Provider bulletin: 27 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

Applications now open for NHS Leadership Academy's Clinical Executive Fast Track Scheme

Ruth May, Executive Director of Nursing and Kathy McLean, Executive Medical Director at NHS Improvement encourage you to explore the opportunity for professional development that this scheme offers. It is a fully funded 36-month talent scheme designed to engage and harness the talent of 30 clinicians as future leaders of health and care systems.

The scheme is open to clinicians who are interested in moving into senior/executive leadership positions in the next one to three years.

For information

The SAFER patient flow bundle and Red2Green days approach

These resources will help you implement the SAFER patient flow bundle and Red2Green days in your organisation. 

When followed consistently, these approaches can help reduce length of stay and improve patient flow and safety.

Sustainability and Transformation Fund (STF) and financial control totals: updated guidance

The 2017/18 and 2018/19 guidance has been revised to take account of the updated eligibility criteria for the 30% performance element of STF from quarter 2 onwards. 

The payment of the whole 30% of these funds at Q2 and Q3 will be based on a combination of achieving the A&E 4 hour performance standard and also the required milestones on primary care front door streaming. The changes are detailed in section 3.5 of the revised guidance.

Corporate services compartment for all provider sectors now live on the Model Hospital

This compartment includes benchmarking data across finance, payroll, HR and legal functions, and will help you identify opportunities to improve efficiency, quality and productivity.

Login / register here.  

Pathology networks data: update

Following the recent publication of our proposed pathology networks, we’ve updated the network pack to reflect new data submitted by the Royal Cornwall Hospitals NHS Trust within the South 1 region. 

Please note the proposed network remains the same. 


Webinar: Model Hospital – ward-level staff – 2pm to 3pm, Thursday 28 September

Our webinar will showcase ward-level data released on the Model Hospital, providing staff with insight into overall service quality and efficiency performance. 

Using the Model Hospital for the ward-level data enables benchmarking of services with similar units, and can act as a driver for improving quality and operational efficiency.

This webinar is for nursing staff from acute, non-specialist providers. Find out more and sign up.

Webinar: Working through intermediaries: implementing IR35 guidance in the NHS – 12.30pm to 1.30pm, Friday 29 September

Join us to:

  • understand the changes in IR35 legislation
  • ask questions of representatives from NHS Improvement and HMRC
  • learn good practice in reducing agency spend

Webinar: Mandating patient-level costing in acute providers – 12.30pm to 1.30pm, 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.  

Learning from deaths – guidance development: Thursday 2 November, London

In partnership with NHS England, we're inviting 90 NHS staff to a workshop at the Oval Cricket Ground on Thursday 2 November to discuss key issues identified in the Care Quality Commission Learning, candour and accountability report.

Find out more and sign up.

We're also inviting 15 NHS staff who have been involved in investigations and have good practice to share to participate in a related workshop on Wednesday 1 November, at the same venue.  

If you’re able to join us for both days, please book on to the event as above, and please also email to confirm your interest in attending both 1 and 2 November.

The closing date for bookings is Monday 9 October, with places allocated on a first come first served basis

Regional updates

Midlands and East update

Chairs networking event: Wednesday 1 November, Leicester

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.

South update

Cancer collaborative updates

Webinar, 11.45am to 12.45pm, Wednesday 11 October

Following our first masterclass earlier this month, we're hosting a webinar on mapping the patient pathway.

Find out more and sign up.

Collaborative second event, Monday 16 October, central London

Our next collaborative event is now open to colleagues working in cancer services from across the region. 

You'll hear from the national team on the application of ‘cancer pathway rules’, case studies from best practice sites and detail on effective patient tracking list management. 

Places are limited and available on a first come first served basis. Find out more and sign up.

Updates from our partners

From the Nursing and Midwifery Council (NMC): English language requirements update

In July 2017, NMC commissioned further work as part of its stocktake of the English language standard. This work continues and the council is now carrying out a short, targeted consultation with key stakeholders (including NHS Improvement) on the following proposals: 

  • aligning language requirements for overseas applicants with the requirements for European Economic Area (EEA) applicants
  • accepting other language assessments in addition to the international English language testing system (IELTS) providing they meet our criteria.

Read pages 91-95 of the 27 September NMC meeting papers to find out more.

NMC will publish a report on the consultation and its final draft policy and guidance in the latter half of October 2017.

From the National Guardian's Office: call for more investment in Freedom to Speak Up Guardians

Dr Henrietta Hughes, National Guardian for the NHS, has called for providers to invest more time in the Freedom to Speak Up Guardian role, with 70% of guardians saying they have one day or less assigned to it.

Following the first ever Freedom to Speak Up Guardian survey (September 2017), you can read all of Dr Hughes' recommendations here.

From NHS England: new practical guide for leaders of large scale change

NHS England has refreshed Leading Large Scale Change: A Practical Guide, designed to support STPs and other leaders of large scale change across the system to meet the challenges laid out in the NHS Five Year Forward View and Next Steps on the Five Year Forward View reports.

The guide provides a round-up of all the latest thinking and practical approaches and tools that can be used in advancing large scale change programmes.

NHS Improvement’s ACT Academy runs an intensive large-scale change support programme for STP teams that uses many of the techniques described in this guide and more. The current programme is fully subscribed and recruitment is shortly commencing for a February 2018 cohort. 

Find out more about the programme here or email if you have any queries. 

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