Provider bulletin: 11 July 2018

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

For action

Vaginal mesh: high vigilance restriction period

A national ‘pause’ has been announced in the use of surgical mesh/tape to treat stress urinary incontinence (SUI) and for urogynaecological prolapse where the mesh is inserted through the vaginal wall. This pause takes the form of a high vigilance restriction, and all cases should be postponed immediately if it is clinically safe to do so.

Please read this update for background, implementation and Q&As.

Measles exposures and infections: recommended actions

Following national and international reports of confirmed cases of measles, our Executive Director of Nursing (and National Director for Infection Prevention and Control) Ruth May and Executive Medical Director Dr Kathy McLean have outlined recommended actions to ensure you and your occupational health and infection prevention and control teams are prepared.

For information

Manage bed capacity more effectively with the long-stays dashboard

Around one fifth of hospital beds are occupied by patients who have already been in hospital for more than three weeks. The national ambition is to reduce the number of long-stay patients by 25% — freeing up at least 4,000 beds compared to 2017/18.

The new long-stays dashboard, and accompanying technical guidance, will support you to effectively manage bed capacity, reduce the number of long-stay patients and improve flow.

Update on the Single Oversight Framework (SOF)

We have made some minor updates to ensure the framework reflects the following:

  • NHS-controlled providers are now overseen under the SOF
  • our approach to monitoring progress in eliminating out-of-area placements for adult mental health services
  • the access standard for people with a first episode of psychosis has been updated from 50% to 53% as set out in the Five Year Forward View for Mental Health
  • ambulance providers will have until October 2018 to meet the new operational performance standards introduced through the Ambulance Response Programme

2016/17 medical workforce data now live on Model Hospital

Data on Model Hospital helps you to identify productivity opportunities, and allow you to compare specific data metrics with other trusts.

You can now find your 2016/17 medical workforce data for the three acute specialties: trauma and orthopaedics, accident and emergency, and radiology. Data for total consultant doctors is also available. Additional data on other specialties will be released in August 2018.


Well-led for the future: development for NHS board members and non-executive directors

Thursday 9 August, London and Tuesday 21 August, Birmingham

These sessions will focus on understanding the key priorities and development needs of board members, and encourage discussion on the following themes:

  • using the well-led framework to deliver continuous improvement
  • understanding how to move beyond compliance to effectiveness
  • getting up-to-date with the potential of digital innovation

Updates from our partners

NHS England

Learning from deaths: new guidance

The National Quality Board has issued new guidance for trusts on supporting bereaved families as part of the Learning from Deaths programme, including a written resource for families you can use alongside your local information.

Chairs, chief executives, medical directors and directors of nursing — please note this guidance and let relevant colleagues know about it.

Nursing and Midwifery Council

Reviewing the registration processes for nurses and midwives from outside the EEA

The Nursing and Midwifery Council has additional processes in place to check nurses and midwives from outside the EEA meet registration requirements.

They are now reviewing their existing registration processes to make sure these are as straightforward as they can be, and the first of these assessment changes will be in place from 16 July.

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