Provider bulletin: 12 October 2016

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

Options for structuring a foundation group

If your trust is considering forming, or participating in, a foundation group, take a look at our guidance which explains some of the legal structures that can be used.

The guidance explains how the current statutory framework allows two approaches for structuring a foundation group: corporate joint venture or committees in common.

Foundation groups are one of the new care models that are being explored as part of the acute care collaboration.

Single Oversight Framework

If you haven’t yet seen it, here’s the final version of the Single Oversight Framework that has applied since 1 October, replacing the Monitor Risk Assessment Framework and TDA Accountability Framework.

We’ll be publishing the whole sector’s shadow segmentation on our website in the next couple of weeks.

Reducing the risk of oxygen tubing being connected to air flowmeters

We’ve issued a stage three (directive) patient safety alert to support reducing the risk of harm from oxygen tubing being connected to air flowmeters.

To support the alert, we’ve also published guidance which includes details of incidents where tubing has been connected to medical air, instead of oxygen, resulting in harm to patients and death. It also includes examples of where trusts have taken action to make systems safer.

National Reporting and Learning System (NRLS) data

We’ve published the latest set of data based on the number of patient safety reports in England and Wales from 1 October 2015 to 31 March 2016 reported to NRLS, along with an analysis of incidents reported up to June 2016. The data shows a further increase in the reported number of incidents.

We publish NRLS data every six months to support transparency in the NHS, help identify safety concerns and support trusts to improve patient safety.

Community service quality indicators: invitation to share work

We’ve been working with more than 40 providers to develop “indicators”, or sets of data, which show how well a trust is performing against the five questions the Care Quality Commission (CQC) asks when assessing a trust.

For example, Referral To Treatment (RTT) waiting time compliance data is one of the indicators that can be used to answer “is the trust responsive to people’s needs?”.

We’re developing these indicators and sharing them to help trusts measure their performance and make improvements.

If your trust provides community services and you would like to help us develop these indicators and test their efficiency, please email You can also email us if you would like to see the indicator data we’ve collected so far or if you would like to join our monthly webinar.

Leaders in Healthcare: 31 October - 2 November, Liverpool

Visit our stand at ‘Leaders in Healthcare’ to discuss our work on the national framework for action on improvement and leadership development. Our Executive Medical Director Kathy McLean will also speak at the conference as part of NHS England’s Annual National Medical Leaders’ meeting on 31 October.

Find out more and register now (discounts are available).

Other events and webinars

Reducing reliance on medical agency staff webinar: 18 October, 2 - 3pm

Join us to find out more about the practical steps, guidance and tools you can use to reduce reliance on medical locums. Staff from Barnsley NHS Foundation Trust and East Cheshire NHS Trust will also share their learnings and there will be time for questions.

Royal College of Midwives Annual Conference: 19 - 20 October, Harrogate

Join our Nursing team at one of two lunchtime sessions to hear about our improvement work in maternity, including how reducing term admissions can help improve maternal mental health and bonding.

Keeping people safer: 20 October, London

Join us at this interactive event, hosted by NHS Improvement, The King’s Fund and Sign up to Safety.

You’ll have the opportunity to participate in structured conversations covering frontline improvement stories, governance and safety, and the patient’s role in safety, and we’ll be asking you to discuss the critical issues of keeping people safe.

Speakers include:

  • Professor Don Berwick, President Emertius and Senior Fellow, Institute for Healthcare Improvement
  • Dr Mike Durkin, NHS National Director of Patient Safety, NHS Improvement
  • Dr Suzette Woodward, Sign up to Safety

Midlands and East Chairs Networking Event: 17 November, Leicester

This event is for provider chairs to discuss issues and challenges. Dale Bywater, our Midlands and East Executive Regional Managing Director, will also give an update on what’s happening in the region.

If you wish to find out more or register, please email our Non-Executive Development Manager, Keely Howard.

Other healthcare updates

From the Cabinet Office: foundation trusts must supply data to the National Fraud Initiative

The Cabinet Office has added foundation trusts to the list of public sector bodies required to supply data to the National Fraud Initiative (NFI).

You can find out more about what’s required from you here.

From NHS Digital: Data Landing Portal (DLP) launched

NHS Digital has released a Data Landing Portal (DLP) which allows providers to securely transfer data to Data Services for Commissioners Regional Offices (DSCROs). NHS Digital wants the portal to replace the sending of data via email.

Three foundation trusts have successfully transferred data to DSCROs through the portal.

NHS Digital is now looking to roll out the portal to more organisations. If you are interested, please join an online discussion board or email

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