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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 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

The Newcastle upon Tyne Hospitals Foundation Trust

Newcastle upon Tyne Hospitals Foundation Trust, under new CEO Sir Jim Mackey, tackles cultural challenges exposed by a critical Care Quality Commission report, addressing bullying and nepotism. Facing financial strain and struggling to meet cancer and elective targets, the trust implements changes in leadership and patient care, including optimising theatre systems and discharge planning. Despite setbacks like industrial action hindering financial plans, the trust pursues capital projects like a new children's heart center. Efforts focus on enhancing patient flow, while long-term refurbishments aim to modernise operating theatres, ensuring quality care amid financial and operational challenges.

Royal Cornwall Hospitals Trust

Royal Cornwall Hospital faces severe challenges with long emergency care waits and ambulance handover delays. The primary issue is delayed patient discharge due to limited domiciliary and community care capacity, exacerbating bed shortages. Initiatives like same-day-emergency-care and revised referral guidelines aim to alleviate pressure. Long-term solutions involve major redevelopment projects, including a £180m scheme for a new hospital entrance and service consolidation. Additionally, implementing an Oracle Cerner electronic patient record system is underway. However, financial constraints and project complexities must be managed to ensure effective implementation and sustained improvements.

Chelsea and Westminster Hospital NHS Foundation Trust

Chelsea and Westminster Hospital Foundation Trust boasts strong performance metrics, particularly in cancer care and diagnostics, exceeding many targets. Despite this, it faces a significant elective backlog, notably in orthopaedic care. Construction delays affect the £73m ambulatory diagnostics centre. CWFT collaborates with Hillingdon Hospitals FT, aiming for clinical integration over three years. System-wide collaboration with other acute trusts within the North West London Integrated Care System drives strategy, focusing on clinical reconfiguration and shared services. Orthopaedic care is being restructured, with CWFT relinquishing low-complexity surgeries. Ophthalmology, haematology, gynaecology, and dermatology are next in line for reconfiguration. Shared procurement efforts aim for unified transactional services.


The following data points were updated last week:

  • Name of Scotland in Feb 2024
  • Board papers of Acute, Sp, Com, MH, Amb, Wales, Scotland in Feb 2024
  • Number of medical staff, Nursing, midwifery and health visiting staff, Health care assistants and other support staff, Scientific, therapeutic and technical staff, Admin and estates staff, Staff absent (%) of Wales in Q2 2023-24
  • Elective activity Recovery of ICS in Q3 2023-24

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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.


Alastair McLellan



Nicholas Carding

Senior correspondent


Ben Clover

Bureau chief


Annabelle Collins

Senior correspondent


Matt Discombe


Lawrence Dunhill

Bureau chief

Oliver Hudson


Nick Kituno


James Illman

Bureau chief

Alison Moore


Jack Serle

Senior insights correspondent

Dave West

Deputy editor