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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 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

Coventry and Warwickshire ICS

The integrated care system has a strong history of work at place-level. It is looking to delegate community budgets to acute trusts. It has concerns that funding does not reflect rapid population growth. While parts of Warwickshire are relatively affluent, Coventry is in the worse decile of the cost of living vulnerability Index – which is a sum of work and poverty-based vulnerability indicators for each local authority. Two care collaboratives have been established to oversee health inequality work. Its population health approach will be delivered by primary care networks.

South Tyneside and Sunderland Foundation Trust

The trust is in a comparatively good position on electives, cancer, diagnostics and emergency care. It is using a host of private providers to reduce elective waiting lists. Its hospital-based diagnostic centre run by a private provider is now operational. Its plans to improve emergency care and patient flow include expanding its virtual ward offer. The trust is falling behind on its plan to break even. Cutting agency spending is key to delivering ambitious efficiency savings.

The medicines optimisation strategies being prioritised by ICBs

The NHS spent £19.2bn on medicines in 2022-23, almost exactly an eighth of the total NHS England allocation of £155.1bn. Expenditure has increased by 25 per cent over the preceding seven years as overall demand for medical services has increased, inflationary and supply chain pressures have boosted drug prices, and newer, more expensive drugs have been introduced. NHSE has identified 16 priorities it wants integrated care boards to pursue in their efforts to optimise medicines use. This briefing provides an analysis of the priorities chosen by 35 out of the 42 ICBs.


The following data points were updated last week:

  • Main Location, Number Details, Telephone Number of Acute,Sp,Com,MH,Amb in Q3 2023-24
  • Leadership of Wales, Scotland in January
  • Name, Number of referrals, Patients waiting 36 weeks+ for elective treatment (%), Suspected cancer pathway (open pathways), Patients waiting 14 weeks+ for diagnostics and therapy (%) of Wales in Q3 2023-24
  • Beds Occupied, Number of Beds of Acute,Sp,Com,MH in Q3 2023-24
  • Bed occupancy 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