New care models and prevention: An integral partnership. This NHS Confederation report presents five case studies to highlight how vanguards have sought to address the health and wellbeing gap and the impacts seen so far. It finds that a reduction in emergency admissions for the over-65s, fewer delayed transfers of care, and GPs able to dedicate more time to frail older patients are among some of the early achievements of pioneering prevention initiatives taking root across the country. The successes also include improved patient outcomes, increased job satisfaction for staff, and financial savings from better medicines management.

Dispensing health equality. This research report, published by Pharmacy Voice, shows that, if faced with a closure, more than one in four people who would normally seek advice first from their local pharmacy on common ailments would instead make an appointment with their GP practice. According to NHS research, this rises to as many as four in five people in areas of high deprivation such as Fleetwood in Lancashire. The Government has indicated that its proposals will lead to up to one in four local pharmacies closing. The report argues that an uplift in GP appointments is untenable in any part of the country, but especially so in those areas that find it difficult to attract GPs in the first place. 

The chief executive's tale: Views from the front line of the NHS. There is a widespread perception that there is a ‘crisis of leadership’ within the NHS, illustrated in part by difficulties in recruiting and retaining chief executives in the NHS. This report, published by the King's Fund in partnership with NHS Providers, draws on the views and experiences of 12 departed or departing chief executives, or those changing jobs within health care. It aims to illuminate the realities of leadership in today’s NHS. The interviews illustrate both the positives of the job and its current difficulties. The difficulties need to be addressed if we are, first, to hold on to experienced leaders who are able to transform the NHS in an innovative way, and, second, recruit the next generation.

National Framework Agreement for Clinical Waste Services for GPs and Pharmacies. NHS England has launched a new national framework agreement for the collection and disposal of clinical waste from GP surgeries and unwanted medicines from pharmacies. NHS England is responsible for funding and arranging these services on behalf of GPs and pharmacies. This new approach will deliver a number of benefits including improved quality standards, consistency, better management of contracts and value for money. Following a procurement process, five suppliers have been chosen.

See also the Clinical Waste factsheet.

Tackling drug-resistant infections globally: final report and recommendations. This report outlines the review’s final recommendations. It first discusses the mounting problem of resistance and why action is needed to combat it and then provides an overview of the solutions that the review thinks should be implemented to curtail unnecessary use and increase the supply of new antimicrobials. It then looks at the role of public awareness campaigns, the need to improve sanitation and hygiene, reduce pollution from agriculture and the environment, improve global surveillance, introduce rapid diagnostics and vaccines, the need to increase the number of people in this area, and use of market entry rewards and an innovation fund to generate more drugs. Finally the paper examines how these solutions can be funded and looks at ways to build political consensus around them. 

NHS Five Year Forward View: Recap briefing for the Health Select Committee on technical modelling and scenarios. This technical briefing sits alongside the Five Year Forward View (FYFV) financial assessment of the NHS. It summarises the methodology used to derive the NHS funding scenarios for the period to 2020/21 described in the FYFV, and describes the subsequent Spending Review settlement and its efficiency implications.


Reforming death certification: Introducing scrutiny by Medical Examiners – Lessons from the pilots of the reforms set out in the Coroners and Justice Act 2009. The DH is currently consulting on proposed changes to the death certification process and accompanying draft regulations. These changes include the introduction of independent medical examiners who will confirm cause of all deaths that do not need to be investigated by a coroner. They also introduce a statutory duty on registered medical practitioners to report deaths in prescribed circumstances to the coroner for investigation. This paper details the lessons learnt from pilots of the reforms. The report is based on a new system of scrutiny that has been trialled successfully in Sheffield and Gloucester and on a smaller scale in several other parts of the country. The report explores practical issues associated with the implementation of the reforms at local level. It provides more information about the medical examiner process and should help to inform responses to the consultation, which closes on 15 June 2016. 


Sarah-Jane Marsh, the Chief Executive of Birmingham Children’s Hospital and Birmingham Women’s Hospital, has been appointed by NHS England chief executive Simon Stevens as the Chair of the new Maternity Transformation Programme Board.

NHS (Overseas Visitors Charging) Bill. Legislation is to be introduced over the course of the next Parliamentary term to recover costs from overseas visitors who use the NHS. Proposals announced in the Queen's Speech would extend the rules on charging migrants and overseas visitors for NHS treatment, to ensure that only UK residents will get free NHS care.