Podcasts by HSJ Health Check
HSJ Health Check: Weekly analysis of the biggest issues in health policy and leadership, from HSJ's expert journalists. The go to place for an independent, informed and immediate take on health and care news.
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A conversation with the Nuffield Trust's new CEO from 2023-12-08T05:00
This week we’re joined by Thea Stein, who recently moved into think tank world after nine years running an NHS trust.
We cover her reflections on her time at Leeds Community Heal...
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How the Fuller abuse inquiry will change the NHS from 2023-12-01T05:00
Leaders at Maidstone and Tunbridge Wells Trust have been heavily criticised in an independent inquiry into the actions of former maintenance supervisor David Fuller.
We cover the mistakes...
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How NHSE's new data platform will work from 2023-11-24T05:00
US firm Palantir has officially been awarded the lucrative federated data platform deal, which is one of the biggest NHS data projects in recent years.
This week Nick Carding, Jo...
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How one trust changed England's A&E model from 2023-11-17T05:00
A trust that gave its name to a controversial A&E policy has seen performance improve significantly, so this week we discuss how North Bristol Trust handled the risks and how quickly its mod...
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What an election year will mean for the NHS from 2023-11-09T05:00
This week Annabelle and James are joined by Saffron Cordery, deputy chief executive of NHS Providers.
We’re looking ahead to winter and an election year, in which the NHS faces ongoing st...
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The rise and rise of the hospital group from 2023-11-03T05:00
An increasing number of hospitals are appointing shared CEOs and chairs and with more large ’groups’ being created – this week we discuss the benefits and drawbacks to this new(ish) way of runn...
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Barclay’s war on the ‘woke’ NHS from 2023-10-27T04:00
This week we’re joined by Roger Kline, academic and workforce culture consultant, to discuss Steve Barclay’s latest edict ordering the NHS to stop recruiting to equality, diversity and ...
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Mackey’s next move from 2023-10-20T04:00
Sir Jim Mackey is moving on from Northumbria Healthcare FT after 18 years and taking the top job at Newcastle upon Tyne Hospitals FT. This week we discuss what this means for the NHS in the Nort...
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Labour’s plan to ‘underpromise and overdeliver’ on the NHS from 2023-10-13T04:00
On the podcast this week we bring you highlights and analysis from the Labour party conference in Liverpool.
We cover what a backlog recovery drive could look like under a Labour governme...
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How much have strikes cost the NHS? from 2023-10-06T04:00
This week we discuss urgent high-level talks to address the £1bn funding gap - and ask whether strikes are really to blame.
Also this week, has NHS England come off the fence wit...
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Another maternity red flag from 2023-09-29T04:00
Nothing is more important than the process of giving birth, but hospitals are increasingly struggling to induce mothers-to-be on time.
HSJ has found multiple examples of pregnant...
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I’m afraid there is no (winter) money from 2023-09-22T04:00
Rishi Sunak announced an impressive sounding sum of money last week, apparently to help the NHS cope with winter pressures.
But, as ever, what might sound like a lot of money is...
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Getting real about manager regulation from 2023-09-15T04:00
Manager regulation remains firmly in the spotlight so this week we ask: will it actually happen this time?
We discuss recent interventions from politicians, what’s stood in its w...
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The RAAC scandal and what it means for the NHS from 2023-09-08T04:00
NHS trusts have been told by the government to carry out urgent risk assessments if they have a certain type of lightweight concrete in their buildings.
This follows multiple ...
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The fallout from Lucy Letby and what it means for the NHS from 2023-08-25T04:00
Last Friday, neonatal nurse Lucy Letby was found guilty of 14 counts of murder and attempted murder.
On this week’s episode we discuss how former leaders at the Countess of Ches...
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Patient experience in the post-covid era from 2023-08-18T04:00
This week we’re focusing on patient experience and the public perception of the NHS.
Annabelle is joined by Chris Graham of the Picker Institute and Jacob Lant from charity Natio...
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Why GP reform is finally coming from 2023-08-11T04:00
General practice - already under pressure - will be under the political spotlight over the next 12 months, with an election looming and the GP contract up for renewal.
We discus...
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Leadership standards revealed from 2023-08-04T04:00
NHS England has finally published its new standards for NHS leaders, so this week we discuss how the revised ‘Fit and Proper Person Test’ will work, and if it is enough to stop the revolving doo...
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Under the skin of the strikes from 2023-07-28T04:00
This week we assess the damage after one of the toughest weeks of NHS strike action, with junior doctors and consultants both taking action.
We ask what impact this had on the re...
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Who’s to blame for the latest A&E crisis? from 2023-07-21T04:00
A “shocking” volume of mental health patients are attending A&E accompanied by the police - but who’s fault is it? And what is the solution?
On this week’s episode we get into the deb...
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Missing Sunak’s pledge from 2023-07-14T04:00
This week bureau chief Ben Clover is joined by colleagues to discuss some of the biggest stories ahead of the junior doctors’ strike.
Matt Discombe reveals the results of an inquiry into ...
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The workforce plan – worth the wait? from 2023-07-07T04:00
This week bureau chief Ben Clover is joined by colleagues Nick Kituno and Zoe Tidman.
The long-awaited NHS workforce plan finally arrived last week, missing lots of the detail that manage...
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Big beasts of policy name their best and worst from 2023-06-30T03:00
This week HSJ is joined by Nigel Edwards, chief executive of the Nuffield Trust, and Richard Murray, chief executive of the King’s Fund, who are both nearing the end of long stints at the think ...
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Palantir’s latest NHS deal explained from 2023-06-23T04:00:53
NHS England’s surprise decision to hand US tech giant Palantir a further £25m deal this week without a competitive process provoked a mixture of fury and confusion. We explain what the new contr...
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Live from Confed from 2023-06-14T16:02
We're joined by Matthew Taylor, NHS Confederation chief and HSJ Health Check fan, to discuss Amanda Pritchard's speech and other developments on day one of the ConfedExpo conference.
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21 days stuck in A&E from 2023-06-09T04:00:17
We discuss data revealing the true scale of long A&E waits for mental health patients and what acute trusts are trying to do about it without any extra national funding.
Also...
