Three years ago the NHS was the first healthcare system in the world to set an ambition to become net zero, but it struggles to prioritise this in the face of daily operational and financial pressures.

This week we discuss in depth the green targets, progress already made and why, despite competing priorities, they should still be high up leaders’ agenda. 

Also, an update on what systems are being told to do to cope this winter.

This week we’re joined by Thea Stein, who recently moved into think tank world after nine years running an NHS trust.

We cover her reflections on her time at Leeds Community Healthcare Trust, why she is fed up of “visions” of integrated care and much more interested in the tricky detail, and the radical policies needed to recruit and retain more staff. 

Leaders at Maidstone and Tunbridge Wells Trust have been heavily criticised in an independent inquiry into the actions of former maintenance supervisor David Fuller.

We cover the mistakes made by the trust that enabled him to abuse hundreds of bodies in its mortuary over 15 years and what the rest of the NHS must do in response to this horrific case.

Also, an update on the government’s pay offer to consultants and why its made the Royal College of Nursing so angry.

US firm Palantir has officially been awarded the lucrative federated data platform deal, which is one of the biggest NHS data projects in recent years.

This week Nick Carding, Joe Talora and Annabelle Collins discuss the controversy surrounding the deal, what the risks and benefits are for the NHS and what’s next in its implementation. 

A trust that gave its name to a controversial A&E policy has seen performance improve significantly, so this week we discuss how North Bristol Trust handled the risks and how quickly its model could spread throughout the NHS. 

Also, NHSE chief Amanda Pritchard told MPs this week there has been a ”misunderstanding” about productivity in the NHS - we discuss what’s actually going on behind the scenes.

This week Annabelle and James are joined by Saffron Cordery, deputy chief executive of NHS Providers.

We’re looking ahead to winter and an election year, in which the NHS faces ongoing strikes, stalling progress on waiting lists and challenging finances. 

We also cover the damage done by ’short-termism’ and why turnover of trust CEOs is getting worse. 

An increasing number of hospitals are appointing shared CEOs and chairs and with more large ’groups’ being created  – this week we discuss the benefits and drawbacks to this new(ish) way of running things. 

We focus on two recent examples - the Barts Health Group in London and University Hospitals of Leicester, which as of this week shares a chair and CEO with two neighbouring trusts.

With Ben Clover, Annabelle Collins and Dave West. 

This week we’re joined by Roger Kline, academic and workforce culture consultant, to discuss Steve Barclay’s latest edict ordering the NHS to stop recruiting to equality, diversity and inclusion roles. Was the letter just red meat for the Daily Mail or could it do real damage? 

We cover NHS England’s response, why the cost-savings argument doesn’t add up, and what's next for EDI roles. 

With Nick Kituno, Annabelle Collins and guest Roger Kline

Sir Jim Mackey is moving on from Northumbria Healthcare FT after 18 years and taking the top job at Newcastle upon Tyne Hospitals FT. This week we discuss what this means for the NHS in the North East and also for NHSE, where he will be leaving his chief operating office role. 

And in other people moves, we also cover David Loughton’s retirement from Royal Wolverhampton Trust and Walsall Healthcare. 

On the podcast this week we bring you highlights and analysis from the Labour party conference in Liverpool.

We cover what a backlog recovery drive could look like under a Labour government and how Wes Streeting will take from Blair’s 1997 playbook to ‘underpromise and overdeliver’ on the NHS.