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Wes Streeting wants NHS England to step up intervention in under-performing NHS organisations, and give greater flexibility to strong-performers – including over capital investment, he will say today.

The health and social care secretary will promise new “league tables” and say he wants ”top talent attracted to [the] most challenging areas” while “persistently failing managers [will] be sacked”.

A new NHS Oversight and Assessment Framework will be confirmed by April, to “ensure performance is properly scrutinised”, the Department of Health and Social Care said.

It is expected to put greater focus on the “capability” of trusts and integrated care boards, as well as their performance and outcomes — something NHSE consulted on in the spring.  The promised league tables are expected to cover waiting times, finance and leadership, sources said.

NHSE will also publish a new “Performance, Improvement and Regulation Framework”, to set out more clearly and when and how it will intervene, but it is at an early stage, HSJ understands.

Poor performers will be subject to deep dives by the government and NHSE, with turnaround teams sent in to fix any issues, a Department of Health and Social Care announcement said.

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Source: HSJ, 13 November 2024

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