On this episode we unpick the ongoing tensions among leaders and senior doctors at one of the biggest trusts in England.

University Hospitals Birmingham - previously a flagship teaching trust with an influential leadership - has been through the mire over the past few years, with a string of concerns over culture and care quality.

A new top team says it is tackling deep-seated problems, but over recent months rows have flared publicly over consultants’ overtime pay, confidence in its leadership, and questionable international training schemes.

Also this week, a new senior appointment at NHS England, and what it could mean for the government’s 10-year health plan.