Provider bulletin: 15 November 2017

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

For action

Addressing ambulance handover delays: actions for local A&E delivery boards

Ambulance handover will be a key indicator for both winter monitoring and on an ongoing basis through publication of performance data. 

This letter outlines our expectations and guidelines for management.

Patient Safety Alert: Confirming removal or flushing of lines and cannulae after procedures

We have issued this directive alert to ensure confirmation is documented that all intravenous (IV) lines and cannulae used for anaesthetic or sedative drugs have been removed or effectively flushed at the end of a procedure. 

This is to further prevent the risk of residual anaesthetic and sedative drugs later being inadvertently introduced into the patient’s circulation, which could cause muscle paralysis, unconsciousness and respiratory and cardiac arrest.

Please complete the four actions outlined in the alert​ by 9 August 2018. 

Medical directors: workforce productivity templates

A new annual productivity template has been sent to all acute and specialist acute providers' medical directors to collect data concerning non-consultant grades, doctors in training and physician associates.

Please email your completed template to by Friday 24 November.

For information

Single Oversight Framework (SOF): 2017/18 version

We have updated the SOF to reflect changes in national policy priorities and our approach to provider oversight. 

Earlier this year we asked stakeholders for their views and have published the accompanying summary of the feedback received.

Find out more about the SOF and how we use it to monitor performance and identify where trusts may need or require improvement support.

Use procurement data to help realise £300m of savings

Our recent procurement league table presents an assessment of the relative performance of procurement departments using data on acute trusts’ procurement process efficiency and price performance.

To help identify your opportunities to save, you can use

Please remember your trust must raise a purchase order for the PPIB tool by Thursday 30 November.


Webinar: Developing a collaborative staff bank across the Cheshire and Merseyside area

Friday 17 November

12.30pm to 1.30pm

Join this webinar to learn about the benefits and challenges of implementing a collaborative bank.

Who should attend?

  • medical, nursing, finance and human resources directors
  • temporary and medical staffing managers
  • sustainability and transformation planning managers

Managing patient flow over winter - an event for trust chief executives who provide community services

1.30pm to 3pm

Monday 27 November 2017


This event will focus on our recently released guidance that sets out expectations to improve patient flow over the coming months.

Join us for your opportunity to:

  • hear Jim Mackey, Chief Executive, NHS Improvement and Simon Stevens, Chief Executive, NHS England, outline their support offer

  • hear from peers on how they've dealt with managing patient flow during winter

  • learn more about the guidance and ask questions

  • share views on what support is needed to implement it 

Conference: Developing medical and collaborative staff banks

Thursday 7 December


This conference is for colleagues from across the sector to discuss their experience of implementing and using medical staff banks and collaborative staff banks.

Join us to:

  • explore the challenges and benefits of introducing or enhancing a bank
  • question our leaders on the future direction in agency and bank policy
  • ask questions to colleagues who have been involved in implementing a bank in their organisations

Who should attend:

  • medical, nursing, finance, human resources, and STP strategy, workforce and planning directors
  • temporary and medical staffing managers

Regional updates

London update

Chairs networking event

Friday 19 January


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

Updates from our partners

From NHS England: new integrated urgent care / NHS 111 career framework and competency based job descriptions

This framework has been developed by Health Education England and NHS England to support the Service Specification for Integrated Urgent Care Services. It offers clearly defined roles for Skills for Health Levels 2 to 7.  

This standardised approach will help you: 

  • recruit, develop and retain a professional IUC/NHS 111 workforce, with the right skills and competencies 
  • provide staff with opportunities for career development

Is there anything wrong with this page?

Help us improve this website

Do not include any personal, sensitive or confidential information.