Building better health: what are the estate development and management opportunities presented by integrated care systems? Good Governance Institute
In July 2022, Good Governance Institute and Primary Health Properties hosted a roundtable discussion to look at the opportunities for estates in integrated care to drive reform, inspire innovation and enable improvement. This long read summarises the discussion that focused on ways in which developing or repurposing NHS estate can enable co-location and greater integration of health and care services.

The geriatric medicine workforce 2022 – British Geriatrics Society (BGS) 
This report examines data collected by the Royal College of Physicians (RCP) on the consultant and Higher Specialty Trainee geriatric medicine workforce. This data, which was collected between 2019 and 2021 as part of the RCP’s annual workforce census, demonstrates the staffing challenges facing older people’s healthcare. Despite the growth in medical student places, there are not enough specialist healthcare professionals being trained and retained to meet the needs of the population as it ages.

NHS Prevent training and competencies framework – Department of Health and Social Care
The Prevent training and competencies framework has been developed to: encourage a consistent approach to training and competency development in respect of Prevent; and ensure that NHS trusts and foundation trusts meet their legislative responsibilities to equip people to work effectively to safeguard and promote the welfare of children, young people and adults in relation to Prevent. This document will also support NHS provider organisations, NHS commissioners and organisations providing services on behalf of the NHS, to meet contractual obligations in relation to safeguarding training, as set out in the NHS standard contract.

How much is Covid-19 to blame for growing NHS waiting times? – Nuffield Trust 
This analysis looks at access and waiting times before and during the Covid-19 pandemic. While it has accelerated a trajectory of declining NHS performance, Covid is not solely to blame for the current problems.

The NHS Bursary Scheme new rules: eleventh edition for the academic year 2022 to 2023 – Department of Health and Social Care
This guidance includes information for students and higher education institutions about the NHS Bursary Scheme rules that apply for the academic year 2022 to 2023. They apply to medical and dental students, continuing non-medical postgraduate students who started their course on or after 1 August 2017 but before 1 August 2018, and continuing students on dental hygiene and dental therapy courses who started their course on or after 1 August 2017 but before 1 August 2019.

Recent publications by Southport & Ormskirk staff – Full text available << click here to e-mail your request to the Hanley Library >>

• Nischal, N., Chandra Lalita, K., Iyengar, K.P., Reilly, I. and Botchu, R., 2022. Angle of BRINK—a new way to measure Haglund’s deformity. Skeletal Radiology, pp.1-6.
• Mullins E, Perry A, Banerjee J, Townson J, Grozeva D, Milton R, Kirby N, Playle R, Bourne T, Lees C; PAN-COVID Investigators. Pregnancy and neonatal outcomes of COVID-19: The PAN-COVID study. Eur J Obstet Gynecol Reprod Biol. 2022 Sep;276:161-167.
• Iyengar KP, Botchu R. Management of Juxta-articular chondroblastoma – Letter to editor. J Clin Orthop Trauma. 2022 Aug 12;32:101989.
• Nune A, Iyengar KP, Botchu R, Barman B, Manzo C. Correction to: “Living with COVID”-implications for immunosuppressed and immunocompromised. Clin Rheumatol. 2022 Aug 24.
• Tan CY, Javed MA, Artioukh DY. Emerging presence of Actinomyces in perianal and pilonidal infection. J Surg Case Rep. 2022 Aug 17;2022(8):rjac367.
• Iyengar KP, Yusta-Zato JA, R B. Calcific tendinopathy of the pronator quadratus muscle: A rare site and cause of ulnar sided wrist pain. J Clin Orthop Trauma. 2022 Aug 5;32:101968.
• Fazal ZZ, Sen P, Joshi M, Ravichandran N, Lilleker JB, Agarwal V, Kardes S, Kim M, Day J, Makol A, Milchert M, Gheita T, Salim B, Velikova T, Gracia-Ramos AE, Parodis I, Nikiphorou E, Tan AL, Chatterjee T, Cavagna L, Saavedra MA, Shinjo SK, Ziade N, Selva-O’Callaghan A, Nune A, Knitza J, Kuwana M, Gutiérrez CT, Caballero-Uribe CV, Dey D, Distler O, Chinoy H, Agarwal V, Aggarwal R, Gupta L; COVAD Study Group. COVAD survey 2 long-term outcomes: unmet need and protocol. Rheumatol Int. 2022 Aug 14:1–8.
• Richardson C, Bretherton CP, Raza M, Zargaran A, Eardley WGP, Trompeter AJ; FFPOM Collaborators. The Fragility Fracture Postoperative Mobilisation multicentre audit : the reality of weightbearing practices following operations for lower limb fragility fractures. Bone Joint J. 2022 Aug;104-B(8):972-979.

