Exclusive insights content on every NHS system
- Easy-to-read ICS profiles and Investigations
- In-depth Briefings on the big picture trends shaping the landscape
- Benefit from over 50 data points that will help benefit your business case
Identify your best opportunities
- Create Watchlist Alerts to keep your team up to date with key partners and prospects
- See Investigations, Leadership, Documents, Spend and more for every system in one place
- Pinpoint opportunities and map your strategy with six powerful insight modules: National, Systems, Organisations, Leadership, Documents, and Spend
Download a sample HSJi Investigation
Using a mixture of proprietary intelligence, HSJ Intelligence brings you the top strategic issues facing specific providers and health systems.
Latest HSJi Review talks about the NHS’s financial crisis
Read Jack Serle's latest HSJi Review, which highlights that the NHS’s finances are in a difficult position but the extent of the crisis, as set out in the latest national briefing on HSJ Intelligence, is still alarming.
The year began with NHS England forcing most of the 42 integrated care systems into setting unrealistic financial targets for 2023-24. Two-thirds of the systems acquiesced to the centre and set breakeven plans, making wildly optimistic assumptions about the inflation rates and how long the doctors’ industrial action would continue. Read full article here.
Latest investigations
Bedfordshire, Luton and Milton Keynes ICS
Bedfordshire has formed a care alliance to help coordinate services across the complex Bedfordshire and Luton health economy. It contains Bedford Borough, Central Bedfordshire, and Luton local authorities, Berkshire Healthcare Foundation Trust, Cambridgeshire Community Health Services, and mental health provider East London FT, as well as local authority and PCN members. The ICS is also in the process of creating a mental health, learning disabilities, and autism collaborative. There are no plans for an acute collaborative.
Shropshire, Telford, and Wrekin ICS
Shropshire, Telford and Wrekin is both the smallest integrated care system and, partly as a result, among the most challenged nationally. NHS England has placed in it “national oversight framework level four” – which is reserved for the most troubled systems. As a result the ICS receives intensive national support. STW ICS is among the most financially troubled systems in the country. It admitted in January 2024 that it would miss its annual financial plan by £72.7m. The system had planned for a £57.1m deficit in 2023-24 but is now forecasting to report an overspend of £129.8m
Great Western Hospitals Foundation Trust
GWH performs poorly against the national average on ambulance handover times. The trust has identified several contributing factors to the delays. A recovery plan was put into place in late 2023 to address these problems. SWAST has also updated its computer-aided dispatch software with a new ambulance arrivals dashboard feature called XCAD. While GWH’s financial performance is not as bad as that of neighbouring trusts, there is growing concern at the recent slippage in its financial position. Despite submitting a breakeven financial plan to NHSE for 2023-24, the trust is now saying its best case scenario is to deliver a £3.9m deficit. The trust is aiming to make efficiency savings through temporary staff reduction schemes in most of its departments and to continue reducing spend on agency workers.
Data
The following data points were updated last week:
- NHS Improvement oversight ratings of Acute, Sp, Com, MH, Amb in Q4 2023-24
- Treatment started within 28 days of assessment (%), Patients receiving secondary mental health services of Wales in Q3 2023-24
- Annual Report, Workforce, Link to Quality Accounts, Post-tax Profit, Turnover of Private Providers for 2022-23
- Teaching and research spend, Hospital sector spend, Drugs spend by hospitals, Facilities spend by hospitals, Community sector spend, Primary medical care spend, Drugs spend by primary care and Dental spend of Scotland for 2022-23
- 18 week waiting target of Scotland in Q3 2023-24
- List of primary care networks of ICS in Q4 2023-24
What our clients say
Find out more about how HSJ Intelligence can help you
Complete the form below and a member of the team will contact you
HSJI Experts
With unrivalled access to senior figures, NHS data sources and rigorous primary research, HSJ experts have a unique insight on the NHS, and deep understanding of the strategic issues facing NHS organisations and leadership teams. HSJi offers exclusive, predictive analysis explaining key trends and the specific NHS organisations that are likely to be affected.
Alastair McLellan
Editor
Nicholas Carding
Senior correspondent
Ben Clover
Bureau chief
Annabelle Collins
Senior correspondent
Matt Discombe
Correspondent
Lawrence Dunhill
Bureau chief
Oliver Hudson
Analyst
Nick Kituno
Correspondent
James Illman
Bureau chief
Alison Moore
Correspondent
Jack Serle
Senior insights correspondent
Dave West
Deputy editor