Poor accountability under reforms could damage NHS, warns King’s Fund

BMJ 2011; 342 doi: (Published 01 June 2011) Cite this as: BMJ 2011;342:d3210
  1. Zosia Kmietowicz
  1. 1London

Accountability arrangements under the government’s proposed health reforms are weak and unproved and risk undermining the performance of key NHS organisations in England, says the health policy think tank the King’s Fund.

The reforms set out in the Health and Social Care Bill are designed to cut top-down management by shifting the responsibility for checking how NHS organisations perform away from centralised control and instead making GP commissioning consortiums and local health and wellbeing boards more accountable for the services and the health outcomes of their local population.

But the arrangements as …

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