Provider bulletin: 13 September 2017

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

For action

Seasonal flu vaccination: support available and CQUIN payment

We want to help you increase the flu vaccination uptake by frontline staff this winter. In 2016/17, the uptake among healthcare workers in England reached 63.2%, a 12.6% increase on 2015/16. Many providers reached the target vaccination rate of 75%, and the best performers achieved over 90%.

This letter from Dr Kathy McLean, Executive Medical Director and Ruth May, Executive Director of Nursing at NHS Improvement outlines the support available, including details of CQUIN payment rewards for achieving target vaccination rates.

Read the letter to find out what support and information is available and encourage your staff to get vaccinated. 

Supporting future chief operating officers: how can we help?

We're running a short survey to identify what would be most helpful to support anyone aspiring to the role of chief operating officer. 

If you'd like to participate in the steering group for this project, please indicate this in the penultimate question of the survey. 

We're also interested in your views on leadership in improvement and how we might best support effective development of this skill across provider boards, so the survey covers this too. 

We'll share the survey results anonymously with key partners in this work, including the NHS Leadership Academy.

The deadline to complete the survey is 23:59, Wednesday 4 October 2017.

Updating the Single Oversight Framework: last chance to share your views

You have until midnight on Monday 18 September to tell us what you think of our proposed updates to the Single Oversight Framework.

Find out more about the changes and complete our short survey to feed back. 

Please email any questions to

Our oversight of NHS-controlled providers: share your views

We're consulting on proposals for organisations controlled by NHS trusts and/or foundation trusts and delivering significant amounts of services for the NHS, to be overseen in the same way as their parent organisations.

Complete our survey to help shape the proposals. The deadline to respond to the consultation and impact assessment is 5pm, Thursday 12 October 2017.

For information

New improvement tool launched to help you improve patient flow

Trialled with 150 staff including 30 acute hospitals, we’ve developed the emergency flow improvement tool to help you identify and address the particular points in your systems that may be slowing patient flow between arrival and discharge.

The tool provides extensive information on patient flow through your emergency departments and uses a wide range of existing data sets covering each stage of a patient’s journey so won't create an additional data burden on you. It will also improve the conversations you can have with us to get the tailored support you need.

New pathology networks to deliver better services for patients

Last week we announced that providers have been put in to 1 of 29 proposed pathology networks which will allow for the transformation of pathology services across England. These networks will bring together clinical expertise, ultimately enabling these services to deliver better value, high quality care for patients more efficiently. 

Login/register at to see your trust's pathology performance.

Implementing medical staff productivity improvements: updated template

Following your feedback and the data you supplied, we’ve modified our template, previously referred to as the doctor’s job planning template. 

It now places greater emphasis on the clinical specialties of the Getting It Right First Time (GIRFT) programme, including data concerning the non consultant grade (NCG) medical staff, as well as incorporating the specialist acute trusts. You can also resubmit previously submitted data for 2015/16 and 2016/17 via the template. 

Please note we’ll send it out early October for you to return within a two month timescale.

This is part of our ongoing work to implement the recommendations of the Carter Report. Please email any questions to

Updated guidance for trusts undertaking transactions

We're updating our transactions guidance to consolidate Monitor and TDA advice. We a anticipate publishing this in the next month, following the publication of the updated Single Oversight Framework. 

In the meantime, please continue to use existing guidance and contact your regional team if you have any questions.

Embedding quality improvement skills

These new guides are for NHS organisations seeking to begin or build on their improvement capacity and capability. They outline a ‘dosing’ approach to embedding quality improvement skills across an organisation – developed by the Institute for Healthcare Improvement, several providers are already using them. 


Seven day hospital services: September events

Join us to hear about latest developments in the national programme from Dr Kathy McLean, our Executive Medical Director, and from senior clinicians and leaders who have led the implementation of seven day hospital services.

