Changing paradigms of governance and regulation of quality of healthcare in England

Bibliographic Data

ID21148822
AuthorsGeorge Bevan (0000-0003-2123-3770, London School of Economics and Political Science, corresponding author), Gwyn Bevan
Year2008
Volume10
Issue1
Pages85-101
Publication date2008-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueHealth Risk & Society (JOURNAL)
Journal identifiersISSN: 1369-8575 • E-ISSN: 1469-8331
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13698570701782494
OpenAlexW2151121081
LanguageEN
Citations received6
References cited8

This paper outlines the way in which professional self regulation of quality of healthcare was integral to the creation of the National Health Service (NHS) in 1948, and to the way the NHS was organized for the next 50 years. It describes the crisis in quality that emerged in the late 1990s. It describes the government's initial responses to that crisis, which were to require NHS organizations to implement systems of clinical governance, and create the Commission for Health Improvement (CHI) to inspect its implementation through visits to each NHS organization. The paper discusses Reports from Inquiries into three scandals, and considers the further changes made to governance and regulation of quality with the abolition of CHI and the National Care Standards Commission, which inspected the private sector, to be succeeded by the Healthcare Commission with a new approach to regulation. It examines three promises of that new approach: the use of national standards; being ‘light touch’ and proportionate using ‘intelligent’ (or ‘smart’) information, as opposed to being organized on a comprehensive programme of visits; and developing a common approach to the NHS and private sectors

Business · Clinical governance · Commission · Corporate governance · Health care · Political science · Private sector · Public relations · Healthcare cost, quality, practices · Healthcare Quality and Management · Law · Medical Malpractice and Liability Issues · Public Administration · Finance

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