Provider bulletin: 20 September 2017

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

For action

Supporting you to reduce Gram-negative infection rates

We've published two resources to help meet the ambition to reduce healthcare associated Gram-negative bloodstream infection by 50% by 2021.

The first is a tool to enable providers and CCGs to understand the number of deaths associated with E. coli bloodstream infections and the savings that can be made if infection rates are reduced.

Using published data from Public Health England on healthcare acquired E.coli infection rates, we've also produced a map to display NHS providers and clinical commissioning groups (CCGs) with the highest and lowest infection rates in 2016/17.

This letter sets out the additional data collection required to help reduce healthcare associated Gram-negative infections. You will now need to submit data on Klebsiella species and Pseudomonas aeruginosa in addition to the E.Coli data..

For information

Culture and leadership programme: phase 2 'design'

We've launched phase 2 of our culture and leadership programme. Developed in with The King's Fund and three pilot providers, it will help you to develop cultures that enable and sustain continuously improving, safe, high quality, compassionate care.  

The main resource is an interactive tool focusing on potential interventions, with links to good practice and wider resources. 

Well-led framework: supplementary guidance on making the most of developmental reviews and peer input

Following the recent publication of our well-led framework, we've added two new guides with practical advice on how to get the most from reviews.

We also explain how you can incorporate peer input in these reviews, to make use of and enhance the skills and experience of leaders within the NHS.

NHS efficiency map updated

We've updated the NHS efficiency map with a case study from Salisbury NHS Foundation Trust about engaging staff on challenging processes.


Seven day hospital services: September events

Join us to hear about latest developments in the national programme from Dr Kathy McLean, our Executive Medical Director, and from senior clinicians and leaders who have led the implementation of seven day hospital services.

The events are for senior clinicians and managers involved in the operational delivery of seven day hospital services within providers and system stakeholders. 

Find out more and sign up.

Improving urgent and emergency care: focusing on patient flow

Join us to hear national and local system leaders discuss improving the flow of patients along emergency care pathways, and to test and challenge ideas with experts and other delegates.

Sessions will focus on the importance of effective, distributed leadership and how well-led teams can implement best practice using powerful improvement techniques.

Find out more and sign up.

Mandating patient-level costing in acute providers webinar: 12.30pm to1.30pm, Tuesday 3 October

We're consulting on mandating patient-level costing (PLICS) for 2019/20. If implemented, this would mean that every acute provider will have to make a national PLICS return. 

This webinar will set out the process for mandating PLICS, along with a description of the proposals and how you can feed back to us.  

Operational productivity: mental health and community engagement roadshows

We've been working with a cohort of mental health and community providers to: 

  • review productivity and efficiency within these sectors 
  • outline best practice
  • generate recommendations

We're holding the following roadshows (running time 11.30am to 3.30pm) to share the learning with all mental health and community providers, and acute trusts who provide community-based services:

  • North region: Monday 25 September, Liverpool
  • Midlands and East region: Wednesday 27 September, Leicester 
  • South region: Tuesday 3 October, Reading 
  • London region: Wednesday 4 October, central London 

Last month we sent invites to finance directors and chief operating officers. If you haven't yet confirmed your attendance or would like to send a deputy in your place, please email Due to limited space, we can only host two attendees per provider. 

HR directors briefing sessions

We're running these sessions for HR directors and deputies with a focus on our role in supporting you to manage executive, chair and non-executive issues. 

Janice Scanlan, Head of Non-executive Development and Maria Robson, Head of Trust Resourcing at NHS Improvement will lead the following sessions:

  • 2pm to 4pm, Thursday 19 October, central London
  • 2pm to 4pm, Wednesday 8 November, Leeds
  • 10am to 12pm, Friday 1 December, central London

Please email to book a place.

If you’ve seen our presentation at any national, HR networking meetings in the past three months, the content will be broadly the same but you will have more opportunity to discuss your specific questions.

Find out what supporting resources we've published relating to:

Regional updates

Midlands and East update

Chairs networking event: Wednesday 1 November, location tbc

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

To register or find out more please email

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

Non-executive directors networking event: 4pm to 8pm, Thursday 19 October, central London

We're giving non-executive directors the opportunity to discuss regional and national issues, and share learning and ways of working at this networking event. 

Topics discussed will include:

  • learning from deaths 
  • working relationships between providers and STPs
  • balancing primary responsibility to your own organisation and co-operation with a wider system

If you're interested in attending please save the date in your diary and we'll shortly provide further information and registration details.

Updates from our partners

From NHS England: extension of UNIFY2 early intervention in psychosis (EIP) data collection

Mental health providers are advised that the EIP data collection has been extended from September until December 2017 to: 

  • include activity undertaken during this period
  • allow providers and commissioners to undertake further data quality work to reduce disparity between the Mental Health Services Data Set (MHSDS) and UNIFY2 collections

An updated data collection timetable will be provided on UNIFY2.

From South East Coast Ambulance Service NHS Foundation Trust: Help young people acquire the skills to save a life

As part of the Europe-wide Restart a Heart initiative, the trust is looking for clinicians to volunteer some time between Tuesday 10 October and Monday 16 October to: 

  • demonstrate how to deliver cardiopulmonary resuscitation (CPR) to young people 
  • approach their local secondary school/college/university to host a CPR session

If you'd like to get involved, please email Emma Ray at

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