Health On The Line

Is satisfaction in the NHS bouncing back?

Wed, 08 Apr 2026 06:00:00 GMT

Is public confidence in the NHS finally turning a corner, or is this just a temporary lift?

In this episode of Health on the Line, we’re diving into the latest British Social Attitudes survey and what it reveals about how the public feels about the NHS in 2025.

Matthew Taylor is joined by Dan Wellings, senior fellow at The King’s Fund and Leonora Merry, director of communications and external affairs at The Nuffield Trust, to unpack the data behind a modest rise in NHS satisfaction.

The trio discuss how the headline improvement perhaps obscures a more complex picture: persistent dissatisfaction, stark generational divides and ongoing frustration with access to care.

They also explore why waiting times and access rather than quality of care remain the biggest drivers of public opinion, how the COVID-19 legacy continues to shape perceptions and why, despite the latest BSA results, optimism about the future of the NHS has hit record lows.

We also hear from The NHS Alliance’s deputy chief executive, Sarah Walter and director of communications, Daniel Reynolds, who discuss the new organisation, outlining its ambition to provide a stronger, unified voice for members across the health system.

Health on the Line is an NHS Alliance podcast, produced by Health Comms Plus.

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Insights into the NHS Staff Survey findings

Wed, 25 Mar 2026 07:00:00 GMT

In this episode of Health on the Line, Matthew Taylor is joined by Dean Royles, interim chief executive of NHS Employers, to discuss the latest NHS Staff Survey results and look at what they tell us about the reality of working in today’s health service.

Together, they discuss how the survey highlights the scale of pressure facing the workforce, from rising burnout and falling morale to a decline in staff recommending the NHS as a place to work.

They also touch on some of the survey’s more encouraging signs, including improvements in compassionate leadership and support from line managers, and offer tips on how senior leadership can interpret the survey to understand localised issues.

We end by looking at what NHS leaders could do next to strengthen staff engagement and understand the link between workforce experience and organisational performance.

We also hear from our own Jack Sansum, assistant director of neighbourhood health, to break down the government’s recently published Neighbourhood Health Framework.

Health on the Line is an NHS Confederation podcast, produced by Health Comms Plus.

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Looking at healthcare in Wales ahead of Senedd elections

Wed, 11 Mar 2026 07:00:00 GMT

In this episode of Health on the Line, we are joined by Paul Mears, chief executive of Cwm Taf Morgannwg Health Board and Nesta Lloyd Jones, assistant director of the Welsh NHS Confederation, to discuss the current outlook for healthcare in Wales.

With Senedd elections looming and major political changes likely, we discuss how the Welsh health and care system operates, the challenges facing leaders and the opportunities to shift care closer to communities.

We also hear from our own Ian Perrin, assistant director for policy, ICS Network, to unpack the ongoing reorganisation of integrated care boards and the pressures they face following significant budget reductions and shifting national expectations.

Health on the Line is an NHS Confederation podcast, produced by Health Comms Plus.

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View from Oz: comparing the NHS and Australian health system

Wed, 25 Feb 2026 07:00:00 GMT

In this episode of Health on the Line, Matthew Taylor is joined by two Australian healthcare leaders working at opposite ends of the globe.

Frances Diver is a well-known and respected healthcare executive, having held senior leadership roles for more than 20 years in Victoria, Australia.

She is currently chief executive officer at Barwon Health, a major regional health service in Victoria that includes a tertiary hospital and a wide range of community-based services.

Professor Lesley Dwyer, is chief executive of Norfolk and Waveney University Hospitals Group and has over 30 years of healthcare management experience in Australia and within the NHS.

Together the trio discuss the Australian model of care, how it is more decentralised, and Frances’ work as part of the Health Round Table, a membership organisation of over 200 hospitals across Australia and New Zealand that collects, analyses and publishes extensive data on comparative performance.

Health on the Line is an NHS Confederation podcast, produced by Health Comms Plus.

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Breaking down the National Cancer Plan with Macmillan Cancer Support

Fri, 13 Feb 2026 07:00:00 GMT

The UK’s new National Cancer Plan sets out an ambitious vision for improving survival, speeding up diagnosis and transforming patient experience, but what will it take to turn those commitments into reality?

For this episode of Health on the Line, Matthew Taylor is joined by Gemma Peters, chief executive of Macmillan Cancer Support, to discuss what the plan means for people living with cancer now and in the future.

Drawing on Macmillan’s frontline insight, Gemma discusses the rising number of people affected by cancer, the importance of earlier diagnosis, and her enthusiasm for the introduction of personal care plans, which take greater stock of a patient’s needs and wishes.

Together, they explore the opportunities the plan presents, the challenges of delivering more equitable outcomes, and the vital role charities and community organisations play alongside the NHS in cancer care.

We also hear from Chloe Knight, head of EDI communications at the NHS Confederation. She discusses the Confederation’s work in tackling the racial inequalities that continue to negatively shape access, experience and outcomes for NHS staff and patients.

Health on the Line is an NHS Confederation podcast produced by HealthCommsPlus.

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Can NHS regulation really drive improvement? Sir Mike Richards on the future of CQC

Wed, 28 Jan 2026 07:00:00 GMT

In this episode of Health on the Line, host Matthew Taylor is joined by Professor Sir Mike Richards, chair of the Care Quality Commission (CQC) and one of the most influential figures in modern NHS leadership.

Sir Mike reflects on his first year as CQC chair, the challenges of rebuilding confidence in regulation, and how inspection and assessment can better support improvement across health and social care.

The conversation explores CQC reform, defining what good looks like, regulating across systems rather than silos, and the future of integrated and neighbourhood-based care.

Matthew and Sir Mike also discuss early diagnosis and screening, lessons from cancer care, the importance of outcomes and culture, and what it will take for regulation to keep pace with the ambitions of the NHS 10 Year Health Plan.

Health on the Line is an NHS Confederation podcast, produced by HealthCommsPlus.

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How is the NHS coping with this winter’s pressures?

Wed, 14 Jan 2026 07:00:00 GMT

Flu season arrived early in the UK this year, fuelling concerns that the NHS would face unprecedented strain over the winter months. Coupled with junior doctor strikes in the run up to Christmas, many feared the system could be pushed to breaking point.

Yet, so far at least, the NHS has managed to stay afloat.

In this episode of Health on the Line, Matthew Taylor is joined by Nick Hulme, the departing chief executive of East Suffolk and North Essex NHS Foundation Trust, to explore how the service is really coping this winter. With 46 years of experience in the NHS, from starting out as an A&E porter to leading hospital trusts, Hulme offers a rare perspective on what’s working, what’s changed and where the biggest challenges remain.

Hulme reflects on the unexpected impact of junior doctor strikes, describing how they acted as a “firebreak” before Christmas, with consultants on duty able to discharge patients more quickly and reduce admissions at the front door. He also urges national leaders to ease off constant structural reform, arguing instead for giving trusts the space to implement what evidence already shows works.

We also hear from Antony Tucker, NHS Confederation’s policy advisor for out-of-hospital care, who shares insights from ambulance service leaders on how they’ve coped so far this winter.

Penny Pereira, director of Q community, also joins the conversation to discuss how collaborative improvement across the NHS is evolving as Q community finds a new home at the NHS Confederation.

Health on the Line is the NHS Confederation podcast, produced by HealthCommsPlus.

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Bridging the gap: practical action on health inequalities

Thu, 11 Dec 2025 09:00:00 GMT

This episode of Health on the Line tackles the issue of worsening health inequalities across the UK and the urgent action required to address them.

With the theme of tackling these disparities running throughout the government’s NHS 10 Year Health Plan, there is an opportunity now to realign healthcare with this goal.

To discuss the topic in relation to respiratory disease and vaccine preventable diseases, Matthew Taylor is joined by Sarah Sleet, chief executive of Asthma + Lung UK, and Dr Tom Nutt, chief executive of Meningitis Now. The trio explore how community-based respiratory programmes can improve early diagnosis and treatment access, while expanding vaccine cohorts and raising awareness can help increase coverage against vaccine-preventable disease.

They also consider what kind of practical approaches can help bridge gaps to improve health outcomes and reduce health inequalities more broadly across the healthcare system.

Matthew is also joined by Sonia Nosheen, assistant director for the Acute Network at the NHS Confederation, to hear about the Confederation’s work supporting members in the area of ophthalmology. The new programme aims to help members deliver care closer to where patients live and work.

This episode is non-promotional, sponsored by GSK and developed in partnership with the NHS Confederation.

Health on the Line is an NHS Confederation podcast, produced by HealthCommsPlus.

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Budget 2025: What does Rachel Reeves’ fiscal plan mean for the NHS?

Thu, 27 Nov 2025 16:30:00 GMT

In this episode, Matthew Taylor is joined by Anita Charlesworth, senior economic adviser at the Health Foundation and Lee Outhwaite, chief financial officer of South Yorkshire ICB and President of the HFMA, to tease out the health sector implications of the Autumn Budget. 

