Provider bulletin: 23 August 2017

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

For action

New charging regulations for overseas visitors

From Monday 23 October 2017 new charging regulations will apply for overseas visitors receiving healthcare in England. 

The regulations place a new legal obligation on NHS providers to charge for non-urgent treatment in advance, once you have established whether a person is eligible. Commissioners will be implementing these arrangements with all providers of NHS-funded community and secondary care including independent providers.

When charges apply, the relevant body must make and recover charges in advance of providing NHS services, unless doing so would prevent or delay the provision of immediately necessary or urgent treatment.

Please share the updated guidance with your overseas visitor manager and relevant staff working with commissioners.

Elective care: model access policy

We've produced this policy in response to your requests for guidance and support in producing your own elective care access policies.

It will help ensure that all patients requiring access to outpatient appointments, diagnostics and elective inpatient or day-case treatment are managed in line with national waiting time standards and the NHS Constitution. 

Please share the policy with your elective care leads.

For information

Mandated support for NHS trusts under the Single Oversight Framework

The Single Oversight Framework (SOF) sets out our approach to overseeing and supporting NHS trusts and NHS foundation trusts, and follows the principle that we treat all providers in comparable circumstances similarly, unless there is good reason not to. Under the SOF, where your organisation experiences a complex issue, we may decide that mandated support is necessary which means we will categorise you in segment 3 or 4 of the Framework.

Formalising mandated support for NHS foundation trusts continues to follow existing policy set out in Monitor’s Enforcement Guidance, which describes the types of enforcement action which may be taken and precisely what is required of the trust.

For NHS trusts, mandated support is formalised through the agreement of enforcement undertakings between us and the relevant NHS trust. As with NHS foundation trusts, these actions will set out the issues that have led to the trust requiring mandated support, together with the actions that the trust commits to take to address the issues.

Our regional relationship teams are in the process of agreeing undertakings or issuing directions for some NHS trusts in segments 3 and 4, and will be in touch with all relevant providers very shortly. We anticipate all relevant NHS trusts having actions in place by winter 2017. We are proposing to include clarification on this as part of our update of the SOF


Health and Care Innovation Expo, 11 – 12 September, Manchester Central

Health and Care Innovation Expo is back next month and providers can attend free-of-charge, just register now using the ticket code EXPO17.

Booking is now open for our joint workshop with Health Education England at 10am on day 1 where we're launching phase two of our culture and leadership toolkit. Michael West of The King’s Fund will talk about the importance of inclusive leadership, and three trusts will share their experience of creating cultures for continuous improvement.

At 10am on day 2 our former chair, Ed Smith, hosts a main stage session on how we can create a system of enabling, supportive and aligned regulation and oversight.

Our pop-up university sessions are now open for booking:

Communications and engagement sessions

  • Masterclass on public consultation and engagement: Day 1 at 11.45am
    Claire Riley from Northumbria Healthcare NHS Foundation Trust and John Underwood from the Centre for Health Communications Research will lead a two hour session share case studies from Cumbria with Kath Hughes, Rhea Heron and Julie Clayton.    

  • Planning for unplanned events: Day 2 at 1.30pm 
    Phil Groves, Deputy Director, Strategy, Operations and Incident Response at NHS Improvement, will lead a two hour session on crisis communications, supported by Karen Coleman from the West Yorkshire and Harrogate Sustainability and Transformation Partnership (STP).   

Although these two sessions are fully booked we’re setting up a waiting list. If you’d like your name to be added please email

Visit us on Stand 83 to tell us about your improvement projects and to meet with some of the trusts we’ve been working with. We’ll be showcasing new ways to measure improvement in patient flow, with scheduled demonstrations on our giant touchscreens.

You can also start to plan your own online agenda by choosing the areas that matter most to you and download an interactive app which will help you plan your visit, network with others and follow the latest conference updates. 

A new network for improvement: September events

We’re launching a new improvement network, aimed at staff who lead improvement within providers. The network will be developed with support from The Health Foundation, building on our existing partnership in hosting the Q Community. We'll be using our first events to shape the network design.

Leeds, Wednesday 6 September

Find out more and sign up.

London, Wednesday 13 September

Find out more and sign up.

Seven day hospital services: September events

We're running a series of events for people working on the seven day hospital services programme to share and learn from colleagues across their region. You'll 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 within their trusts.

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

North region: Manchester, Friday 15 September

Sign up or email to find out more.

Midlands and East region: Birmingham, Wednesday 13 September

Sign up or email or to find out more.

Midlands and East region: Cambridge, Wednesday 27 September

Sign up or email or to find out more.

South region: London, Thursday 7 September

Sign up or email or to find out more.

London region: London, Thursday 21 September

Sign up or email or to find out more.

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

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

London update

New director-level nursing appointment

We've appointed Angela Thompson to the role of Director of Nursing and Deputy Regional Chief Nurse for our London region.

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

Updates from our partners

From the All-Party Parliamentary Group on Global Health: Nursing Now! campaign

This campaign aims to raise the status and profile of nursing globally so that it can make an even greater contribution to improving health and well-being.

From NHS England: Delivering high quality end of life care for people who have a learning disability – new guidance

Published by NHS England, in partnership with the Palliative Care for People with Learning Disabilities (PCPLD) Network, this guidance provides resources and tips for commissioners, service providers and health and social care staff providing, or delivering end of life care to people with a learning disability, autism or both. 

From NHS England: Leading networks and collaborations for sustainable change and improvement - masterclass webinar series

NHS England’s sustainable improvement team and London South Bank University are hosting a series of free webinars exploring key themes in network leadership.

Hosted by experts in the field, the webinars are designed to provide insights into what it takes to lead networks, partnerships and collaborations in health and care.

From the mid-Nottinghamshire Better Together Alliance: Vanguard showcasing and sharing event - Tuesday 19 September, Newark

At this event, you can see how the Better Together vanguard is implementing the Five Year Forward View in mid-Nottinghamshire as well as some of the innovative projects being delivered by the mid-Nottinghamshire Better Together Alliance.

Find out more and sign up. If you have any questions please email or

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