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The elective activity the NHS wants to cut - but can't from 2023-06-02T04:00:01
Targets to reduce the number of outpatient appointments are not being met by trusts. On this epsiode we discuss why the number of outpatient appointments has remained stuck at £124m, despite pre...
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The fate of ‘40 new hospitals’ from 2023-05-26T04:00:25
After seemingly endless delays, the fate of the ‘40 new hospitals’ has finally been revealed by the government.
With eight key schemes pushed back until the next decade, the programme set to...
The missing £1bn in capital funding from 2023-05-19T04:00:55
The government’s 40 “new hospitals” has dominated headlines - and decisions - over NHS capital funding in recent years, but this week HSJ revealed dozens of trusts are still waiting for money pr...
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CDCs, the election cycle and fixing primary care from 2023-05-12T04:00:51
This week bureau chief Ben Clover stands in for Annabelle Collins and introduces two important stories, one that got national coverage and one that HSJ broke. Deputy editor Dave West takes us th...
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Revealed - Why Jim Mackey is back from 2023-05-05T04:00:35
On this week’s episode Alastair reveals why NHS England’s elective recovery director Jim Mackey is replacing David Sloman as national operations lead later this year.
We also dis...
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‘Cash is King’ again as deficits bite from 2023-04-28T04:00:46
NHS leaders are being told they must prioritise balancing the books above all else, with some trusts even being asked to keep staff numbers down to save money.
We discuss the tr...
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The NHS’ latest PFI problem from 2023-04-21T04:00
A legal battle has erupted between a hospital trust and bank-backed PFI company over fire safety and payment refusals. We discuss why the case has potentially wider implications for other NHS tr...
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The latest casualties of the NHS data bidding war from 2023-04-14T04:00:23
A consortium of British companies have been knocked out of the hotly contested competition to win a £480m contract to provide the NHS with a new data platform.
We discuss who is...
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Does the Hewitt review matter? from 2023-04-13T13:35:50
Patricia Hewitt’s much-anticipated review of ICS autonomy was published this week. We discuss its recommendations, the politics behind it, and what meaningful, lasting impact it could have.
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Bad Blood: The NHS agency engulfed in a racism scandal from 2023-03-31T04:00:07
NHS Blood and Transplant has been embroiled in allegations of racism that stretch back several years.
On this episode Annabelle is joined by Lawrence Dunhill who has been reporti...
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The NHS pay deal and who's left out from 2023-03-24T05:00:22
This week we discuss a quirk in last week’s pay deal between health unions and the government, which could see staff at the top of Agenda for Change paid more than senior managers.
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Why Hunt’s spending £1bn a year to fix NHS pensions from 2023-03-16T05:00:05
This week we analyse the Spring Budget and what it means for the NHS, in particular the pensions tax overhaul.
We cover why Jeremy Hunt has gone for such an expensive fix and what impact ...
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Everything you need to know about the NHS staff survey from 2023-03-10T11:51:35
This year’s NHS staff survey results have landed, so on this episode, we bring you the need-to-know findings and insights into how the NHS workforce are feeling.
Our team is joined by Chr...
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Should foundation trusts be scrapped? from 2023-03-03T05:00:12
Could foundation trusts be hindering the success of integrated care systems? Chair of Bolton FT Donna Hall thinks so, and argues its time to scrap them.
We discuss the merits of this and ...
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Julian Hartley on collaboration, workforce and why he became NHS Providers CEO from 2023-02-23T12:00:01
Fresh from starting work as NHS Providers' new chief executive, Sir Julian Hartley joins HSJ Health Check to talk about collaboration, strikes, reform and more.
We ask the former Leeds Hospi...
Tech budget raids and wasted millions from 2023-02-17T05:00:23
Many NHS technology programmes are facing an uncertain future following revelations NHS England’s tech budget is being drastically cut.
This week we discuss the impact these funding cuts ...
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What next for urgent care? from 2023-02-09T05:00
This week bureau chief Ben Clover fills in for Annabelle Collins. Ben is joined by mental health correspondent Emily Townsend and HSJ's urgent care lead Matt Discombe to discuss new targets (and...
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Single rooms reduces length of stay from 2023-02-03T05:00:46
The debate over single patient rooms has raged for many years, but emerging news from Liverpool’s new hospital suggests it could be a game-changer for cutting patients’ length of stay. We discus...
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The staff the NHS forgot from 2023-01-27T05:00:46
An HSJ Investigation has revealed trusts are denying staff employed by their wholly owned subsidiary companies the pay and conditions offered to other staff. We discuss more about how a...
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Inside NHS England's £500m data gamble from 2023-01-20T05:00:18
Bids are open for NHS England’s new £480m national data platform – will it make the NHS better connected and more efficient, or is it a national vanity project? We also discuss who the successfu...
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The New Year war on the waiting list from 2023-01-13T05:00:51
NHS trusts have been given 20 days by NHS England to book in all patients who have been waiting longer than 78 weeks for their elective appointment.
We discuss the thinking behind this an...
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What 2023 has in store for the NHS from 2022-12-28T05:00:35
The HSJ team make their predictions for what the New Year could bring for the health service, including a return to deficits, tough times for the hospital building programme and a big year for m...
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Ambulance strikes - all you need to know from 2022-12-20T14:47:05
On this episode our team brings you the very latest news and analysis of the strike action hitting the NHS this week.
We cover how we got to this point, what NHS leaders are doing to...
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Organograms assemble from 2022-12-14T13:40:27
This week we bring you the latest on the hospital building programme, including confirmation that all new buildings must have single patient rooms. We discuss the staffing and safety challe...
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Two Streps back from 2022-12-09T05:00:27
“Rubbish” communications have been blamed by senior NHS leaders for causing a flood of people going to A&E with Group Strep A concerns, with calls to NHS 111 hitting record levels so far thi...
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NHS England’s failure to kill the four-hour target from 2022-12-02T05:00:46
NHS England’s protracted bid to scrap the four-hour A&E target has finally been shelved by ministers, as we exclusively revealed last week.
Now the dust has settled, we unpick wh...
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Why the Hewitt review matters from 2022-11-25T05:00:52
Former Labour health secretary Patricia Hewitt has been charged with reviewing the role of integrated care systems by Jeremy Hunt.
Alastair McLellan predicts what changes the Hewitt revie...