The latest from NHS Employers

• Episode 5: Allow for the unexpected with Naomi Stanford Naomi Stanford on the impact of hybrid working and how we can reconsider what is important using design principles to shape our workplaces.
• Staff experience: why it matters now more than ever Join our free conference taking place on Tuesday 6 December to understand more about staff experience and the importance of supporting our people.
• Health Education England T Level Events Employers are invited to attend a series of free virtual events hosted by Health Education England to gain a better understanding of T Levels.
• Volunteers and your future workforce event Find out how volunteers can be part of the solutions to current NHS staffing challenges.
• Implementing a digital LCEA system A case study on how Manchester University NHS Foundation Trust successfully navigated its Local Clinical Excellence Awards following a merger in 2017
• Flexi-Job Apprenticeship applications are now open Apply to join the register of Flexi-Job Apprenticeship agencies to boost your workforce.
• The NMC’s position on industrial action Read The Nursing and Midwifery Council (NMC) statement on industrial action.
• Continuing to recognise and reward our NHS people during the pandemic Ros Waring shares how Barts Health has recognised its NHS people during the COVID-19 pandemic, creating a virtual celebration event for all staff.
• Introducing the Professional Nurse Advocate programme in York and Scarborough NHS Trust York and Scarborough NHS Trust recently trained their first cohort of Professional Nurse Advocates to support their nursing workforce.

HSJ Roundup –  Full text available << click here to e-mail your request to the Hanley Library >>

• PM Truss appoints new health secretary Thérèse Coffey has been appointed as the new health and social care secretary.
• Pritchard: We need to find alternatives to 999 for care homes and falls The NHS needs to do more to support care homes and people who have fallen with alternatives to ambulance calls and hospital admissions, the NHS England chief executive has said.
• Truss move to cut management would ‘get in way’ of progress, says top CEO Liz Truss’s desire to talk about cutting management in the NHS will get in the way of more important conversations about the future operating model of the health service, a respected system leader has said.
• Trust’s chief operating officer gets top job The chief operating officer of a small district general hospital has been promoted to the chief executive role.
• Band 8 staff face cut in take-home pay NHS England has warned the latest pay award will mean some senior staff on Agenda for Change will see a cash fall in their take-home pay this month.
• Revealed: The 36 trusts looking to replace their electronic patient records Nearly 40 trusts are considering launching procurements for new electronic patient records amid a national push to improve trusts’ digital maturity.
• Trust chief leaves NHSE role A provider chief also serving as an NHS England director is returning to his trust full time, with another NHSE director taking over his responsibilities.
• ‘Life threatening’ risk to clinically vulnerable after firms disconnect energy supply, warns NHS chief A senior NHS leader has warned of a “life-threatening” situation in which clinically vulnerable people are being admitted to hospital after having their energy supplies disconnected.
• Controversial trust merger abandoned A planned merger between a South Coast mega trust and its much smaller neighbour has been abandoned.
• Exclusive: Government extends pension tax bills deadline The government is extending the deadline for NHS staff to apply for their pension tax bills to be taken out of their pension fund as opposed to paying it upfront, HSJ has learned.
• Trust aims to move on from governance failures and ‘massive societal tension’ Leaders of a mental health trust say they are making progress to address multiple concerns over corporate governance, and moving on from the ‘massive societal tension’ around one of their key services.
• Hospital CEOs will get ‘fair’ treatment over ambulance delays, says Barclay Health secretary Steve Barclay says trust chief executives should be held accountable for ambulance handover delays in a ‘fair’ way that recognises factors outside their control.
• Reading the warning signs It’s the Blithering ICS board meeting. The NHS is lurching from crisis to disaster. Will David Rummage become its first victim? Martin Plackard hopes so. Minutes by Julian Patterson
• NHSE: We’ve not done enough to engage trusts in plans for £360m data store NHS England has failed to adequately engage trusts in plans for a controversial new £360m data-sharing project, its data chief has admitted – though she said procurement rules were partly to blame.
• £300m reconfiguration gets go-ahead after decade delay Plans for a much-delayed service overhaul in one of the country’s most troubled systems have won national approval, though questions remain over how crucial service improvements will be funded.
• Trust CEOs lead judging panel for HSJ supplier awards Two of the NHS’s foremost trust chief executives lead the 50-strong judging panel in this year’s HSJ Partnership Awards.
• ‘Complete’ recruitment freeze ordered at NHSE and CQC The health secretary has told NHS England, the Care Quality Commission, and other national agencies to implement a freeze on almost all recruitment.
• ‘Cut consultancy spend’ Barclay tells NHSE Ministers have told NHS England and other national bodies to urgently cut their spending on management consultancy services by at least a fifth.
• North by North West: Full force Flory Essential insight into NHS matters in the North West of England. Contact me in confidence here.
• Recovery Watch: PIFU progress revealed in leaked report Recovering services from the covid crisis is the biggest task for NHS leaders for the foreseeable future. The ‘Recovery Watch’ newsletter tracks prospects and progress. This week by HSJ bureau chief and performance lead James Illman.
• Patients fit for discharge stuck in hospital for up to nine months Medically fit patients are waiting up to nine months to be discharged from some NHS hospitals as increasing numbers of working age people develop more complex conditions amid ongoing social care shortages.
• Patients fit for discharge stuck in hospital for up to 9 months Medically fit patients are waiting up to nine months to be discharged from some NHS hospitals as increasing numbers of working age people develop more complex conditions amid ongoing social care shortages, HSJ can reveal.
• ‘Emergency’ pension rule changes extended to help NHS cope with winter The government is planning to extend measures introduced during the coronavirus pandemic which relaxed the pension rules for staff who ‘retire and return’.
• Revealed: Only two ICSs seeing more elective inpatient activity than pre-covid Providers in just two integrated care systems carried out more inpatient elective procedures in the first quarter of this year than before the covid pandemic, HSJ analysis of official data has revealed.

