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Provider Focus News
Issue 43 - 19 August 2016
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News
 

Lord Lansley to give NHS Providers annual lecture

It is now five years since the coalition government published some of the most far-reaching reforms in the NHS’s history. The Health and Social Care Bill has had profound implications on the ways in which health and care services are organised and delivered. Three years on since the reforms were implemented, it is timely to debate and discuss what aspects of the Bill are working well and should be retained, as well as what elements should be changed. This year’s annual lecture, to be delivered by The Rt Hon Lord Lansley CBE on 21 September in London, will explore whether the underlying principles of the Bill are being adhered to in practice. As the principal architect of the Health and Social Care Bill, Lord Lansley will reflect on how well his landmark piece of legislation has worked, what changes he thinks are now needed, and which bits of the Bill could and should have been better implemented. The lecture is free to attend and will be followed by a drinks reception. Lord Lansley will speak for around 45 minutes, and there will be an opportunity for questions from the audience. Visit our website to book your place.

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Provider showcase: deadline extended

We are pleased to be able to extend the deadline for applications to this year’s Provider showcase at our annual conference and exhibition in Birmingham on 29-30 November. We are now accepting applications until 26 August. Now in its fourth year, the Provider showcase provides an opportunity for conference delegates to learn about 12 initiatives being implemented by our members across the provider sector in line with the conference themes. Members are invited to apply to take up a free space in the exhibition to showcase their work, and each trust selected with have their own stand, have two representatives attend the exhibition to talk about their work, and have access to laptops or iPads. We will also include a 200 word outline in the delegate guide. NHS Providers will meet all costs of the space, stand, design and build, publications stand, iPad/laptop and internet access. Participating organisations will be asked to fund their team’s travel and accommodation, and any publications they may wish to provide. Find out more and download an application form on our website.

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Time for a reality check about what the NHS can deliver

NHS England last week published the combined performance summary for June 2016. The statistics cover the full range of indicators, including emergency admissions, delayed transfers of care, waiting times for diagnostics testing and referral to treatment, cancer services, and early intervention in psychosis. The statistics show that the NHS continues to work with increasing demand and with greater volumes of activity, with figures revealing that: A&E attendance was up by 3.3%; emergency admissions increased by 3.7%; and there were over 170,000 delayed transfers of care days in June. Commenting on the figures, NHS Providers chief executive Chris Hopson said: “These increases in demand continue to concern us…There is now a clear and widening gap between what NHS services are being expected to deliver and the funding they are receiving. It’s time to acknowledge this gap and stop pretending that it doesn’t exist.” Chris called for a “reality check” about what the NHS can deliver within its available funding, and said that we cannot keep “passing the financial pressure onto NHS trusts by asking them to deliver the impossible and chastising them when they fall short”.

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Progress and challenges in the transformation of young people’s mental healthcare

The Education Policy Institute’s commission on children and young people’s mental health has published its second report, exploring progress made since the publication of Future in Mind, the government’s strategy to transform mental healthcare for children and young people in England. The commission identifies key barriers to the delivery of the transformation programme, and research included a freedom of information request to child and adolescent mental health service providers. Of the trusts who responded to the FoI request, 83% said they had experienced recruitment difficulties, with 51 instances of a post being advertised and a trust only receiving two or fewer applicants. Recruitment challenges have led to an 82% increase in expenditure on temporary staffing in the last two years. This autumn, the EPI commission will make policy recommendations for national and local health and care leaders to address the barriers identified. Four urgent actions have been identified, which include a call for Health Education England to work with provider trusts and local health and care commissioners to ensure that the workforce strategy to support transformation cover recruitment and retention of key staff, improving the skill-mix between the different professions and covering training needs for specialist and universal staff.

