Inspection and Regulation

09.04.18

‘Burdensome’ NHS trust regulations not keeping pace with integrated care

NHS trusts have today warned that the way they are being regulated is not keeping pace with the move towards delivering more integrated care for patients.

Only one in five trusts who responded to an NHS Providers survey are clear on how the regulations will ensure high-quality and safe services for patients and service users.

It also remains unclear what regulators expect from trusts with regards to sustainability and transformation partnerships (STPs) and integrated care systems, despite significant investment being made into these new models of care.

This lack of clarity on how local care and health systems will be regulated has the chance to cause confusion in terms of who is responsible for holding trusts to account on quality of care and financial performance.

Amber Jabbal, head of policy at NHS Providers, said: “The views of trust leaders show that the demands of regulators continue to place considerable strain on trusts’ time and staff, diverting resources away from the frontline and patient care.

“At a time when trusts are under tremendous pressure to meet ambitious financial targets, address workforce challenges and meet rising demand, it is disappointing to see the burden and the number of ad-hoc requests from regulators increase again.

“Patient safety and quality of care must remain the priority but we risk diverting time and attention from where it is most needed – on the frontline.”

Despite these concerns, Jabbal noted the trusts remain optimistic about the regulators’ fresh approach and that they must work with the trusts to ensure the regulatory system is fit for integrated care.

The findings are published in the NHS Providers’ fourth regulation survey, with 86 trusts responding (37%).

Despite optimism from many trust leaders about the regulations put in place over the last year, almost two-thirds of them believe they will not reduce the administrative burdens on them.

Fewer than half (43%) think the current system is working well, and a very low 8% of the trusts who responded to the survey believe that the current regulatory system provides ‘good value for money.’

Value for money is a crucial concern considering the CQC is in the process of rolling out its new 2018-19 fee structure, with 75% of trusts seeing an average of 29% reduction in their fees.

Comments

There are no comments. Why not be the first?

Add your comment

 

national health executive tv

more videos >

latest healthcare news

Lack of progress around growing waiting list could fuel surge in negligence claims against the NHS

22/03/2019Lack of progress around growing waiting list could fuel surge in negligence claims against the NHS

A rise in negligence claims against the NHS has been predicted by the government’s spending watchdog as it warns that “insufficient p... more >
Department of Health announces day surgery shake-up in Northern Ireland

22/03/2019Department of Health announces day surgery shake-up in Northern Ireland

The Department of Health (DoH) has announced “radical plans” to shake up day surgery across Northern Ireland. Thousands of routi... more >
‘Impossible’ for healthcare trust to remain open with 280 jobs set to go

22/03/2019‘Impossible’ for healthcare trust to remain open with 280 jobs set to go

A 150-year-old private health trust has announced it will have to close, with all services and 280 staff expected to be lost. All Hallows He... more >

editor's comment

25/09/2017A hotbed of innovation

This edition of NHE comes hot on the heels of this year’s NHS Expo which, once again, proved to be a huge success at Manchester Central. A number of announcements were made during the event, with the health secretary naming the second wave of NHS digital pioneers, or ‘fast followers’, which follow the initial global digital e... read more >

last word

Hard to be optimistic

Hard to be optimistic

Rachel Power, chief executive of the Patients Association, warns that we must be realistic about the very real effects of continued underfunding across the health service. It’s now bey... more > more last word articles >

the scalpel's daily blog

Personal Health Budgets: empowering individuals

20/03/2019Personal Health Budgets: empowering individuals

Jon Baker, PHBChoices director at NHS Shared Business Services (NHS SBS) believes that the extension of Personal Health Budgets (PHBs) is a great opportunity for clinical commissioning groups (CCG) to expand and improve care provision – provided that the right infrastructure is in place. The personalisation agenda is transforming ou... more >
read more blog posts from 'the scalpel' >

comment

Staying curious with the Shadow Board Programme

20/03/2019Staying curious with the Shadow Board Programme

Kirstie Stott, director of The Inspiring Leaders Network, discusses organisational and system curiosity alongside the work of the Shadow Board Pr... more >
Fiction as Therapy

20/03/2019Fiction as Therapy

Elaine Bousfield of ZunTold Publishing – a press specialising in fiction for children and young people – discusses ‘Fiction as ... more >
Capturing funds for the NHS estate

20/03/2019Capturing funds for the NHS estate

Aahsan Rahman, department head of town planning at NHS Property Services (NHSPS), looks at an alternative and perhaps underutilised funding sourc... more >
The digital revolution for healthcare is now!

20/03/2019The digital revolution for healthcare is now!

Richard Corbridge, chief digital & information officer at Leeds Teaching Hospitals NHS Trust, focuses on the practices his trust has put in p... more >

interviews

How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

24/10/2018How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

A dedicated national social care service could be a potential solution to surging demand burdening acute health providers over the winter months,... more >
RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

24/10/2018RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

The president of the Royal College of Physicians (RCP) has told NHE that the college’s new headquarters based in Liverpool will become a hu... more >
Duncan Selbie: A step on the journey to population health

24/01/2018Duncan Selbie: A step on the journey to population health

The NHS plays a part in the country’s wellness – but it’s far from being all that matters. Duncan Selbie, chief executive of Pu... more >
Cutting through the fake news

22/11/2017Cutting through the fake news

In an era of so-called ‘fake news’ growing alongside a renewed focus on reducing stigma around mental health, Paul Farmer, chief exec... more >

health service focus

View all News