- Almost nine in 10 trust leaders (89%) said they were extremely concerned about the impact of seasonal pressures over winter on their trust and local area.
- Most respondents (85%) agreed or strongly agreed they were more concerned about winter 2022/23 than any previous winter during their NHS career.
- Trust leaders highlighted strategies to prepare for winter such as partnership working, supporting staff wellbeing including cost of living initiatives, and recruitment to boost capacity.
- Most (86%) trust leaders were very worried or worried about their trusts having the capacity to meet demand for services over the next 12 months.
- Just under half (48%) of trust leaders rated the current quality of healthcare provided by their local area as currently very high or high. Less than one third (30%) predicted that the quality of healthcare provided in the coming two years would be very high or high.
- Almost four in five trust leaders (77%) were very worried or worried about their trust having the right numbers, quality and mix of staff to deliver high quality healthcare currently.
- Almost all (93%) trust leaders were extremely or moderately concerned about the current level of burnout across the workforce, and eight in 10 (80%) were extremely or moderately concerned about workforce morale.
- Nearly half (46%) of trust leaders strongly agreed or agreed they were on track to meet the key elective recovery and cancer targets by the end of the financial year.
- The vast majority (94%) of leaders were very worried or worried about whether sufficient national investment is being made in social care in their local area.
- Over four in five (85%) trust leaders were very unconfident or unconfident that their integrated care boards (ICB(s)) allocations will account for additional in-year cost since the start of 2022/23.
- Over three quarters of respondents (76%) said that the establishment of statutory integrated care systems (ICSs) was enabling more effective collaboration and joint working between their trusts and other trusts.
- When asked about the top three biggest challenges facing their ICS(s), trust leaders cited: workforce shortages, social care capacity and insufficient revenue funding.