Provider bulletin: 21 June 2017

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

For action

Reducing the burden of data collection

We've developed an automated, data collection system which will save the NHS an estimated 36,000 hours each year.

The new system will see all of the winter sitrep data that you'd normally upload manually on a daily basis, automatically uploaded to our databases. The system will also be used to populate an emergency care dashboard, giving you insight into how patients flow through your emergency department and where there are bottlenecks.

We'll send your information teams a technical survey in the next few days. Please ask them to prioritise its completion and return to us as soon as possible.

Find out more in this letter from Adam Sewell-Jones, our Executive Director of Improvement.

Changes to the monthly accident and emergency submission deadline

Chief operating officers and information managers, please note from August 2017 the NHS performance statistics publication scheduled for the second Thursday of each month will now include A&E data from the previous month.

For example: the publication on 10 August 2017 will now include A&E data for July 2017 in addition to June 2017. Data will then continue to be published one month earlier than it is currently.

To meet this new publication timetable A&E providers need to submit monthly data via the UNIFY collection system on the second working day of the month rather than the 22nd.

The deadline to submit A&E data from July 2017 is 2 August 2017 and this data will be published on 10 August 2017.

The change was implemented by the Office for Statistics Regulation following concerns about the timeliness of publication of A&E data and instances of leaks of unpublished management information.

Further information is available on the UNIFY collection system. If you have any queries about the change please email

Transformational Change through System Leadership (TCSL) programmes open for application

We’re recruiting senior teams from sustainability and transformation partnership (STP) health systems to two fully funded TCSL programmes:

  •  an open programme for senior cross-system teams working on any local STP priority
  • a programme designed for teams transforming urgent and emergency care services.

You have until Friday 14 July to apply. The programmes are designed and delivered by our ACT Academy, please email any questions through to

Sugar-sweetened beverages: voluntary sales reduction scheme

NHS England announced in April that following public consultation the sale of sugar-sweetened beverages will be banned in shops on all NHS premises from July 2018, unless suppliers voluntarily take decisive action to cut their sales over the next twelve months.

Your organisation’s support is essential to helping us achieve this goal and we ask that you promote this scheme within your organisation

Please return the supplier commitment document and confirm your full list of supplier contracts by 31 July 2017.

See further information in this letter from us and NHS England.

Training opportunity: master demand and capacity planning

The mismatch between capacity and demand is one of the main reasons why waiting lists or backlogs develop.

Working with NHS England, we're launching a free programme to help equip local NHS staff with knowledge and skills to train others in demand and capacity modelling and planning. 

Over the next three years we will run 10 cohorts across the country, starting this autumn in London and south east England.

Applications are now open – find out more and sign up.

Learning from deaths: share your policies and resources

Following guidance on learning from deaths published by the National Quality Board in March, all providers are required to produce a policy outlining how you'll support improvement by learning from deaths that occur in your care.

We've published a set of resources to help you meet this requirement – they suggest ways to standardise and improve how you identify, report, investigate and learn from death.

Medical directors and directors of nursing, please:

For information

Patient safety review and response report: April to September 2016

Year-on-year reporting to the National Reporting and Learning System (NRLS) continues to grow and we receive over two million incident reports each year. Our patient safety team has published a new report which:

  • explains how we review and respond to new or under-recognised risks

  • provides an outline of our clinical review and response process

  • gives examples of the action we took between April and September 2016 as a direct result of our reviews of incidents

  • highlights where we've helped our partners to take action to improve safety across the NHS

  • recognises staff, patients and members of the public who have taken time to report incidents

Medical directors and directors of nursing, please share this report with staff to show the difference their efforts in reporting incidents make in protecting patients from harm. 

If you’re aware of a new or under-recognised issue that you think we should be acting on, please email

Well-led framework: new guidance for developmental reviews of leadership and governance

Following our recent joint consultation with the Care Quality Commission (CQC), this guidance replaces our previous well-led framework for governance reviews, and applies to both NHS trusts and foundation trusts.

We've maintained the ‘comply or explain’ basis but have increased flexibility around timescales to account for individual trust circumstances. Please discuss the timeframes for your review with your regional managers.

As part of our commitment in Developing People - Improving Care to simplifying our regulatory approaches, the new well-led framework has been jointly developed by CQC and us and forms the basis of CQC's regular reviews of the well-led question. 


Register now: 11 July event to share, learn, connect and celebrate

Our second inspiring improvement event on Tuesday 11 July in London will be an immersive day of interaction and active learning.