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Catch up on NHS England specialised commissioning workshop

Earlier this month, NHS Providers and NHS Clinical Commissioners helped bring together 50 providers and commissioners of specialised services for a workshop with NHS England. The event was held to help inform the development of NHS England’s strategic framework for specialised services and its commissioning intentions document for 2017/18. Videos and presentations from the main plenary sessions and a series of interviews exploring key issues in more detail are available on our website. Speakers included Dr Jonathan Fielden, director of specialised commissioning and deputy national medical director, Peter Huskinson, commercial director (national), specialised commissioning, and Frances Carey, director of finances, specialised commissioning north region, of NHS England. Nigel Kee, chief operating officer of Basildon and Thurrock University Hospitals NHS Foundation Trust, shared his trust’s learning as an early implementer site of the clinical utilisation review to transform hospital care. Notes of the breakout sessions and question and answer sections of the event are being circulated to attendees, and are also available on request from NHS England.

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Personal health budgets essentials

Giving patients greater choice and control over their healthcare is a national priority, and the government’s mandate to the NHS for 2016/17 set out a clear expectation that 50-100,000 people will benefit from a personal health budget, or a personal budget combining NHS and social care funding, by 2020. To support professionals who work in health and social care to understand the basics of personal health budgets and what they mean for both patients and professionals, NHS England is offering a series of half day courses, Personal health budgets essentials, taking place around the country throughout autumn and winter 2016. The sessions will cover the policy and mandate requirements around personal health budgets, provide an opportunity to hear examples of good practice, address the need for good support planning in personal health budget delivery, and the basics of setting budgets and managing money. You can read more on the NHS England website and book a session on the NHS England events page. Contact the NHS England team with any queries.

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  Join the NHS Providers team  
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We are currently recruiting to the following roles: policy advisor (regulation) on a fixed term contract; programme development administrator; freelance marketing manager; and press officer. Find out more on our website.

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Networks update
 

Strategy directors network

8 September, London

Members will hear an update from Paul Corrigan on the support offer for these vanguards as well as his thoughts on how the rest of the sector is progressing toward this type of model. Members will also hear from Birmingham Community Healthcare NHS Trust on their vanguard project as well as ongoing work on expanding the range of services provided in the community to include specialist, outpatient and diagnostic services. Other sessions from the day will include Birmingham City Council sharing their experiences and lessons learned from the STP process, an update from NHS Improvement on the oversight framework, and an opportunity to meet the body's new director of strategy, Ben Dyson. Book your place.

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Community services group

13 September, London

The network meeting will include an update from Paul Corrigan on vanguard work, with a focus on the MCP model and his thoughts on how the rest of the sector is moving towards this type of model. Other sessions include an opportunity to hear from the Health Foundation on how they help trusts implement quality improvement techniques. As part of this session members will also hear from peers on their intermediate care redesign and admission avoidance work in the community. There will also be an opportunity to hear from NHS Improvement and engage with Catherine McDonald, policy director, on the new approach, oversight framework and what’s expected of providers of community services going forward. Book your place.

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Communications leads network

15 September, London

In response to the feedback we received from members in our recent survey, we are changing the format of this network to focus each event on a different strategic theme. This event will focus on how to communicate major service change. With the upcoming sustainability and transformation plans expected to trigger a number of service reconfigurations, highly effective communications and engagement strategies will be required. Our event will examine some of the critical issues that need to be considered. We have brought together a number of communicators that have been involved in reconfiguration programmes. Our aim is to enable communications leads in trusts to network and learn from best practice in this critical area. This is part of NHS Providers’ broader focus on supporting NHS trust communicators to enhance their strategic skills, expertise and knowledge. Book your place.

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Chairs and chief executives network

21 September, London

The event will include a session focusing on governance and will provide an update from the meeting with chairs which took place after the NHS Providers’ governance conference. Members will hear from the chair of NHS Improvement about the roll-out of the new single oversight framework, measures aimed to return the sector to financial balance, and the organisation’s priorities for increasing its offer of support for improvement. NHS Providers chief executive will present on strategic and policy issues, which will be interspersed with table discussion and Q&A dialogue. The annual lecture with Lord Lansley will follow this event. Please note that places to attend the network meeting and annual lecture need to be booked separately.

