Provider bulletin: 1 March 2017

This weekly newsletter is sent to NHS trust and foundation trust chairs, chief executives, finance, medical and nursing directors, HR directors, and foundation trust board secretaries.

For action

Maternity and neonatal services: new patient safety alert and report

We issued a patient safety alert on 23 February signposting you to our new report which will help maternity and neonatal services to reduce the number of babies being admitted to neonatal units.

The report looks at the main causes of preventable harm that lead to these admissions and focuses on reducing harm caused by hypoglycaemia, jaundice and respiratory symptoms.

Please read the report and identify how your teams can use it to improve safety and keep mothers and babies together whenever it is safe to do so.

Reminder to report all incidents of unsafe care

CQC’s recent Section 29 letter to Worcestershire Acute Hospitals Trust noted that staff had been told that their incident reports, on patients being cared for in areas they considered unsafe, were inappropriate and would be deleted.

A patient safety incident is any unintended or unexpected event that could have or did harm a patient. This clearly encompasses situations where staff are concerned they cannot provide safe care. Staff should never be discouraged from making such reports and, even if in other circumstances an incident report is genuinely inappropriate, incident reports should never be deleted.

Sir Peter Carr Award – 3 weeks left to apply

Our £30,000 award will be made to a clinician and manager partnership (£15,000 each) to invest in their professional development over a year to support the delivery of a shared improvement objective. Both the winners and partnerships shortlisted for the award (up to five in total) will also receive access to support including mentoring, networks and opportunities to attend events during the year, such as the upcoming International Forum on Quality and Safety in Healthcare.

The closing date for applications is Tuesday 14 March 2017. Please note, applications will need support from your trust’s chief executive before you submit them to NHS Improvement and you will only be able to submit one application per trust.

See further information and guidance.

For information

Seven day services animated film and case studies

We have produced an animated film to explain what seven day hospital services are and the potential benefits to patients and staff. It explains the four priority clinical standards for urgent and emergency care which are expected to be met every day of the week.

The film is also accompanied by 17 video case studies of NHS staff, from pharmacists and porters to therapists and consultants, explaining the challenges, benefits and top tips for moving to seven day hospital services.

Annual Governance Statement requirements for NHS trusts

We have written to NHS trusts confirming requirements for Annual Governance Statements for 2016/17. There are no changes compared to the detailed requirements for last year. This letter also provides an update on arrangements for going concern.  

NHS foundation trusts requirements are included in the FT Annual Reporting Manual.

Guidance on senior appointments in NHS trusts

The guidance originally produced by TDA on senior appointments in NHS trusts has been updated. This guide provides advice to NHS trusts making permanent or temporary appointments to chief executive and director posts. 

If you have any queries please contact our trust resourcing team via

Oversight of new care models: your questions answered

This updated Q&A document explains the oversight, guidance and support we can offer for developing your new care models. This now includes illustrative scenarios outlining some of the issues and factors you may need to consider for different organisational forms of new care models.


Chairs and non-executive directors induction programme

We are partnering with NHS Providers to offer a two-day induction programme for new chairs and non-executive directors.

The cost for the two-day programme will be £440 (ex VAT) and the dates are: 18 & 19 May, 20 & 21 July, and 12 & 13 October.

The programme includes sessions on:

  • the developing environment of the NHS and what that means for the leadership of providers
  • NHS finance
  • in conversation with an experienced NED
  • patients, quality, safety and the board
  • governance and the law, including roles and responsibilities of NEDs
  • working with stakeholders to drive change
  • NHS Improvement - a future look
  • HR - a national policy overview

To book a place please visit or contact for more information.

Learning from deaths in the NHS – Tuesday 21 March, London

This is an event for NHS board members to look at how we can better learn from the deaths of patients who received NHS care. In particular you'll hear more detail about the new responsibilities of boards for reviewing, investigating and sharing learning from deaths, with a chance to discuss draft guidance and feed back your views.

Who should attend?

Each trust has 2 places allocated (excluding ambulance trusts) for:

  • your nominated executive lead for patient safety – who is usually the medical or nursing director who also has responsible for mortality
  • your nominated non-executive director who will lead and oversee progress on the work on learning from deaths

We strongly recommend that each trust has a representative at this event. If the nominated individuals above are not able to attend, deputies will be welcome.

Please register here.

If you have any further queries please email

Regional updates

Midlands and East update

Chief executives networking event – Wednesday 15 March, Leicester

COO networking event – Tuesday 4 April, Leicester

Chairs networking event: Wednesday 26 April, Leicester

To register your attendance, please contact

Referral to treatment (RTT) masterclasses

South update

Chairs and chief executives networking event: Friday 3 March, London

North update

Chairs networking event: Thursday 4 May, Leeds

To find out more or to register your attendance, please contact

Updates from our partners

From NHS England: 2016/17 non-recurrent increase in allocation due to impact of NHS Property Services move to charging market rents

NHS England has issued a letter about this to all CCG chief financial officers.  A further allocation will be made in the first week of March and you’ll be informed as soon as it is available.  Here also is the initial NHS England letter describing the process and timescales to be followed in making the allocation.

We and NHS England expect that funds will flow from commissioners to you and, where they are not disputed, that invoices relating to the increase in market rents will be settled prior to 31 March 2017.  Invoice payments should not be unreasonably withheld in relation to the increase in market rents once the funds flow has been actioned.

From the NHS Leadership Academy: applications for Nye Bevan programme now open

If you’re a senior leader aiming for an executive director role, this leadership development programme will prepare you for the challenges and demands of this role.

Part time over one year, it allows you to make immediate, positive changes to your organisation and leads to an NHS Leadership Academy Award in Executive Healthcare Leadership.

To date the Nye Bevan programme has developed over 900 senior leaders, with nearly 40% of recent graduates reporting being in a more senior role, which 90% directly attribute to the programme.

Applications are open until 26 June.

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