Parallels between the successful transformation of the Veterans Health Administration in the United States and the changes needed in the NHS in England have been made for a number of years. But recent troubles at the VA offer some important lessons for the NHS in the future.
Over the past few years we have seen several high-profile failures of care in NHS acute hospitals in England, leading many in the system to question the ability of performance management and regulatory mechanisms to identify and act on poor performance.
New organisational models for the NHS could bring benefits but it's the quality of leadership alongside a culture of excellence in performance and accountability for results that will be key, says Candace Imison.
Ayesha Janjua welcomes the CQC's commitment to make understanding culture an important part of its regulatory framework, particularly as culture and leadership are so important to deliver high-quality compassionate care for patients.
We don’t need more organisations with the label ‘foundation trust’, we need financial and clinical sustainability in the provider sector, says Candace Imison.
Vijaya Nath reflects on our latest report on medical revalidation, and considers the effect on doctors going through the process.
Jeremy Hunt has asked Sir David Dalton to advise him how to make it easy for NHS 'super-heads' to take over struggling organisations. But will hospital chains work? Candace Imison looks at experience from the UK and abroad.
Although the Care Quality Commission has an important role, the first line of defence against poor quality care must be frontline staff, says Catherine Foot.
Amid the furore of the Competition Commission’s decision to refuse the merger of Bournemouth and Poole, some significant changes to the current failure regime have been approved in amendments to the Care Bill.
Can you change culture from Whitehall? Catherine Foot sets out six opportunities for the DH and NHS England to help them prioritise quality of care and safety for patients.
Candace Imison explores what we can learn from early experiments in using a failure regime in the NHS.
Anna Dixon gives her reaction to the recommendations set out in the long-awaited Francis Inquiry report into the failings at Mid Staffordshire NHS Foundation Trust.
Anna Dixon looks at the difficulties in setting objectives for the NHS and at how the NHS Commissioning Board can be effectively held accountable for £80 billion of public money.
Following Nicholas Timmins's book on the story of NHS reform, Anna Dixon looks at the events that led to the Act reaching the statute book.
A Public Accounts Committee report has highlighted the challenges the CQC has faced since it was set up. But are we expecting too much from a quality regulator?
While opposition to the Bill has got louder, there has been relatively little debate about the new powers for Monitor and what they will mean in practice.
Will amendments to the Health and Social Care Bill affecting the role of the Co-operation and Competition Panel and Monitor truly affect competition in the NHS?
While David Cameron announced public services reform, Anna Dixon says the real challenge is translating them into practice in a service as diverse as the NHS.
Has the government really listened to opinion on the Health and Social Care Bill? And if so, how will any new system of commissioning be held accountable?
How well will the transitional governance arrangements work at the local level?