Provider bulletin: 7 November 2019

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

For action

Tariff engagement document published

As part of our continuing engagement, we have published key areas of work for the 2020 national tariff, which sets out policy areas we are considering proposing.

It reflects updates to the policies presented in the tariff engagement workshops and webinars in August and September — particularly the design of blended payments for maternity and outpatients and a move to piloting blended payment for adult critical care.

Let us know what you think of the proposals by midnight on Monday 18 November.

Peer Leadership Academy open for applications from people with experiences of personalised care

This personal development programme is for people who would like to share their story and play an active role in promoting personalised care across the country.

For information

Monitoring of the Early Intervention in Psychosis (EIP) waiting time standard

The Data Coordination Board has recommended ending the interim Strategic Data Collection Service (SDCS) EIP collection. To measure performance of the referral to treatment bit of the EIP, we will only use data submitted through the Mental Health Services Data Set (MHSDS).

Both MHSDS and SDCS data will be used to monitor performance until the September data is published in November. After this, MHSDS data will only be used to monitor performance against the referral to treatment element of the EIP standard.

For further information, please visit our Statistical Work Areas page.

Getting It Right First Time (GIRFT): Ear, nose and throat (ENT) national report

Supporting ENT departments to treat more people as a day case, rather than having an overnight stay in hospital, will improve patient experience.

The new ENT national report includes 23 recommendations for improvement, which should make ENT units more resilient to pressures on beds, and help trusts free up beds.

Forthcoming Electronic Staff Record (ESR) update can help manage conflict of interest declarations

Good practice for managing conflicts of interest is important in maintaining public trust in the NHS. As set out in national guidance, all staff must declare interests, including gifts and hospitality to their employing organisation.

Based on the findings of a task and finish group, and engagement with company secretaries, ESR will be developed to capture declarations, with a target launch in March 2020.

For further information, please email

100,000 more people set to benefit from personal health budgets

change in the law has been announced meaning more people will have the right to manage their care and support needs. The change will come into force on Monday 2 December and benefit people eligible for an NHS wheelchair, and people who require aftercare services under section 117 of the Mental Health Act.

All CCGs are being supported to provide personal health budgets to all eligible groups.

Transforming imaging services in England — a national strategy for imaging networks

This strategy sets out a proposal for implementing collaborative imaging networks on a national basis across England, delivering better quality care, better value services for patients and providing NHS staff opportunities to develop their career and increase their productivity.

Pathology networks

We have been working with the 29 identified pathology networks, allowing for the transformation of pathology services across the country. To help NHS providers implement their pathology network and to enable the NHS to share best practice, we are developing a toolkit of how to guides and templates

Trusts and integrated care systems should continue to prioritise pathology networking and using the Model Hospital to look for improvement opportunities.


Webinar: Advice and guidance mobilisation

Tuesday 12 November, 12pm-1pm

To support the NHS Long Term Plan ambition to transform outpatient services, and improve the support provided to GPs to reduce the need for hospital referrals, we are hosting a webinar on advice and guidance services. The webinar will provide:

  • updates on advice and guidance mobilisation
  • a chance to review the opportunities for increasing coverage and utilisation of advice and guidance
  • set out future developments of the NHS e-referral service
  • an opportunity to share progress and learning from local health systems.

Updates from our partners

Ministry of Housing, Communities and Local Government

The Cold Weather Fund

The government has announced a £10 million Cold Weather Fund to accommodate and support people at risk of/or experiencing rough sleeping during the winter period. The funding must support integrating working to deliver the Homelessness Reduction Act 2017 through, for example, homeless hospital discharge schemes that support safe, timely transfers of care and reduce the risk of hospital readmission.

Please contact your local housing authority to make a proposal (email, if you need a contact), which can be made at any point during the winter period.

To find out more, please email

NHS Supply Chain

Quality Products Forum

  • Thursday 14 November, Leeds, 12.30pm-4pm – Adopting technology and innovation in practice
  • Thursday 21 November, London, 12.30pm-4pm – Shared learning to improve patient safety
  • Thursday 28 November, Coventry, 12.30pm-4pm – Involving stakeholders in evaluation of products
  • Thursday 5 December, Bristol, 12.30pm-4pm – Strengthening community partnerships

The Quality Products Forum will provide opportunities for clinical staff to share their experiences with products, their use and impact on clinical practice, and the experience of their patients. Help to shape and influence the future by sharing what is important to you, so we can work together to improve the quality and safety of our product range.

The King’s Fund

Prerana Issar on leadership and the NHS workforce

‘These are the defining years for the NHS to make change at scale. To be able to make a difference at scale inspires me every day and informs my leadership journey,’ — hear from our Chief People Officer Prerana Issar as she reflects on her time in the NHS so far and talks about the importance of leadership at every level in the latest King’s Fund podcast.

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