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Barclay, strikes, and eye-catching appointments from 2022-11-18T11:58:16
This week we bring you our reaction to Steve Barclay’s first major speech since returning as health and social care secretary, during which HSJ questioned him about his view on NHS fun...
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What to expect from the spending review from 2022-11-18T09:49:52
This week Annabelle and Dave are joined by Miriam Deakin, director of policy and strategy at NHS Providers, and we discuss what could be in store for the NHS in next week’s spendi...
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Crunch time for 40 ‘new hospitals’ from 2022-11-04T05:00:53
The fate of the “40 new hospitals” hangs in the balance with trusts hoping for a decision on funding by the end of the year.
This week we discuss the impact of the delays to the prog...
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Back to the 1950s from 2022-10-28T04:00:32
New health secretary Steve Barclay is back, and he joins the NHS at a time when the health service faces its worst funding squeeze in many decades.
We discuss Mr Barclay’s initial priorit...
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What Chancellor Hunt means for the NHS from 2022-10-20T04:00:28
Former health secretary Jeremy Hunt is now the most powerful person in the country. We discuss what some of his mini-budget reversals mean for the NHS and if the health service is safe in his ha...
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The ICSs already in the red from 2022-10-14T04:00:38
Two out of three integrated care systems are already reporting sizeable deficits in their first year of existence.
On this episode we discuss why so many systems are behind on their budge...
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Little NHS cheer at the Tory conference from 2022-10-07T04:00:55
On this week’s episode we bring you the highlights from the Tory party conference, where the NHS felt like a “sideshow”.
We discuss whether Therese Coffey can pull off being a part-time h...
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Why NHS pain will follow Truss’ economic chaos from 2022-09-30T04:00:54
With warnings the public sector could be forced to bear the brunt of last week’s tax cuts, we discuss the dire impact this will have on the NHS’ finances, its ability to retain staff and deal wi...
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‘Worst’ NHS trust faces writing on the wall from 2022-09-23T08:12:44
Amid four “inadequate” ratings and a new leadership inspection, is the writing on the wall for one of the NHS’ worst performing trusts over the last decade?
We discuss what the latest ins...
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The NHS’ £18bn rainy day fund from 2022-09-16T04:00:59
NHS trusts have more than £18bn in covid cash reserves, but how helpful is this extra money?
We cover why cash levels are three times higher than before the pandemic, whether this money w...
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Who is Therese Coffey? from 2022-09-09T04:00:51
In a week that saw Liz Truss replace Boris Johnson as prime minister, the HSJ team assess the challenges faced by her new health secretary Therese Coffey, plus the dire state of ambulan...
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The DHSC’s opening move in the NHS efficiency war from 2022-09-02T04:00:29
The NHS has been told by the government to cut management consultancy spend and completely freeze recruitment at a national level.
Is this Steve Barclay’s first - and maybe last - move to...
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The NHS’ most dangerous buildings from 2022-08-26T04:00:20
This week HSJ revealed the final trusts added to the ‘new hospital’ programme, which are also thought to have some of the most dangerous estates in the NHS.
We discuss why only n...
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ICSs - 1 Trusts - nil from 2022-08-19T04:00:38
Significant tensions between a mental health trust and an ICS have prompted the trust’s chief executive to resign.
We discuss how things escalated to become quite this bad and whether we ...
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Tory tinkering while the NHS is on fire from 2022-08-12T04:00:46
The NHS needs “fewer layers of management” - this is according to Tory leadership hopeful Liz Truss and is one of the first significant comments made about the NHS by either candidate this summe...
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The A&E target conundrum continues from 2022-08-05T04:00:37
This week we revisit the thorny subject of A&E standards, following calls for a new six-hour target to be introduced.
This aligns with clinical evidence about patient harm b...
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Crumbling services, but who's in charge? from 2022-07-29T04:00:22
Hospital leaders have warned there is a lack of accountability in the NHS, warning this could undermine public and political trust in the service.
In a roundtable hosted by HSJ, ...
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The pay award quirk that could be the final straw from 2022-07-22T04:00:38
The NHS must find the money to fund an extra £2bn of the staff pay bill, after the government decided to increase it beyond the 3% rise that was budgeted for.
We discuss the impact this i...
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The NHS’ worst night ever from 2022-07-15T04:00:59
On Monday night all ambulance services in England declared the highest level of alert.
We discuss why the NHS is under such terrible pressure in July and the dangerous impact this is havi...
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Barclay’s in-tray cancer crisis from 2022-07-08T04:00:30
Tough times are ahead for the NHS, with a “nightmare” new health and social care secretary appointed and performance spiralling. On this episode we discuss the shocking true extent of the cancer...
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The hardest job in the NHS from 2022-07-01T04:00:50
The NHS is facing a major reorganisation this year, including within NHS England itself.
On this episode we discuss the challenges and power struggles that lie ahead and who has the tough...
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Race, inequalities and NHS ConfedExpo from 2022-06-24T04:00:34
Race and racism in NHS leadership and workforce, and health inequalities, are the subject of this week’s HSJ Health Check podcast.
We look back to some of the debates on the issues at – a...
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Dispatches from Liverpool from 2022-06-17T04:00:33
This week the news team bring you the podcast from the NHS Confed/Expo conference in Liverpool.
Annabelle Collins, Lawrence Dunhill and Dave West are joined by guest Charlotte Augst, chie...
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Trusts hit hardest by covid part 2: We’re still trying to manage by organisation from 2022-06-10T08:33:14
The chief executives of Sandwell and West Birmingham, Countess of Chester, King's College and Croydon hospitals trusts - some of the worst affected through the covid pandemic - discuss what less...
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Trusts hit hardest by covid part 1: We need time from 2022-06-10T05:00:44
The chief executives of Sandwell and West Birmingham, Countess of Chester, King's College and Croydon hospitals trusts - some of the worst affected through the covid pandemic - reflect on how th...
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Ali Parsa is back in the news from 2022-06-02T04:00:33
This week our focus is on new ways of delivering care in the NHS.
We discuss why the NHS is not on trajectory to meet its virtual ward ambitions and what needs to be done to gain the conf...
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Boris Johnson’s ‘new hospitals’ in jeopardy from 2022-05-20T04:00:45
“Our project is in jeopardy.” This is according to one trust working on long-needed major hospital redevelopments, which were promised by the government in the run-up to the 2019 general electio...
