MIAA is a member of the Internal Audit Network (TIAN) which comprises the seven NHS internal audit consortiums and in-house teams operating in England. These organisations collaborate across a number of areas to leverage their collective knowledge and expertise and drive efficiency and effectiveness. The monthly insight report highlights key publications and is intended as a useful update and reference tool. This report is produced by TIAN and shared by MIAA.

NHS England (NHSE) - Strengthening public health expertise in ICBs

This guidance supports ICBs to embed public health expertise into governance, commissioning and service transformation. It aims to drive efficiency, improve outcomes and reduce health inequalities. Read more.

For information of ICBs

NHSE - Tackling modern slavery in NHS procurement

This updated guidance is for goods or services being procured for the purposes of the health service in England. This applies to all NHS organisations who are expected to:

• take steps for assessing and addressing the risk of slavery and human trafficking taking place
• design procurement procedures and contracts which respond in a proportionate and relevant way to the level of risk of modern slavery
• make provisions within contracts to ensure supplier compliance with the regulations and this guidance. Read more.

For implementation by all NHS Procurement functions

Department of Health and Social Care (DHSC) - How personal data is used and shared during the NHS continuing healthcare process

This guidance is an overview of the rules and legal basis for using and sharing personal data during the NHS continuing healthcare process. Read more.

For information

DHSC - Health Bill: fact sheets

For information

Kings Fund – Analysis of the NHS Modernisation Bill 2026

The King's Speech outlined the government's plans to reform how the NHS is led and managed through the proposed NHS Modernisation Bill, with significant changes to the way national and local parts of the system are structured and governed. The reforms include:

• the abolition of NHS England
• changes to the roles and responsibilities of integrated care boards
• changes to statutory data functions and the single patient record
• the abolition of Healthwatch and the creation of a new DHSC patient voice function.

For information

Nuffield Trust - What’s in the Bill?: Nuffield Trust briefing on the 2026 Health Bill

The NHS Modernisation Bill (Health Bill) is the government’s flagship legislation changing how the English NHS works. It represents a major NHS restructure that abolishes NHS England and merges it with the Department of Health and Social Care, grants the Secretary of State new powers to intervene in and direct NHS organisations, and mandates the creation of a Single Patient Record. This briefing outlines how the changes in the Health Bill will affect the way health care in England is run. Read more.

For information

Patients Association - Patient experience survey

For information

Royal College of Emergency Medicine (RCEM) - Mental health: self harm 2025 national report

This report is the final one for the QIP on mental health and self harm, which ran from 2022-2025 and tracked progress in the care for patients attending EDs across the UK at risk of self harm and absconding. The report makes a series of recommendations aimed at driving further improvements for each clinical standard for care of mental health patients in EDs. Read more.

For information

Public Policy Projects - Beyond bed management: enabling whole-system patient flow through digital intelligence

For information

Kings Fund - Health inequalities in a nutshell

Health inequalities are avoidable, unfair and systematic differences in health between different groups of people. They remain one of the most pressing challenges facing the UK today − and where you live can have a big impact on your years of healthy life. In this updated explainer, the Kings Fund highlights the scale and urgency of the issue. Read more.

For information

World Health Organisation - Artificial intelligence and evidence-informed policy: emerging challenges and opportunities

For information

Health Foundation – Progress, but is it enough? What the latest NHS waiting times mean for elective recovery

This analysis assesses the progress made on elective care waiting lists and what it means for the government’s aim to restore the 18-week standard by 2029. Read more.

For information

Health Foundation - Better homes, better health: insights from linking housing and health data

This briefing presents new findings from the Networked Data Lab, a UK-wide network of analysts led by the Health Foundation. Teams in five areas of the country (Cheshire and Merseyside, North West London, West Yorkshire, Grampian and Wales) accessed, linked and analysed local data sources to produce new evidence on the links between housing and health. Read more.

For information

NHS Alliance - Targets and trade-offs: NHS finance and performance ambitions in 2026/27

Ahead of financial year-end, NHS Alliance surveyed ICBs, NHS trusts and foundation trusts, and general practice providers to build a broad understanding of experiences across the NHS. The findings reveal the progress made in the last year despite ongoing challenges from industrial action, rising demand and constrained finances. hey also reveal the difficult trade-offs required – and those still ahead – to improve financial sustainability and operational performance. The research highlights that the measures taken to meet financial plans have come at a cost, impacting efforts to build a more prevention- and community-focused model of care and staff morale. Read more.

For information

House of Commons Library - NHS key statistics

For information

Office for National Statistics (ONS) – Crime in England & Wales: Year ending 31 December 2025 

Fraud accounts for 45% of UK crime.  New figures published on Thursday 23 April by the ONS reinforce the scale and persistence of fraud across the UK.  The latest report, Crime in England and Wales: year ending December 2025, shows that fraud continues to outpace all other offence types:

• Fraud accounts for 45% of all crime, with an estimated 4.4 million incidents
• Bank and credit account fraud increased by 15%, reaching around 2.7 million incidents
• Fraud levels remain around 30% higher than in 2017, despite reductions in many traditional crime categories

While overall crime is stable or declining in some areas, fraud has not followed the same trajectory, underlining that it is a sustained and evolving national threat. These findings highlight the importance of sharing data and intelligence across sectors. Continued collaboration between financial services, technology, retail, the public sector and law enforcement is critical to disrupt criminal activity and better protect individuals and organisations. Read more

For information

HFMA - NHS corporate governance map (update)

The HFMA’s NHS corporate governance map has been updated, with items added since the last update marked as new. The map brings together the key guidance and models to support effective corporate governance within the NHS. Read more

For information

HFMA - Pocket guide to NHS finance (updated)

The NHS is always changing and developing – this edition, updated April 2026, reflects the structures and processes in place as at the time of writing. The HFMA’s pocket guide provides an easy-to-read introduction to finance in the NHS. The guide sets out the key themes of how the NHS finance regime works and how this fits within the wider NHS landscape. It is designed to give readers a basic understanding of the key aspects of NHS finance.

The guide has been written for a wide audience and will be of interest to finance staff at all levels, non-executive directors, clinicians, budget holders and general managers. Indeed, anybody who wants to get a basic understanding about how money works in the NHS; be they at the beginning of their career, moving to a new role, or just interested to understand the NHS financial regime. Read more

For information

Disclaimer: This briefing paper is intended to highlight recent developments and issues within the NHS that may be of interest to non-executive directors, lay members and NHS managers. It is not exhaustive and TIAN cannot be held responsible for any omission.