Together, they discuss measures intended to improve population health, such as scrapping the two-child benefit cap, increasing the gambling tax and extending the sugar levy, and reflect on funding earmarked for neighbourhood health hubs. 

They also weigh in on other challenges facing the NHS, including productivity, the need for more incisive healthcare solutions and why long-term planning is needed to improve health outcomes. 

Health on the Line is an NHS Confederation podcast, produced by HealthCommsPlus.

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Why ill health is keeping people out of work and what can be done to tackle it

Wed, 12 Nov 2025 07:00:00 GMT

For this episode of Health on the Line, Matthew Taylor is joined by former John Lewis boss Sir Charlie Mayfield. They discuss the thorny issue of ill health pushing millions of Britons out of work, and what can be done to tackle it.

Mayfield’s recently published government review, which addresses the issue of worklessness and laying out some of the measures needed to deal with the problem, includes a greater role for employers in supporting the health of staff.

The conversation explores why economic inactivity due to poor health has surged post COVID-19, and what this means for individuals, employers, and the UK economy. They also touch on how supportive workplaces can keep people healthy, engaged, and in work, to the benefit of everyone.

According to Mayfield, the solution isn’t just about the NHS or personal responsibility. Instead, his report calls for a new partnership between employers, individuals and health services to focus on prevention and early intervention.

We also hear from Sarah Walter, director of our ICS Network and interim deputy chief executive of the NHS Confederation, to discuss the latest state of ICSs report. The report found that while four in five ICS leaders are confident their system can fulfil their four core purposes, they also believe NHS reorganisation has created a significant distraction and barrier to systems' progress.

Health on the Line is an NHS Confederation podcast, produced by HealthCommsPlus.

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Resetting Northern Ireland’s health and social care and lessons in leadership

Wed, 29 Oct 2025 07:00:00 GMT

In this week’s episode of Health on the Line, host Matthew Taylor is joined by interim permanent secretary for the Department of Health and Social Care in Northern Ireland and former NHS Confederation chief executive Mike Farrar.

Together the pair discuss the ambitions of the reset plan for health and social care in Northern Ireland published in July this year. They also touch on the importance of empowering chief executives to act as partners in health care delivery.

Farrar stresses that finding new ways to engage and empower the public to improve their health is vital to successfully implementing the neighbourhood health model.

We also hear from Rebecca Gale, assistant director of the Primary Care Network at the NHS Confederation, to discuss issues relating the lack of availability of NHS dental care in parts of the UK.

Health on the Line is an NHS Confederation podcast produced by HealthCommsPlus.

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Decision quality and the future of neighbourhood health: a US perspective

Fri, 17 Oct 2025 08:53:18 GMT

In this episode of Health on the Line, Matthew Taylor speaks with Al Mulley, professor of medicine and professor of health policy clinical practice at Dartmouth University, where he has led a programme dedicated to forging partnerships around the world to build the capabilities essential to achieving sustainable healthcare economies.

Together, they discuss the issue of variation in both performance and activity within the healthcare system, emphasising that decision quality, meaning the thoughtful consideration of options, outcomes and patient preferences, is essential for building sustainable neighbourhood health systems.

Drawing on his past experience, Mulley also shares a model of primary care that prioritises relational skills and listening capacity over traditional clinical hierarchies.

In the context of the NHS’s push to implement neighbourhood health, he stresses the importance of cultural context and cultural intelligence, as well as emotional and social intelligence in clinical decision making.

We also hear from Heather Moorhead, director of the Northern Ireland Confederation for Health and Social Care (NICON), to hear about the challenges our members are facing in Northern Ireland and what NICON is doing to support them.

Health on the Line is an NHS Confederation podcast, produced by HealthCommsPlus.

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Standing firm in power and pride: celebrating Black History Month in the NHS

Wed, 01 Oct 2025 06:00:00 GMT

In this episode of Health on the Line, we mark the beginning of Black History Month with a timely conversation featuring two long time champions of diversity in the NHS: Dame Professor Robina Shah, consultant chartered psychologist and Professor of medical education and psycho-social medicine at the University of Manchester, and Joan Saddler OBE, director of partnerships and equality at the NHS Confederation.

Against a backdrop of rising reports of abuse and discrimination faced by black and minority ethnic NHS staff, this episode explores the theme of this year’s celebration: standing firm in power and pride.

Dame Professor Shah reflects on her decades of leadership in the NHS and beyond, sharing personal experiences of being one of the few people of colour in senior roles and the resilience it takes to lead with dignity and purpose.

Joan Saddler brings her deep expertise in equality and public engagement to the discussion, highlighting the importance of collective action and the NHS’s ongoing commitment to becoming a truly anti-racist organisation.

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NHS league tables: how do performance rankings impact NHS trusts?

Wed, 17 Sep 2025 06:00:00 GMT

In this episode of Health on the Line, host Matthew Taylor is joined by two NHS Confederation colleagues Rebecca Gray, director of the Mental Health Network, and Rory Deighton, director of the Acute Network, to unpack the reintroduction of NHS league tables and their implications for NHS trusts.

The trio discuss the intended role of league tables in driving improvement and accountability with the caveat that they also carry risks, particularly when misinterpreted or used to name and shame providers. The group discusses how misleading headlines and lack of context can undermine public trust and demoralise frontline staff.

Together, the guests consider how league tables must be designed and communicated with care, ensuring they reflect what truly matters to patients and avoid unintended consequences. With winter pressures looming and leadership under scrutiny, this episode calls for a more intelligent, balanced debate about performance, accountability, quality data and NHS oversight.

The conversation also touches on the seismic news of ‘fearless’ Claire Murdoch’s resignation as NHS England’s national director for mental health. Rebecca Gray reflects on Murdoch’s legacy, describing her as “a phenomenal force” and someone who consistently challenged the system to ensure mental health remained a national priority.

Health on the Line is an NHS Confederation podcast, produced by HealthCommsPlus.

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Ambulance services: the canary in the coalmine for NHS pressures

Wed, 03 Sep 2025 06:00:00 GMT

In this episode of Health on the Line, we dive deep into the challenges and future of the ambulance sector, often described as the ‘canary in the coalmine’ for NHS pressures.

Host Matthew Taylor is joined by three leading voices in the field:

Anna Parry, managing director of the Association of Ambulance Chief Executives

Simon Weldon, chief executive of South East Coast Ambulance Service

Dr John Martin, chief executive of South Western Ambulance Service

Together, they explore the implications of the NHS's 10 Year Health Plan and the Urgent and Emergency Care (UEC) Plan for ambulance services. From digital integration and neighbourhood health to the evolving role of paramedics, this conversation highlights both the ambition and the complexity of transforming urgent care while "flying the plane" of daily service delivery.

Health on the Line is an NHS Confederation podcast, produced by Health Comms Plus.

We also hear from Sarah Walter, director of the ICS Network at the NHS Confederation, to discuss the model region blueprint, a document that will set out how the English regions will be managed in the future and what that means for integrated care boards and providers alike.

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The neighbourhood shift: Can the 10 Year Health Plan deliver?

Wed, 20 Aug 2025 06:00:00 GMT

This week on Health on the Line, Matthew Taylor is joined by Andrew Bland, ICS lead for South East London, and Ruth Rankine, director of the NHS Confederation’s Primary Care Network, to discuss the shift to neighbourhood health as outlined in the 10 Year Health Plan.

Together they delve into the merits of the plan and possible barriers to its delivery, while reflecting on the emphasis on proactive, preventative and population-based care.

Andrew shares insights from South East London’s rapid progress in implementing integrated care across boroughs like Bexley, Lambeth, Lewisham and Southwark in London.

We’ll also hear from Ian Perrin, assistant director of the ICS Network at the NHS Confederation, on latest developments around integrated care board (ICB) redundancies and reports that at least one ICB is pausing plans over funding concerns.

Liked this podcast? Share your thoughts, comments and questions with us by emailing healthcommsplus@nhsconfed.org

Our guests for this episode are:

Andrew Bland - ICB Chief Executive Officer Designate, South East London ICS

Ruth Rankine - Director of the Primary Care Network at NHS Confederation

Ian Perrin - Assistant Director for Policy, ICS Network

Health on the Line is an NHS Confederation podcast, produced by HealthCommsPlus.

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Is the NHS ready for a digital future? Insights from the Ten-Year Health Plan

Fri, 08 Aug 2025 06:00:00 GMT

In this episode of Health on the Line, we’re diving into all things digital and how it relates to the Ten-Year Health Plan for the NHS. To discuss the topic, we are joined by Andrea Winders, head of business development for life sciences and healthcare at MIDAS (Greater Manchester’s Inward Investment Agency), and Dr Nnenna Osuji, chief executive of North Middlesex Hospital, to unpack the NHS’s ambitious digital transformation plan.

The conversation explores how the NHS can harness data, AI and digital tools to create the most digitally accessible health system in the world. From the promise of the NHS App as a ‘doctor in your pocket’ to the challenges of infrastructure, interoperability and staff training, our guests offer candid insights into what’s working and where improvements can be made.

