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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 decline in emergency care
Read Jack Serle's latest HSJi Review, which reports on how the emergency care performance in England had been on the decline for several years before covid hit.
It is now approaching the point where observers of the NHS are almost becoming blind to the thundering inadequacy in this area of care, creating the danger of normalising what is a very grim situation. Read full article here.
Latest investigations
Despite submitting a breakeven financial plan at the start of the 2023-24 financial year, Salisbury Foundation Trust reached March predicting a deficit in the region of £10m. Agency spend against total staff pay costs at SFT is averaging 5.9 per cent, significantly higher than the national target of 3.7 per cent. The trust is struggling to reduce number of long elective waits. In order to reduce waiting lists in skin cancer and plastics pathways, the trust has begun insourcing work with external supplier 18 Week Support.
The most influential body within the ICS – along with the integrated care board – is the county’s provider collaborative which represents all the system’s NHS trusts. The collaborative is actively driving service reconfiguration. The system has been placed into “segment three” of NHSE’s four-level oversight framework. The performance of University Hospitals of Derby and Burton Foundation Trust is the system’s biggest problem. It is in “tier one” of NHSE’s performance management regime for acute providers, which is reserved for those with the worst record on electives and cancer care.
Bedfordshire Hospitals Foundation Trust
Bedfordshire Hospitals Foundation Trust’s overall emergency care performance is slightly higher than the national average. However, this disguises the fact that the Luton accident and emergency department is a strong performer and Bedford a poor one. It needs to expand its same-day emergency care capacity and also faces scrutiny over its cancer performance. The trust has historically managed its finances well but is forecasting a £6.8m deficit against an original breakeven plan for 2023–24. The shortfall is driven by the cost of maintaining staffing levels during industrial action by doctors.
Data
Last week the following data points were updated:
- About the board, Link to Board papers of Acute,Sp,Com,MH,Amb, ICS in Q4 2023-24
- Website Address of Acute,Sp,Com,MH,Amb in Q4 2023-24
- Total Fund based allocation, Population (Summary info under map) of ICS in 2024-25
- A&E waiting target, Beds occupied by delayed discharges, Length of delayed discharges of Scotland in Feb
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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
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