NHS league tables and cancelled pay rises for managers among government health reforms
NHS league tables revealing failing NHS trusts and cancelled pay rises or dismissal for managers who don’t turn things around are to form part of the government’s plans to improve the health service.
Health Secretary Wes Streeting is confirming new measures he hopes will boost failing hospital trusts and encourage successful ones.
The changes form part of the Labour government’s strategy to reduce waiting lists “from 18 months to 18 weeks”.
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Health and the state of the NHS were consistently among the most important issues for voters at this year’s general election – with Labour blaming the Conservatives for “breaking” it.
As health is a devolved area, any reforms proposed in Westminster would only apply to England.
Chief among Mr Streeting’s proposals is a “league table” for NHS trusts.
An announcement from the Department for Health and Social Care said: “NHS England will carry out a no-holds-barred sweeping review of NHS performance across the entire country, with providers to be placed into a league table.
“This will be made public and regularly updated to ensure leaders, policy-makers and patients know which improvements need to be prioritised.”
It also promises to replace “persistently failing managers” – with “turn around teams” being sent in to improve trusts running sizeable deficits or offering poor service to patients.
The government says “senior managers” who fail to make progress will not be eligible for pay rises.
There will be “financial implications” for more senior figures such as chief executives if their trust does not improve.
On the flip-side, those trusts that are deemed to be “high-performing” will get “greater freedom over funding and flexibility”.
Senior leaders at these trusts will also be “rewarded”.
The government says the current system is not incentivising trusts to run a budget surplus, as they cannot benefit from it.
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Mr Streeting said: “The budget showed this government prioritises the NHS, providing the investment needed to rebuild the health service.
“Today we are announcing the reforms to make sure every penny of extra investment is well spent and cuts waiting times for patients.
“There’ll be no more turning a blind eye to failure. We will drive the health service to improve, so patients get more out of it for what taxpayers put in.
“Our health service must attract top talent, be far more transparent to the public who pay for it, and run as efficiently as global businesses.
“With the combination of investment and reform, we will turn the NHS around and cut waiting times from 18 months to 18 weeks.”
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Concerns from health representatives
Amanda Pritchard, the chief executive of NHS England, said: “While NHS leaders welcome accountability, it is critical that responsibility comes with the necessary support and development.
“The extensive package of reforms, developed together with government, will empower all leaders working in the NHS and it will give them the tools they need to provide the best possible services for our patients.”
Further plans on how monitoring will be published by the start of the next financial year in April 2025, the government said.
Matthew Taylor, the chief executive of the NHS Confederation – a body that represents all NHS trusts – said healthcare leaders welcome the “government’s ambition”.
However, he said he was concerned league tables and reducing pay may “strip out” the nuance of what’s going on.
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Mr Taylor said: “NHS staff are doing their very best for patients under very challenging circumstances and we do not want them feeling like they are being named and shamed.
“League tables in themselves do not lead to improvement, trusts struggling with consistent performance issues – some of which reflect contextual issues such as underlying population heath and staff shortages – need to be identified and supported in order to recover.”
A judo Olympian has said her family is “devastated” after the discovery of body in the search for her missing brother.
Lubjana Piovesana, 28, appealed for help to find her younger sibling, Luis, 26, on Saturday. He had not been seen since the early hours of Friday morning.
A body was found in the River Frome near Napier Road in Eastville, Bristol, at around 6pm today, Avon and Somerset Police said.
Formal identification is yet to take place, the force added.
In a post on Instagram, Ms Piovesana wrote: “Hello everyone, Luis has been found.
“We are completely devastated but he has passed away.
“I am grateful for everyone’s support. And I am so sorry this happened.
“Luis was my little brother and loved by everyone. I wish he could have seen the love from everyone. He will be remembered by us all.”
The post was signed off with a dove emoji.
Luis Piovesana did not have any money or his mobile phone with him when he went missing, police said. Pics: Avon & Somerset Police
Mr Piovesana was last seen at around 3am on Friday at the Eastgate retail park, which is less than a 10-minute walk away from where the body was found.
He had travelled there by taxi from a venue in Little Ann Street, St Jude’s, a 10-minute drive away.
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The 26-year-old’s family spent the weekend searching for him, and asked people to check their sheds and gardens.
His partner, Laurin Bohler, said loved ones had travelled from Birmingham to help.
Mounted officers and police drones were also involved in the investigation.
Ms Piovesana competed for Team GB before switching to the Austrian team, and defeated British competitor Lucy Renshall in the women’s -63kg judo event at the Paris Olympics last year.
A man has been jailed for life for murdering his son’s girlfriend after she returned home from the school run.
Officers from Dyfed-Powys Police were called to an address on Bigyn Road in Llanelli, Carmarthenshire, on 5 July last year.
Sophie Evans, 30, had sustained 72 separate injuries on the outside of the body, “all but three of them new injuries”.
Richard Jones, who is now 50, believed he was “being taken advantage of financially” by Ms Evans and his son, with whom she was in a relationship.
While the purpose of Jones’s visit was “purely normal”, he confronted her on that morning about his suspicions and Ms Evans’s reaction was such that Jones “lost [his] temper”.
He subjected Ms Evans to “gross violence” before ultimately strangling her and leaving the property to run errands, including ordering a new bank card and buying pastries from a bakery.
Richard Jones. Pic: Dyfed-Powys Police
‘Last time on their school run’
During sentencing on Monday, the defendant kept his head bowed for most of the hearing.
He will have to serve at least 20 years behind bars before he can be considered for release by the parole board.
Swansea Crown Court heard Ms Evans was the mother of two young children.
Passing his sentence, Judge Geraint Walters said Ms Evans “had just taken her two children for the last time on their school run” prior to the attack.
“She wasn’t to know that when she parted company with them that morning,” he added.
The court heard the Jones believed he was being defrauded by Ms Evans and his son.
“There is clear evidence, that in the days leading up to this, that you had begun harbouring thoughts that Sophie Evans and your own son were in fact financially scamming you,” he said.
“What precisely brought about that view is difficult to determine.”
Judge Walters said Jones “lost [his] temper when [he] didn’t get the answer that [he] thought [he] deserved”.
He added that, having lost his temper, the defendant “subjected [Ms Evans] to gross violence over a period of time, before you ultimately extinguished her life by strangulation”.
The court was told in evidence that at the time of the attack, Ms Evans was wearing only a bath towel.
‘The rock of our family’
In a victim personal statement, Ms Evans’s sister Kerry Quinlan told the court she was “the rock of our family”.
She said Ms Evans was taken from them in a “senseless and cruel act”.
“Words cannot express fully how much of a loss this has been to her children,” she added.
“When they cry themselves to sleep wanting their mum, she isn’t there and never will be.”
Ms Quinlan added that Jones had “taken everything from us, all in the most despicable way possible”.
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Ms Evans’s partner at the time, and the defendant’s son, Jamie Davies, said in a victim personal statement, read on his behalf, that they had both “trusted” Jones, and that Ms Evans had even been planning the defendant’s 50th birthday.
“The thought of having to live my life without Sophie causes me extreme pain and heartache,” he added.
Prosecuting, Michael Jones KC said the offence was aggravated by the defendant’s previous convictions and the fact Ms Evans was murdered in her home.
In mitigation, David Elias KC said there was a “lack of premeditation”.
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