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NHS England's unhappiest people from 2022-05-13T04:00:33
On this week’s episode we discuss NHS England’s own staff survey results, which reveals the best and worst performing departments and regions and delivers a particularly worrying verdict on the ...
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Secret merger mania from 2022-05-06T04:00:40
Three further acute trusts are considering a move to joint leadership, HSJ has learned, and mental health hubs for NHS staff are being underuse...
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ICSs are under threat from a devolution frenzy from 2022-04-29T04:00:17
A plethora of complex governance arrangements are being set up in and around ICSs - which are only just due to become statutory. We discuss why these complications might hinder succe...
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Is infection control relaxation worth the risk? from 2022-04-22T04:00:13
The NHS has been told to scale back infection control measures, but what will this mean for staff and patients?
We talk about the risks healthcare leaders will have to balance over the co...
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The ICS rebellion and exec diversity declines from 2022-04-15T04:00
NHS England have asked systems to ensure their financial plans break even this year - but easier said than done when many face deficits of over £100m.
This week, we discuss why systems ar...
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A painful recovery from 2022-04-08T04:00
On this week’s episode we explore the pressure points hindering the NHS’s recovery this Spring.
We draw on an interview given last week by NHS elective recovery chief Sir Jim ...
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Inside the Shropshire maternity scandal from 2022-04-01T04:00
We pick out the main findings from the Ockendon Review into maternity failures at Shrewsbury and Telford Hospital Trust and discuss what the most important lessons are for the NHS go...
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Rishi's big asks of the NHS from 2022-03-25T05:00
NHS spending is being scrutinised more than ever, with trusts asked to double the amount of annual efficiency savings they make.
We discuss why more is being asked of the NHS when t...
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Why the two-year waiters target could be already doomed from 2022-03-18T05:00
Is it time to rethink how the NHS manages its elective waiting list? On this week’s episode we talk about the worryingly high number of people waiting over two years for their planned care - and...
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The multimillion pound cost of Russia's invasion to the NHS from 2022-03-11T05:00
As war rages in Ukraine, we discuss the impact of the West’s response against the Kremlin on NHS trusts with supply chains linked to Russia.
We also analyse the heavily-anticipated speech...
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The return of payment by results from 2022-03-04T05:00
NHS England has introduced significant changes to the mechanism that is used to pay hospitals, with the era of covid “block-contracts” finally coming to an end.
This week we discuss what ...
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How to fix an NHS trust from 2022-02-25T05:00
NHS trusts are getting better – that’s the view of the Care Quality Commission, at least, which now rates only a single organisation as “inadequate”, and two-thirds as “good” or “outstanding”, a...
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An uncomfortable message for NHS CEOs from 2022-02-18T05:00
The man in charge of elective recovery in the NHS has said the health service faces more scrutiny from ministers, and from the public, than ever before. But is the NHS ready to respond?
W...
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The NHS has captured this government from 2022-02-11T05:00
After weeks of wrangling over the elective recovery plan a compromise has been reached and on this week’s episode we get stuck into the politics surrounding it and of course what is means for NH...
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Two trusts, NHS England and the whistleblowers from 2022-02-04T05:00
Two very different trusts are under the spotlight after concerns were raised by whistleblowers about poor culture and behaviour.
We discuss the outcome of the separate external reviews, w...
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An NHS England exodus from 2022-01-28T05:00
Three national NHS England directors have announced their departures over the last few days, so on this week’s episode we discuss why this is significant and the impact it could have on future p...
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Red Meat for the NHS from 2022-01-21T05:00
This week we discuss the politics around the elective recovery plan, following suggestions it could be announced imminently to distract from the goings on at Number 10.
We also cover the ...
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Will trusts really sack 60,000 unvaccinated staff? from 2022-01-14T05:00
NHS trusts will soon be forced to redeploy or dismiss staff members who have not had their covid jab and this week we discuss what this could mean for the safe running of the health service.
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What the 2022-23 NHS planning guidance really means from 2022-01-07T05:00
On this week’s HSJ podcast, we explain what the latest planning guidance from NHS England – published over Christmas – means for the service and its patients.
The planning guidance sets o...
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HSJ's predictions for 2022 from 2021-12-24T05:00
In the final episode of the year, we make our predictions for what 2022 could hold for the health service, including staff vaccination woes, spades in the ground for some ‘new hospitals’ and fur...
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How the NHS is preparing for Omicron from 2021-12-17T05:00
Record covid cases are being recorded and the NHS must decide how to prepare for another potential wave in late December or January.
We discuss what chief execs are doing right now to kee...
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Winter of the 'cancer catastrophe'? from 2021-12-10T05:00
This week we dig into the latest NHS performance data, including the first detailed snapshot into how the NHS is coping this winter.
The figures reveal performance has never been worse an...
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The last thing the NHS needed from 2021-12-03T05:00
NHS staff are facing the prospect of another difficult winter. The Omicron variant, an accelerated booster campaign and expectations of elective recovery will be an immense challenge for a compl...
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Boris Johnson’s secret integration intervention from 2021-11-26T05:00
This week the HSJ Health Check podcast hears how Number 10’s mission to integrate health and social care services has ramped up with some contentious thoughts, and discuss the NHS’ overall progr...
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Pritchard and Javid’s key messages to trusts ahead of ‘toughest winter’ from 2021-11-19T05:00
We hear what NHS England chief executive Amanda Pritchard and health secretary Sajid Javid had to say ahead of what everyone is describing as the NHS’ toughest winter, and discuss the implicatio...
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Why NHS bosses are braced for more slaps and fewer claps from 2021-11-12T07:38:23
We discuss the NHS’ performance against emergency, elective and cancer care targets with new figures this week showing performance is worsening despite efforts to reverse this. ...
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The Health Bill and the race to 1 April for ICSs from 2021-11-05T05:00
This week we track the progress of the Health and Care Bill as the tricky April 2022 deadline closes in.
We discuss why the House of Lords could be the most challenging bit of its journey...
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The ambulance crisis and NHS England’s King Canute moment from 2021-10-29T04:00
HSJ revealed NHS England has written to all trusts and integrated care systems this week telling them to stop ambulance handover delays “immediately” after serious patient safety concerns.
