Provider bulletin: 19 July 2017

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

For action

Improve patient flow through urgent and emergency care

Good patient flow is central to patient experience, clinical safety and reducing the pressure on staff. It is also essential to the delivery of national emergency care access standards. Experts consistently advocate focusing on patient flow as a key factor in providing effective healthcare.

Working with a number of partner organisations, we’ve produced the  Good practice guide: Focus on improving patient flow which 

  • strongly encourages you to focus on improving the flow of patients through your hospital in the run up to winter
  • outlines the areas you should prioritise to improve the safety, efficiency and effectiveness of your urgent and emergency care programmes
  • includes case studies of how providers have implemented the good practice principles

For information


Acute patient-level information costing systems (PLICS): successful collection

On Monday 10 July, NHS Digital received the first submission in the 2016/17 acute PLICS collection from University Hospitals Birmingham NHS Foundation Trust. 

Providers, software suppliers, NHS Digital, NHS Improvement and others have done lots of work to get to this point and as a result the submission worked first time – compared to an average of seven attempts for each submission during the 2016 pilot.

We know there is more to do, but the collection is off to a good start and we thank everyone for the work involved in getting this far.

For any details on the costing transformation programme please email nhsi.costing@nhs.net.

Healthcare associated Gram-negative bloodstream infections: definitions guidance

This guidance explains how healthcare associated Gram-negative bloodstream infections can be defined according to where they are detected (community or hospital settings) and key healthcare associated risk factors. This is part of the wider NHS ambition to reduce these infections.

Please email any questions about the guidance to nhsi.improveipc@nhs.net.

Supporting providers to improve quality and safety

Our medical directorate has been working with providers that have been rated 'good' for safety during quality inspections by the Care Quality Commission (CQC), to explore their improvement journeys. 

We've produced a collection of case studies to offer practical guidance in the following areas:

  • improving the identification and management of deteriorating patients
  • medicines management and prescribing
  • spreading good practice within an organisation
  • improving handovers
  • learning from incidents
  • improving safety in mental health wards  

These case studies support peer-to-peer learning and help to drive quality, and safety improvements across the NHS.  

We will continue to develop our support through encouraging a collaborative approach to learning and improvement. ​

Nationally contracted products: programme update

The Nationally Contracted Products (NCP) programme, which purchases everyday hospital consumables on behalf of all NHS providers, recently held a webinar updating NHS procurement teams about products and savings to date, and future products coming on stream over the next six months. 

If you missed the webinar but would like to find out more, it is now available to watch on demand

Monthly organisation data report on incidents reported to the National Reporting and Learning System (NRLS)

We've started publishing monthly data on the numbers of patient safety incidents reported to the NRLS in the last 12 months by each NHS trust and foundation trust in England, and social enterprise organisations that regularly report to the NRLS. The data is broken down by month reported and degree of harm, and is refreshed and updated on a monthly basis.

The publication provides timely organisational data on reporting to the NRLS, promotes data transparency, encourages more consistency in NRLS reporting patterns, and supports organisations to monitor potential under-reporting of incidents.

Update on Freedom to Speak Up

We’ve sent an update to all Freedom to Speak Up guardians on how we’re continuing to work with other organisations to create an open and honest reporting culture in the NHS. 

With NHS England, we’re developing a whistleblower’s support scheme for providers, with the key aim of supporting individuals who have raised concerns in the public interest about risk, malpractice or perceived wrongdoing in the NHS and experienced employment difficulties as a result.  We’ve recruited Wendy Webster to the post of Employment Support Manager and she will be responsible for the development and implementation of the scheme. 

We’re seeking to recruit panel members to review the applications to the scheme. We anticipate the panel will comprise the following individuals:

  • former NHS whistleblowers
  • NHS professionals who will understand the applicant’s profession and have the relevant clinical/managerial expertise
  • executives/ senior managers /clinicians with experience of regulations and the framework for managing performer concerns where relevant and/or an equivalent NHS manager with the relevant knowledge and expertise

If you’d like to express your interest in sitting on this panel, or have any questions about the scheme, please email NHSIwbss@nhs.net


Regional updates


Midlands and East update

Executive talent pool

We've designed this scheme to develop a diverse talent pool of individuals who can be appointed to executive-level posts in providers across the Midlands and East region, either on a stretch assignment or secondment basis.

Providers can submit their interim vacancies to fill and if you're working at an executive-level or ready to step up to executive-level, you can apply to join the pool. 

Resource efficiency workshop – pathology: Wednesday 26 July, central London

This event is for directors of finance and clinical pathology leads.

North update

Chairs networking event: Thursday 14 September, Leeds

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

To register or find out more please email keely.howard1@nhs.net.

Seven day hospital services regional event: Friday 15 September, Manchester

The event is for medical directors, managerial and clinical leads for seven day services, and workforce leads.

This letter provides an overview of the event and requests that you:

  • think about successes and challenges to share at the event
  • identify which of your colleagues you would like to attend, and email their name, designation and contact details to linda.todd7@nhs.net by Tuesday 15 August 2017


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 keely.howard1@nhs.net.


South update

Chairs networking event: Wednesday 11 October, central London

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

To register or find out more please email keely.howard1@nhs.net.


Updates from our partners


From NHS England: Learning disabilities webinar 12.30pm to 1.45pm, Thursday 27 July

This webinar aims to support people to improve the quality of care for people with a learning disability, autism or both. 

12.30pm: Transforming care for children and young people with autism will look at some of the known challenges such as gaps in provision for children and young people with autism, and will discuss work taking place to address these issues

1.30pm to 1.45pm: The assuring transformation data system – how to upload data and run reports is for people who are new to reporting assuring transformation data or who are unsure how to run reports

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