Topic: Governance and regulation Our work on governance, accountability and regulation across health and social care Content Type Viewing: Our work Our work Publications Projects Blog posts Events Multimedia Press releases Share this content Share on Twitter Share on Facebook Share on LinkedIn Share on Email Print this page Blog Separating the noise of contract negotiations from the signal of STPs Chris Ham considers the progress made so far on sustainability and transformation plans, and whether they really have the potential to be a game-changer for the NHS. Slideshow How is the NHS structured? A series of diagrams explaining how the NHS is now structured, including how providers are regulated, who can influence the commissioning of services and where the money goes. Blog Challenges ahead for the newly established NHS Improvement NHS Improvement aims to deliver better healthcare, transformed care delivery and sustainable finances. With the official launch on 1 April 2016, Richard Murray considers the challenges it faces. Blog Real trust rather than regulated trust should be the foundation on which improvement in the NHS is built A shift in emphasis, away from rules and regulation and towards developing positive organisational cultures that encourage risk taking and avoid blame, will be key as the NHS strives to improve quality Blog The foundation trust model: death by a thousand cuts Ben Collins argues that changes in government policy coupled with worsening NHS finances have now fatally compromised the foundation trust model. Active project CQC provider ratings and their impact on care quality Research examining how health and social care providers, the public and other key stakeholders have responded to Care Quality Commission performance ratings. Audio Jim Mackey – hear from the new Chief Executive of NHS Improvement Jim Mackey on NHS deficits and how the newly formed NHS Improvement will approach its role. Blog Learning from others: devolved governance in the Australian state of Victoria The health care system in Victoria, Australia, delivers good results compared with other states, but there are still areas where improvements could be made. Report Managing health services through devolved governance: A perspective from Victoria, Australia In 2014 The King's Fund was approached by the health department in the Australian state of Victoria to undertake an independent review of the model of the state's devolved governance of health services. This report presents the findings of our review. Blog How can the performance of local health systems be assessed? Chris Ham reflects on the findings of our review for the Department of Health, which recommends radical simplification and better alignment of existing frameworks for assessing performance in the NHS. Press release NHS performance frameworks need radical simplification and alignment, The King’s Fund review finds The approach to performance assessment in the NHS requires radical simplification and alignment in future, a review by The King's Fund finds. Blog Should we be worried about CCG conflicts of interest? Are conflicts of interest affecting the services patients receive? Or is this inherent feature of clinical commissioning being managed appropriately through common-sense decision-making? Report Foundation trust and NHS trust mergers: 2010 to 2015 This report reviews 20 mergers involving NHS trusts and foundation trusts between 2010 and mid-2015 and asks whether mergers are always the best way forward. Blog Is the purchaser–provider split dying? Is the purchaser provider split dead? No. Is it dying? Quite possibly, says Nicholas Timmins. Blog Local Healthwatch: progress, promise and power The coalition government outlined a framework for a network of local Healthwatch organisations, with the aim of creating a credible, representative and influential public voice in the system. So how have these organisations been developing? Regulation, targets and transparency: The first 100 days of the new government The reliance on regulation to drive performance is set to continue, albeit with some subtle but important changes. Blog Understanding care quality: confronting complexity Will drawing on a whole range of information about care quality take us a bit closer to a meaningful understanding of what care is like in practice? Slideshow Ellen Armistead: Regulating community health services Ellen Armistead, Deputy Chief Inspector of Hospitals at CQC, discusses CQC's new approach to community health care services and what they found in the first year. Blog The case for professionalising and validating medical leadership One of the priorities of our medical leadership work is to support those attracted to medical leadership and management. One way of encouraging medical leaders is to give them the same professional status that the medical profession gives to education, training and clinical practice. Video Andrea Sutcliffe: Findings of the review into the quality of care for people living with dementia Andrea Sutcliffe, Chief Inspector of Adult Social Care at CQC, speaks at our event on leading change in dementia diagnosis and support. Andrea describes the findings of the Review into the quality of care people living with dementia receive.