Leadership Evidence Bulletin

Evidence-Based Summary

Measurement for Improvement
The Healthcare Improvement Studies Institute; 2025.
https://www.cambridge.org/core/elements/measurement-for-improvement/F765AFBA06D02F6AA52F060FBBCD20A4
[The main principles underpinning measurement for healthcare improvement are outlined in this Element. Although there is no single formula for achieving optimal measurement to support improvement, a fundamental principle is the importance of using multiple measures and approaches to gathering data. Improvement teams must tread carefully to avoid imposing undue burdens on patients, clinicians, or organisations.]
Freely available online

Guideline / Policy

Green plan guidance.
NHS England; 2025.
https://www.england.nhs.uk/long-read/green-plan-guidance/
[This updated guidance is to help NHS organisations develop robust plans to support world-leading patient care, save money and minimise waste – continuing the NHS’s journey to achieving net zero. Refreshed green plans should be approved by the organisation’s board or governing body, published in an accessible location on the organisation’s website, and shared with NHS England by 31 July 2025.]
Freely available online

National elective access policy.
NHS England; 2025.
https://www.england.nhs.uk/long-read/national-elective-access-policy/
[This policy will support implementation of the updated Recording and reporting guidance. It covers the core principles that all providers and systems should include in their local elective access policies, to support consistent application of waiting times rules and guidance. Local policies should reflect local pathways and implementation plans. E-learning training materials are available to support the consistent use of referral to treatment rules.]
Freely available online

Reforming elective care for patients.
NHS England; 2025.
https://www.england.nhs.uk/publication/reforming-elective-care-for-patients/
[The new plan sets out how the NHS will reform elective care services and meet the 18 week referral to treatment standard by March 2029. Under this plan elective care will be increasingly personalised and digital, with a focus on improving experience and convenience, and empowering people with choice and control over when and where they will be treated.]
Freely available online

Reforming elective care for patients.
NHS England; 2025.
https://www.england.nhs.uk/publication/reforming-elective-care-for-patients/
[This new plan sets out how the NHS will reform elective care services and meet the 18 week referral to treatment standard by March 2029. Under this plan elective care will be increasingly personalised and digital, with a focus on improving experience and convenience, and empowering people with choice and control over when and where they will be treated.]
Freely available online

Standardising community health services: phase 1 codifying core community health services.
NHS England; 2025.
https://www.england.nhs.uk/long-read/standardising-community-health-services/
[Community health services cover a diverse range of health care delivery. This guidance aims to support improved commissioning and delivery of community health services. Codifying community health services will help to better assess demand and capacity. It will also help commissioners make investment choices as they design neighbourhood health provision that shifts care to community-based settings.]
Freely available online

Legal Cases

Mental Capacity Report: December 2024.
Thirty Nine Essex Street LLP; 2024.
https://www.39essex.com/information-hub/insight/mental-capacity-report-december-2024
[Highlights this month include: In the Health, Welfare and Deprivation of Liberty Report: the Court of Appeal grapples again with sexual capacity, and important reminders of best interests as good governance and operating in an imperfect world; In the Mental Health Matters Report: a Mental Health Bill update, detainability and the courts, and Right Care, Right Person under scrutiny; In the Wider Context Report: Assisted dying / assisted suicide developments, capacity and surrogacy.]
Freely available online

News

New Polling Reveals Public Support for NHS Digital Transformation.
Tony Blair Institute for Global Change; 2025.
https://institute.global/insights/public-services/new-polling-reveals-public-support-for-nhs-digital-transformation
[Polling conducted by Deltapoll, commissioned by TBI, shows that about three-quarters of those surveyed said they would welcome the use of their digitised and anonymised health records by the NHS if it provided faster, safer and more efficient care as a benefit. More specifically, about 60 per cent of dissatisfied NHS users believe better use of technology could enhance services and the majority are willing to share anonymised data to achieve this.]
Freely available online

Opinion

Could cross-sector insights be the key to NHS transformation?
Marshall. HSJ 2025;:7038248.article.
[As the NHS faces sweeping reforms, drawing on expertise from other sectors could offer fresh perspectives, boost innovation, and enhance service delivery. Overcoming cultural and recruitment barriers may be key to unlocking this potential.]
Contact the library for a copy of this article

The mythbuster: AI focus is a distraction
Black. HSJ 2025;:7038509.article.
[Investing in AI for NHS data overlooks the real need: basic, affordable analysis of critical data sets to solve pressing issues.]
Contact the library for a copy of this article

The NHS is holding the economy back by failing to share its data
Swindells. HSJ 2025;:7038497.article.
[Matthew Swindells writes about how unlocking AI’s potential in the NHS can boost productivity, improve patient care, and free clinicians from admin tasks by prioritising simpler, proven technologies like RPA and machine learning.]
Contact the library for a copy of this article