We also hear from Annie Bliss, senior policy advisor at the NHS Confederation, who delves into government plans to reintroduce performance league tables and what this means for the NHS.

Our guests for this episode are:

Dr Nnenna Osuji, chief executive of North Middlesex Hospital,
Andrea Winders, head of business development for life sciences and healthcare at MIDAS
Annie Bliss, senior policy adviser at the NHS Confederation

Health on the Line is an NHS Confederation podcast, produced by Health Comms Plus

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Mental health and the Ten-Year Health Plan: delivering on its bold ambitions

Wed, 23 Jul 2025 06:00:00 GMT

In this episode, Matthew Taylor is joined by Dr Ify Okocha, James Duncan and Rebecca Gray to unpack the mental health implications of the government's new Ten-Year Health Plan. From the rollout of neighbourhood health centres to mental health support in schools, the panel explores whether the plan’s bold ambitions can meet the realities of delivery. They also dive into harnessing digital tools, the social determinants of mental ill health, the role of integrated care boards and how working with local leadership can drive meaningful change.

Our guests for this episode are:

Dr Ify Okocha, chief executive of Oxleas NHS Foundation Trust
James Duncan, chief executive of Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
Rebecca Gray, director of the NHS Confederation’s Mental Health Network

Plus, we hear from Tom Gurney, director of strategic communication and engagement at the Hampshire and Isle of Wight Integrated Care Board for this week’s Leader in Six.

 Health on the Line is an NHS Confederation podcast, produced by HealthCommsPlus

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Is change the only constant in the NHS?

Wed, 16 Jul 2025 08:00:00 GMT

Since its creation in 1948, the NHS has had to move with the times. But while change is an ever-present feature, can the NHS approach it in a different or better way? In this bonus episode, Matthew Taylor puts the question to Dr Richard Jones and Dr Llinos Jones from the ChangeACADEMY. The academy – a programme offered by AstraZeneca (AZ) in collaboration with the NHS Confederation – creates change leaders that can deliver strategic, system-level change on behalf of NHS organisations and the patients it serves. Richard, a faculty member, and Llinos, alumnus of the academy, shed light on the academy’s approach to change and how it’s improving patient care and outcomes. They also unpack how to untangle the knotty issues of spreading and scaling good practice and innovation across the NHS.

This podcast episode has been developed in collaboration with AstraZeneca. Guest speakers have been contracted by AstraZeneca. This episode is intended for UK Healthcare Professionals and other Relevant Decision Makers. The ChangeACADEMY is a non-promotional service initiated and funded by AstraZeneca and offered to the NHS as Donated Goods and Services (DOGS). This service is offered to clinical and non-clinical personnel who represent NHS Healthcare organisations and meet the delegate criteria. The views and opinions expressed are those of the Speakers.

GB-66536, Date of Preparation: May 2025

Health on the Line is an NHS Confederation podcast, produced by HealthCommsPlus

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Is the Ten-Year Health Plan the right plan for the NHS?

Fri, 04 Jul 2025 11:59:12 GMT

For this episode of Health on the Line, we're joined by three expert guests to unpack the government's Ten-Year Health Plan, which has just been released. We'll be reflecting on the key elements of the plan – what it means for the health and care service and the kinds of shifts that will be needed for it to be successful. We also reflect on the current landscape that the plan lands in with changes within integrated care boards and acutes, in particular; the capacity needed to achieve the neighbourhood shift; and discuss what the barriers to success of the plan might be and how these could be overcome.

Our guests for this episode are:

Claire Fuller, GP and Primary Care Medical Director for NHS England
Sam Allen, Chief Executive, North East and North Cumbria ICB
Bill Morgan, former Number 10 health adviser

Gubby-Ayida, chief executive of Evelina London’s Women's and Children's Services, part of Guy’s and St Thomas’ NHS Foundation Trust is with us for our Leader in Six.

Health on the Line is an NHS Confederation podcast, produced by HealthCommsPlus

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The future of communications and engagement in the NHS

Wed, 25 Jun 2025 08:00:00 GMT

For this episode of Health on the Line, recorded live at NHS ConfedExpo 2025, we’re exploring all things comms and engagement within the NHS. 

Our communications director Daniel Reynolds leads the discussion and is joined by three communications executives with deep experience in the sector: Edna Boampong, Ranjeet Kaile and Rory Hegarty. 

The lively discussion covers everything from challenges facing comms professionals in the sector: whether the profession has a ‘branding’ problem; diversity in the NHS; and harnessing the power of AI. 

Edna Boampong is director of communications and engagement at Liverpool City Council.

Ranjeet Kaile is executive director of communications, public affairs and stakeholder engagement at South London and Maudsley NHS Foundation Trust and South East London ICB.

Rory Hegarty is executive director of communications and involvement at North West London ICB.

Health on the Line is an NHS Confederation podcast, produced by HealthCommsPlus

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Live from NHS ConfedExpo 2025 with Shaun Lintern and Victoria Macdonald

Wed, 18 Jun 2025 07:00:00 GMT

In this special episode of Health on the Line, recorded live from NHS ConfedExpo 2025, host Matthew Taylor is joined by Channel 4’s Victoria Macdonald and The Sunday Times’ Shaun Lintern to reflect on two packed days of debate, insight, and networking. With almost 7,000 delegates and over 150 sessions, the trio discuss their key takeaways from the conference—including health secretary Wes Streeting’s speech, Jim Mackey’s leadership style at NHS England, and the emerging contours of the government’s ten-year health plan.

Health on the Line is an NHS Confederation podcast, produced by HealthCommsPlus.

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Sir Jim Mackey: “We need to be honest about our problems”

Tue, 10 Jun 2025 07:00:00 GMT

Ahead of NHS ConfedExpo 2025, Matthew Taylor caught up with the new Chief Executive of NHS England, Sir Jim Mackey, for a wide-ranging discussion touching on the challenges facing the health system, the 10 year health plan, navigating politics and developing leadership across the NHS.

Plus, our Leader in Six with Lorraine Mattis, Chief Executive of University of Suffolk Dental CIC.

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FEED SWAP EPISODE: Leading Improvement in health and care

Thu, 05 Jun 2025 14:36:12 GMT

FEED SWAP. Our Leading Improvement in Health and Care podcast is back for a second series. To give you a flavour of the show, we're putting out episode one on our Health on the Line stream.

In this episode we’re exploring how to mobilise change effectively within and between organisations, particularly in relation to the government’s forthcoming Ten Year Plan for the NHS.

With unique insights into how effective change has been implemented, core principles to apply and how to approach these in relation to the Ten Year Plan, we’re joined by Dr. Gary Howsam, Chief Clinical Improvement Officer NHS Cambridgeshire and Peterborough ICB and Annie Williamson, research fellow in health and care at the IPPR.

For more information on out Learning and Improving Across Systems Peer Learning Programme, please visit: https://www.nhsconfed.org/learning-improving-systems/peer-learning.

NEXT WEEK SIR JIM MACKEY - INTERVIEW WITH NHS ENGLAND CEO. He talks to Matthew Taylor ahead of Confed Expo 2025.

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How future ICBs will affect primary and secondary care

Thu, 29 May 2025 07:00:00 GMT

The budget cuts to integrated care boards and their impact are a shock to many across the health care system, but also an opportunity for leaders to implement changes in the fundamental structures of primary and secondary care. Could this be the moment to make the investment shift to primary and community services?

To discuss the potential and pitfalls, Matthew is joined by Rory Deighton, director of the NHS Confederation’s acute network, and Ruth Rankine, director of our primary care network.

Our Leader In Six segment is with Daniel Elkeles, chief executive of NHS Providers.

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The new ICB blueprint – what’s the future of system working?

Wed, 14 May 2025 08:00:00 GMT

With the recent release of the ICB operating model blueprint, Matthew discusses the future for how ICBs may operate in the face of the 50 per cent cut in operating costs.

Crucial to the future success of ICBs will be the importance of working with local government and the need for strategic commissioning.

Joining Matthew on the podcast are two ICB leaders who were part of the working group that helped develop the blueprint: David Melbourne, chief executive of Birmingham and Solihull ICB, and Jan Thomas, chief executive of Cambridgeshire and Peterborough ICB.

This week's Leader in Six interview is with Kate Shields, Cornwall and Isles of Scilly ICB chief executive.

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What’s the future of care closer to home?

Wed, 30 Apr 2025 07:19:04 GMT

On the eve of our Care Closer to Home conference, we explore the urgent need to shift healthcare from hospitals to primary and community settings. Despite decades of ambition, acute priorities still dominate. In this episode we hear from Birmingham and Solihull ICB on the shifts they’ve been making in this area.

Joining Matthew in the conversation is Paul Sherriff, executive director of Birmingham and Solihull ICB; Richard Kirby, chief executive of Birmingham Community Healthcare and Ruth Rankine, Director of the NHS Confederations Primary Care Network.

