Provider bulletin: 14 September 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.

Now published: revised Single Oversight Framework for providers

Yesterday Jim Mackey sent you the revised Single Oversight Framework (SOF) and a summary of consultation responses. In Jim’s letter he summarised some of the key changes that we have made following consultation and also outlined further refinements we have made to the framework; please refer to the letter for the details and if you have views on these specific areas, please email by 5pm on 23 September 2016. If any further changes are made to the framework, we’ll send you the final updated version, highlighting what has changed, by the end of this month.

We plan to introduce the framework from 1 October 2016, at which point the Monitor Risk Assessment Framework and TDA Accountability Framework will no longer apply.

If you have any questions about the SOF, please speak to your regional teams, or for more general queries email

Reducing reliance on medical locums: a practical guide

We've been speaking to medical directors who have managed to make significant inroads on medical locum spending. We've developed a short guide to support you in reducing your trust’s spend on medical locums. We'd encourage you to share the guidance with your colleagues.

Our Medical Director Kathy McLean sent a letter to medical directors on Monday that contained the guidance, alongside benchmarking data on how your trust is performing in this area.

Please email to share your feedback or if you would like to share approaches that have been successful at your trust.

Restricted use of open systems for injectable medication

We’ve issued a Stage Three patient safety alert to stop the use of open systems for injectable medication, with the single exception of where the practice is used for embolisation procedures.

If you’ve developed any good practice resources around the restricted use of open systems or have learning to share from local investigations, please email

Create a culture and leadership programme: Phase 1 Discover

We’ve published tools and supporting guidance to help you diagnose your trust’s current culture and target the right areas for your collective leadership strategy. The diagnostic tools draw on data you already hold, staff and stakeholder perceptions, and workforce analysis.

The tools form the first phase of a two-year programme we’re working on in partnership with The King’s Fund and a number of pilot trusts to develop cultures that enable and sustain continuously improving, high quality care. Watch these videos from the three pilot trusts to hear about their experiences.

Safety briefing on prescribing beds for a domestic setting

The College of Occupational Therapists, supported by us, has published a safety briefing for occupational therapists, nurses and other staff who prescribe or recommend hospital-style beds for use in a domestic setting.

The briefing contains guidance and resources to support staff in completing risk assessments and also includes links to other relevant guidance on issues such as bedrails, falls assessment and manual handling.

Development opportunity for elective care management professionals

Individuals with experience in running elective care services are invited to apply for a six month secondment with our Elective Intensive Support team to broaden their experience and to help develop their improvement and influencing skills. The roles would particularly suit operational managers at 8b/c/d level.

The secondments can start immediately and there is flexibility as to where they will be based. The roles will involve travel in England.

If you are interested or would like to discuss this further, please email Nigel Coomber, Director of Elective Improvement.

Agency rules update: new framework approved

Since 1 April, you’ve been required to secure all agency staff via our approved framework agreements.

We approved a new framework - NHS Collaborative Procurement Partnership: National framework agreement for the supply of clinical staff – on 2 September. All bookings with agencies through NHS Collaborative Procurement Partnership should now be made against the terms and conditions of the new framework.

This represents another step to all the major frameworks embedding rates that are below the agency price caps.

Keeping people safer: working in the gap between national strategy and everyday improvement

Join us at this interactive partnership event, hosted by NHS Improvement, The King’s Fund and Sign up to Safety on 20 October at The King’s Fund, London.

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 Emeritus and Senior Fellow, IHI
  • Dr Mike Durkin, NHS National Director of Patient Safety, NHS Improvement 
  • Suzie Bailey, Director of Leadership and Quality Improvement, NHS Improvement
  • Dr Suzette Woodward, Sign up to Safety

Other events and webinars coming up

Improving the urgent and emergency care pathway: event in September

Our Emergency Care Intensive Support team is holding a conference for urgent and emergency care leads in the NHS, with keynote speakers and practical improvement workshops.

Join us on 22 September in Manchester to:

  • hear the latest developments on the A&E Improvement Plan 2016/17
  • hear about practical improvement interventions
  • share your experience with urgent and emergency care colleagues
  • meet with NHS Improvement colleagues and find out what national support is on offer

Please note – the workshop scheduled for 15 September in London has been cancelled.

Non-executive director and CCG lay member knowledge sharing event

We’re hosting a workshop with NHS England to help NHS trust and foundation trust non-executive directors (NEDs), Clinical Commissioning Group (CCG) lay members and elected council members develop the skills and expertise needed to implement the Five Year Forward View.

Induction day for provider chairs and chief executives: 20 October, London

If you’re a newly appointed chair or chief executive for an NHS trust or foundation trust, join our induction day for an overview of our role as well as opportunities to network and build relationships with peers.

Midlands and East Chairs Networking Event: 17 November, Leicester

This event is for foundation trust and NHS trust chairs to discuss issues and challenges. Dale Bywater, our Midlands and East Executive 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.

UK Health Show: 28 September, London

Visit our stand at ‘Commissioning in Healthcare’, part of the UK Health Show, which brings together senior healthcare professionals and decision makers for one day to help the NHS and the wider sector promote and improve service delivery for better healthcare outcomes across the UK. 

Jim Mackey will speak at 12.30pm about the relationships between regulators and clinical commissioning groups. 

Capitated / whole population budget webinars

Join us and NHS England for the latest in this series of webinars on capitated / whole population budgets.

Pay for performance, 21 October, 12.30-1.30pm

Hear an overview of the national approach on pay for performance, learn more about linking payment to outcome measures and hear from a site that is making progress with pay for performance.

Other healthcare updates

From NHS Leadership Academy: BAME leaders’ programme

The NHS Leadership Academy is calling for black, Asian or minority ethnic (BAME) leaders at band 8b and above to apply for a year-long leadership programme.

The programme is designed to help participants progress into more senior and board roles.

From Nursing and Midwifery Council: campaign launched to attract lapsed registrants

Nursing directors, the Nursing and Midwifery Council is launching a campaign to encourage the more than 50,000 nurses who have let their registration lapse to return to the profession.

Health Education England also has further information on what is being done to attract lapsed registrants back to nursing in your region.

From NHS England: call for Lead Healthcare Scientists to join development network

NHS England is calling for Lead Healthcare Scientists (LHS) from trusts across England to join their professional development network. They want to bring together LHSs to share learning and help develop professional capacity and capability in the workforce to deliver whole system change.

Please email the name and contact details of your LHS to by Friday 30 September.

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