<... Listen
Why the Saj wants 'reform' - but the NHS is angry about it from 2021-10-22T04:00
The health service is clearly in a jam in the wake of covid - so why have Sajid Javid’s plans for ‘a year of reform’ antagonised some managers, GPs and other staff?’
We get into some of t...
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Inequality kills: Why £2.3bn is not enough to rescue mental health from 2021-10-15T04:00
Health inequalities for those with a mental illness, learning disability or autism have existed for decades and the coronavirus pandemic has made them even worse.
We dedicate this episode...
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Chained naked outside the Department of Health from 2021-10-08T04:00
We discuss Sajid Javid’s first Tory conference as health secretary and try and pin down the “fundamental and far-reaching reforms” he pledged to make.
Also – the biggest review of NHS lea...
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Another winter nightmare? from 2021-10-01T04:00
On the podcast this week we look ahead to winter and ask whether NHS England’s ten-point A&E action plan could prevent a crisis.
We also discuss important changes to infection control...
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Why NHS services are collapsing from 2021-09-24T04:00
On this week’s podcast, we discuss the knock-on impact covid has had on staffing and services, after medical consultants at a major acute trust warned its leadership that specialist staff shorta...
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Why £15.6bn extra spells cuts for the NHS from 2021-09-17T04:00
The government has announced £15.6bn extra funding for the NHS — but NHS England is having to curb its ‘long-term plan’ ambitions and considering which of its budgets to shave. This week...
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Is it ‘unfair’ to blame GPs for remote consultations risk? from 2021-09-10T04:00
This week’s HSJ Health Check podcast discusses the warnings made by a Greater Manchester coroner over the risks of remote GP appointments, following the deaths of five people. Is it fair to blam...
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The ‘new hospital’ playbook lie from 2021-09-03T04:00
This week’s HSJ Health Check podcast discusses the government comms “playbook” which, as revealed by HSJ, told trusts they should describe new wings, units and refurbishments as “new ho...
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The rocky road ahead for integrated care systems from 2021-08-27T04:00
With seven months to go we discuss what ICSs have to do before they become statute on 1 April, amid brewing rows over who might sit on the board.
We also discuss mental health provider co...
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Are covid visiting restrictions damaging patient safety? from 2021-08-20T04:00
An HSJ investigation revealed this week that coroners have raised multiple concerns pandemic hospital visiting restrictions may have had a damaging effect on patient care.
We dis...
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Why ambulance and A&E waits have hit record highs from 2021-08-13T04:00
Waits in NHS accident and emergency departments have risen to an all-time high, according to the latest national data, while there has been a surge in the number of people calling ambulances for...
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Salaries, systems and shielding from 2021-08-06T04:00
This week’s NHS Health Check podcast is dedicated to all matters staffing. We discuss the implications of the pay review and where the NHS will find the money to fund it since the government...
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How the government is trying to build back cheaper from 2021-07-30T04:00
In a leaked letter obtained by HSJ the government has told eight of the most advanced ‘40 new hospitals’ trusts to put together cheaper plans for their new buildings.
Trusts are ...
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Why the NHS needs fewer chairs and chiefs than ever from 2021-07-23T04:00
The sharp increase in shared NHS trust chairs and CEOs has been notable in recent months, with more key appointments made in London and the North West just this week.
We discuss why the a...
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A nasty surprise for trusts and preparing for after 19 July from 2021-07-16T04:00
Trusts received an unpleasant surprise last Friday when they were told they must do more elective procedures to receive money from the national £1bn ‘elective recovery fund’.
The demand f...
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The Health Bill has landed from 2021-07-09T04:00
The NHS Health Bill has finally been published. We discuss the most eye-catching measures and the controversies surrounding what was supposed to be straight-forward legislation.
We also l...
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The unknown unknowns of Sajid Javid from 2021-07-02T04:00
With a new health secretary appointed days before the Health Bill was due to be published, we discuss what’s next for the legislation.
We analyse the impact on the NHS if Sajid Javid deci...
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A deep-dive into Hancock's data dream from 2021-06-25T04:00
Harnessing an opportunity to use the ‘full power of data’ to improve patient care, or a worrying ‘data grab’?
The government has published its draft data strategy and we discuss what this...
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Picking the next NHS England chief executive: a conversation with Jeremy Hunt from 2021-06-17T04:00
Monday marked the deadline for applicants wanting to be the next NHS England CEO to throw their hat in the ring. In this podcast HSJ editor Alastair McLellan talks to the former health secretary...
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How an Afghan refugee became an NHS telemedicine pioneer from 2021-06-12T04:00
Dr Waheed Arian escaped from Afghanistan and came to the UK as a child refugee in 1999. Since then, he has become an A&E doctor and founded global telemedicine charity ‘Arian Teleheal’.
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How NHS England (quietly) axed the A&E target from 2021-06-04T04:00
Under the cover of Cummings’ headline-grabbing testimony last week, NHS England gave plans to scrap the landmark 4-hour A&E target the greenlight.
We discuss how the ‘ten metrics’ int...
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What affect will Cumming’s fire and brimstone revelations have on Hancock? from 2021-05-28T04:00
With Cumming’s setting the health select committee on fire, serious allegations were raised about Matt Hancock’s handling of the pandemic.
In this week’s podcast we investigate what the b...
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How patients’ warnings about “inadequate” hospital went unheeded from 2021-05-21T04:00
HSJ revealed in an investigation this week that serious concerns were raised by patients at a mental health hospital for children in the years before it was rated ‘inadequate’ by the na...
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What's changed in the government's NHS legislation plans from 2021-05-14T04:00
In this week’s podcast we discuss how the government’s health and social care legislation plans are changing — both in substance and in context.
That includes government concessions on so...
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Who will be the next chief executive of NHS England? from 2021-05-07T04:00
Sir Simon Stevens will step down from running the NHS at the end of July, and so the countdown begins; 12 weeks to find a successor.
This week Alastair, Dave and Annabell...
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The covid crisis in India - and what it means for NHS staff from 2021-04-30T04:00
The NHS – and in indeed the World – has been watching the catastrophic covid surge in India, with almost 400,000 cases recorded in a single day.
This week we are joined by a member of our...