Plus, our Leader in Six with Helen Ray, outgoing chief executive of North East Ambulance Service.

And read more in the following publications:

Beyond the waiting room: reimagining primary care for the next decade | NHS Confederation

The future of primary care | NHS Confederation

Find out more about becoming part of our primary care network here.

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How can we improve the public’s view of the NHS?

Wed, 09 Apr 2025 08:00:00 GMT

Public satisfaction with the NHS is at an all-time low according to the latest data, but what can be done in the short term to improve matters while NHS leaders try to make long-term change? Rachel Power of the Patients Association* and Leonora Merry of the Nuffield Trust delve into the data with Matthew Taylor and suggest what can be done.

This episode’s Leader in Six is with Steve Williamson, chief executive of Royal Cornwall Hospitals NHS Trust.

*The Patients Association's free helpline provides specialist information and guidance across all four UK nations to help service users make sense of health and social care. Call 0800 345 7115 weekdays 9:30am – 5:00pm, or email helpline@patients-association.org.uk

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What's the way forward with NHS cuts?

Wed, 26 Mar 2025 09:00:00 GMT

Huge change in health and care: Integrated Care Boards must cut their budgets by 50%, and acute providers are expected to roll back 50% of corporate cost growth since 2020. This on top of NHS England winding down within two years and transitioning what remains into the Department for Health and Social Care. Matthew talks to two leaders navigating these challenges; Amanda Sullivan, Chief Executive of Nottingham and Nottinghamshire ICB and Foluke Ajayi, CEO of Airedale NHS Foundation Trust and Vice Chair of the NHS Confederation.

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NHS leadership: what do the changes mean?

Wed, 12 Mar 2025 08:00:00 GMT

Matthew’s joined by Richard Sloggett, founder and programme director at Future Health, for a deep dive into the significant recent changes in NHS leadership. The discussion highlights the evolving dynamics between NHS England and the Department of Health and Social Care, the challenges posed by financial constraints and the importance of local leadership in implementing change.

Plus, a Leader in Six with Sarah Coltman-Lovell, York NHS place director.

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DHSC director general: update on ten-year health plan

Thu, 27 Feb 2025 10:19:45 GMT

Matthew Taylor speaks with Sally Warren, director general at the Department for Health and Social Care, about the upcoming NHS ten-year health plan. They discuss the engagement process with the public, the challenges and opportunities in transforming healthcare, and the importance of collaboration with community partners. Sally shares insights from public feedback and addresses cynicism towards the plan.

Plus, another Leader in Six with Prem Singh, chair of University Hospitals of Derby and Burton NHS Foundation Trust.

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Planning guidance: the real story

Fri, 14 Feb 2025 08:00:00 GMT

Matthew Taylor and Bill Morgan, former Downing Street health policy advisor, discuss the recent NHS planning guidance, focusing on the government's priorities - particularly the emphasis on elective performance. They explore the implications of A&E targets, financial challenges, and the evolving relationship between NHS leadership and government – as well as the critical elements needed for a successful ten-year health plan.

Plus, another Leader in Six with Andrew Moore, chair of University Hospitals of Leicester and University Hospitals of Northamptonshire NHS Trusts.

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AI: the future of radiology?

Wed, 29 Jan 2025 08:00:00 GMT

Matthew Taylor is joined by Dr Katharine Halliday, president of the Royal College of Radiologists, to discuss the critical role of radiology in healthcare, the workforce challenges faced by the profession and the transformative potential of technology and AI in improving diagnostic processes. He also speaks to BBC health correspondent Nick Triggle about the broadcaster’s approach to health stories.

Plus, our Leader in Six is with Stacey Hunter, group chief executive for North Tees and Hartlepool NHS Foundation Trust and South Tees Hospitals NHS Foundation Trust.

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Ten-year plan: what must the NHS prioritise?

Wed, 15 Jan 2025 08:00:00 GMT

Matthew Taylor’s joined by Sarah Woolnough, chief executive at The King’s Fund, and Harry Quilter-Pinner, executive director at the IPPR, to discuss the challenges and opportunities facing the NHS as it approaches its ten-year plan. They explore the importance of access to care, the need for a focus on prevention and the potential for a mission-driven government to reshape health policy. The discussion highlights the barriers to effective health investment and the necessity for innovative approaches to improve health outcomes and financial sustainability.

We also hear from Hazel Cheeseman, chief executive of ASH, on issues surrounding the government's tobacco and vaping legislation. Plus, Simon Ashton, chief executive of Newham Hospital, joins for another round of ‘Leader in Six’.

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Holding NHS leaders to account: how far should journalists go?

Wed, 11 Dec 2024 08:00:34 GMT

In this episode, Matthew Taylor and HSJ Editor Alastair McLellan discuss the complexities of NHS leadership, the role of managers, and the impact of health policy narratives. They explore the challenges of reporting on NHS management – including insights on the HSJ's own approach.

Matthew’s also joined by Anna Parry, MD of the Association of Ambulance Chief Executives, to talk winter waiting times. Plus, Dorset ICB Chief executive Patricia Miller steps up for another round of Leader in 6.

And we'd love to hear your thoughts on our podcast. Please take five minutes to fill in this short survey: https://www.nhsconfed.org/HOTL

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How important is integration at place level?

Wed, 27 Nov 2024 08:00:42 GMT

In this week’s Health on the Line, Matthew speaks to Stephanie Cartwright, Group Director of Place for Walsall Healthcare NHS Trust and the Royal Wolverhampton NHS Trust, leading the place based partnerships in the Black Country ICS. Steph talks about the power and potential of work at Place level and what’s happening in her area, as well as the new report published by the NHS Confederation on the State of Integration at Place.

Matthew also brings us another of his quick fire 'Leader in 6' interviews with Tracey Bleakley, ICB CEO for Norfolk and Waveney.

We'd love to hear your thoughts on our podcast. Please take five minutes to fill in this short survey: https://www.nhsconfed.org/HOTL

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Is shared NHS leadership the new norm?

Mon, 18 Nov 2024 10:32:30 GMT

In this episode, Matthew Taylor discusses the pressing issues of economic inactivity and health challenges in the UK with Chris Smyth, Whitehall Editor for The Times, highlighting the alarming trend of rising economic inactivity due to health issues and the need for a coordinated approach to tackle these challenges.

Matthew's also joined by former NHS Chief Executive Paul Roberts to discuss his new report on shared leadership models, along with Stacey Hunter, Group CEO for North Tees and Hartlepool and South Tees Hospitals NHS Foundation Trusts. Their discussion delves into the benefits and challenges of shared leadership models in the NHS, emphasising the importance of clarity of purpose and support for leaders in navigating these new organisational structures.

And we'd love to hear your thoughts on our podcast. Please take five minutes to fill in this short survey: https://www.nhsconfed.org/HOTL

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Decoding what Reeves’ historic Budget means for the NHS

Mon, 04 Nov 2024 08:00:19 GMT

Matthew Taylor takes a deep dive into the Autumn Budget and what it means for the NHS with Sally Gainsbury, senior policy analyst at Nuffield Trust. They explore the challenges posed by the current financial landscape and ongoing negotiations regarding NHS funding and public health budgets.

Matthew’s also joined by Patricia Miller, chief executive of NHS Dorset Integrated Care Board, to discuss the recent shift towards preventative care and the role of local systems in achieving health goals.

And we'd love to hear your thoughts on our podcast. Please take five minutes to fill in this short survey: https://www.nhsconfed.org/HOTL

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What next for CQC after systemic failings found? And the future of neighbourhood health.

Wed, 16 Oct 2024 08:00:34 GMT

The recently released CQC (Care Quality Commission) review has highlighted systemic failings in how the organisation operates. We speak to the author Penny Dash, chair of North West London Integrated Care Board, about what went wrong, and what happens from here on? Also, in this podcast we find out about the NHS Confederation's recent report on the future of Neighbourhood Health. What does effective community engagement look like from a health perspective?

Read our response to CQC review here: https://www.nhsconfed.org/news/nhs-confederation-responds-interim-report-care-quality-commission

Our report "Working better together in neighbourhoods": https://www.nhsconfed.org/publications/working-better-together-neighbourhoods

And we'd love to hear your thoughts on our podcast. Take five minutes to fill in this short survey: https://www.nhsconfed.org/HOTL

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Exploring integrated care systems' progress two years on

Mon, 07 Oct 2024 10:07:03 GMT

With integrated care systems now just over two years old, how effective are they in succeeding at their goals, and what needs to change for them to be more effective in the coming years? Matthew Taylor talks to Dr Kathy McLean OBE, chair of the NHS Confederation’s ICS Network and NHS Derby and Derbyshire Integrated Care Board, as we release our State of Integrated Care Systems in 2023/24 report.

Before that, Matthew speaks to Bridget Gorham, health economics policy adviser at the NHS Confederation, as new research highlights the economic imperative of investing in women’s health services. An additional £1 invested in obstetrics and gynaecology services per woman in England could generate a staggering £319 million return to the economy.

