Provider bulletin: 15 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

New opportunities to join the Q community

The Q community is now inviting people based in the Yorkshire and Humber, UCL Partners, North West Coast, and West Midlands AHSNs to apply to become a member.

Q is a community connecting a diverse range of people with health and care improvement expertise from across the UK, including frontline health and social care staff, patient leaders, managers, commissioners, researchers, policymakers, and others. The initiative is led by The Health Foundation and supported and co-funded by us.

Small bore connectors: an introduction to safe use

From April 2017, new safety connectors for neuraxial equipment will become available in the NHS. These connectors are used for devices including spinal needles, neuraxial syringes, epidural catheters and filters.

Some manufacturers’ products will not be available until late 2017 or early 2018.  There is the potential for risks to patient safety and delivery of treatments if there is an un-coordinated introduction and transition to this new equipment.

Medical directors and directors of nursing should ensure that all staff involved in purchasing, training and distributing affected medical devices are aware and co-ordinate local introduction.

A range of supporting resources is available here.

For information

Ambition to halve healthcare associated Gram-negative bloodstream infections

On 8 November 2016, Ruth May, our Executive Director of Nursing, was announced as the National Director for Infection Prevention and Control  and tasked to lead a national programme to halve healthcare associated Gram-negative bloodstream infections by March 2021. This letter provides an overview of the programme and the offer we will soon launch to the health sector to achieve this ambition. 

Clostridium difficile infection (CDI) objectives – update

Organisations are contractually obliged to ensure no more than a set number of CDIs occur in a financial year.

This guidance sets out how those thresholds are calculated and set, and provides details of each organisation’s 2017/18 threshold.


Fifth annual elective care conference – Thursday 4 May, Birmingham

This year’s conference will focus on how to manage and improve elective care services when faced with growing waiting lists. The event will look at the system wide and local solutions that are there to help in the delivery of elective care services.

Who should attend?

  • operations directors / managers

  • performance directors / managers

  • elective care managers

  • information managers

  • cancer managers

Please register here.

If you have any queries please email

Regional updates

Midlands and East update

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

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 the Department of Health (DH): consultation on introducing fixed recoverable costs in lower value clinical negligence claims

In 2015/16 clinical negligence against the NHS in England cost the taxpayer £1.5 billion and the long term liability is £56 billion.

The current system of clinical negligence claims resolution is often lengthy and adversarial, which delays learning lessons from adverse incidents, and escalates the costs of clinical negligence claims. This is particularly the case for claims where damages awarded are above £1,000 and up to £25,000 (approximately 60% of claims settled for damages against the NHS in England), where recoverable claimant costs are on average 220% of the value of damages awarded. 

DH’s consultation seeks views on introducing a fixed recoverable costs (FRC) regime to these clinical negligence cases, which will apply across the NHS. The FRC regime will be set out in Civil Procedure Rules and will support quicker and more cost effective resolution for all parties and provide greater opportunities for early learning.

Please respond to the consultation by 11:45pm 1 May.

From the NHS Litigation Authority: ‘Mindful of the Gap’– Friday 21 April, Bristol

This event will share, reflect and learn from case stories to improve integrated healthcare including:

  • challenges facing those caring for mental health service users across different health settings
  • support for staff
  • keeping patients and staff safer, leading to reduced harm and claims

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