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Greensill, Topwood and the NHS from 2021-04-23T04:00
At the start of the pandemic, financial services company Greensill launched ‘Earnd’, an advanced payment system, for NHS staff. Some trusts signed up for it and it was given backing from senior ...
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Why the eating disorder care crisis is risking lives from 2021-04-16T04:00
Eating disorder services in the NHS are at crisis point, with lockdown making an already pressurised situation even worse.
With both adults’ and children’s admissions rocketing, the numbe...
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A tale of three regions – what happened next? from 2021-04-09T04:00
A tale of three regions – what happened next?
After the first covid wave we took a deep dive into three regions in England – now as the third wave ebbs away we have retur...
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What the PM’s new health team means for the NHS from 2021-04-01T15:30:10
Boris Johnson has appointed a new health adviser, well known to NHS health policy circles. Samantha Jones – former NHS England director and hospital chief – is to leave the private sector and mo...
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Why this year’s NHS marching orders are so different from 2021-03-26T14:25:01
The NHS has been given its planning guidance for the first half of this year 2020-21 – and it strikes a markedly different tone to previous years. But what else would you expect from 2021?
<... Listen
How three top trust chiefs fell out of favour from 2021-03-19T05:00
For the first time ever the leader of a mental health trust has been named HSJ’s top chief executive for 2021, and in a surprising turn of events, three former top-table leaders have fallen out ...
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Stressed out, but feeling positive - what covid did to NHS staff from 2021-03-12T05:00
This week has seen the publication of not one but two huge sets of data – the biggest workforce survey in the world and the latest NHS performance stats – and we’ve crunched them both.
We...
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Realpolitik and the NHS's next big plan from 2021-03-05T05:00
In a last minute controversial intervention Matt Hancock has torpedoed plans in Lancashire to consolidate emergency services. This has frustrated local NHS leaders and could potentially stifle f...
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Punishing staff for gaming the vaccine system from 2021-02-26T05:00
Reasonable or “unnecessarily hostile”? This week’s HSJ Health Check debates whether its right for a trust to threaten its staff with disciplinary or regulatory action if they try and have their ...
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Palantir speaks out – the ‘secretive’ firm at the heart of the covid response from 2021-02-24T12:19:25
One of the pandemic’s apparent success stories has been the development and operation of an NHS covid-19 data store. Holding information on everything from ventilators to vaccination...
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So long NHSX from 2021-02-19T05:00
HSJ revealed this week NHSX – the tech agency set up by Matt Hancock not quite two-years ago – is set to merge with NHS England. We ask what this says about the government’s tech ambitions, who ...
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What the new white paper means for the NHS from 2021-02-12T05:00
This week the team analyses what government’s new health plan – the most significant reform of the NHS in nearly a decade – really means.
While giving integrated care systems a statutory ...
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Scandal in the Midlands from 2021-02-05T05:00
This week the team discuss two major stories, unrelated, but both in the Midlands.
We discuss Rebecca Thomas’ investigation into “heartbreaking” patient safety incidents in University Hos...
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When ‘just in time’ does not work from 2021-01-29T05:00
“Resilience requires buffer and buffer can look wasteful until the moment that it isn’t,” Simon Stevens told MPs at a committee hearing in parliament this week. We discuss how the pandemic made ...
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How the NHS was left high and dry in covid’s third wave from 2021-01-22T05:00
Operational pressures on the NHS because of covid are still high, and although admissions are starting to level off in some places, the usual winter challenge of patient discharge is more troubl...
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The covid tidal wave heads North once more from 2021-01-15T05:00
Hospitals in the Midlands are being primed to take covid patients from London and the South East, but with the tidal wave of covid admissions sweeping north this seems like a very short term fix...
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Preventing the NHS from being overwhelmed from 2021-01-07T16:34:43
Amid the covid chaos and ever- climbing cases in England this week, the team try and dissect what’s going on. Our expert journalists discuss what is really means for the NHS to be “overwhelmed”,...
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Escaping the gloom – what 2021 holds for the NHS from 2020-12-17T10:00
Four HSJ correspondents make their predictions for the NHS in 2021, from the vaccination programme and more reorganisation, through to change at the top, staffing and mental health.
Annab...
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The NHS's post coital vaccine glow begins to fade from 2020-12-10T17:07:30
This week has seen the first doses of the Pfizer/BioNTech vaccine administered in the UK, but the continuing covid pressures on the NHS remain, with concerns raised about the health service bein...
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Delivering the vaccine - the NHS's greatest challenge from 2020-12-03T16:22:16
The UK is the first country in the western World to approve the Pfizer/BioNTech covid vaccine and now the baton has been passed to the NHS to successfully deliver it.
...
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Big decisions under cover of covid from 2020-11-26T17:15:24
This week has seen a flood of coronavirus related news so the podcast this week discusses two other important happenings, that might have been given more attention in normal times.
First ...
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Long-covid care cannot be delayed any longer from 2020-11-19T18:49:26
With delays to promised long-covid support clinics, warnings from the former health secretary and unions about protecting staff pay, and trusts accused of penalising staff during their recovery ...
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The job the NHS must not screw up from 2020-11-12T17:46:31
On the podcast this week the team dig into how the NHS is already mobilising to deliver a covid vaccine and some of the hurdles it could face in this enormous task. The stakes are high for the h...
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Is primary care ready for the second wave? from 2020-11-05T16:40:25
Recorded in the middle of another dramatic week for the NHS, the latest HSJ Health Check takes stock of whether primary care really has seen long-lasting innovation during the pandemic, and deba...
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Hospitals are still neglecting mental health from 2020-10-29T16:12:44
“Acute trust boards did not always see mental health care as an integral part of patient care”, said the CQC in a new report on mental health that could have easily gone under the radar. We hear...
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The North reaches boiling point from 2020-10-23T06:41:01
On the podcast this week we try to get to the bottom of the political furore and ensuing confusion engulfing the North West, including a lesson on just how long it takes to heat up Manchester’s ...
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Why the NHS was not prepared for covid wave two from 2020-10-15T15:16:59
As covid wave two crashes onto the NHS in the north of England, HSJ Health Check discusses the last minute scrambles to try to protect elective care, and mass-test staff.
While covid-19’s...