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Consultations
 

Closing soon

Transition from children’s to adults’ services quality standard

The National Institute for Health and Care Excellence (NICE) is consulting on the transition from children’s to adults’ services quality standard. The quality standard ensures the transition is a purposeful, planned and supportive process, covering the period before, during and after a young person (aged up to 25) moves from children’s health and social care services to adults’ services. It includes young people with mental health problems, disabilities, long-term, life-limiting or complex needs in local authority care. The standard focuses on aspects of health and social care that are commissioned locally. To respond, please contact NICE by 22 August.

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Suicide prevention inquiry

The health committee has launched an inquiry into the action which is necessary to improve suicide prevention in England. The government published Preventing suicide in England: a cross-governmental outcomes strategy to save lives, and two updates have been published since (in 2014 and 2015). However, suicide rates have been rising in recent years, reaching 4,882 in 2014. The health committee seeks to examine what further action should be take to prevent suicide, and invites written submissions on the terms of reference (listed) and also other comments on, or information about suicide and suicide prevention work which stakeholders may wish to bring to its attention. To contribute to the NHS Providers response, please contact Amy McGregor by 26 August.

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New consultations

Mental health problems with learning disability quality standards

NICE is consulting on the mental health problems with learning disabilities quality standard. NICE quality standards are a concise set of prioritised statements designed to drive measurable quality improvements within a particular area of health or care. This quality standard will cover the prevention, assessment and management of mental health problems in people with learning disabilities in health, social care, educational, forensic and criminal justice settings. It will also cover family members, carers and care workers. To respond, please contact NICE by 2 September.

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Specialised services clinical commissioning policies and service specifications

NHS England is consulting on a proposed clinical commissioning policy on pre-exposure prophylaxis for HIV. There has already been extensive engagement on this policy, and the views of key stakeholders have informed and influenced the policy’s development to date. NHS England now wishes to test the policy proposal further with wider groups of stakeholders. To respond, please contact NHS England by 23 September.

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What next for devolution?

With devolution high on the agenda for councils, communities, businesses and residents across the country, the Local Government Association (LGA) has launched a green paper to ask, what next for devolution? This paper encourages local debate and generates wider scrutiny of the whole devolution process. It also sets out some ideas and big questions the LGA then hope will serve to structure the conversations throughout the country. To respond, please contact the LGA by 30 September.

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Open consultations

Multispecialty community provider emerging care model and contract framework

NHS England is consulting on the recently published the multispecialty community provider (MCP) emerging care model and contract framework. The document itself defines what a good MCP will look like, placing the core features from the 14 MCP vanguards into a common framework, while recognising there will be a local focus for each MCP. This is the next step on the development journey of the MCP new care model. The care model will continue to evolve as the vanguards continue to learn what does and doesn’t work. This document is not a definitive national policy on how to commission and contract for an MCP; a first draft of an MCP contract will be released in the autumn. To feedback, please contact NHS England by 2 September 2016.

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New data security standards and opt-out models for health and social care

The Department of Health is consulting on the proposed health data security standards and the consent/opt-out model. The consultation follows an independent review of data security and consent by national data guardian Dame Fiona Caldicott. The review includes: 10 new data security standards, a method of testing compliance with these standards, and a new consent model for data sharing in health and social care. These are aimed at strengthening the safeguards for keeping health and care information secure and ensuring the public can make informed choices about how their data is used. The Department of Health would like to hear from health and care professionals and organisations and the public. To respond, please contact the Department of Health by 7 September.

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How can we ensure a sustainable future for the NHS?

