Provider bulletin: 11 May 2016

In this edition: Resubmit your activity plans and improvement trajectories; Coroners’ inquests and your duties; making choice work in mental health and build quality and efficiency improvement capability.

Resubmit your activity plans and improvement trajectories

We’ve now received and reviewed the activity plans you submitted for the 18 April deadline. As the majority of contracts were not signed at this time, and the majority of improvement trajectories were submitted but declared as ‘not agreed’, please resubmit your final activity plans and improvement trajectories by 9.00am on Monday 23 May 2016.

Activity plans

This is a provider-only activity return (of monthly profiles), and should be submitted via UNIFY2. For foundation trusts this will be different to previous submissions and further details on this collection will be available shortly in the news section of UNIFY2.

Improvement trajectories

On Monday 9 May we emailed finance directors and board secretaries the web form for you to submit your improvement trajectories. We’ll write to you again when this link is live.

Your relationship team will be able to advise you on the national principles to follow to ensure that your final improvement trajectories are sufficiently ambitious and realistic, so please contact them with any questions.

Coroners’ inquests and your duties

One of the recommendations in The Morecambe Bay Investigation Report is that a national protocol should be drawn up setting out the duties of all trusts and their staff in relation to inquests (see chapter 8, recommendation 30 for full details). The government has accepted this in principle and is considering it further in conjunction with the Ministry of Justice and Chief Coroner’s Office.

In the meantime, please read our note on the current legislation and guidance which sets out your duties in relation to coroners’ inquests. 

Making choice work in mental health

We’ve heard from people who do not think that choice is working properly for some mental health services, so we’ve published advice for those who use these services, setting out their legal right to choose a provider and what to do if they feel their choice is being restricted. 

We also wrote to commissioners, reminding them of their responsibility to make arrangements that enable patients to choose the provider that best meets their needs. In our advice for commissioners, we talk about the importance of setting up good processes, contracting and payment to ensure that people can obtain the treatment they need without undue delay. We also highlight the ways that choice can identify gaps in service provision and lead to commissioners making new arrangements with you. 

For more information please email

Build quality and efficiency improvement capability within your health system

You still have time to apply for our Quality, Service Improvement and Redesign (QSIR) College, which aims to support health systems to develop quality and efficiency improvement capability in order to build a sustainable local skills base from which to tackle the challenges identified in their sustainability and transformation plan (STP).

Find out more and apply to the programme by 5pm, Friday 20 May. 

Patient safety alert on Kawasaki disease

We’ve released a patient safety alert via the central alerting system (CAS) around the risk of death and serious harm from failure to recognise acute coronary syndromes in Kawasaki disease patients

Events and webinars



We’re running a series of webinars on capitated/whole payment budgets for finance directors and managers. 

Find out more and register for:

Watch again

Other healthcare updates

Updates from the Department of Health (DH)

Have your say on death certification reforms

DH is consulting on proposed changes to the death certification process and accompanying draft regulations. Your feedback will help ensure that new regulations, intended to come into force in April 2018, and any associated guidance will be implemented successfully. 

Find out more about what DH is consulting on and respond by 15 June 2016.

Secretary of State message on the junior doctors’ contract

See the message from 28 April from the Secretary of State for Health on the junior doctors' contract.


The 2016/17 NHS Choice Framework

DH’s NHS Choice Framework for 2016/17 sets out the choices available to patients in the NHS.

Share this with your patients to explain:  

  • When they have choices about healthcare
  • Where they can get more information to help them choose
  • How to complain if they are not offered a choice
The framework has been refreshed to ensure that the language clearly sets out government policy in a way that is easy to understand and includes a number of fictional case studies demonstrating how patients might exercise their entitlements to choice in practice.

From Health Education England (HEE): places available on non-medical endoscopist (NME) training programme

HEE is recruiting potential trainees for a wider national programme of NME training. HEE will cover costs for the training package including clinical training at the trainees’ own trust, and will enable trainees to deliver procedures in either upper gastrointestinal (GI) endoscopy or flexible sigmoidoscopy. The pilot will be rolled out in phases, with the next cohort starting towards the end of 2016.

HEE will accept applications from suitably qualified health professionals (including nurses, radiographers and operating department practitioners) to be put forward for the selection process. The pilot is being independently evaluated.

For further information, contact your regional contact or email

From NHS England: could you help develop the rules for the new cancer diagnosis standard?

NHS England is looking for five local health economies to become early adoption ‘test sites’ for a new 28 day faster diagnosis standard for cancer. Test sites will help develop the rules for the new standard, and begin testing its implementation over the next year.

The deadline for expressions of interest is Friday 13 May 2016. 

If you’re interested in finding out more, please visit NHS England’s website or email

From PwC: NED programme of events

PwC has launched a free programme for NEDs covering a range of events and speakers including Ed Smith.

Chairs and board secretaries, please share this with any NEDs in your organisation who may be interested in the events.

To find out more or to sign up to any of the events, please email

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