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Has covid changed the NHS forever? from 2020-10-08T15:55:38
To mark one year of the Health Check podcast we’re joined by special guest Nigel Edwards, chief executive of the Nuffield Trust, who shares his expert insight on the biggest operational, cultura...
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Simon Says from 2020-10-01T07:58:13
This week the team delves into an exclusive HSJ’s summit interview with NHS chief executive Simon Stevens and weighs up the trade-offs the health service might need to make as covid cas...
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What a second wave means for workforce from 2020-09-23T08:50:07
The pressure is rising again on the health service but keeping it running smoothly this winter will rely on its workforce. This week the HSJ Health Check focuses on some of the biggest issues fa...
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A good old-fashioned NHS finance row from 2020-09-18T06:46:58
Payment by results is being swept away in favour of system funding and block payments, much to the irritation of some NHS hospital chief executives. And is government giving the NHS what it need...
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Is the government sacrificing cancer recovery in favour of Operation Moonshot? from 2020-09-10T14:45:03
This week on the podcast the HSJ team discuss government plans to invest a reported £100bn to expand covid testing, amid thousands of people being denied potentially life-saving cancer screening...
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The vast 'known unknowns' facing the NHS this autumn from 2020-09-03T15:17:14
Autumn will bring pivotal funding decisions in the comprehensive spending review, while the NHS battles to "lock in" covid reforms, seek "near normal" capacity, and anticipate a surge in mental ...
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Has covid changed hospital inspections forever? from 2020-08-28T06:53:08
This week our expert team discuss if coronavirus has been the catalyst for permanent reform of the Care Quality Commission, following comments made about the new ‘streamlined’ inspections by its...
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The fate of Public Health England from 2020-08-20T16:06:56
This week the team discuss the most tumultuous week in Public Health England’s history.
Editor Alastair McLellan and correspondents Sharon Brennan and Jack Serle discuss what happened &nb...
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Why the mistake in the People Plan matters from 2020-08-13T14:52:11
The new NHS People Plan accidentally implied that being lesbian, gay, bisexual, transgender or queer was a disability or long-term condition, sparking outcry. It has been corrected, and some hav...
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Prepare for a winter of discontent from 2020-08-10T13:37:33
Is the NHS and local government set on a collision course, due to changes around care assessments set out in new central guidance this week? This week the podcast tackles this questi...
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Hancock’s full hour from 2020-07-31T09:38:51
Matt Hancock set out his post covid vision for health and care in a long, meandering speech this week – HSJ Health Check dissects key themes including staffing, emergency care, digital, system w...
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The unfolding scandal at East Kent from 2020-07-24T06:48:54
This week the team dig into what’s going on in East Kent Hospitals University Foundation Trust – an organisation which has seen well over its fair share of covid-related deaths since the start o...
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A tale of three regions from 2020-07-15T15:57:07
This week HSJ Health Check conducts a deep dive on the experience of three regions all affected by the virus in different ways and recovering at different rates. Our expert journalists explore t...
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Why the Cumberlege review is being buried from 2020-07-09T15:39:33
A government-commissioned review this week reported on intense suffering by hundreds of women which was “entirely avoidable, caused and compounded by failings in the health system itself”. This ...
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How covid turned NHS finances on their head from 2020-07-02T14:33:03
Finance became a dirty word in the NHS as it went into covid crisis mode. Reality is slowly returning – but the world of NHS finances has been turned on its head. This week’s HSJ Health Check co...
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Running the health service in a time of covid from 2020-06-25T12:00
With pubs reopening, why are many NHS services still closed or restricted? Why aren’t all staff being tested to prevent outbreaks?
This week’s HSJ Health Check explores the latest dilemma...
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HSJ Health Check special: Out of Adversity... Rapid change, NHS & Industry working together from 2020-06-25T10:56:12
This HSJ Podcast explores the changing relationship between the life sciences industry and the NHS. Forged by the covid crisis, protocols have been set aside and companies have worked with regul...
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ICS' role in the recovery from 2020-06-18T14:43:44
The week’s podcast explores whether system integration will become central to how the NHS recovers and resets after covid. It explores plans to create system waiting lists, new legislative propo...
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What will the next six months bring for the NHS? from 2020-06-11T15:59:08
The NHS has gone through an enormous reconfiguration in response to the covid-19 pandemic, but as the health service moves into ‘phase three’, what happens next? HSJ’s editor Alastair Mclellan a...
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The vanishing BAME review from 2020-06-04T13:03:13
What became of major chunks of the national review into why people with a BAME background have seen a greater death rate from covid-19 – which were written, then disappeared? Plus, June’s new lo...
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Under the radar: What are we missing while coronavirus dominates? from 2020-05-28T16:20:08
With the focus fixed firmly on coronavirus, there are important and urgent issues in healthcare going under the radar. This week four of HSJ’s expert journalists share the vital develop...
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Is ‘move fast and break things’ working for NHS X? from 2020-05-21T15:35:52
This week our tech reporting team Jasmine Rapson and Nick Carding, along with Dave West and Annabelle Collins, discuss leaked NHSX emails that revealed concerns the Department of Health and Soci...
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How the NHS performed during the peak from 2020-05-14T16:05:23
This week HSJ Health Check digs into the latest NHS performance data, revealing how coronavirus affected normal services – taking the weight off emergency departments, but adding millions to the...
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Testing, tracing and mortality from 2020-05-07T14:41:01
On this week’s HSJ Health Check podcast we discuss where England’s covid-19 response on three key fronts.
With the government poised to announce some relaxation of lockdown measures burea...
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A covid-linked syndrome may be emerging in children from 2020-04-30T15:31:43
On this week’s HSJ Health Check podcast we discuss warnings over a possible covid-linked condition in children, and Sir Simon Steven’s new guidance on the next phase of the response ...
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After the peak - recovery, restoration, reform from 2020-04-23T15:54:37
For much of the country, coronavirus has peaked. It came quicker than expected, but the virus is not going away anytime soon – and NHS leaders will have to rebuild their services around it in a ...
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HSJ Health Check special: The NHS’s legal risk over covid-19 from 2020-04-20T11:33:16
This HSJ Health Check podcast special explores the legal rules and risks for the NHS as it tackles coronavirus.
HSJ se...
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Empty beds, death numbers, and non-covid care from 2020-04-16T14:03
Our newest episode covers the latest in the NHS’ response to the coronavirus pandemic, including spare beds, controversial death statistics, and what’s happening to ‘normal’ care.