The select committee on the long-term sustainability of the NHS is conducting an inquiry into the sustainability issues facing the NHS and the impact they will have over the next 15-20 years. There remains a continuing level of support for a national health service which is free at the point of use. However, rapidly changing demographics directly affect healthcare expenditure and have the potential the put financial stability and sustainability at risk. Alongside this, the pace of change in healthcare is dramatic and developments are opening the door for more targeted treatment. The inquiry will focus on five main themes: resource issues, workforce, models of service delivery and integration, prevention and public engagement, and the digitisation of services. To contribute to the NHS Providers response, please contact Sally Percy by 16 September.

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Revised guidance on returning to practice

The Health and Care Professions Council is consulting on draft revised guidance on returning to practice. Returning to practice requirements help to ensure that registrants who have been out of practice for more than two years, and wish to return, update their knowledge and skills in order to resume safe and effective practice. The Health and Care Professions Council produce guidance to help people who have taken a break from practising, or are considering doing so, to understand these requirements. Last published in 2006, they have updated the guidance to make sure it continues to be clear and helpful. To respond, please contact the Health and Care Professions Council by 7 October.

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Developing the UK medical register

The General Medical Council (GMC) is consulting on ways to improve its medical register (also known as the List of Registered Medical Practitioners – or LRMP). The medical register holds information about all doctors registered in the UK. It can help employers choose who to take on and whose services to commission, help patients choose who to trust with their care and allow doctors themselves to demonstrate their registered status. Following independent research published last year, which found that the GMC’s medical register offers less information than registers in some other countries, the GMC is seeking views on whether the medical register, which more people are using each year, could be even more helpful, relevant and accessible and include additional information about a doctor’s practice. To respond, please contact the GMC by 7 October.

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GovernWell
 

A flexible approach to learning

Busy trusts with a desire to continuously improve governor capability need effective and timely solutions. At GovernWell we work with senior leaders, experienced and new governors to help define and address their specific learning goals and objectives. Our range of modules are ready to meet all your trusts needs, including events tailored to specific local issues such as holding to account, or developing a particular skill such as crafting effective questions. We can also facilitate sessions aimed at improving the cohesiveness of your council by emphasising the importance of building effective relationships.

We have delivered 54 bespoke events since the programme began in April 2013.

By holding a tailored event trusts benefit from:

• consistent learning across the whole council at the same time
• training delivered in a familiar environment
• opportunity for your governors to meet outside formal council meetings
• reduced travel costs and time
• access to the course for governors not able to attend the scheduled courses on our open programme
• being an efficient way to ensure trusts are meeting the requirements of the Health and Social Care Act.

Feedback from previous bespoke events include:

‘Course leaders were confident, informed and effective communicators’

‘Extremely useful training and most welcome opportunity to reflect on my own experiences of being a governor.’

‘Very educational and inspiring sessions. Time well spent. Thanks for the motivation.’

‘Would recommend this course at the beginning of governor role approximately two months after induction.’

To discuss your local governor training and development needs please contact Claire Mescia or Nikki Coleman.

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Board development programme
 

We are currently working with NHS Improvement to develop a board development programme to provide support for foundation trusts and trusts on common problem areas identified by regulators. Over the coming months we will be focusing on four key areas:

• developing an effective unitary board
• recovering and maintaining performance
• from “needs improvement” to “good”
• delivering transformational change

Going forward we intend to combine the NED induction programmes for NHS foundation trusts and trusts however, pending the development of this event, we are holding a final NED induction event for NHS trusts. This programme will incorporate a number of the key issues listed above.

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NHS trust NED induction

12-13 October, London

NHS Providers will be running an induction programme for new non-executive directors within NHS trusts. The two-day programme is specifically designed to prepare new NEDs for their role in an NHS trust and the programme includes:

• the developing environment of the NHS and what that means for the leadership of NHS trusts
• NHS finance
• national policy overview – workforce, quality and safety
• regulation and where the Care Quality Commission fits in
• governance, performance management and accountability in the NHS trust sector
• the NED role and chairing effective meetings
• working with stakeholders to drive change

This is free for all delegates from NHS trusts. Visit our website to book your place.

