaluation of remote blood pressure monitoring reveals 10 key lessons for the NHS, highlighting that effective implementation requires more than just deploying technology – it needs systems that patients and staff trust, understand and value
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HSJ PartnersTransforming asthma care: Driving evidence-based practice in Bedfordshire, Luton and Milton Keynes ICB
Asthma affects 7.2 million people in the UK, with annual costs to the NHS estimated at £3bn.1,2