GPs feel the squeeze

On this week’s podcast we talk about relationships between CEOs and chairs - and why the CEO of East Kent Hospitals has not been at work since mid-November.And with staff pride at a record low in the Care Quality Commission, according to its latest internal survey, we cover what will be in the in-tray of its new CEO and why the regulator wants to find someone with “clear political licence”. (Update): On Thursday evening, following the recording of this podcast, East Kent Hospitals Trust issued a statement stating Ms Doherty was stepping down so that the organisation could “appoint a chair who can focus exclusively on leading East Kent through the next phase of improvement work ahead.”Ms Doherty remains chair of Maidstone and Tunbridge Wells Trust and is also the president of the Royal Society of Chemistry.

HSJ Health Check discusses the latest squeeze on GP resources, and controversy over reform of referral processes.Analysis of new figures show the share of NHS spend going to general practice fell to its lowest point in 2024-25 - a decade on from NHS England vowing to shift the balance the other way.The share of doctors in the English NHS who are GPs also fell.Meanwhile, GP groups are among those crying foul over the latest "advice and guidance" reforms.NHS England is asking systems to introduce universal A&G for 10  "high volume specialties" chosen locally, for which it has set an ambition of a "diversion rate of at least 25 per cent by March 2027".With HSJ deputy editor Dave West, bureau chief James Illman and correspondent Caitlin Tilley.

We discuss Sir Jim Mackey’s first year as NHS England chief executive, and his interview with HSJ in which he sets out plans for 2026-27.This year has seen the NHS land more or less on plan for its biggest recovery targets – and with declared financial deficits falling quicker than expected.Sir Jim told us the next 12 months will leave more room for thinking ahead, including about commissioning and neighbourhood health. But money is still very tight and ever-bigger leaps in improvements will be needed to stay on track.Also, we cover the huge challenges facing the Humber Health Partnership, a group model that has seen its two member trusts placed into special measures and ask what lessons can be learned for trust groups elsewhere.

Tech is one of the most important parts of the government’s 10-Year Health Plan, but this week NHS England has warned a leadership void is hampering progress and investment. We talk in more depth about this particularly public criticism and also discuss other key areas of tech that trusts are investing in, from electronic patient records to AI scribes. We also cover research that has revealed the over-complication of EPR training is having an adverse effect on productivity. The team shares how the NHS App and AI are set to evolve over the next few years as well.

HSJ editor Alastair McLellan interviews US physician Bob Wachter about his new book, A Giant Leap, on AI’s impact on healthcare.The conversation covers how clinical practice is already changing significantly, and explores the implications for NHS workforce planning.

NHS staff are becoming less likely to recommend their employer as a place to work, are less confident about raising concerns and increasingly say they would not want relatives to be treated at their trust. HSJ digs into the annual NHS staff survey to find out what this year’s results mean for the future of the health service. Henry Anderson is joined by HSJ’s Nick Kituno and Chris Graham, from the Picker Institute, to discuss how staff feel about working for the NHS after the first full year of a Labour government - and what can be done to turn this around. Send podcast thoughts and ideas to [email protected] can listen to HSJ Health Check on this page, or subscribe on Spotify, Apple Podcasts, Amazon Music, and all the other popular podcast platforms.

Leading ICB and council CEOs join HSJ Health Check to talk about the earthquake shaking relationships between local government and the NHS.Tectonic plates are moving with major structural reorganisation in the NHS and local government. Funding and demand pressures, alongside national attempts to reform other public services, are also straining relationships and integration.Amid these tensions, Rob Webster, West Yorkshire Integrated Care Board CEO, argues local leaders can choose to protect relationships and joint working at the level of place, despite organisational mergers.And Robin Tuddenham, a council CEO in west Yorkshire and president of the Society of Local Authority Chief Executives, says: "What we're seeing is the need to adjust to a reshaping of the local state".

NHS maternity care continues to be under the spotlight, so on this week’s episode we unpick the web of different national reviews and how trusts could be asked to improve services.We cover Baroness Amos’ interim report from the government’s ‘rapid’ review, which has turned out to be less rapid than hoped, and some shocking findings highlighted by newly published national maternity data.Also, why home birth services could become a thing of the past in the NHS.  

Hospitals are being told by NHS England to focus on easy wins to hit this financial year’s A&E targets, so on this episode we unpick what trusts are being ask to do and whether this will get them over the line by the end of March.NHSE also finally published guidance on its “model emergency department”, which will see under-performing trusts required to open new treatment areas. But, as ever, big questions remain about funding. And we get under the skin of a recent HSJ analysis that showed the health service has been haemorrhaging non-clinical staff.

This week we cover a mysterious update to the “model ICB” blueprint that hasn’t been formally published or endorsed by NHS England, but instead passed in whispers. We also talk about the full timetable for merging NHS England and the Department of Health and Social Care and one of the biggest stories this week: the unexpected resignation of Ming Tang, NHSE’s chief data and analytics officer. We discuss her legacy, most notably the federated data platform, and why some of the biggest trusts are yet to start using it.