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Braced for coronavirus peak pressure from 2020-04-09T15:02:37
Coronavirus continues to dominate the lives of healthcare leaders and policymakers, and this week’s HSJ Health Check examines the outlook for pressure on the NHS, the tech response, and the heal...
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Coronavirus crisis grips the NHS from 2020-04-02T15:49:07
As dealing with coronavirus grips the NHS, we discuss three of the central challenges: kit – including PPE and ventilation equipment; staffing – including PPE and conflicting advice; and the imp...
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Covid-19 hits London from 2020-03-25T16:52:12
The HSJ news team breaks down this week’s essential coronavirus coverage, including warnings from leaders that ICU beds will run out in four days, the transformation of the excel centre into a n...
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The great coronavirus reconfiguration from 2020-03-13T15:31:22
With a coronavirus pandemic declared by WHO and Boris Johnson describing this as the biggest public health challenge in a generation, the HSJ Health Check podcast gets under the skin of the issu...
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What next for the A&E four-hour target? from 2020-03-05T16:24:16
With the national targets review drawing to a close, what is going to happen to the totemic four-hour A&E waiting target? This week’s HSJ Health Check considers the latest developments and n...
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Are the government’s priorities in order? from 2020-02-28T15:22:22
This week HSJ Health Check examines the latest developments on the government’s “40 new hospitals” election promise, particularly the brand new £20bn construction framework through which this am...
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The ups and downs from the new NHS staff survey from 2020-02-20T16:34
The annual staff survey has been published and this week our expert team of journalists Sharon Brennan, Rebecca Thomas, Annabelle Collins and Nick Carding dig into some of the troubling findings...
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Has NHS England got too much power? from 2020-02-14T07:36:04
The government is looking to curb NHS England’s powers but on HSJ.co.uk this week deputy editor Dave West has warned against giving more power to ministers. Here we discuss possible solutions to...
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Six home truths from an outgoing national director from 2020-02-12T14:20:08
The links between hospitals and social care have got worse not better, poor health services are still being protected and preserved, and quality improvement has been cut. These are among the har...
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Care quality at a crossroads from 2020-02-07T07:33:18
The inquiry on rogue surgeon Ian Paterson, West Suffolk Hospital dropping two ratings; and staff trouble at the Care Quality Commission. We discuss care quality dilemmas past and present on this...
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What’s in the new NHS planning guidance? from 2020-01-31T15:12:48
The NHS’s marching orders for 2020-21 have been published, including some big changes to funding rules, and confirming the top priorities from Skipton House.
In this HSJ Health Check our ...
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Digital twins: Babylon does integration and an ICS leadership exclusive from 2020-01-23T17:04:10
Integrated care systems, digital health and growing the workforce – all are covered in this week’s HSJ Health Check.
There’s been a big shift in integrated care system leadership – HS...
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Off target: The four-hour standard and how long waits do harm from 2020-01-17T07:48:57
This week we talk waiting. The health secretary and NHS England run into problems with their moves to scrap the four-hour emergency department target – what are the concerns, and what’s the poin...
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A&E, sexual assault on mental health wards and the future of primary care. from 2020-01-10T07:55:09
HSJ bureau chief Ben Clover talks to correspondents, Rebecca Thomas, Jack Serle and James Illman.
The team cover exclusive figures on the prevalence of sexual assault in mental health set...
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Why the 2020s are (a bit) better than the 2010s from 2020-01-03T15:29:59
In a podcast exclusive, HSJ editor Alastair McLellan reveals the 10 things which were most important to NHS policy and leadership in the 2010s.
And why can health servic...
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What 2020 has in store: Tech, mental health and workforce from 2019-12-19T15:46:21
HSJ Health Check this week gazes into the crystal ball for predictions for 2020, focusing on three of the biggest issues in 2019: Tech, mental health, and staffing.
Featuring Dave W...
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What a Conservative majority means for the NHS from 2019-12-13T15:08:42
The general election results are in, and on this week’s HSJ Health Check the team gives our early analysis of what the Conservative majority government could mean for health and care policy and ...
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When noro and flu visit early from 2019-12-06T08:16:36
Listen to the HSJ Health Check podcast — this week we cover the national workforce modelling as revealed by HSJ, norovirus and the flu turn up early, and a Midlands trust lands an “outs...
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Have the politicians forgotten mental health? from 2019-11-29T08:13:42
This week’s HSJ Health Check is brought to you from the HSJ Mental Health Summit with special guests Sean Duggan, of the NHS Confederation, and Matthew Trainer – Oxleas Foundation Trust chief – ...
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Election manifesto special from 2019-11-25T16:24:59
The political parties’ election manifestos are out, with lots to say about what they would do for health and social care. In this HSJ Health Check manifesto special, the HSJ team examin...
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Pensions crisis latest from 2019-11-21T17:30:27
Whatever has happened to the trailed solution to the NHS pensions crisis? And what are the long-term consequences of doctors now discovering a work-life balance?
In other news, we d...
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‘Sane’ Labour’s plans for the NHS from 2019-11-14T17:21:14
This week’s HSJ Health Check discusses Labour’s big NHS announcements – and what they say about how it would manage the service. Plus the decision of Greater Manchester’s “devo” health and care ...
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The Pauline Philip letter – trusts told to do whatever it takes from 2019-11-08T05:00
This week’s HSJ Health Check takes in the letter sent to the provider sector telling trusts to take urgent steps to counteract the pensions crisis and its disastrous impact on services. Plus, wh...
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What the election means for the NHS from 2019-11-01T07:58:09
The latest episode features HSJ bureau chief Ben Clover, editor Alastair McLellan, senior correspondent James Illman, and correspondent Sharon Brennan.
We discuss what we know and don’t k...
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Brexit and the NHS's new billions from 2019-10-25T08:54:38
What would the prime minister's proposed Brexit deal mean for the NHS?
And are the service and its patients beginning to feel the benefit of the start of the government's £20.5bn extra fundi...
HSJ Health Check: Episode One from 2019-10-18T10:38:58
Listen to the first HSJ Health Check podcast – in which we debate care quality in mental health and learning disability hospitals, what defines success for NHS chief executives, and NHS...
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