League tables to reveal failing NHS trusts
Failing hospitals will be revealed in league tables and NHS managers sacked if they do not turn things around, the health secretary will tell health leaders at a conference in Liverpool.
Wes Streeting is promising a âno-holds-barred, sweeping reviewâ of NHS performance in England.
Hospitals can expect to be ranked on indicators such as care delivery and finances, so patients can see whether they are receiving a good service.
And âturnaround teamsâ will be sent into struggling trusts, while top performers will have more freedom over spending.
Meanwhile, senior leaders will be denied pay rises if key improvements are not made.
A new pay framework for chief executives will be published in April, which will âclamp downâ on poor performance while rewarding success.
Streeting will tell the NHS Providers conference there will be âno more turning a blind eyeâ to failure â something he has promised before, along with the idea of league tables.
âWe will drive the health service to improve, so patients get more out of it for what taxpayers put in,â he will say.
âOur health service must attract top talent, be far more transparent to the public who pay for it, and run as efficiently as global businesses.â
âDeep divesâ
The Department of Health and Social Care says, currently, there is little incentive for trusts to run budget surpluses, from which they are unable to benefit â but that will now change.
Top performers will be given more capital and greater control over where to invest it â be that new equipment or technology or modernising their buildings.
The NHS Oversight Framework, which sets out how trusts and integrated care boards are best monitored, will be updated to ensure performance is properly scrutinised.
And at poorly performing trusts, government and NHS England âdeep divesâ will identify the most pressing issues and how they can be resolved.
NHS trusts could also be banned from using expensive agency staffing to cover certain rota gaps.
Some recruitment agencies have charged up to ÂŁ2,000 for a single nursing shift -and last year, temporary workers cost the NHS in England ÂŁ3bn, the government says.
âCut waitingâ
NHS chief executive Amanda Pritchard welcomed the accountability, saying: âThe extensive package of reforms, developed together with government, will empower all leaders working in the NHS â and it will give them the tools they need to provide the best possible services for our patients.â
But Patients Association chief executive Rachel Power warned the new measures must bring positive change.
âWe hope trusts who receive greater funding freedom will use this money wisely â to cut waiting times, make the waiting experience better for patients, and strengthen the ways they work with patients to improve services,â she said.
âThese are the things that matter most to people using the NHS.â
âChallenging circumstancesâ
Matthew Taylor, chief executive of the NHS Confederation, which represents NHS trusts, said health services were already subject a lot of oversight and regulation â and the prospect of âmore league tablesâ would concern health leaders.
âNHS 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,â he said.
âLeague tables in themselves do not lead to improvement.â
Mr Taylor said the âdevil will be in the detail around what constitutes failureâ, much of which could be beyond a health leaderâs immediate control.
âWe look forward to working with the government to make sure that any new measures donât disincentivise managers from taking on roles in struggling organisations,â he said.
NHS Providers, which represents NHS trusts in England, said hospitals were already doing everything possible to boost productivity while delivering tough efficiency measures.