What’s Changing: Five Key Areas Every Trust Must Focus On Now

The Department of Health and Social Care and NHS England are merging into a single organisation. This change means fewer buffers, quicker requests, and closer oversight from ministers.

For Trusts, the impact will be significant. Expect new reporting lines, leaner system partners, and a sharper focus on finances, performance, and delivery.

At Way Collective, we’ve been listening and watching closely. We’re anticipating the changes across the NHS and thinking about how Trusts can manage these shifts effectively.

To support Boards in this transition, we’ve created a concise two-page briefing. It outlines what’s changing and the five capabilities every Trust needs to master now:

1. Population and Health Intelligence

Understanding what your local system truly needs is crucial. This capability helps Trusts identify gaps in services and respond effectively.

2. Contracts and Flexibility

As accountability shifts, Trusts must adapt quickly. Being flexible with contracts allows for better alignment with new expectations and responsibilities.

3. Operational and Business Intelligence

Tracking efficiency and impact in real-time is essential. This capability ensures that Trusts can make informed decisions based on current data.

4. Strategy, Communications, and Relationships

A clear story for staff and partners is vital. Effective communication fosters trust and collaboration, which are key during times of change.

5. Governance and Risk

Steering change safely is paramount, especially regarding technology and data. Trusts must have robust governance frameworks to manage risks effectively.

Key Questions for Board Discussion

To facilitate meaningful conversations, we’ve included key questions for Board discussions. These questions are designed to provoke thought and guide strategic planning.

Quick Actions to Take This Month

We also recommend quick actions that Trusts can implement immediately. These actions will help you stay ahead of the curve as changes unfold.

Timeline for the Next Two Years

Finally, our briefing includes a timeline outlining how the next two years are likely to unfold. This will help Trusts prepare for upcoming challenges and opportunities.

If you’re a Trust leader navigating the DHSC/NHSE changes, this briefing is a practical starting point for your next conversation. Should you need assistance in navigating these changes, don’t hesitate to reach out. We’re here to help you thrive during this transition.

For more detailed insights, check out our full briefing here.

DHSCNHSE Merger - What's changing - and five things every Trust must get a grip on now.pdf

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