Provider bulletin: 4 October 2017

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

For action

Apply now: tailor-made internships for women in senior leadership roles

Apply now for a tailor-made internship in a non-NHS industry. These six-month internships celebrate Ed Smith’s work to promote diversity during his time as chair of NHS Improvement.

You'll be supported by The Whitehall & Industry Group to identify the most appropriate placements to meet your leadership and personal development needs. The scheme is open to women who are currently working as senior leaders, directly below board level, and who aspire to a board role within the next two to three years.

Find out more and apply by 11.59pm Monday 13 November 2017.

Mandating patient-level costs for acute activity: share your views

We're consulting on our proposals for mandating patient-level costs for the acute sector. We welcome feedback from other sectors as it will form part of our work to extend mandated patient-level costing to them. 

Find out more and tell us what you think by 5pm Tuesday 14 November 2017.

Our oversight of NHS-controlled providers: help shape our proposals

We're consulting on proposals for organisations controlled by NHS trusts and/or foundation trusts and delivering significant amounts of services for the NHS, to be overseen in the same way as their parent organisations.

Complete our survey and help shape the proposals. The deadline to respond to the consultation and impact assessment is 5pm, Thursday 12 October 2017.

Patient Safety Alert on risk of severe harm and death from infusing total parenteral nutrition (TPN) too rapidly in babies

TPN is often used as part of a temporary planned programme of nutrition to supplement milk feeds in babies too immature to suckle or too sick to receive milk feeds as a result of intestinal conditions. 

However, if infused too fast there is a risk of fluid overload, potentially leading to coagulopathy, liver damage and impaired pulmonary function as a result of fat overload syndrome.

Please read the alert and follow our recommended actions to review your approach.

Join our improvement directors' network

We recently hosted events in Leeds and London to launch the first improvement directors' network in England. Attendees shared their improvement journeys and discussed the network's remit and how we can help colleagues who lead on improvement within their respective trusts to drive the improvement agenda locally, regionally and nationally. 

We anticipate holding three meetings a year as well as the annual improvement conference – we'll announce the dates shortly.

If you, or a colleague, lead improvement in your organisation and would like to join the network, please email

For information

Six monthly data on reported patient safety incidents

We've published the latest official statistics data on patient safety incidents reported to the National Reporting and Learning System (NRLS), broken down by each NHS provider. 

This covers the period October 2016 to March 2017, along with data providing an overall national analysis of incidents reported to the NRLS up to June 2017. 

The data shows a further increase in reported numbers of incidents as the NHS continues to encourage a greater culture of openness and transparency. Better reporting helps us to identify safety concerns and supports you to improve safety.


Leaders in Healthcare: Monday 30 October to Wednesday 1 November, Liverpool

The draft agenda for our free pre-event session on Monday 30 October focuses on ‘Improving quality in a challenging financial environment’ and will bring together medical directors and clinical leaders from NHS providers, clinical commissioning groups, STPs, and national bodies to focus on the issues and opportunities we collectively face. 

This free pre-day session focuses on the theme of ‘Improving quality in a challenging financial environment’ and will bring together medical directors and clinical leaders from NHS providers, clinical commissioning groups, STPs, and national bodies to focus on the issues and opportunities we collectively face. Professor Sir Malcom Grant, Chairman of NHS England, will open the meeting and you will have the opportunity to hear first-hand from senior colleagues who are leading change at a national, STP and local level in the NHS in England.

To secure your place at the pre-day session (Monday 30 October) register here and use the discount code NHSE/IMPROVE. Spaces are limited so early registration is advised.

Find out more about the main programme (Tuesday 31 October and Wednesday 1 November) and registration here.

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.

Transforming outpatient services – Tuesday 21 November, London

We're running this workshop with the Nuffield Trust to bring together senior clinicians, outpatient managers and GPs with an interest in outpatient pathway redesign to share knowledge and develop practical solutions. 

If you'd like to attend, please email

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

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

Chaired by Steve Russell, the event will include sessions on:

  • learning from deaths 
  • working relationships between providers and STPs (led by Ben Dyson, Director of Strategy at NHS Improvement)
  • the role of the non-executive director

Find out more and sign up.

Please forward this information to your non-executive directors.  

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 Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust: a network for senior operational leaders

The #proud2bOps network is open to deputy chief operating officers and directors of operations from public, independent, community and third sector health and care organisations.  

The network aims to share best practice and development opportunities, provide advice and guidance, and facilitate open conversations with fellow leaders.

The next session is on Wednesday 6 December (location TBC) and will be attended by Adam Sewell-Jones, Executive Director of Improvement at NHS Improvement and Ellen Armistead, Deputy Chief Inspector of Hospitals at the Care Quality Commission.

If you'd like to be part of #proud2bOps and/or attend this session please email

Is there anything wrong with this page?

Help us improve this website

Do not include any personal, sensitive or confidential information.