FAQ
Log In
Thursday 23rd November 2017
News
 › 
 › 

Set providers free

22nd March 2007

The NHS is unconventional, writes Richard Bourne, chair of Essex Rivers Healthcare Trust, and is more a collective of vested interests than a single organisation.

regulating healthcare

He writes in the Health Service Journal, that the NHS faces a continual and often incoherent barrage of advice, instructions and demands which can change almost daily, and accountability is muddled by different layers of management.

‘The NHS is managed badly. It has neither the capability nor capacity for the efficient management of so many component sub-organisations, especially during a period of change. Some would add it does not have the right culture either.’ He writes.

To create a genuinely world class NHS, he calls for a radical and brave approach: split commissioners from providers and allow providers to be completely autonomous to make changes free of scrutiny; reduce the number of organisations by getting rid of primary care trusts, strategic health authorities, overview and scrutiny committees and use unitary authorities for commissioning.

‘There is far more chance of autonomous, business-driven foundation trusts agreeing to collaborate than there ever was from NHS bodies who were actually supposed to co-operate,’ he concludes.

Share this page

Comments

There are no comments for this article, be the first to comment!


Post your comment

Only registered users can comment. Fill in your e-mail address for quick registration.

Your email address:

Your comment will be checked by a Healthcare Today moderator before it is published on the site.

Article Information

Title: Set providers free
Author: Carol burns
Article Id: 2332
Date Added: 22nd Mar 2007

Sources

Health Service Journal

Recent Related Articles

Hospital to set up Airbnb-style scheme

NHS set for worse winter

Actions

Add to scrapbook
Show Comments
Add comment
Find all related articles

Tags

Mayden - Innovative cloud-based web development for the healthcare sector
© Mayden Foundation 2017