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NHS regulator is ineffective and has conflicts of interest, say MPs

BMJ 2014; 349 doi: http://dx.doi.org/10.1136/bmj.g4446 (Published 04 July 2014) Cite this as: BMJ 2014;349:g4446
  1. Adrian O’Dowd
  1. 1London

One of the main regulators of the NHS in England, Monitor, is too slow to take action over struggling trusts, is not always effective, and has potential conflicts of interest over its new roles, MPs say.

The parliamentary Public Accounts Committee published a critical report on 4 July about the performance of Monitor, which regulates NHS foundation trusts and which took on new responsibilities as the sector regulator for health services in April.1

MPs said that the number of NHS foundation trusts in difficulty was growing, casting doubt on Monitor’s effectiveness as their regulator. At the time of the committee’s inquiry, it was estimated that more than a quarter of foundation trusts (39 of 147) would be in deficit by the end of 2013-14. By the end of last December 25 trusts were in breach of the conditions set when they were awarded …

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