Provider bulletin: 20 July 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.

Inspiring improvement: what’s next?

Thanks to all of you who took part in our Inspiring Improvement event last week – both at the venue and online. You’ve shared some great ideas and we’re looking through these and your feedback from the day to see how we can support you further.

If you missed it you can still catch up online by watching the following videos:

We will send you shortly our first improvement newsletter with a roundup of all of the content from the event.

Some examples of what delegates took away from the day

Please continue to share your improvement ideas with us on Twitter using the hashtag #improve365.

You’ve still got time to have your say: draft Single Oversight Framework

Please feed back on our Single Oversight Framework, which describes our proposed approach to overseeing and supporting providers. It will replace the Risk Assessment Framework for foundation trusts and the Accountability Framework for trusts. 

The Single Oversight Framework will help us identify where trusts may benefit from, or require, support to improve in five areas: quality of care; finance and use of resources; operational performance; strategic change; and leadership and improvement capability.

The draft Framework sets out our main areas of focus, as well as how we will:

  • collect information
  • identify potential concerns with performance
  • segment the sector according to the level of challenge each trust faces

Help us to shape the Framework - please respond using the online survey by 5pm on Thursday 4 August 2016.

If you have any trouble accessing the survey, or have any questions regarding the Framework or consultation, please email  

Single Oversight Framework webinars: Thursday 21 July and Monday 1 August

You can also join our webinars tomorrow from 12pm to 1pm or Monday 1 August from 12.30pm to 1.30 pm, where you’ll hear more about the Framework and have the chance to submit questions and feedback.

The content of the webinars will be the same but we want to give you the chance to ask questions at a time that suits you.  

If you can’t make these then both webinars will be available for catch up viewing within 24 hours.

Our business plan and objectives

We’ve published our 2016/17 business plan and objectives to 2020.

Our business plan explains our role in providing the national leadership, oversight and practical support that providers will need to deliver urgent improvements at the frontline and how we will work towards long term sustainability. 

Our objectives are stretching but achievable and will involve, alongside partners, working with providers and local health systems to help them, individually and as a sector, deliver improvements.

New resources to support safer care of deteriorating patients

We’ve issued a Patient Safety Alert to highlight a range of resources on the early identification, response and management of deterioration in both adult and child patients.

Within these resources is a new safe system framework that our Patient Safety Team has launched in partnership with the Royal College of Paediatrics and Child Health, to tackle deterioration in children’s health. We’ve also published shared learning for providers to support the prevention of deterioration in adult patients and a list of resources for the detection and management of deterioration in adult patients from a number of organisations including the Royal College of Physicians and the UK Sepsis Trust.  

Nursing and Midwifery Council (NMC) amendment to English language test requirements

The Nursing and Midwifery Council (NMC) is changing its International English Language Testing System (IELTS) requirements for nurses and midwives registering from overseas and within the European Economic Area.  

The NMC believes that these changes will increase flexibility for applicants while ensuring that the appropriate standard of English language is still achieved. More details are available on the NMC’s website.

Ruth May, Executive Director of Nursing at NHS Improvement, is working closely with Jackie Smith, Chief Executive at the NMC, and her team, to ensure there is a smooth registration system for overseas nurses. 

They will provide you with further updates on the progress of these discussions, but in the meantime if you have continuing concerns or specific examples of issues with the overseas nurse registration process please contact Zoë Packman, Head of Professional Development at NHS Improvement,

Health and Care Innovation Expo, 7 – 8 September, Manchester Central

Health and Care Innovation Expo returns this September and invites providers to attend free-of-charge. Register now using the ticket code EXPNHSP. 

We’ll be there for the whole conference and on 8 September we’ll be hosting an afternoon of discussion and debate for providers, led by Professor Michael West from The King’s Fund. It will bring together academic research with practical application and experiences within trusts to look at how we can cultivate the conditions required to encourage innovation in the NHS.

The two main stages will feature a diverse range of speakers including comedian and mental health campaigner Ruby Wax, NHS England chief executive Simon Stevens and National Data Guardian Dame Fiona Caldicott. The pop-up university will return, with more than 100 workshops throughout the two days covering a range of topics including new models of care, and new developments in clinical care. 

You can visit dedicated feature zones, each with their own schedules of expert speakers, which focus on:

  • the continued progress of the vanguard sites developing new care models
  • the continuing developments in personalised medicine and the pioneering 100,000 Genomes project
  • the latest developments in digital technology
  • how the NHS Right Care model will change commissioning priorities 

Start to plan your own online agenda by choosing the keynote speeches, presentations, panel discussions and workshops that matter most to you. You can also download an interactive app which will help you plan your visit, network with other app users and keep up-to-date with the latest updates. 

Other healthcare updates

From the Care Quality Commission (CQC): Integrated care for older people

The CQC has published a review which aims to improve the understanding of how services work together to meet the needs of older people. ‘Building bridges, breaking barriers’ looks at how well care for older people is integrated across health and social care, as well as the impact on older people who use services and their families and carers.

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