Provider bulletin: 6 March 2019

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

For action

Share your views on proposals for possible changes to legislation

The NHS Long Term Plan included suggested legislative changes to help implement the plan faster and more effectively to improve services for patients. We are setting these out in further detail and we’d like to hear what you think.

These proposals are based on what we’ve heard from clinicians, NHS leaders and partner organisations, as well as national professional and representative bodies, and are designed to help NHS organisations work more collectively.

For information

Changes to the leadership structure of NHS England and NHS Improvement

The Chair of NHS Improvement wrote to provider Chairs and Chief Executives on Friday to share some organisational changes in NHS England and NHS Improvement. Over the last year NHS England and NHS Improvement have been working together to develop the implementation approach for the NHS Long Term Plan and our own joint working arrangements.

We have made a lot of progress in that time and as our plans have evolved our boards have decided to make some changes to our new leadership structure so we can provide effective leadership and support to the NHS.

We are moving to a single Chief Executive and single Chief Operating Officer model, and therefore we are creating a single, combined post of Chief Operating Officer covering both organisations. This role will report directly to Simon Stevens as the Chief Executive of NHS England who will lead both organisations. The Chief Operating Officer will, for regulatory purposes, also be the identified Chief Executive of NHS Improvement and, in that capacity, will report to Dido Harding as Chair of NHS Improvement. The seven regional directors, the National Director of Emergency and Elective Care and the National Director for Improvement will report directly to the new Chief Operating Officer.

The new Chief Operating Officer role will be different in scope and nature from the role Ian Dalton chose to take eighteen months ago, and he has therefore decided to leave NHS Improvement and pursue a different challenge.

Dido and the board hugely value Ian’s contribution, not just to NHS Improvement over the last 16 months, but to the NHS as a whole over a career of 35 years. His commitment to patients and the NHS has been exemplary and we would not be able to take these next steps to align our organisations without the leadership and determination he has shown.

Ian will work with our boards and NHS Executive Group to manage the transition over the next few months.

New NHS Assembly leaders announced

Dr Clare Gerada has been appointed as clinical chair, and Professor Sir Chris Ham as non-clinical chair, of the NHS Assembly, which will bring together people from across the health and care sectors to advise the NHS England and NHS Improvement boards on implementation of the improvements outlined in the NHS Long Term Plan.

The Assembly will be formed of around 50 people  drawn from national and frontline clinical leaders, patient leaders, staff representatives, health and care system leaders and voluntary, community and social enterprise sector leaders — who will bring their experience, knowledge and links to wider networks to inform discussion and debate on the NHS’s work and priorities.

New Chief People Officer to help build the NHS workforce of the future

NHS England and NHS Improvement have appointed Prerana Issar to the role of Chief People Officer. The new position is part of the NHS Executive Group and will play a leading role in ensuring the NHS has enough people, with the right skills and experience to deliver the improvements for patients set out in the NHS Long Term Plan.

Clostridium difficile infection (CDI) objectives 2019/20

We have published the CDI objectives for NHS organisations for 2019/20 and guidance on the intention to review financial sanctions and sampling rates and cases from 2020/21.

Join our Transformational Change through System Leadership (TCSL) programme

Applications are now open for the latest cohort of the TCSL programme, starting in June. This fully-funded programme is targeted at senior cross-system leadership teams who are responsible for delivering major change programmes, and will be delivered through a series of six workshops over four months.

Participants will be supported to put theory into practice as they work on their own system-wide transformational change, and will interact with peers from around the country who are leading changes in their own system.

New national medical examiner announced

Dr Alan Fletcher, a consultant in emergency medicine, lead medical examiner for Sheffield, and Chair of The Royal College of Pathology Medical Examiners Committee, has been appointed as the new National Medical Examiner for the NHS.

In this role, Dr Fletcher will oversee the introduction of the new medical examiner system in England and Wales. From April 2019, NHS acute providers are being encouraged to begin setting up medical examiner offices to provide a robust, transparent system of independent scrutiny to the process of death certification for all non-coronial deaths.


Model Hospital masterclass: equality, diversity and inclusion

Thursday 14 March, 12.30pm-1.30pm

Join this webinar to better understand and navigate the new equality, diversity and inclusion area of the Model Hospital. This webinar will be particularly useful to boards and senior trust leaders and anyone who works in trust engagement, diversity and inclusion rule.

Same day emergency care workshop

Tuesday 26 March — Tuesday 21 May, 10am-4.30pm, London, Taunton, Leeds and Leicester

These events will focus on same-day emergency care in different settings — including acute and emergency medicine. They will be an opportunity to review implementing services at pace as well as counting and measuring activity.

The events will close with each provider developing an action plan for their own organisations.

Elective care 2019: improving the patient experience

Thursday 2 May, 9.30am-4pm, Leeds

At this year’s elective care conference you’ll have the chance to hear from those working nationally within NHS trusts to tackle the range of elective care challenges we face, and to support the improvement of patient experience.

There will be 18 breakout sessions to choose from, with experiences shared by speakers from a broad spectrum of trusts and other NHS organisations nationwide, covering the three key domains within the elective care arena — referral to treatment, diagnostics and cancer.

Updates from our partners

NHS Leadership Academy

Chief executive development network

Wednesday 15 — Thursday 16 May, London

This network event for NHS provider chief executives is an opportunity to explore fresh perspectives and learn new approaches, and catch up and reconnect with wider developments and colleagues. Sessions include:

  • Leadership in a political context — Matt Hancock, Secretary of State for Health and Social Care, Sir Jim Mackey, Chief Executive, Northumbria NHS Foundation Trust, and Glen Burley, Chief Executive, George Eliot Hospital NHS Trust
  • The NHS Long Term Plan – Dido Harding and Ian Dalton, Chair and Chief Executive, NHS Improvement.

National Dementia Action Alliance

Who is your trust’s dementia lead?

The National Dementia Action Alliance (NDAA) has been listening to people with dementia, their families and carers to find out what good care looks like. In 2018 they launched the Dementia Friendly Hospital Charter, providing guidelines for hospitals to help improve the experience of patients with dementia.

If your dementia lead has not been receiving emails about the dementia friendly hospital work the NDAA runs, please email Sarah Tilsed at

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