If you're passionate about developing your own and your colleagues’ improvement and leadership capabilities please register now. The event is first come first served and places are limited to a maximum of two per provider.

Why attend?

  • take stock of what’s working and share lessons

  • hear about priorities for the year ahead and what that means for quality improvement and innovation

  • discover resources and networks to help you embed an improvement culture in your organisation

  • connect with peers and build networks

  • look at the improvement tools, resources and ideas you’ve been submitting to our improvement hub 

Medical director engagement and learning event: Thursday 6 July, Manchester

Our event will provide medical directors with the opportunity to:

  • hear about the national priorities and our role in supporting you
  • discuss the new requirements for providers in the review and reporting of deaths
  • look at the issues and support around urgent and emergency care
  • share what you are currently working on so that other medical directors can learn from your experience

    Criteria led discharge: masterclasses

    Our nursing directorate is leading a national collaborative which will focus on increasing the use of criteria led discharge as a mechanism to improve patient experience and to help address winter pressures.

    We're holding two masterclasses to launch the collaborative on:

    • Friday 30 June, London
    • Friday 7 July, Birmingham

    Regional updates

    Midlands and East update

    Masterclass - review of referral to treatment (RTT) tools: Thursday 22 June, Leicester

    Places are limited to two per trust and we recommend you use both of the allocated spaces. 

    Sign up here or email for further information.

    Chief operating officer networking event: Tuesday 4 July, Leicester

    Chairs networking event: Wednesday 19 July, Leicester

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

    To register or find out more please email

    North update

    Mental health and learning disability event: Friday 23 June, Leeds

    This event aims to support the continuing improvement of mental health and learning disability services across the North by bringing together many of the key individuals and teams responsible for the management, delivery and improvement of these services.

    Jim Mackey, our Chief Executive, is speaking at the event.

    To register, please email

    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

    London update

    Diagnostics optimisation action learning event – radiology: Thursday 29 June, central London

    This event is aimed at radiology clinical leads, radiology managers, CT, MRI and US superintendents, cancer programme managers, and vanguard diagnostic leads.

    Find out more and sign up.

    Updates from our partners

    From NHS Digital and NHS England: children and young people’s mental health data flow webex

    This webex, taking place on Monday 10 July, 1:30pm to 3:00pm, is for providers who are having issues submitting children and young people’s mental health data to the mental health services minimum dataset (MHSDS). It will begin with a brief introduction about the MHSDS followed by a provider discussion on data issues.

    From the East of England Ambulance Service NHS Trust: ambulance / acute pilot project

    Following the recommendations of the Lord Carter Report regarding the use of electrodes, acute and ambulance trusts are invited to join a pilot which will commence from 1 July 2017. The pilot involves moving to the use of dual use electrodes in order to reduce waste and improve efficiency.

    A letter and memorandum of understanding are attached for further information.

    If you'd like to be involved in the pilot, or have further questions, please email


    Department of Health (DH) updates

    Central alerting system (CAS) guidance on the use of antiviral medicines

    Medical directors, please share this CAS alert which provides advice from the Chief Medical Officer, and Chief Pharmaceutical Officer that prescribers and pharmacists in primary care should no longer prescribe or supply antiviral medicines for the prophylaxis and treatment of influenza on an FP10 prescription form.

    Freedom of information guidance on cyber attacks

    This document provides an explanation an of how the Cyber and Government Security Directorate (CGSD) has updated its guidance issued in June 2015. 

    From the NHS Leadership Academy: applications for Nye Bevan programme now open

    If you’re a senior leader aiming for an executive director role, this leadership development programme will prepare you for the challenges and demands of this role.

    Part time over one year, it allows you to make immediate, positive changes to your organisation and leads to an NHS Leadership Academy Award in Executive Healthcare Leadership.

    Applications are open until 26 June. Find out more.

    From the National Guardian's Office: National Guardian launches Freedom to Speak Up case review process

    Dr Henrietta Hughes, the National Guardian for the NHS, has launched a 12 month pilot of her case review process, a key recommendation of the Francis Report.

    The National Guardian’s Office will review the handling of concerns raised by NHS workers, and the treatment of those who spoke up where there is cause for believing that this has not followed good practice.

    Recommendations will be made to NHS organisations to take appropriate action where they have failed to follow good practice and will be shared with NHS Improvement and CQC. Trusts who demonstrate good practice will be commended.  

    Find out more about how you can submit cases.

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