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Using a mixture of proprietary intelligence, HSJ Intelligence brings you the top strategic issues facing specific providers and health systems.
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Latest Investigations
Norfolk and Waveney ICS & Suffolk and North East Essex ICS
A new ICB will launch in April 2026, with its executive team already in place six months ahead of go-live. The organisation is targeting £46m in running cost reductions while drawing up plans to improve health outcomes. A key focus will be on developing out-of-hospital care, with early priorities identified for neighbourhood and urgent care services. Suffolk is seen as a national leader on the “left shift” agenda, while local work in Norfolk has lagged behind, and digital system delays have slowed improvements.
Shropshire, Telford and Wrekin ICS & Staffordshire and Stoke-On-Trent ICS
Most of the cluster’s executive board has been appointed, with the board retaining chief nursing and medical roles while reviewing its office base. Strategic commissioning will be a shared responsibility rather than led by a single dedicated director. The cluster hopes to build on place-based population health work in Shropshire, Telford and Wrekin, and may, in the future, commission through integrated providers, particularly in Shropshire. Plans remain at an early stage, although Shropshire is part of a national programme and is spreading learning to Telford. A grouped acute and community trust in STW, along with a high-performing mental health and community provider in Staffordshire, could play leading roles in developing neighbourhood health. However, deep problems with overspending and core acute performance in both systems will remain a major challenge for the integrated board systems.
East Lancashire Hospitals NHS Trust
The large acute trust has mixed performance and is part of a national recovery programme due to severe financial challenges. Staff morale and high sickness levels are significantly affecting productivity. The trust sees technology as key to reducing demand and is also applying for university status.
Data Points
The following data points were updated this week:
- Elective activity Recovery for ICS in Q3 2025-26
- Treatment started within 28 days of assessment (%) and patients receiving secondary mental health services for Wales in Q3 2025-26
- Outpatient waiting list and Outpatient waiting list for Scotland in Oct, Nov, Dec
- 12-week waiting target – inpatients and 13-week waiting target – outpatients for Scotland in Q3 2025-26
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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
Editor
Ben Clover
Bureau chief
Annabelle Collins
Senior correspondent
Matt Discombe
Correspondent
Oliver Hudson
Analyst
Nick Kituno
Correspondent
James Illman
Bureau chief
Alison Moore
Correspondent
Jack Serle
Senior insights correspondent
Dave West
Deputy editor
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