A partial plan: unanswered questions on reforming elective care.
The Nuffield Trust; 2025.
https://www.nuffieldtrust.org.uk/news-item/a-partial-plan-unanswered-questions-on-reforming-elective-care
[The plan to reform elective care for patients, published earlier this week, shows that the government is serious about changing how planned health care is delivered over a longer term. As this blog explores, however, there are some unanswered questions about how the plan will work.]
Freely available online

Are elective recovery targets achievable?
King's Fund; 2025.
https://www.kingsfund.org.uk/insight-and-analysis/blogs/elective-recovery-targets-achievable-evidence
[The newly released elective care plan sets some bold targets for reducing elective waiting times. But can these goals realistically be achieved, asks Sarah Arnold.]
Freely available online

Briefing: How HR can use organisational development to boost skills development.
Chartered Institute of Personnel and Development (CIPD); 2025.
https://www.cipd.org/en/views-and-insights/thought-leadership/insight/organisational-development-boost-skills
[As organisations look for new ways to grow the skills base of their workforce, we examine the role that organisational development (OD) can play in driving up productivity and improving business outcomes.]
Freely available online

How do we make a success of artificial intelligence in health?
Health Foundation; 2025.
https://www.health.org.uk/features-and-opinion/blogs/how-do-we-make-a-success-of-artificial-intelligence-in-health
[Following his 2025 REAL lecture, Hetan Shah, Chief Executive Officer of the British Academy, says developing AI interventions will require meaningfully involving the public, investing in data and IT, and adopting proven technology worthy of our trust.]
Freely available online

Improving the patient experience: insights from Uganda, the UK and the US.
Pharmafocus; 2025.
https://www.pharmafocus.com/articles/improving-the-patient-experience-insights-from-uganda-the-uk-a
[By understanding the unique challenges and opportunities in different regions, healthcare systems can develop more effective, patient-centred care models. What is the current state of patient experience in Uganda, the UK and the US – focusing on patient-centred care, physician perspectives and clinical research participation – and what are some future technological advancements that have the potential to transform healthcare?]
Freely available online

Slaying the leadership zombies inside us.
King's Fund; 2025.
https://www.kingsfund.org.uk/insight-and-analysis/blogs/leadership-zombies
[Why do zombie ideas continue to haunt modern-day workplaces? Dharaa Patel explores how outdated yet persistent beliefs are holding back organisations, and why it’s important to let go of them. By Dharaa Patel.]
Freely available online

Professional Development

CIPD Change Management Conference 2025.
[A full day of dynamic learning designed to equip you with the latest strategies and skills to lead impactful, sustainable change. This year’s Conference dives deep into the essentials of the change journey, covering everything from building a culture ready for transformation to measuring and validating the impact of change initiatives. *‘Please note this is a paid-for event. You should check your local training offer and funding arrangements before booking*]
Leonardo Royal Hotel London
All day event on: 28th April, 2025
https://events.cipd.co.uk/change-management


South East Connect 2025: Shaping the Future of Digital, Data and Technology (DDaT) in Health and Care (Delivered Face to Face at The Hilton Hotel, Reading).
[Involves networking with leading corporate sponsors: Forge valuable connections and explore potential partnerships, keynote speakers, connecting with regional colleagues, enhancing career prospects, participating in workshops.]
Hilton Hotel, Reading
All day event on: 6th March, 2025
https://www.skillsdevelopmentnetwork.com/event?ID=11591

Report

A pain to complain: why it's time to fix the NHS complaints process.
Healthwatch England; 2025.
https://www.healthwatch.co.uk/report/2025-01-27/pain-complain-why-its-time-fix-nhs-complaints-process
[Written complaints in the NHS reached a record high in 2024. This report finds that low public confidence is preventing people from taking any action after experiencing poor care, meaning that current complaints numbers could just be the tip of the iceberg.]
Freely available online

A portrait of modern Britain: health – the public's priorities for the NHS.
Policy Exchange; 2025.
https://policyexchange.org.uk/wp-content/uploads/A-Portrait-of-Modern-Britain-Health.pdf
[This report examines the perceptions of and priorities the British public have for the NHS. It found that the NHS providing services free at point of use was less of a priority to the public than ensuring access to a GP and treating major conditions. Young and urban respondents are more open to major reforms to primary care, such as enabling direct access to secondary care. It makes several recommendations and looks at specific policy areas such as general practice, dentistry and mental health.]
Freely available online

AI Opportunities Action Plan: Independent report.
Department for Science, Innovation & Technology; 2025.
https://www.gov.uk/government/publications/ai-opportunities-action-plan/ai-opportunities-action-plan
[This plan, commissioned by Secretary of State for Science, Innovation and Technology, states that the goal for Britain should be a thriving domestic AI ecosystem, with serious players at multiple layers of the “AI stack” and widespread use of AI products and services across the economy.]
Freely available online

In the balance: lessons for changing the mix of professions in NHS services.
NHS Employers; 2025.
https://www.nhsemployers.org/publications/balance-lessons-changing-mix-professions-nhs-services
[This new report from the Nuffield Trust provides some lessons for how new and emerging roles could be better implemented and integrated into the NHS.]
Freely available online

