2023
DOI: 10.34172/ijhpm.2023.7809
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The Evolution of External Healthcare Regulation in England; From Performance Oversight to Supporting Improvement; Comment on "The Special Measures for Quality and Challenged Provider Regimes in the English NHS: A Rapid Evaluation of a National Improvement Initiative for Failing Healthcare Organisations"

Abstract: The Special Measures and Challenged Provider (SMCP) Regime introduced for struggling healthcare organisations in England represents a subtle shift to the scope of external regulation from performance oversight to include supporting internal service improvement. External regulation alone has a had a mixed impact on the quality of care and Vindrola-Padros et al’s study highlights that externally driven improvement initiatives may also struggle to succeed in turning around performance. Principally, this is due to… Show more

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“…Patient dissatisfaction has increased due to subpar patient care, which negatively affects healthcare systems and patient outcomes [18]. There is a growing interest in deploying virtual healthcare assistants to tackle these challenges [19].…”
Section: Introductionmentioning
confidence: 99%
“…Patient dissatisfaction has increased due to subpar patient care, which negatively affects healthcare systems and patient outcomes [18]. There is a growing interest in deploying virtual healthcare assistants to tackle these challenges [19].…”
Section: Introductionmentioning
confidence: 99%
“…The CQC has wide ranging powers of enforcement under civil or criminal law where needed, but responsibility for improving challenged organisations lies elsewhere, and evidence for the effectiveness of the current improvement mechanisms remains limited. Of the 41 NHS hospitals under the “special measures and challenged providers” regime6 between 2013 and 2018, only six were rated good by mid-2018, with six re-entering the regime 7…”
mentioning
confidence: 99%