Provider bulletin: 31 May 2017

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

For action

Annual performance reviews of NHS trust chief executives

NHS trust chairs, please read this letter from Jim Mackey about performance returns for your chief executives.

Please complete and email this template to by 5pm Friday 23 June. You can also email queries to this team.

Foundation trust chairs are not required to complete a performance return for their chief executives.

11 July - Inspiring improvement: share, learn, connect and celebrate

Last Friday 26 May Jim Mackey wrote to chief executives about our 11 July inspiring improvement event. Following our inaugural event last year, it will be an immersive day of interaction and active learning. We’ll provide further information in next week’s bulletin.

In the meantime, chief executives please forward the email Jim sent you to your relevant colleagues, for example quality improvement leads/managers, and other board members. It’s first come, first served and places are limited – with a maximum of two places per provider.

For information

Application of HMRC’s IR35 tax rule changes on NHS agency staff: updated guidance

The IR35 tax rule changes, which came into force in April, shifted the responsibility for assessing whether IR35 applies from individuals to providers. Our priority is to help encourage NHS providers to ensure that agency staff pay the correct tax, and following conversations with the sector we've updated and amended our guidance. This is to ensure that there is no ambiguity in what trusts are expected to do.

You should not assume that all agency staff will fall inside IR35; please assess whether or not the IR35 rules apply on a case by case basis. Where there are cases of ambiguity you should seek expert advice or approach HMRC, who also have an easy online toolkit for guidance.

Improving quality and safety in healthcare: case studies

These case studies are practical guides to developing and spreading good practice in quality and safety across these areas:

  • assessing and responding to patient risks
  • medicines management
  • safety culture

Private finance initiative (PFI) schemes

Chief executives, please read this letter from Jim Mackey which outlines the increased support we're providing to help you manage PFI contracts better.

There are two specific points that we want to draw your attention to:

  • during June we'll be asking providers with PFI schemes to complete a survey with details of these and how you currently manage those contracts

  • we'll be organising an event for providers with early wave PFI schemes to discuss how to plan for these contracts ending

National Stop the Pressure programme: update

This update from our Nursing team highlights some of the outstanding work from the Stop the Pressure campaign, which is running to support improvements in care. It also highlights future developments for pressure care.

If you have any questions about the programme, please email Jennie Hall, our Strategic Nursing Adviser:

Sustainability and Transformation Partnerships (STPs): update

To build on the work of the first workshops, NHS England and NHS Clinical Commissioners are organising more events for lay members and NEDs – one to be held in the north of England (location TBC) on Monday 3 July, and the other in the south of England (location TBC) on Wednesday 5 July. We're supporting the events which will provide the opportunity to:

  • review how STPs are developing

  • share examples about involving lay members/NEDs in STPs

  • look at the evolving challenges of being a lay member/NED voice in an STP

February workshops: feedback report

In February this year, NHS England and NHS Clinical Commissioners ran regional workshops to help CCG lay members and trust non-executive directors (NEDs) gain a better understanding of the STP landscape and their role and responsibilities within it. 

NHS Clinical Commissioners is publishing a report in June which will collate feedback from these events, as well as case studies and next steps.

Please email if you are an NED who would like to: 

  • find out more about or sign up for one of these events

  • receive an early copy of the NHS Clinical Commissioners report


Evidencing the impact of allied health professionals (AHPs): June regional events

Our one-day events will provide your AHP leads with information about our work programmes that are AHP specific to them and/or require AHP involvement.


  • Wednesday 7 June, Manchester 
  • Tuesday 13 June, Birmingham
  • Thursday 15 June, central London

Who should attend?

The most senior designated AHP/ therapy lead in your organisation, for example director, associate director, professional head or professional lead.

Due to limited places we ask that you identify only one person from your organisation to attend.

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

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 confirmed as a guest speaker.

To register, please email

South update

Chairs networking event: Tuesday 6 June, central London

Anne Eden, our South Executive Regional Managing Director, will provide a regional update followed by a Q&A session.

To find out more or to register, please email

London update

Chairs networking event: Friday 16 June, central London

Steve Russell, our London Executive Regional Managing Director, will provide a regional update followed by a Q&A session.

To find out more or to register, please email

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.

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