We'd love to find out what you think about the podcast. If you could spare just five minutes, fill in this short survey and send us your views.

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The 18 week challenge: Getting elective care waiting times into shape

Wed, 18 Sep 2024 08:01:54 GMT

The government was elected on a pledge to hit the 18-week waiting target for elective care within five years. But how achievable is this with the current level of investment? Hannah Farrar of CF, a health and data consultancy, argues that without strategic transformation, digitising processes and collaborative innovation the needle will barely move.

Also, on the back of Lord Darzi's report on the state of the NHS in England, Siva Anandaciva from The King's Fund talks to Matthew about what is has to say on effective NHS management and looming winter pressures.

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Alan Milburn: Can the NHS be an agent of economic growth?

Fri, 06 Sep 2024 08:03:57 GMT

With economic inactivity at an all-time high, how can national and local systems unlock the potential of millions who would like to work if they had the right support and employment opportunities? To consider the issues, Matthew Taylor is joined by Rt Hon Alan Milburn, former health secretary under Tony Blair. As chair of the pioneering Pathways to Work Commission, he calls for a rethink of how the NHS is perceived, arguing that its power to drive economic growth should be a core component of future health and economic policy.

Matthew also speaks to Michael Wood, the NHS Confederation’s head of health economic partnerships, about the new government’s ambitions in this area, including the WorkWell initiative set to begin in October 2024.

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Paul Mears: ICSs need vision, leadership and to challenge norms to succeed

Fri, 30 Aug 2024 07:27:56 GMT

Just over two years on from their formal establishment, integrated care systems (ICSs) are continuing to contend with a range of challenges. But green shoots are emerging and the opportunities before them are starting to be more fully explored. Paul Mears, chief executive of Cwm Taf Morgannwg Health Board in Wales and former chief executive of Yeovil District Hospital in Somerset, talks to Matthew Taylor about his experiences working within ICSs and in Wales. Reflecting on managing demand, emergency care models, local collaboration and community care, he offers his view on what will support systems to thrive.

Plus, Chris Thomas returns to explore how systems can unleash health and prosperity throughout Britain. Sharing findings from a new joint report, Chris, head of the IPPR's Commission on Health and Prosperity, considers what's needed to shift the dial on healthy life expectancy.

This resource has been developed for relevant UK healthcare decision makers and stakeholders. The NHS Confederation is responsible for the editorial content of this resource. This resource forms part of a Collaborative Working Agreement between Novartis Pharmaceuticals UK Ltd and the NHS Confederation. Funding for the Collaborative Working Agreement and this podcast is provided by Novartis Pharmaceuticals UK Ltd.

The views and opinions expressed are those of the speakers only.

UK | MLR ID: FA-11248088 | August 2024

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Professor Kevin Fenton: Healthy people are productive people

Fri, 09 Aug 2024 08:00:19 GMT

If there was any doubt over the importance of public health policy, the COVID-19 pandemic put paid to the notion. But with an 18-year difference in healthy life expectancy between the most deprived and affluent communities, are we missing a trick when it comes to public health? In this episode, Matthew Taylor puts the question to Professor Kevin Fenton, a public health specialist and infectious disease epidemiologist who has played a pivotal role in shaping public health in the UK and abroad. Unpacking what public health is and covers, Professor Fenton also argues that a productive economy needs a healthy population; tackling broader issues such as health inequalities and community health are key to this.

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What did the King’s Speech say about the new government, and what next on social care?

Fri, 26 Jul 2024 07:00:00 GMT

The King’s Speech, perhaps more than anything else, signals where the new government’s priorities really lie: what made it in and what was left out speaks volumes. To scratch beneath the surface, Matthew Taylor talks to Sam Freedman, public policy expert and commentator, about the implications of the proposed bills, and Natasha Curry, deputy director of policy at the Nuffield Trust, about the government’s pronouncements social care so far.

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Paul Corrigan and Isabel Hardman: Avoiding short-termism in the NHS

Mon, 15 Jul 2024 08:10:49 GMT

In this episode of Health on the Line, Matthew Taylor interviews journalist and author Isabel Hardman and former health advisor Paul Corrigan, who has since been announced as a new advisor to the Department for Health and Social Care. They reflect on the election result and early announcements, the new Government's approach to the health service, and the need for long-term planning and investment. They also explore the role of integrated care systems, the importance of collaboration between departments, and the challenges of funding and productivity in the healthcare sector.

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The state of public finances: what will the next government inherit?

Fri, 28 Jun 2024 07:41:24 GMT

Not long after the general election was announced, the Institute for Fiscal Studies (IFS) warned that the UK’s fiscal position will hang over the campaign like a dark cloud. With less than a week until polling day, questions are mounting about what an incoming government is likely to inherit and what that might mean for public finances in the next parliament. In this episode, Matthew Taylor talks to Carl Emmerson, deputy director of the IFS and Anita Charlesworth, director of research at the Health Foundation’s REAL Centre, to consider the financial picture awaiting a new government and what that means for health and social care. Before that, Cate McLaurin, director at Public Digital, reflects on recent cyberattacks on the NHS.

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Battle for the NHS? Dissecting plans for the future of health and care

Thu, 13 Jun 2024 15:34:02 GMT

In this NHS ConfedExpo special, Matthew Taylor is joined by journalist Victoria Macdonald and former political adviser Richard Sloggett to consider the future of the NHS in the context of the general election. Dissecting the main political parties’ pledges and promises, they surface the unanswered questions and issues on which the parties have fallen silent. Get their take the thorny issues of social care, healthcare funding and industrial action, the shift towards prevention and community-based care, and what a new government should do in its first 100 days.

Victoria Macdonald is health and social care editor at Channel 4 News
Richard Sloggett is the founder and programme director of Future Health and former Department for Health special adviser

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Does the NHS have a listening problem?

Fri, 24 May 2024 10:47:17 GMT

A critique sometimes levelled at parts of the NHS is that it suffers from a listening problem; that it talks a good game when it comes to community engagement, but does not always follow through. Yet in South London, a unique initiative is underway that challenges this notion. In this episode, Matthew Taylor is joined by Sir Norman Lamb and Matthew Bolton, who, together with a range of local partners, have spearheaded South London Listens – community engagement, but not as you know it. Discover more about the novel approach and why community engagement must be seen as part of how health and care truly deals with the wider determinants of health.

Plus, with the NHS experiencing the tightest financial challenge in years, we speak to health and care finance expert Sally Gainsbury, for her take on the financial outlook facing the NHS. Weighing in on the

efficiency targets facing NHS leaders, she shares why a healthy dose of realism is needed now more than ever.

Sir Norman Lamb is chair of South London and Maudsley NHS Foundation Trust and taskforce co-chair for South London Listens
Matthew Bolton is executive director of Citizens UK
Sally Gainsbury is senior policy analyst at the Nuffield Trust

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Matthew Trainer: Leadership in testing times

Wed, 08 May 2024 08:00:23 GMT

By the end of 2023, Barking, Havering and Redbridge University Hospitals NHS Trust had made the most improvement on waiting lists for emergency care than any other trust in England. How did they do it? In this episode, Matthew Taylor sits down with the trust’s chief executive, Matthew Trainer, to find out more, and they get candid about leadership and improvement in testing times. Matthew details the challenges faced since taking up post in 2021 and how investment in management, staff engagement, primary and community care and digital transformation has supported the London trust’s improvement journey.

Plus, with the results of the mayoral elections now in, Matthew Taylor unpacks why they matter to the NHS. He is joined by the NHS Confederation’s head of health economic partnerships, Michael Wood, who explains why metro mayors should be seen as ‘chief delivery officers’ and why the country is becoming more accustomed to devolution.

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Exploring the economic and social value of vaccinations

Tue, 23 Apr 2024 16:11:47 GMT

Vaccinations are one of the most effective public health interventions, but what evidence is there of their economic and social value? Is there really a return on investment and what are the interlinks with health, work and prosperity? In this episode, Matthew Taylor put these questions, and more, to Lotte Steuten, deputy chief executive of the Office of Health Economics and Chris Thomas, head of the Health and Prosperity Commission at the IPPR, whose organisations have delved into the detail of these issues.

Tune in for insights on the ROI to the economy and health service, implications on elective recovery, the impact of in-work sickness and lessons from the COVID-19 pandemic.

Advisory note: A number of licenses have now been granted for vaccinations and immunisations against respiratory syncytial virus (RSV) in the UK.

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Public attitudes to the NHS: A love-lament relationship?

Wed, 13 Mar 2024 12:00:28 GMT

With a general election looming, how does the public really feel about the NHS? And how are the main political parties responding? To scratch beneath the surface, Matthew Taylor sits down with Kate Duxbury and James Frayne to explore attitudes towards the health service. Delving into views on access, performance and staff and perceptions on waste, efficiency and spend, they consider where next for the NHS.

Kate is a research director leading health policy research at Ipsos. James Frayne is a founding partner at Public First.