Integrating health and social care: a path to better services and outcomes.
UK Parliament; 2025.
https://post.parliament.uk/integrating-health-and-social-care-a-path-to-better-services-and-outcomes/
[All nations of the UK have sought to improve joint working between health and social care services. Can closer working improve the quality of care and population health, and help deal with increasing demand in England? By Thomas Powell and Natasha Mutebi.]
Freely available online

New Hospital Programme Briefing.
NHS Providers; 2025.
https://nhsproviders.org/media/700060/wmh-debate-on-the-new-hospital-programme.pdf
[This briefing covers key aspects of the New Hospital Programme to date, the announcement made by the Secretary of State (20 January 2025) and the perspective of trusts.]
Freely available online

On the frontline of the UK’s corridor care crisis.
Royal College of Nursing (RCN); 2025.
https://www.rcn.org.uk/Professional-Development/publications/rcn-frontline-of-the-uk-corridor-care-crisis-uk-pub-011-944
[The RCN asked members to respond to a short survey at the end of December. Thousands of nursing staff responded, confirming corridor care is widespread across the UK. This report includes the raw, unedited and often heart-breaking responses of nursing staff working across the UK.]
Freely available online

Protecting patients and the NHS through full transparency in industry-NHS collaborations.
University of Bath Institute for Policy Research; 2024.
https://www.bath.ac.uk/publications/protecting-patients-and-the-nhs-through-full-transparency-in-industry-nhs-collaborations/
[IPR Policy Brief. This policy brief recommends key legislative reforms to enhance financial transparency in industry-NHS collaborations.]
Freely available online

Public sector digital trends: beyond borders.
Society for Innovation, Technology and Modernisation; 2025.
https://socitm.net/resource-hub/collections/public-sector-digital-trends/
[This report outlines the digital and technology trends driving local public services change and innovation, and poses 10 questions every public service leader must address. Focusing on three deep-dive areas covering data, cybersecurity and reimagining services, the report exposes the interdependencies of digital initiatives and organisational goals. It emphasises the importance of clear vision and teamwork to achieve better social, economic and environmental outcomes.]
Freely available online

The preventative shift: how can we embed prevention and achieve long term missions.
The Health Foundation; 2025.
https://www.health.org.uk/reports-and-analysis/briefings/the-preventative-shift-how-can-we-embed-prevention-and-achieve-long
[The new briefing The Preventative Shift looks at how to shift the culture of public bodies to think ‘prevention first’ and target spending at activities which are value for money and improve outcomes.]
Freely available online

Statistics

Association between time spent in emergency care and 30-day post-discharge mortality, England: March 2021 to April 2022.
Office for National Statistics (ONS); 2025.
https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/bulletins/associationbetweentimespentinemergencycareand30daypostdischargemortalityengland/march2021toapril2022
[Relationship between time spent in A&E and the odds of 30-day, post-discharge, all-cause mortality, controlling for other factors. Release date: 17 January 2025.]
Freely available online

Toolkit

Employee voice factsheet.
Chartered Institute of Personnel and Development (CIPD); 2025.
https://www.cipd.org/en/knowledge/factsheets/voice-factsheet/
[This factsheet explores employee voice and its different forms in an organisation. It looks at the changing nature of voice and influence in the employment relationship, mechanisms for participation, whistleblowing and how employers can create a safe environment where individuals feel able to speak up.]
Freely available online

Focus on: impact of AI and the world of work.
Chartered Institute of Personnel and Development (CIPD); 2025.
https://www.cipd.org/en/policy-and-insights/focus-on/focus-on-impact-of-ai/
[Although AI is already being used in many areas, it can be hard to know where to begin in your organisation. Browse resources, including reports, guides, and practical tools, to help you stay ahead and make the most of AI in the workplace. Note: full access to some resources may be restricted to CIPD members.]
Freely available online

Quality Improvement Essentials Toolkit.
Institute for Healthcare Improvement (IHI); 2025.
https://www.ihi.org/resources/tools/quality-improvement-essentials-toolkit
[IHI’s Quality Improvement Essentials Toolkit includes the tools and templates you need to launch a successful quality improvement project and manage performance improvement. Each of the ten quality improvement (QI) tools can be used with the Model for Improvement, Lean, or Six Sigma, and includes a short description, instructions, an example, and a blank template.]
Available with free registration

Visual Management Board.
Institute for Healthcare Improvement (IHI); 2025.
https://www.ihi.org/resources/tools/visual-management-board
[A visual management board is used as a key communication tool that provides at-a-glance information about current process performance, both quantitative and qualitative data, to help clinical unit staff coordinate and guide their daily work and monitor ongoing improvement projects. This page includes visual management board examples, 5 tips for visual management boards, and how to implement a visual management board using PDSA cycles.]
Available with free registration