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Bespoke courses

As we are finalising the board development programme, for the next four months we are able to offer the following two modules - originally developed to address concerns highlighted by regulators - in bespoke format. There are numerous benefits of bespoke courses, including the ability to tailor content for individual trusts, encouraging consistency throughout the organisation as favoured by the regulators and the opportunity to develop better team working. The effective chairing course can also contribute to your board development programme. If you would like further information and indicative costs, please contact Ann Utley.

Effective chairing

The current challenges facing trusts today mean that time is an increasingly precious resource and all meetings need to be optimised to meet objectives. This course is designed for directors - including NEDs and senior executives - tasked with chairing committees that form an essential part of the governance framework. It covers preparing for the meeting and ensuring agendas are appropriately prioritised, what regulators are looking for, lessons learned around common problem areas and the role that committees play in enabling the board to focus on key issues. There will be time during the day to explore good practice in chairing meetings and for all delegates to participate in practical and interactive exercises designed to develop their chairing skills.

Recent delegate comments include:

'Couldn’t be bettered'

'Value of today was that training set in realities of the world we are operating in'

'The video case studies were an excellent learning tool'

'Really enjoyed, learned a lot to take back to colleagues'

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Effective recording of board and committee meetings

All assessments - including evaluations - start with a review of minutes of the board and the numerous sub-committees that shape the governance framework for the organisation. It is at this point that initial impressions are formed and ineffective minute recording can have unintended consequences leading to inaccurate and potentially damaging conclusions about the trust. Much has been done to improve effective challenge within boards and committees but assessors do not always appear to reflect this in their assessments. Inadequate recording of discussions has been identified as one of the issues and often leads to frustration among those attending the meeting. To address this we have designed a workshop aimed at helping those who record minutes for the board and key committees. The workshop is a mix of presentations on good practice, an overview of what regulators want to see particularly in relation to quality committees and some hands on practical exercises in minute taking.

Recent delegate comments include:

'Good confidence builder'

'This was excellent and I would recommend any colleague to attend'

'Very helpful and interactive course with methods to take away and apply to my own working environment'

'Huge benefit being able to interact with colleagues who are experiencing similar difficulties in this area'

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Register for the NED mentoring programme

NHS Providers has developed a mentoring programme designed to match knowledgeable and experienced non-executive directors with those either new to the role and the NHS, or those facing difficult challenges outside of their current level of experience. Mentoring can be a productive and rewarding activity; the mentee receives support for development while the mentor has the opportunity to reflect upon their own experiences and goals. We are currently recruiting mentors and mentees to be involved in the programme. If you are an experienced NED and feel you would be able to offer support to a colleague new to the role please register as a mentor. If you feel you could benefit from support from a colleague outside of your trust with whom you can share concerns and learn about how others have addressed challenges similar to those you are facing, please sign up as a mentee. We have developed guides for each role to ensure a shared understanding of the process and responsibilities. These are available online. If you have any questions about the programme, please contact Ann Utley.

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Courses and events
 

NEW: NHS Expo 2016

Book your free place to attend the Health and Care Innovation Expo 2016 taking place in Manchester on 7-8 September. The agenda is now fully confirmed across two main speaker stages, eight pop-up university rooms, four feature zones and a variety of focused satellite events. Organisations from all over the health and social care sector are set to contribute to a lively and varied exhibition with demonstrations, activities and networking opportunities. Register now online, using the ticket code EXPNHSP, to claim your complimentary ticket and log in using your registration profile to book to attend workshops and satellite sessions. Keynote speakers include Professor Robert Wachter, Professor Sir Bruce Keogh, and Jane Cummings, and the leaders of England’s NHS arms-length bodies will hold a panel discussion on the biggest issues affecting health and care across both commissioning and provision. A number of the pop-up university workshops focus directly on the challenges of provision, while others explore the continuing work to develop sustainability and transformation plans across England. Download the Expo 2016 app for iOS, Android and Windows to build your personal agenda and chat to other delegates about their Expo 2016 plans.

