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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 four types of ICBs
Read Jack Serle's latest HSJi Review, which reports on the four types of integrated care boards and the progress they have made.
Integrated care boards have faced plenty of challenges and distractions over the past year and a half. But they have wrought significant changes in other areas. Read the full article here.
Latest investigations
Staffordshire and Stoke-On-Trent ICS
The Staffordshire and Stoke-On-Trent Integrated Care System faces financial strain and operational challenges, notably at the University Hospitals of North Midlands Trust. PwC consultants were brought in due to a £141m forecasted deficit, caused by rising healthcare costs and staffing issues. Efforts include scrutinising spending, reducing reliance on agency staff, and streamlining recruitment. The system aims to save over £100m annually by reforming care packages. UHNM's performance is under scrutiny, with initiatives to tackle delays and improve patient flow. Strategies involve reducing agency spending, enhancing permanent staffing, and scrutinising care costs. Despite these challenges, the system is focused on financial recovery and operational enhancement.
Mid and South Essex ICS faces leadership instability, impacting strategy development. Anthony McKeever's retirement led to interim appointments, hindering effective management. Despite efforts to address health inequalities, organisational instability persists. Four local partnerships aim to enhance community health services. Primary care collaboration seeks to strengthen voice in system decisions. Financial strains worsen as MSE performs poorly in cancer and elective care. Heavy outsourcing faces scrutiny amid financial challenges. Technology upgrades, including shared care records, aim to streamline operations. High-profile mental health inquiry and hospital closure consultations add to system pressures.
Stockport, and Tameside and Glossop Integrated Care Foundation Trusts
The trusts aim to enhance corporate and clinical integration, focusing on consolidating teams and fostering collaboration. Plans to merge clinical services with East Cheshire shelved. Joint procurement for electronic patient records was delayed due to funding challenges. Urgent upgrades and capacity expansion funding bids were unsuccessful. Trusts to manage private capacity commissioning, seeking in-house solutions or NHS support. Financial challenges persist with deficits expected. Measures to curb spending include agency staff negotiations and efficiency drives.
Data
Last week, the following data points were updated:
- A&E waiting target, Beds occupied by delayed discharges, Length of delayed discharges of Scotland in March
- Oversight level of Scotland in Q4 2023-24
- Leadership of Wales, Scotland in May
- % staff recommending care here of Acute, MH, Com, Amb in 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
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