In this paper we set out our views on how the system of quality assurance, including regulation, needs to evolve, the principles on which it should be built and how it should operate. We argue that the system of quality assurance must support the actions and effectiveness of those working ...
Based on a review of the English NHS experience of Payment by Results (PbR) and international experience of similar, activity-based payment systems, this report identifies five general lessons about payment systems, draws some conclusions about whether our current Payment by Results system is fit for purpose in view of current ...
The financial pressures in the NHS are being felt particularly harshly by acute hospital trusts. A number of trusts and foundation trusts have been rated as at financial risk, and some trusts have declared themselves not financially sustainable as currently configured. These trusts will therefore not be able to achieve ...