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NEW: Next steps for delivering the new models of care and vanguard sites

Westminster Health Forum is hosting an event on 12 September in London to provide the opportunity to discuss challenges and next steps for delivering NHS England’s new models of care programme. Delegates will assess progress on meeting Department of Health targets for population coverage by 2020, renewed funding and support outlined in the sustainability and transformation fund, and the impact of the new vanguard projects. Other areas for discussion will include priorities for the new ‘footprint areas’ announced by NHS England, further integration of care under the primary and acute care systems and multispecialty community provider vanguard projects, the impact of the new models of care on patient care and experience, and the potential of the vanguards in reducing pressure on emergency and primary care services. NHS Providers chief executive Chris Hopson will be delivering a keynote address. Other speakers include Sam Jones, director of new models of care, NHS England; Professor Gillian Leng, deputy chief executive and director of health and social care, NICE; and Nick Ville, policy director, NHS Improvement. For more information and to book your place, visit the Westminster Health Forum website.

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Executive director induction

NHS Providers and NHS Improvement are running a joint induction programme specifically for new executive directors on 1 September in central London. The programme has been developed following requests from new board directors for a deeper understanding of their board role as part of a unitary board and of the wider context within which the role is set. The programme includes sessions on understanding the developing NHS environment and what that means for the leadership of FTs; governance, risk, and assurance; what your chief executive expects of you; the CQC and regulation; and your board role vs your executive director role. The programme includes specific information relevant to the FT sector. This is a one-day programme which runs three times a year and costs £250 per person (ex VAT). Please note the programme is for new executive directors therefore not suitable for experienced directors. Visit our website to book your place.

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Priorities conference 2016

The International Society on Priorities in Health (ISPHC) is bringing its 11th biennial meeting to the University of Birmingham from 7-9 September. The difficult financial climate in health and care means there are huge demands on local budgets. The need to achieve targets outlined in the NHS Five year forward view, combined with local government budget constraints and the requirement to produce sustainability and transformation plans, have all intensified the need to take difficult decisions over spending. However, priority setting can also be politically controversial and those who carry it out often find themselves challenged by a range of parties. In order to take defensible decisions and implement these into practice, local organisations require not just evidence but also legal, political and management expertise. The conference will tackle each of these dimensions of priority setting and rationing with a focus on implementing defensible decision making into practice. Special rates are available for NHS, local government and third sector delegates. For more information and to book your place, visit the conference website.

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Foundation trust NED induction

NHS Providers and NHS Improvement are working in partnership to offer an induction programme for new non-executive directors. The programme is suitable for FT NEDs and also NEDS from organisations nearing FT authorisation. The next programme will run on 15-16 September in central London. The programme includes: the developing environment of the NHS and what that means for the leadership of FTs; governance, risk and assurance in the FT sector; regulation; FT governance and the law; working with governors; patients, quality, safety and the board; NHS finance; and the unitary board: working effectively with your executive colleagues. This is a two-day programme which runs three times a year, the cost for the two days will be £395 (ex VAT) in total. Visit our website to book your place.

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Health service governance qualification

The advanced certificate in health service governance is a qualification that has been developed by ICSA especially for governance professionals that work in or with the NHS in England. The certificate will equip students with a sound understanding of the principles and practices of governance in the NHS, and the skills to be able to manage it effectively and support the development of good governance throughout the organisation. The next course will start on 1 September, and further details regarding entry requirements and fees are available on the ICSA website.

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For further information, please contact Sarah Beadman, senior communications officer, 020 7304 6841, sarah.beadman@nhsproviders.org

To find out more about the NHS Providers team, including contact information, visit our website.