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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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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
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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 the three deficits

Read Jack Serle's latest HSJi Review, which talks about how the finances of the NHS in England are in their worst state for nearly two decades. 

Deficits are widespread, and many trusts face unpalatable cuts to spending and staff even as they try and recover their performance from the pandemic low.  Read the full article here.

Latest investigations

Avon and Wiltshire Mental Health Partnership Trust

Avon and Wiltshire Mental Health Partnership Trust is under significant pressure from high patient acuity and growing demand. The trust also has to contend that it has 39 per cent fewer total inpatient beds than the national average. The Care Quality Commission downgraded the trust’s overall rating from “good” to “requires improvement” in October 2023 following an inspection of the 81-bed Fromeside secure mental health unit. The trust is also working towards a medium-term financial plan which aims to reduce the £14.9m underlying deficit it carried into the 2023-24 financial year to £9.7m by March 2028.

Devon ICS

Devon Integrated Care System has been one of England’s worst-performing health economies against both operational and financial targets over the last decade. Regulatory intervention has been a constant theme since 2015, when the majority of the area was subject to NHS England’s “success regime”. Partly as a result, the county has seen a high turnover of senior leaders. Devon ICS ended 2023-24 with a £46m deficit. Early forecasts by the system suggested a deficit of more than £80m for this year, but the figure will come down after negotiations with NHSE. Breakeven is almost impossible until 2025-26 at the earliest.

Gloucestershire Hospitals Foundation Trust

Maternity services at Gloucestershire Hospitals Foundation Trust came under significant external scrutiny during 2023-24. In November, the Care Quality Commission rated the trust’s maternity services as “inadequate” following an inspection which found multiple failings. In May 2024, the CQC issued an enforcement notice after inspectors found further safety concerns. In 2024-25 the trust needs to deliver the improvements ordered by the CQC and rebuild public confidence in its maternity services.


Last week the following data points were updated:

  • 62 day cancer target; 31 day cancer target; and Drug and alcohol treatment target of Scotland in Q4 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