The events are for senior clinicians and managers involved in the operational delivery of seven day hospital services within providers and system stakeholders. 

Find out more and sign up.

Model Hospital: ward-level staff webinar – 2pm to 3pm, Thursday 28 September

Our webinar will showcase ward-level data released on the Model Hospital, providing staff with insight into their overall quality and efficiency performance. 

Using the Model Hospital for the ward-level data enables benchmarking of services with similar units, and can act as a driver for improving quality and operational efficiency.

This webinar is for nursing staff from acute, non-specialist providers. Find out more and sign up.

Improving urgent and emergency care: focusing on patient flow

Our urgent and emergency care conferences focus on implementing new national guidance on patient flow, and the importance of culture and inclusive leadership. 

Join us to hear national and local system leaders discuss improving the flow of patients along emergency care pathways, and to test and challenge ideas with experts and other delegates.

Sessions will focus on the importance of effective, distributed leadership and how well-led teams can implement best practice using powerful improvement techniques.

Find out more and sign up.

Leaders in Healthcare: Monday 30 October to Wednesday 1 November, Liverpool

The Faculty of Medical Leadership and Management, and the BMJ are hosting the second ‘Leaders in Healthcare’ conference. Supported by us and NHS England, the conference will welcome aspiring leaders from across medicine and healthcare in the UK and internationally. 

Working with NHS England, we will use the day before the conference (Monday 30 October) to meet with medical leaders in England. Professor Sir Bruce Keogh and Dr Kathy Mclean will chair the day, which will be focused on the theme of ‘Improving quality in a challenging financial environment’. This free session will bring together medical directors and clinical leaders from NHS providers, clinical commissioning groups, STPs, and national bodies to focus on the issues and opportunities we collectively face.

To secure a free place at the pre-day session (30 October) register here and use the discount code NHSE/IMPROVE.

Sign up or find out more about the two further conference days here. Please note attendance on 31 October and 1 November is chargeable.

Regional updates

Midlands and East update

Chairs networking event: Wednesday 1 November, location tbc

This event is for chairs to discuss issues and challenges and network. Dale Bywater, our Midlands & East Executive Regional Managing Director, will provide a regional update followed by a Q&A session.

To register or find out more please email

London update

Chairs networking event: Friday 29 September, central London

This event is for chairs to discuss issues and challenges and network. Steve Russell, our London Executive Regional Managing Director, will provide a regional update followed by a Q&A session.

To register or find out more please email

Non-executive directors networking event: 4pm to 8pm, Thursday 19 October, central London

We're giving non-executive directors the opportunity to discuss regional and national issues, and share learning and ways of working at this networking event. 

Topics discussed will include:

  • learning from deaths 
  • working relationships between providers and STPs
  • balancing primary responsibility to your own organisation and co-operation with a wider system

If you're interested in attending please save the date in your diary and we'll shortly provide further information and registration details.

Updates from our partners

From NHS England: plans to improve NHS Continuing Healthcare assessment processes

NHS England have recently set new ambitions for improving NHS Continuing Healthcare assessment processes for all clinical commissioning groups (CCGs) with clear ambitions and a quarterly monitoring process. This should contribute significantly to: 

  • reducing delays to patients waiting unnecessarily in hospitals as a result of NHS Continuing Healthcare
  • improving patient care
  • supporting the provider sector over winter 
NHS providers will want to be aware of these changes and raise concerns with CCG partners where the ambitions are not being met.

From NHS England: free courses on the essentials of personal health budgets

Taking place in locations across the country during 2017/18, these courses will cover the fundamentals of personal health care budgets. They are for professionals working in the NHS or local authorities who have very little or no experience in delivering them. 

From NHS England: new online platform for network leaders

NHS England, in partnership with London South Bank University, has launched Source4Networks for network leaders in health and care to keep up-to-date with best practice, case studies, methodology, and access to network development tools, and to be a part of a community of network leaders from across the health and care system.

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