One of the government's plans for the NHS is "left shift", taking services from hospitals and placing them in the community. Closer to the residents, more responsive to their needs, cheaper, and faster services. What's not to like? This is not as easy as some think. A short thread: 1/

Speaking to HSJ, the NHS's finance boss has set out first steps to a "much fairer" financial system: - Deficit support to be phased out in three years for most providers - Funding to move back to "fair shares" in same timeline - Allocations issued on a three-year basis www.hsj.co.uk/finance-and-...

Great to host this week's HSJ podcast speaking to @hsjeditor.bsky.social about Labour's "chaotic" first year for health policy and their big bet that patient power will (somehow) save the NHS: open.spotify.com/episode/3NDb...

Two hospital trusts brought in a HR firm to investigate the behaviour of their chair and CEO: www.hsj.co.uk/hull-univers...

NHS boss says the main way to improve health service cybersecurity is fixing the basics like "multi-factor authentication, out-of-support kit [and] weak passwords”. ...Not entirely reassuring from @BenClover www.hsj.co.uk/technology-a...

Departing senior official at massively-delayed new hospitals programme insists it will be “one of country’s most successful transformation” projects from @zoetidman.bsky.social www.hsj.co.uk/people-moves...

"Below expectations": The NHS has deferred radical changes to its financial systems needed to implement the 10-Year Health Plan www.hsj.co.uk/finance-and-...

Trump and pharma are lobbying gov hard to water-down the NHS’s ability to contain spending on new branded drugs. Today’s long read from me and the LSE’s Huseyin Naci sets out why the gov should hold firm to protect the health of the NHS and UK public nuffieldtrust.org.uk/news-item/th... >>

Nearly 50 NHS trusts that perform well on patient care have been downgraded because they are in deficit. But analysis of NHS England's own figures shows two-thirds of those are under-funded - raising questions about the fairness of the new league tables

ICE by day, hanging out with local skatepark dudes by night

NHS England has been pushing trusts to treat more patients from the same (or less) resources. But even trusts with productivity improvements are overspending their budgets - suggesting this alone isn't the answer to the service's financial woes. www.hsj.co.uk/finance-and-...

Labour MP Paulette Hamilton criticises the health and visa care introduced by previous govt. Says workers on this visa had more problems at work due to lack of support. Adds UK "cannot be bringing in people when there are so many people here who are unemployed". #Lab25

Tim Meek, of Assoc of Anaesthetists, says paper records were faster than current NHS tech. Says it used to take three mins to go through a set of paper notes. "It now might take 10 minutes to scroll through maybe four or five different apps on a slow laptop" #hcf25 #Lab25

The govt says NHS league tables went through a "rigorous" fact-checking process. Yet a version marked "final" contained errors that were only spotted at the last-minute. As a result 14 trusts - including Jim Mackey's former trust - changed segment. www.hsj.co.uk/quality-and-...

Good question from Blake Stephenson and one that had been annoying me Looks like ICBs will be reorganised *again* when (or if) the government goes ahead with creating mayoral strategic authorities across the entire country

The health sec says league tables help patients choose where to get treatment. But some of the best for patient care have been marked down due to deficits. Does the government really want patients to be diverted away from these hospitals? www.hsj.co.uk/finance-and-...

This is a national scandal caused by Wes Streeting. Months of anxiety for ICB staff, and we still have no idea who will have a job if / when this process can actually start. Our ICB's leadership team has been exceptional despite the mass uncertainty caused by this government.

Hopefully an initial serialisation of @davewwest.bsky.social's 20-volume magnum opus: The decline and fall of NHS England www.hsj.co.uk/comment/how-...

Exclusive: This summer's round of resident doctor strike action cost the NHS £300m, internal docs show. Health service has effectively been told to find the money from existing budgets and is introducing spending freeze w @kituno.bsky.social www.hsj.co.uk/workforce/ex...

Good to be quoted in this piece. Reform's "DOGE" has been a complete bust, high on rhetoric and low on meaningful change Reform's councillors have worked out that their councils' finances are not going to be fixed by cancelling a few "DEI" programmes www.ft.com/content/fd85...

Earlier this year NHS England celebrated staff turnover falling to record low as evidence of improved retention efforts. But NHS insiders say the reason fewer staff are leaving is that there are no jobs to go to.

For more than 16 years, Disability News Service has broken important stories about the discrimination disabled people face every day across the UK. Now DNS is looking for new subscribers to help fund its work. www.disabilitynewsservice.com/disability-n...

In March NHS England's new boss ordered boards to cut staff costs in half by December. But now integrated care boards are delaying redundancy processes because the Treasury has refused to fund lay-offs. www.hsj.co.uk/workforce/ic...

