Banking and finance dispute resolution
For the latest news and comment on banking and finance disputes.
For the latest news and comment on banking and finance disputes.
For all the latest news and comment in clinical negligence healthcare law
This collection looks at the latest news and comment on commercial contracting healthcare law. With the health and social care sector under…
For all the latest news and comment in employment and pensions healthcare law
For all the latest legal and regulatory news and comment in health technology
This collection contains DAC B eachcroft's latest report, The Route to Integrated Healthcare , which provides the first practical examples of how…
This collection looks at the latest strategic, commercial, regulatory and negligence legal and advisory news and comment in health and social care. …
For all the latest news and comment on employment and pensions law.
DAC Beachcroft Dublin specialises in insurance, professional indemnity, defendant personal injury, health, commercial litigation and employment work.…
For all the latest new and comment in tax law.
The GC Collective collection offers insight and comment for General Counsels (GCs) and in-house legal teams.
For the latest news and comment on Corporate, M&A and Equity Capital Markets.
Analysis, commentary and checklists on the legal and governance implications of Brexit on businesses operating in, and trading with, the UK
The Accountant's Liability Collection brings you topical news and insight of interest to accountants, actuaries, trustees and other financial…
Events and online training for the health and social care sector.
DAC Beachcroft's LatAm Quarterly Newsletter discusses topical news and issues in Latin America
In response to client suggestions and requests, DAC Beachcroft's insurance sector flagship publication.
For all the latest legal and regulatory news and comment in health and social care integration
For all the latest news and comment in corporate regulatory healthcare law
Find advice, commentary and thought leadership on all aspects of Director's & Officer's Insurance; from contract formation through to complex…
This collection looks at the latest news, comment and development on the law affecting mental health services. The law affecting mental health…
Our market-leading Information Law team regularly publish articles and updates addressing the ever-evolving Information Law landscape.
This collection looks at our Safety, Health and Environment Team and the products and services they can provide. In the climate of increased…
The Insurance Act 2015 comes into force in August 2016 and will represent a significant change to insurance contract law in this country. This…
Legislative changes are bringing major changes to the Insurance landscape. This collection houses DAC Beachcroft's alerts on the pertinent issues.
For all the latest news and comment in clinical regulatory healthcare law
Organisations face ever-increasing expectations from Government, regulators, customers or service users, and other stakeholders, so scrutiny and…
For all the latest legal and regulatory news and comment in healthcare estates and facilities management
This collection addresses the full spectrum of cyber security and data risk management – the zeitgeist of our age.
We have acted for clients in the majority of significant product liability cases that have been decided in the UK over the last 35 years. Our product…
Considering the future landscapes of our cities
The European General Data Protection Regulation (GDPR) came into force on 25 May 2016. A rewrite of European data protection law, the GDPR imposes…
Considering the future of housing
For the latest news and comment on public procurement law.
Welcome to the Construction Risks collection. This space is used to report upon issues of interest to those who seek to allocate, manage and reduce…
Technology, brands and intellectual capital are key assets for any successful business. Our intellectual property (IP) team are experts at helping…
Considering the future of retail
The Insurance Market Conditions and Trends report is DAC Beachcroft's insurance sector flagship publication. Now in its tenth year, the report…
The Solicitors' Risk Collection addresses issues and developments affecting legal practitioners, and the professional indemnity insurers of legal…
Published On: 23 May 2016
Over the next few months, NHS Improvement’s new Chief Executive, former Northumbria Healthcare Foundation Trust boss, Jim Mackey, will set out how the new organisation will “stand shoulder to shoulder with the service” at a critical time where major service redesign is a priority in the face of rising deficits and declining performance. But given a choice, what do senior NHS personnel want from the regulator?
Richard Murray, Director of Policy at think tank the Kings Fund, says improving financial and clinical performance “cannot be done by setting lots more national targets, nor by ever tighter regulation."
“Evidence tells us that the way to bring about sustained improvements in the quality of care is to provide freedoms to local leaders and their organisations, giving them the tools and space to allow them to improve. This requires a supportive national framework but not any extension of central control.”
This is echoed by Jennifer Dixon, Chief Executive of the Health Foundation, who believes “effective improvement can’t be imposed centrally, but must be designed and owned locally."
The immediate task will be to “gain control of the financial situation and establish discipline”, agree Chris Hopson, NHS Providers Chief Executive and Nigel Edwards, Nuffield Trust Chief Executive.
“This will require the ability to distinguish between the different reasons for organisations being in financial deficit – are there issues inside the organisation that need addressing, problems in the local health and social care economy or fundamental questions about the sustainability and viability of the whole system?”
Hopson and Edwards also call for some form of regional ‘referee’ to unblock and enable where local participants cannot agree or make sufficient progress on their own.
Sarah-Jane Marsh, Chief Executive of Birmingham Children’s Hospital NHS Foundation Trust, wants regulatory frameworks aligned. “We need one definition of what ‘good’ looks like, and to be held to account for that. At the moment, no chief executive really knows the ‘rules of the game’,” she says.
Dr Amanda Doyle and Dr Steve Kell, co-chairs of NHS Clinical Commissioners want a regulator that “supports rather than stifles” innovation.
And they want fast action. “Decisions over new internal structures and processes, such as the 2016/17 tariff, cannot be allowed to take precedence over determining pressing issues, [as these] impact on the whole of the health system.”
Former Health Secretary, Stephen Dorrell – now a Healthcare and Public Sector Senior Adviser to consultants KPMG – says the new team needs to “decide whether they are an improvement agency, a market regulator, or a provider regulator. There is an unreconciled conflict between these functions at the heart of the current legislation, which creates unnecessary cost and confusion and needs to be resolved."
Finally, Jeremy Taylor, Chief Executive of patients group National Voices, advises the new organisation: “Don’t be an empire builder. The more you have to do, the more likely it will either duplicate or get in the way of what others are doing. Once you have a clear brief, communicate it clearly. Remember, if you can’t explain your job very simply to your children or your mum, then you have to wonder why you are doing it.”