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Prof Aruna Garcea: Navigating the future of primary care in England

Mon, 26 Feb 2024 08:58:46 GMT

In this episode of Health on the Line, host Matthew Taylor takes a deep dive into the state of primary care in England with special guest Professor Aruna Garcea. As a leading figure in primary care and a practising GP, Professor Garcea offers insights into the challenges and opportunities facing the sector. From increasing demand to the uncertainty surrounding funding and industrial action, they explore the complexities of sustaining quality care amid financial pressures.

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Dr Rachel Clarke: How the pandemic unfolded in the NHS

Tue, 20 Feb 2024 08:59:56 GMT

Dr Rachel Clarke was on the front line of the NHS’s response as the COVID virus swept across the country in early 2020. Her book, Breathtaking, which captures her experiences dealing with the pandemic has now been fictionalised in an ITV series. Matthew talks to Rachel about why she wrote the book and made the TV series, the sacrifices made by staff during the pandemic and the disconnect between the public reality of the pandemic and government policy at the time.

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Steve Russell: Vaccination should be more present in national discourse

Wed, 31 Jan 2024 09:00:16 GMT

Vaccination is the second most effective public health policy after clean water, yet vaccination rates in the UK are falling. In this episode, Steve Russell, NHS England's chief delivery officer and national director for vaccinations and screening, debates why and how the recently published vaccination strategy has a unique opportunity to impact health gain.

Sitting down with Matthew Taylor, they discuss why vaccination should be a national priority, how access can be improved through deeper community engagement, and how integrated care systems can overcome delivery challenges given their pivotal role.

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How the NHS can better engage with citizens and communities

Wed, 17 Jan 2024 09:09:28 GMT

Are systems set up to meet the needs of future generations? Is enough being done to act on the social determinants of health? In this episode, we hear five perspectives on these questions and get their take on why – and how – the relationship between the NHS, citizens and communities needs to change.

Recorded at the ICS Network’s conference in November and chaired by Jacob Lant, chief executive of National Voices, the episode features:

Haris Sultan, NExT Director programme and member West Yorkshire ICB
Oliver Coppard, Mayor, South Yorkshire
Leanora Volpe, Anchor Programme Lead at South East London ICS
Marsha McAdam, Service User Representative and Vice-Chair, Mental Health Network.

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Dr Jane Padmore: The joy and fulfilment of working for people with a learning disability

Wed, 13 Dec 2023 08:30:00 GMT

People with a learning disability have poorer health and experience greater and persistent inequalities in health. So how can we shift the dial? In this episode, Dr Jane Padmore, chief executive of Sussex Partnership NHS Foundation Trust, explores how reimagining the workforce, making better use of the voluntary sector and deepening understandings of learning disability, autism and neurodiversity can go some way. Jane, who is also chair of the Mental Health Network’s Learning Disability Forum, shares how a life-changing summer placement ignited a life-long passion that has shaped her career.

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Improvement is more than an add-on or nice-to-have

Wed, 06 Dec 2023 09:00:37 GMT

In this special episode, Matthew Taylor sits down with Sam Allen and Penny Pereira to explore the nuts and bolts of improvement at system level, its role in large-scale change and propelling transformation. Get to grips with improvement fundamentals, the factors needed for it to flourish and why building community is key to making it stick. This episode follows the launch of a new partnership between the NHS Confederation, Health Foundation and Q community to support health and care systems to learn and improve. Sam Allen is chief executive of North East and North Cumbria Integrated Care Board and Penny Pereira, managing director of Q at the Health Foundation.

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Prof Sir Chris Ham: We need a culture of commitment to improvement, not compliance

Tue, 21 Nov 2023 08:00:03 GMT

The NHS has renewed its focus on improvement, with integrated care systems charged with becoming ‘self-improving systems’ across England. While a necessary challenge, no other country in the world has undertaken improvement at this scale. In this episode, Matthew Taylor sits down with Prof Sir Chris Ham to unpack the system model of improvement – what it means, where it is working well and how it can shift the dial. It draws out key lessons from Sir Chris’ report, commissioned by the NHS Confederation, Health Foundation and Q community, on how to improve health and care at scale.

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Lord Markham CBE: NHS capital, innovation and economic regeneration

Wed, 08 Nov 2023 09:00:49 GMT

Are changes needed to the NHS’s capital programme? In a first for Health on the Line, Matthew Taylor puts the question directly to the minister in charge. Tune is as Lord Markham CBE shares his views on the New Hospitals Programme, capital funding cycles and approvals processes. Get his take on the NHS’s role in economic regeneration, investment in out-of-hospital care and how to tackle the ‘innovation paradox’.

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The data dilemma: Does data help or hinder patient care in mental health?

Wed, 18 Oct 2023 08:00:34 GMT

In June 2023, the final report from a minister-commissioned review was released; the report followed a rapid review into data on mental health inpatient settings. In this episode Dr Geraldine Strathdee, chair of the review, talks to Mental Health Network chief executive Sean Duggan about its key findings and recommendations. Delve into the detail of how data across the system can enable people to make better decisions to improve lives and care.

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Is health beyond the hospital the key to alleviating system pressures?

Wed, 04 Oct 2023 08:00:36 GMT

From the NHS Confederation's Health Beyond the Hospital conference, Matthew Taylor hosts a discussion on out-of-hospital care and how novel collaborative approaches can lead to unexpected benefits.

Coinciding with the launch of our report Unlocking the Power of Health Beyond the Hospital, Matthew is joined by Daniel Elkeles, chief executive of the London Ambulance Service NHS Trust, Karen Jackson, chief executive of Locala Community Partnerships CIC, Miriam Deakin, director of policy and strategy at NHS Providers and James Sanderson, director of community health services and personalised care at NHS England.

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Isabel Hardman: We go too far with the NHS as a religion analogy

Wed, 12 Jul 2023 07:00:39 GMT

Author and journalist Isabel Hardman discusses how from its inception the NHS has always had a unique political undercurrent running alongside the day-to-day healthcare challenges. On the launch of her new book on the history of the NHS, she reveals how successive governments and health ministers have approached the challenge of dealing with one of the UK’s most beloved institutions.

Isabel’s new is book is “Fighting for Life: The Twelve Battles that made our NHS”

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Integrated care systems: one year on

Wed, 28 Jun 2023 07:00:43 GMT

A year on from their establishment as statutory organisations, how are integrated care systems (ICSs) getting on? In this episode, Matthew Taylor puts the question to three system leaders, exploring what's working well, what remains to be solved and the difference system working is making locally – to patients, communities and staff. Recorded at NHS ConfedExpo just ahead of the government’s response to the Hewitt review, the conversation explores the issues of accountability and autonomy and where next for systems.

Hear from Amanda Sullivan, chief executive of Nottingham and Nottinghamshire ICB, Kevin Lavery, chief executive of Lancashire and South Cumbria ICB and Patrick Vernon, interim chair of Birmingham and Solihull ICB.

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Dr Raghib Ali: We need a cross-society effort to improve health

Wed, 07 Jun 2023 07:00:45 GMT

What will it take to crack the prevention nut? In this episode, Matthew Taylor puts the question to Dr Raghib Ali, chief medical officer and joint chief investigator of the pioneering Our Future Health programme. Discover all about the ambitious research programme, why preventative healthcare is mission critical and why data plays an important role in reimagining healthcare. Plus, get his take on why a more nuanced approach to health inequalities is key.

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Dr Neil Modha: We've tailored our workforce to the needs of our population

Wed, 24 May 2023 09:35:41 GMT

Do we truly appreciate what is possible when primary care entrepreneurship is unlocked? In this episode, Matthew Taylor goes behind the scenes at Thistlemoor Medical Practice, a pioneering general practice in Peterborough led by Dr Neil Modha. Serving an inner-city population of close to 30,000, the practice has radically evolved its approach to meet local needs. Discover how the practice and wider primary care and system partners are working together to improve population health, reimagine the workforce, redesign pathways and adopt a more proactive approach to care. With the much anticipated workforce plan on the horizon, Dr Modha considers what it must enable and how, on the eve of the Fuller stocktake’s first anniversary, he is putting the principles into reality.

Dr Modha is also clinical director of the Central Thistlemoor PCN, chair of Greater Peterborough Network GP Federation and co-chair of the Cambridgeshire and Peterborough ICS North Place Board.

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Dr Elliot Street: Reimagining surgical training

Thu, 11 May 2023 07:57:41 GMT

For clinician turned entrepreneur Dr Elliot Street, elite sports training ignited an idea about how to turn surgical training on its head. In this episode, the award-winning clinician, co-founder and chief executive of Inovus Medical explores why surgical training methods were due an overhaul and his efforts to lead the charge. Hear his take on the barriers and enablers to innovation in the NHS, his lessons learned so far and practical advice for budding innovators.

