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HSJ Intelligence

HSJ Intelligence

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
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  • 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
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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 discusses emergency care performance of acute trusts

Read Jack Serle's latest HSJi Review, which says it would be imprudent to take one’s eye off the state of acute providers. 

If you take emergency care as a yardstick for how trusts are faring, the picture is a bleak one.

Attendances at ‘type 1’ accident and emergency departments that are meant to treat the most seriously unwell patients are rising steadily. Read the full article here.

Latest investigations

Croydon Health Services Trust

In the 2024 Care Quality Commission patient experience survey of urgent and emergency care services, Croydon was one of the five trusts whose score was worse than expected. The trust regularly records a high number of 12-hour accident and emergency waits. Long ambulance handover delays are now much less of a problem because of London Ambulance Service’s policy of waiting no more than 45 minutes before transferring patients. However, this has led to A&E overcrowding, with around 15 patients consistently being held in the ED corridor at any one time.

Lewisham and Greenwich Trust

Waiting times at Lewisham and Greenwich Trust’s two accident and emergency units have seen it persistently ranked in the bottom quartile for performance in London, with performance of around 62.6 per cent against the four-hour target in 2024-25 – but it has ambitious plans to turn the position around. Both units were already having to “triple-board” patients at times of pressure (putting three patients in a space designed for one) and when norovirus hit at the start of the calendar year, the Lewisham site was forced to move to quadruple boarding.

Greater Manchester ICS

The Greater Manchester ICS has an underlying financial gap of £300m. Initial ICB forecasts suggest the system is on course to return a £95m deficit in 2025-26. NHSE is insistent that it break even. Achieving a break-even position would require £200m in deficit support funding, generating £306m in elective recovery funding by surpassing national activity targets, and repurposing £92m from the service development fund to cover core operational pressures. The latter may include, for example, continuing the Live Well pilots but reducing their scope.

Data

  • Quarterly staff absence rates; and Total Workforce of Acute,Sp,Com,MH,Amb for Q3 2024-25
  • Workforce-Medical staff of Acute,Sp,MH, Comm for Q4 2024-25
  • Workforce-Nursing Staff; and Workforce-Other Staff of Acute,Sp,Com,MH for Q4 2024-25
  • Workforce-Amb Staff of Amb for Q4 2024-25
  • Nursing workforce; Locations; Board papers link; Website Link; and About the board of ICS for Q4 2024-25

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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.

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Alastair McLellan

Editor

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Ben Clover

Bureau chief

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Annabelle Collins

Senior correspondent

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Matt Discombe

Correspondent

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Oliver Hudson

Analyst

Nick Kituno

Correspondent

James Illman

Bureau chief

Alison Moore

Correspondent

Jack Serle

Senior insights correspondent

Dave West

Deputy editor