Recent Statistics

• Palliative and end of life care profiles: September 2022 data update The profiles provide an overview of palliative and end of life care in England at various geographies.
• Community Services Statistics, June 2022 This publication reports information from the CSDS. This is a patient-level dataset providing information relating to NHS-funded community services. These services can include health centres, schools and mental health trusts…
• Quarterly suicide death registrations in England: 2001 to 2021 registrations and Quarter 1 (Jan to Mar) to Quarter 2 (Apr to June) 2022 provisional data Provisional rate and number of suicide deaths registered in England per quarter. Includes 2001 to 2021 registrations and provisional data for Quarter 1 (Jan to Mar) to Quarter 2 (Apr to June) 2022.
• NHS Health Check quarterly statistics: April to June 2022 offers and uptake Number of NHS Health Check offers and uptake data covering April to June 2022.
• Female Genital Mutilation, April 2022 – June 2022 Attendances of individuals with Female Genital Mutilation (FGM) which were added to the FGM Enhanced Dataset collection platform between 1st April 2022 – 30th June 2022 in England.
• NHS Vacancy Statistics England, April 2015 – June 2022, Experimental Statistics Quarterly compendium publication containing four different views on recruitment information for the NHS. Data from NHS Jobs, the Electronic Staff Record (ESR) and Trac Recruitment Systems (Trac) provide a range of proxy data…
• Safeguarding Adults, England, 2021-22 Report of Adult Safeguarding concerns and enquiries.
• Independent Healthcare Provider Workforce Statistics, March 2022, Experimental Workforce information for Independent Healthcare Providers (IHP) – this was previously part of the Healthcare Workforce Statistics publication but is now a separate publication in its own right. These experimental statistics…
• Maternity Services Monthly Statistics, May 2022, experimental statistics Monthly publication of statistics from the Maternity Services Data Set. This month, we are analysing May 2022 data.
• NHS Surplus Land, Quarter 1 2022/23 This report presents timely information from the new NHS Surplus Land live collection.
• NHS Sickness Absence Rates, April 2022, Provisional Statistics Monthly report on NHS Sickness absence rates by regions, organisations and main staff groups.
• NHS Workforce Statistics, May 2022 NHS workforce (HCHS) broken down by staff groups region and organisation.
• Recorded Dementia Diagnoses, July 2022 Recorded and estimated dementia diagnosis rates.
• Provisional Monthly Hospital Episode Statistics for Admitted Patient Care, Outpatient and Accident and Emergency data, April 2022 – June 2022 Provisional monthly HES.
• Waiting times for suspected and diagnosed cancer patients, Q1 2022/23 (Commissioner based) Information on the waiting times of patients with suspected cancer and those subsequently diagnosed with cancer.
• Waiting times for suspected and diagnosed cancer patients, Q1 2022/23 (Provider based) Information on the waiting times of patients with suspected cancer and those subsequently diagnosed with cancer.
• Integrated Urgent Care Aggregate Data Collection (IUC ADC) – for July 2022 (Provisional statistics) Monthly data supporting IUC KPIs for the NHS 111 contract areas in England, summarising clinical assessment, advice and treatment.
• Psychological Therapies: reports on the use of IAPT services, England, May 2022 Final including a report on the IAPT Employment Advisers pilot Improving Access to Psychological Therapies (IAPT) data for May 2022 Final including a report on the IAPT Employment Advisers pilot.
• Summary Hospital-level Mortality Indicator (SHMI), Deaths associated with hospitalisation, England, April 2021 – March 2022 Indicator reporting mortality at hospital trust level across the NHS. This indicator is produced on a monthly basis and gives an indication for each non-specialist acute hospital trust in England whether the observed number …
• Children and Young People Eating Disorder Collection Q1 2022/23 Information on the number of Children and Young People with an Eating Disorder (CYP ED) who have accessed, or are waiting for NICE-approved treatment.
• Integrated Urgent Care Aggregate Data Collection (IUC ADC) for June 2022 (Official statistics) Monthly data supporting IUC KPIs for the NHS 111 contract areas in England, summarising clinical assessment, advice and treatment.
• Provisional Accident and Emergency Quality Indicators for England, June 2022, by provider Monthly A&E quality indicators.
• Waiting times for suspected and diagnosed cancer patients for June 2022 Information on the waiting times of patients with suspected cancer and those subsequently diagnosed with cancer.
• Physical Health Checks for People with Serious Mental Illness Q1 2022/23 Information on the number of people with serious mental illness who have been offered a range of physical health checks in either primary or secondary care.