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Baroness Dambisa Moyo: Health and economic growth – a vital connection

Wed, 26 Apr 2023 07:00:48 GMT

Is economic growth really the engine for better health? In this episode, Matthew Taylor sits down with acclaimed global economist Baroness Dambisa Moyo to talk growth, productivity and the post-pandemic world. Hear her take on the economic legacy of COVID-19, lessons for the future and why growth is vital to solving healthcare challenges. Tap into her insights on leadership in turbulent times and how boards can work better in a chaotic world.

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Patricia Hewitt: There’s a real chance to tackle health differently this time

Tue, 04 Apr 2023 08:30:23 GMT

For Patricia Hewitt, integrated care systems (ICSs) are the best opportunity we have to transform the health and care system this generation. But realising their potential requires fundamental change – this has been Patricia’s focus over the past few months. On 4 April, the former health secretary and integrated care board chair released the final report from her review into the oversight and governance of ICSs. In this episode, she gets candid about what the review found and why radical proposals feature among her recommendations. Hear her take on autonomy, prevention and health inequalities, regulation, funding and how to make self-improving systems.

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The digital transformation gambit: simpler, faster, safer services?

Wed, 22 Mar 2023 17:28:50 GMT

Can the NHS really grasp the digital transformation opportunity? In this episode, Matthew Taylor sits down with Tom Loosemore and Deborah El-Sayed to explore how integrated care boards can capitalise on the digital revolution. Get their take on pitfalls to avoid, principles to apply and why digital is more than just technology. Tune in as they debate skills, leadership, strategy and data.

This podcast forms part of our Digital ICS programme delivered in partnership with NHS Providers and Public Digital, and supported by Health Education England and NHS England. The Digital ICS programme is a free support offer for integrated care boards and integrated care system leaders and offers a range of free resources, events and leadership sessions focused exclusively on the role of the board in leading the digital agenda across systems.

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Miriam Gonzalez Durantez: We still do not have equal opportunities

Wed, 08 Mar 2023 09:00:07 GMT

Is there a difference between equity and equality – and does it matter? In this episode, Matthew Taylor puts the question to Miriam González Durántez, esteemed international trade lawyer and passionate advocate of women's rights and the education of girls. In this International Women’s Day special, Miriam gets candid about equal opportunities, diversity on boards and the economics of care. She also shares two simple ways to effect change, how leaders can move beyond lip service to equity, and why she hopes her viral #ThisLittleGirlIsMe campaign will make a lasting difference.

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Daniel Elkeles: The biggest barrier we have is thinking in silos

Thu, 23 Feb 2023 08:00:54 GMT

With the NHS often characterised as being trapped in a permacrisis, what can be done to shift the dial? In this episode, Matthew Taylor sits down with Daniel Elkeles, chief executive of the London Ambulance Service NHS Trust, to talk improvements in the urgent and emergency care pathway, shifting the narrative on primary care and busting the barriers holding the health and care system back. With industrial action taking a toll, Daniel, who leads the world’s largest ambulance service, sheds light on the untold impact of strikes and the effect on long-term innovation and recovery.

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Dame Kate Bingham: The regulator moved from being a policeman to an air traffic controller.

Wed, 08 Feb 2023 09:00:23 GMT

In our latest Health on the Line podcast, Matthew talks to Dame Kate Bingham, Chair of the UK Vaccination taskforce and author of ‘The Long Shot’ her personal account of one of the most successful procurement examples of our time - the development of the Covid-19 vaccine, showing how the effective application of science can be critical to solving many of the world’s problems.

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Patricia Hewitt: Influencing the way ICSs work and how the centre works with them

Wed, 25 Jan 2023 08:00:17 GMT

In this special edition, Matthew talks to Patricia Hewitt, integrated care board chair and former health secretary, about her review into how the oversight and governance of integrated care systems (ICSs) can best enable them to succeed. With the review exploring how to balance greater autonomy and robust accountability, Patricia shares her hopes for what can be achieved and the culture change needed to enable ICSs to flourish.

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Andy Bell & Marsha McAdam - No Wrong Door: a vision for mental health, autism and learning disability services in 2032

Wed, 11 Jan 2023 08:00:14 GMT

In this episode of Health on the Line, Matthew talks to Andy Bell and Marsha McAdam about No Wrong Door: a vision for mental health, autism and learning disability services in 2032.

Andy is interim CEO at the Centre for Mental Health, whilst Marsha is a mental health influencer, an ambassador for many organisations, including the Centre for Mental Health, and vice chair of NHS Confederation's Mental Health Network.

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Joan Saddler & Lena Samuels: Supporting healthcare organisations to eliminate racism

Wed, 21 Dec 2022 08:00:00 GMT

In the latest episode of Health on the Line, Matthew talks to Joan Saddler OBE, director of partnerships and equality at NHS Confederation about ‘Commit, understand, act’ the Confederation’s recently published anti-racism strategy, and about why tackling racism improves conditions for all communities. He also hears from Lena Samuels, Chair of Hampshire and the Isle of Wight ICS, about the impact of racism on the frontline and why the pursuit of genuine inclusion can be a joyful process.

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Suzanne Mason: Corridor medicine could help with ambulance handover delays

Tue, 22 Nov 2022 12:54:14 GMT

In our latest Health on the Line podcast, Matthew talks to Professor Sue Mason, University of Sheffield School of Health and Related research about the changes needed to Urgent and Emergency Care ahead of NHS England’s review, including returning to ‘corridor medicine’ in Emergency Departments to help with ambulance handover delays and that the resources that go in to NHS 111 does not reduce demand on emergency departments and the resources could be used in a much more effective way. Sue has written an NHS Confederation report to be published shortly setting out recommendations to improve Urgent and Emergency Care.

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Adam Doyle: ICSs aren’t just about holding people to account but helping people to change

Wed, 26 Oct 2022 07:00:14 GMT

CEO for Sussex Integrated Care Board Adam Doyle is a former physiotherapist and Clinical Commissioning Group leader. He talks to Matthew about the difference that working collaboratively as integrated care systems makes, the need to lean into what other local services are doing and learn from others, and the wide variety of tools that leaders need in order to lead successfully.

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Isabel Hardman: The NHS is being failed by not reforming social care

Wed, 12 Oct 2022 07:49:55 GMT

Journalist Isabel Hardman talks to Matthew Taylor about the current state of politics, the NHS and what the health service can realistically deliver over the next few months and beyond. The author also shares her impressions of the new health and social care secretary’s approach, her own experiences of mental health, and the book she is writing on the history of the NHS.

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Joe Rafferty: Use population health as a driving device for population equality

Wed, 28 Sep 2022 08:16:25 GMT

Prof Joe Rafferty on the power of population health management, a decade of NHS leadership and managing risk this winter and beyond.

28 September 2022

With more and more insights on the extent of health inequalities across the country, how can systems turn knowledge into change? Population health management is powerful tool argues Prof Joe Rafferty CBE, as he sits down with Matthew Taylor to explore the difference the approach is making in the North West. As chief executive of Mersey Care NHS Foundation Trust since 2012, Joe also discusses the benefits of leading an organisation over a long period of time and how to recognise, share and mitigate risk at system level.

This activity was delivered as part of the NHS Confederation and Novartis Pharmaceuticals UK Collaborative Working Agreement. Novartis Pharmaceuticals UK have had no involvement or influence in the content of this podcast.

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General Sir Gordon Messenger: The workforce deserves the best leadership they can have.

Wed, 03 Aug 2022 07:00:49 GMT

What did Sir Gordon really think? In our latest Health on the Line podcast, General Sir Gordon Messenger discusses with Matthew his recent review of NHS leadership and his recommendations, his hopes for implementing those reforms and the need for a strong and continual statement from leadership that a focus on leadership and workforce is utterly central to better patient outcomes.

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Tim Oliver: No organisation within the whole ecosystem can do it on its own

Wed, 20 Jul 2022 07:38:51 GMT

Integrated Care Partnership (ICP) Chair for Surrey Heartlands Integrated Care System and Leader of Surrey County Council Tim Oliver tells Matthew that integrated systems are all about equal partnerships, how joint appointments help avoid turf wars and how the ICP holds the key to delivering a strategy for addressing the wider determinants of health.

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NHS ConfedExpo special edition: What should the refreshed Long Term Plan look like?

Wed, 22 Jun 2022 07:00:50 GMT

What does the health and care system need from the Long Term Plan refresh? In a special episode recorded at NHS ConfedExpo, Matthew Taylor takes soundings from system leaders, exploring their hopes and fears for updates to the plan. Hear from Simon Whitehouse, chief executive designate for Shropshire, Telford and Wrekin ICB; Louise Ansari, national director of Healthwatch England; and Omotajo Kufeji, a GP partner and clinical director for The Bridge PCN, Milton Keynes, as they consider what needs to be different and how it can resonate with system partners, staff and service users.

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Dr Nikki Kanani: Understand what primary care looks like in your system

Wed, 25 May 2022 08:00:17 GMT

What does the future hold for primary care? NHS England and NHS Improvement’s medical director for primary care Dr Nikki Kanani sits down with Matthew Taylor to discuss multidisciplinary teams in primary care, lessons from the pandemic, the Fuller Stocktake and shifting further towards a population health management approach.

