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Using a mixture of proprietary intelligence, HSJ Intelligence brings you the top strategic issues facing specific providers and health systems.
Latest HSJi Review discusses the new NHSE leadership’s elective target
Read Jack Serle's latest HSJi Review, which says that the priority of the new NHSE leadership is the same: to cut the size of the elective waiting list.
Latest investigations
The Royal Marsden Foundation Trust
The trust is planning to deliver a £5.35m surplus in 2024-25. At month eight, it was forecasting the surplus would be just more than £2m due to disagreement with NHS England, which commissions specialist paediatric services from the trust. The trust expects to earn £183.6m in 2024-25 from private treatment, a small increase on the previous year. Private treatment accounts for 36.6 per cent of the trust’s total patient income.
The end of the 2024-25 financial year saw the integrated care system struggling badly to meet a deficit target of £120m. The failure is largely a result of the failure of the Medway and East Kent acute trusts to deliver promised cost improvements. Kent and Medway is one of the 18 ICSs placed into financial recovery by NHSE.
Lancashire Teaching Hospitals Foundation Trust
Lancashire Teaching Hospitals Foundation Trust’s finances are in a precarious state, and the trust has been placed in segment four of NHSE’s oversight framework, meaning it is subject to scrutiny from the national finance team, as well as Lancashire and South Cumbria Integrated Care Board. The trust set a hugely demanding cost improvement programme target of £58m, equivalent to 7 per cent of total spending, for 2024-25. Successfully delivering this would have enabled the trust to meet its financial plan of a £17.4m deficit.
Data
Last week the following datapoints were updated:
- Online/video GP consultations of ICS in Q4 2024-25
- Total staff; Medical & dental; Administrative; Allied health professionals; Healthcare science; Nursing and midwifery; and Social care of Scotland for Q2 2024-25
- Teaching and research spend; Hospital sector spend; Drugs spend by hospitals; Facilities spend by hospitals; Community sector spend; Primary medical care spend; Drugs spend by primary care; and Dental spend of Scotland for 2023-2024
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HSJI Experts
With unrivalled access to senior figures, NHS data sources and rigorous primary research, HSJ experts have a unique insight on the NHS, and deep understanding of the strategic issues facing NHS organisations and leadership teams. HSJi offers exclusive, predictive analysis explaining key trends and the specific NHS organisations that are likely to be affected.

Alastair McLellan
Editor

Ben Clover
Bureau chief

Annabelle Collins
Senior correspondent

Matt Discombe
Correspondent

Oliver Hudson
Analyst

Nick Kituno
Correspondent

James Illman
Bureau chief

Alison Moore
Correspondent

Jack Serle
Senior insights correspondent

Dave West
Deputy editor