NHS workforce race equality: a case for diverse boards

This resource is targeted at NHS boards, especially the chairs of NHS boards. It  recognises the important role chairs play in shaping the way members interact, behave, and set priorities – in short, how they establish the culture of a board.

The guide is not about how boards become more ‘representative’. Instead, it is about how a board uses the talents of everyone who sits round the table. It is about how boards capitalise on their diversity.

Full document: NHS workforce race equality: a case for diverse boards


What the Priorities for the NHS in 2018/19 and beyond didn’t say

“The Budget on 22 November 2017 contained some obvious good news for the NHS: it provided more money, if not as much as we hoped. With more money comes the inevitable re-set of NHS plans and the new planning guidance came out on 2 February.
This is desperately late in the day given the new financial year starts on 1 April but was inevitable given the financial settlement for the NHS changed so significantly at the last minute,” writes Richard Murray, Director of Policy at the King’s Fund.


You can read Murray’s full piece about what the guidance didn’t say, and also provides a commentary on some of the key changes around money, performance and reform

is available on the King’s Fund blog .

View an earlier post on this blog that related to the Budget Commissioner Sustainability Fund and financial control totals for 2018/19: guidance

Improving physical care for people living with severe mental illness (SMI) in primary care

This guidance from NHS England highlights the responsibilities of CCGs to commission services that deliver comprehensive physical health assessments and follow up care to people  on the SMI register in primary care; addressing the premature mortality experienced by people with SMI compared to the general population.


The guidance for CCGs is available from NHS England
The Supporting Annexes which  include case studies and workforce tools and resources  can be found  here 


Extra funding for pregnant and new mothers’ mental health announced

NHS England has announced extra funding will be made available to improve the mental health of at least 3,000 pregnant women and those who have recently given birth.

 A total of £23 million is available during wave 2 of the  Perinatal Mental Health community services development fund.

The funding is part of a major programme of improvement and investment supporting the ambition in the Mental Health Five Year Forward View that, by 2020/21, there will be increased access to specialist perinatal mental health support , enabling  an additional 30,000 women to receive evidence-based treatment, closer to home, when they need it.

From 2019/20  funding for specialist perinatal mental health community services will be allocated through clinical commissioning group baseline (CCG) budgets.

 This funding will see 30,000 additional women getting specialist mental health care, in person and through online consultations including over Skype, during the early stages of motherhood, by 2021.

Further information and details about proposals can be found on the NHS England website 


Refreshing NHS Plans for 2018/19

NHS England & NHS Improvement | Refreshing NHS Plans for 2018/19

This publication  responds to the November 2017 Budget announcement of additional NHS funding of  £1.6bn for 2018/19, which will increase funding for emergency & urgent care and elective surgery.


It outlines how additional funding will impact on frontline services such as primary care and A&E services. The Department of Health and Social Care (DHSC) is making a further £540 million available through the Mandate over the coming financial year.

It also sets out plans for the development of accountable care systems into integrated care systems. The guidance is accompanied by revised clinical commissioning group allocations for 2018/19.

The publication Refreshing NHS Plans for 2018/19 is here

A link to the revised CCG allocations is also available

Infographic to show CCG allocations are here



Accountability and performance management arrangements for CCGs

This report explores the accountability and performance management arrangements for CCGs and looks at the implications of  STPs and accountable care systems for these| The Nuffield Trust

The NHS has developed systems to hold both providers and commissioners of NHS services to account. These have arguably become more complex with the introduction  of 44 sustainability and transformation partnerships (STPs). This report from the Nuffield Trust draws on analysis and insights from the current system, and explores the challenges and opportunities presented by STPs for accountability in the NHS. It is based on 13 interviews with senior CCG leaders and NHS England policy makers which took place in September 2016.

The report also explores how commissioners and providers respond to different approaches to accountability and performance management. The report then considers the implications of this learning for the future development of STPs, accountable care organisations and accountable care systems.

Full report: A two-way street: what can CCGs teach us about accountability in STPs?

Related Nuffield Trust blog: Staying accountable: NHS leadership in hard times


Reconfiguration of NHS services

Reconfiguration of NHS services (England) | The House of Commons Library

This document summarises recent policy developments and trends, the involvement of the public and local authorities in the reconfiguration process, and the major drivers of change.