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Gregor Henderson: Mental health is just part of what it means to be human.

Wed, 11 May 2022 07:00:00 GMT

In the latest Health on the Line episode, Gregor Henderson, former director of Mental Health for Public Health England and strategic adviser to on-line platform Togetherall, talks to Matthew about the challenges of digital innovation in mental health, the link between health inequalities and mental health and why the need to invest in the wider determinants of mental health is vital.

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Prof Donna Hall: Let's think longer term about how we build resilient communities.

Wed, 20 Apr 2022 07:30:38 GMT

In the latest Health on the Line episode, Professor Donna Hall, architect of the well-known ‘Wigan deal’ and Chair of Bolton NHS Foundation Trust talks to Matthew Taylor about the importance of community engagement in systems as part of our Integration and Innovation in Action series. She talks about the need to have different conversations with people to build resilient communities and resilient individuals, and the work she is involved in in investing in the first 1,000 days of life as a key point of intervention. She also talks about the need for integrated care systems to be clear about what they are going to do, and to ask themselves the honest question, how integrated are we?

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Susanna Stanford: Patient safety - understanding good intent should be the starting point for conversation

Thu, 31 Mar 2022 07:10:19 GMT

This episode covers the important issue of patient safety. Matthew Taylor talks to campaigner Susanna Stanford about how a traumatic personal experience of the health service changed her. It led her to use what happened to talk with clinicians and medical students about the patient perspective when things might go wrong. She has used her experience positively to encourage a more open culture in the health service where clinicians can support one another to help prevent errors, and to deal with them better when they occur.

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Sir Richard Leese: COVID-19 has made us realise all parts of the system are equally important.

Wed, 16 Mar 2022 08:00:27 GMT

In the latest Health on the Line episode, Matthew Taylor speaks to Sir Richard Leese, chair designate of Greater Manchester Integrated Care Board, about provider collaboratives and tough decisions, lessons the system has learned from COVID-19, and the extent to which central government 'gets' devolution.

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Charlotte Augst: The NHS can't do it alone, it needs to invest in partnerships.

Wed, 02 Mar 2022 08:00:18 GMT

In the latest Health on the Line episode, Matthew speaks to Charlotte Augst, CEO of National Voices, the leading coalition of health and social care charities in England with more than 190 members covering a diverse range of health conditions and communities. Charlotte talks pandemic, living with Covid, health inequalities and a new National Voices initiative to link people with lived experience of the health service with health professionals to help inform their approach to providing health and care.

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Professor Kiran Patel: Apply social value judgements to tackle inequalities.

Wed, 09 Feb 2022 08:02:31 GMT

Our latest Health on the Line podcast episode is with Confed member Professor Kiran Patel, Chief Medical Officer, Deputy CEO and Consultant cardiologist at University Hospitals of Coventry and Warwickshire. He talks with Matthew about population health as part of our Integration and Innovation in Action series, his passion for addressing health inequalities and how he believes elective recovery and health inequalities can be bed fellows. He also says there needs to be the right balance between localism and nationalism when discussing the role of the centre, but that the health service is at an exciting stage where it can really explore the benefits of digital delivery.

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Dame Jackie Daniel: ‘Rinse and repeat’ won’t wash for dealing with the backlog

Wed, 26 Jan 2022 08:00:22 GMT

Newcastle Hospitals received the UK’s first coronavirus patients in January 2020. Two years on and with the NHS dealing with the biggest backlog it has ever faced, the trust’s chief executive, Dame Jackie Daniel, explores why bolder thinking is needed to tackle spiralling waiting lists. Sitting down with Matthew Taylor, Dame Jackie gets candid about the challenges of her role, striking the right balance between central and local leadership, and why the health sector needs to ‘lean in’ when working with local authorities. Speaking shortly after the debut of the Channel 4 documentary Geordie Hospital, she shares why letting the cameras in was so important.

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Uday Bose: Medicine is incredibly important, but it's the ecosystem around the patient that you need to address.

Wed, 19 Jan 2022 09:45:41 GMT

Vaccines have proved a vital lifeline in the fightback against COVID-19, with our collective safety largely reliant on the efficacy of vaccines developed by pharmaceuticals companies. For the pharmaceutical sector, as in the healthcare sector, innovation has been the byword for the pandemic response. But what have been the lessons? And how might the NHS and pharmaceutical sector work in partnership to confront pressing healthcare challenges?

Uday Bose, country managing director and head of human Pharma at Boehringer Ingelheim UK & Ireland, sits down with Matthew Taylor to consider the issues. Uday, who also chairs the European Medicines Group, also explores how pharmaceuticals are increasingly working with patients and taking account of patient experience.

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David Oliver: If we really want to focus on prevention, we've got to put our money where our mouth is

Wed, 15 Dec 2021 08:00:57 GMT

At times of immense pressure, how can health and care services work together to create capacity outside of hospitals? In this episode, we’re joined by Dr David Oliver, an expert in geriatric medicine, who reflects on different approaches, delayed discharges and the impact of dwindling places in care homes. Speaking as concerns mount over the Omicron variant, he sheds light on life at the frontline and the long-term problems the pandemic has cast under the spotlight.

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Dr Kathy McLean: Accountability needs to be to the people that we serve.

Wed, 01 Dec 2021 08:00:46 GMT

Dr Kathy McLean, chair designate of Nottingham and Nottinghamshire Integrated Care System, talks system working in the wake of the pandemic, the point of difference between integrated care boards and integrated care systems, and the role of the centre in system success. The former NHS Improvement medical director and chief operating officer also explores the shift in attitudes towards the LGBTQ+ community and the progress yet to be made.

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Professor Sandeep Ranote: Young people do not want to be known as the generation lost in lockdown.

Wed, 17 Nov 2021 08:00:51 GMT

In this episode, Professor Sandeep Ranote, consultant paediatric psychiatrist and mental health lead for Greater Manchester Health and Social Care Partnership, talks clinical leadership, system working and how the pandemic has affected young people.

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Professor Sir Chris Ham: My vision is that ICSs should feel different to any organisation we've had before.

Wed, 03 Nov 2021 08:00:41 GMT

In this episode, Professor Sir Chris Ham, chair of the Coventry and Warwickshire Health and Care Partnership and co-chair of the NHS Assembly, shares his view on the state of health and social care, the prospects for integrated care systems, the vital role of primary care and why he believes it’s time for a moratorium on further organisational change in the NHS.

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Professor Trish Greenhalgh: Before we talk about remote, I would like to talk about staffing.

Wed, 20 Oct 2021 08:05:42 GMT

In this episode, Professor Trish Greenhalgh, professor of primary care health sciences at the University of Oxford, provides a scientific take on the COVID-19 pandemic and its implications on primary care and scientific innovation. The world-renowned professor and trained GP also offers her view on virtual care, vaccine inequity and why innovation happens at times of turbulence. The discussion forms part of our new Integration in Action series which reflects on different aspects of integrated care making a difference on the ground.

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Fiona Adamson: We are well placed to innovate but we need courage and experience

Wed, 06 Oct 2021 07:00:26 GMT

Fiona Adamson, Chair of the PCN Federation Network and also Chief Executive of Hartlepool & Stockton Health GP Federation, talks about the role of GP Federations, why she thinks the vaccine programme was so successful and the continuing pressures on primary care.

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Matthew Kershaw: When we talk about a backlog it’s patients, it’s people who are waiting!

Tue, 21 Sep 2021 16:35:55 GMT

In this episode Matthew Kershaw, chief executive of Croydon Health Services NHS Trust, talks to Matthew Taylor about the challenges of elective recovery in south-west London. Exploring the steps the area is taking, the place-based leader for health shares why, at the height of the pandemic, local partners took the radical decision to set up a hospital within a hospital to continue elective care. The discussion forms part of our new Integration in Action series, a collection of webinars, reports and podcasts that each month reflects a different aspect of integrated care making a difference on the ground.

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Ifti Majid: To be more representative means doing things differently

Wed, 08 Sep 2021 06:00:00 GMT

Does culture eat strategy for breakfast? In this episode, Matthew Taylor sits down with Ifti Majid, chief executive of Derbyshire Healthcare NHS Foundation Trust and co-chair of the NHS Confederation’s BME Leadership Network, to discuss organisational culture in times of crisis, the characteristics of effective boards, supporting staff through the pandemic and why 4,000 handwritten notes have made a massive impact.

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Rob Webster: I'd love us to recognise that people are our biggest asset.

Tue, 24 Aug 2021 15:58:47 GMT

In the first episode of Health on the Line, Matthew Taylor talks to ICS Lead for West Yorkshire and Harrogate, and HSJ Chief Executive of the Year, Rob Webster, about his view on system working, on the NHS workforce being its best asset, and how experiences within his own family have taught him important lessons about leadership and being open about our experiences.

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Health On The Line: Teaser

Fri, 13 Aug 2021 08:42:15 GMT

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