Provider bulletin: 16 November

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

For action

Nursing directors and medical directors: let’s work together to stop the pressure

The rate of pressure damage experienced by patients across all healthcare settings remains one of the key patient safety challenges and we’re co-ordinating a new ‘Stop the Pressure’ improvement programme to build on the efforts you’ve already made. 

The original programme led to a 50% reduction in pressure damage. Our relaunch will build on the tools, knowledge and skills from this as well as linking in with other pressure damage programmes. It will run across acute and community settings in collaboration with key partners in social services and care home settings. Ruth May, our Executive Director of Nursing, will continue in the role of SRO.  

Stop the Pressure promotes best practice and the use of measurement and improvement tools. We will offer direct support to help you make improvements, including a collaborative to help individual trusts and a buddying system based on performance to support the delivery of improvement plans, which we’ll be asking each trust to develop in quarter four 2016/17.  

Cathy Winfield, Chief Nurse at Derby Teaching Hospitals NHS Foundation Trust, will chair a national steering group which will be launched before Christmas. During the next 6 months the programme  will focus on developing national resources to support the implementation of single data capture and reporting systems and encouraging improvement in avoidable grade 3 and 4 pressure ulcers in 2017/18.    

How you can get involved:

For NHS trusts: please appoint your external auditor by 31 December

NHS trusts need to appoint their external auditor for the 2017/18 financial year by 31 December 2016. Last week we wrote to NHS trust finance directors and audit committee chairs to outline our current assessment of the sector’s progress and provide advice for trusts that still need to take action so please ensure that your trust meets the deadline.  

This letter does not apply to NHS foundation trusts, where existing arrangements for auditor appointment have not changed.

Patient safety alert - risk of severe harm and death due to withdrawing insulin from pen devices

We’ve issued a patient safety alert to warn NHS providers of the risk of severe harm and death if an insulin needle and syringe is used to administer insulin withdrawn directly from a pen device or replacement cartridge.

This alert asks you to ensure staff have access to appropriate equipment and training for administering insulin using a pen device. 

Test these tools for improving patient outcomes

Best Possible Value (BPV) is one of six areas of the national Future-Focused Finance programme. The programme has developed tools to help you define an evidence-based measure of value in patient outcomes, and to agree roles and responsibilities throughout a decision making process.

All providers are expected to adopt this methodology into your decision making. If you would like support in putting this into practice, read this information sheet and email your details to by 31 December 2016.

To find out more, please visit the programme website.

For information

Helping you to improve clinical outcomes and efficiency

The government is giving £60 million to the Getting It Right First Time programme over the next four years to roll it out to an additional 18 surgical and medical specialities.

With the new funding, the programme will apply its principles and methodology to 29 surgical and medical specialities to help trusts improve patient outcomes, avoid unnecessary treatment and free up valuable clinician time.

From the start of 2017, surgical and medical leads across the different specialisms will be visiting many of your trusts to start the process of clinical engagement and data gathering.

Regional updates

North update

Action on A&E

The North region is holding sessions on different approaches to tackling the challenges experienced by A&E departments. Both of the events are in Leeds.

Find out more below and book your place by emailing

System-wide leadership seminar: Thursday 8 December, Leeds Town Hall, 10am to 5pm

Find out how leaders in the North can collaborate to help address the challenges and concerns currently facing all leaders in the NHS. 

Lyn Simpson, our North Executive Regional Managing Director, will lead the seminar at which a number of keynote speakers will present interactive sessions on topics including: the role of boards in developing sustainable plans; working within the STP framework; and financial and cultural turnaround.

To register, please email your full name, job role, organisation, phone number and dietary requirements to

Chairs Networking Event: 19 January, Leeds

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

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

Midlands and East update

Reducing reliance on agency staff: 24 November, Leicester

This is event is for staff from NHS providers who are responsible for reducing the use of agency staff. It will feature a mixture of plenaries and interactive workshops on a range of topics related to reducing agency spend. You can send up to 3 people from your trust.

Sign up for the last remaining places.

Go Red to Green this winter: 29 November, London | 8 December, Birmingham

The region is also hosting two events on implementing ‘Red to Green’ initiatives. The full day events will give teams the chance to come together and find out more about how changing red days to green days improves patient experience and helps reduce hospital delays, ensuring every day in hospital is a day towards discharge for patients.

 Sign up for the events now.

For more information about the agency event, or to get involved with our wider Red to Green programme this winter, please email Michelle Smith.

Chairs Networking Event: 8 December, 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.

To find out more or to register, please email our Non-Executive Development Manager Keely Howard

London update

Chairs networking event: 16 February, London

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

There will also be time to network with your peers to share learning and best practice.

To find out more or to register, please email our Non-Executive Development Manager Keely Howard

Important updates from our partners

From HEE: New education and training for sepsis

Health Education England (HEE) has recommended changes to, and highlights examples of good practice in, sepsis education and training for health and care staff in its latest report, 'Getting it right - the current state of sepsis education and training for healthcare staff across England'.

From Healthcare Conferences UK: Safe Staffing Summit, Wednesday 22 February 2017, Birmingham

Professor Mark Radford, our Director of Nursing, will give a keynote speech at this national summit, which will focus on delivering safe staffing and improving nurse staffing levels.

Visit the Healthcare Conferences UK website or email for further information and to book a place. A 20% discount is available by quoting ‘hcuk20nhsi’ when booking.

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