Yet another retrospective triumph for Cameron and Osborne.

More than £100m has been raided from NHS budgets earmarked for primary care, community services and prevention www.hsj.co.uk/finance-and-...

Streeting adviser Tom Kibasi, who helped draft the NHS 10-Year plan, is being seconded to Number 10 www.hsj.co.uk/people-moves...

Fascinating piece on how Denmark and Ireland approached their reforms to shift care into the community. Denmark invested heavily in "super hospitals" ahead of transition, has capped increases in hospital budgets and provided extra funding for community. www.nuffieldtrust.org.uk/news-item/mo...

An NHS acute trust boss has moved to a GP-led community provider seen as a frontrunner to deliver the government's vision of teams of neighbourhood health care professionals www.hsj.co.uk/people-moves...

Gov adviser and former health sec Alan Milburn has said the government should not "direct or run" the NHS. - Says "command and control" model has failed - Claims "change is not pain-free" - Says health is "ecosystem" of public and private orgs www.hsj.co.uk/policy-and-r...

An early draft of the 10-Year Health Plan said the Treasury had agreed to underwrite capital spending by the new wave of Foundation Trusts. Yet that commitment was dropped from the final document. Where does that leave the promise of a new world of liberated FTs? www.hsj.co.uk/finance-and-...

The annual cost of NHS diabetes care could fall by £300m after the Supreme Court refused to consider blocking the introduction of a generic alternatives to a widely used drug , reports @henryanderson1.bsky.social www.hsj.co.uk/finance-and-...

NEW: The Supreme Court has refused to hear a last-ditch bid by AstraZeneca to stop cheaper alternatives of a major diabetes drug coming onto market. AZ had previously warned entry of other suppliers would see price of drug "collapse" from £36 to £2 a pack www.hsj.co.uk/finance-and-...

AstraZeneca warns of "extremely serious" commercial impact if it loses court case over £300m NHS drug. Board has approved an "emergency contingency plan" if the case goes against the firm www.hsj.co.uk/finance-and-...

NHS trust financial planning latest

Row with private sector hospitals as NHS cuts price paid for cataract ops. NHS officials have been concerned about massive growth in outsourcing - but one industry source says it sends a "terrible message" www.hsj.co.uk/finance-and-...

Doncaster and Bassetlaw Teaching Hospitals has brought in an independent team to review culture amid concerns over bullying and harassment www.hsj.co.uk/doncaster-an...

The long-awaited 10 year NHS plan says that trusts could have their budgets legally capped like local councils if the service cannot fix its “addiction” to deficits. Our reporting on HSJ is free to access until 11am tomorrow www.hsj.co.uk/policy-and-r...

Despite the rhetoric about ending deficits coming from Wes Streeting, NHS England leaders have warned large numbers of local financial plans are high risk - with around half of planned efficiency savings unlikely to be delivered. www.hsj.co.uk/finance-and-...

Nearly 400 jobs to go at NHS South Yorkshire integrated care board

Excl: Patients will be able to decide if a hospital gets paid for their treatment under the 10-year health plan Plan also likely to say NHS is "addicted" to deficits and will expect every trust to deliver surpluses by end of decade www.hsj.co.uk/finance-and-...

The final boss of NHS management graphics

Newly-elected Reform mayor comes out against integrated care board merger plans www.hsj.co.uk/lincolnshire...

And a man who fancies himself a god feels a very human chill crawl up his spine escapecollective.com/pogacar-foun...

Long-serving NHS leader announces retirement after six months away from work. HSJ understands there have been concerns about culture at the organisation - which is on its third CEO in less than six months www.hsj.co.uk/humber-and-n...

Central Dept of Health budgets - which include social care, public health and admin costs - are to be squeezed to fund an increase in day to day NHS spending. No word from Treasury on the status of the public health grant www.hsj.co.uk/finance-and-...

NEW: Long-serving NHS boss retires after six months off work. Understood there have been concerns about culture at the organisation www.hsj.co.uk/humber-and-n...

Big questions also for Derby and Derbyshire and Nottingham and Nottinghamshire ICBs, which had previously rebranded as D2N2 but are now joining with Lincolnshire. D2N2L1?

Step forward CPBLMKH ICB www.hsj.co.uk/integrated-c...

Keir Starmer and Rachel Reeves boasted of "fixing the foundations" of the NHS. But new analysis reveals the service's finances are in a parlous state ahead of the spending review and 10-year plan. My latest newsletter: www.hsj.co.uk/expert-brief...

Researchers found that Labour’s £4.8bn welfare cuts were likely to damage the health of vulnerable people more than any measures since George Osborne’s £12bn of savings in 2015, at the height of austerity. www.thetimes.com/uk/politics/...