Health Minister Ben Bradshaw today set out new plans to drive up standards of care and tackle underperformance in our hospitals and primary care trusts.
New measures set out in the vision document 'Developing the NHS Performance Regime' will identify failing trusts, remove poor managers and bring in new management, including from other hospitals or from the private sector.
Health Services Minister Ben Bradshaw said:
"The NHS has come a long way in the last ten years, with record investment, more clinical staff, shorter waiting times and better cancer and heart disease survival rates. But there are still unacceptable variations in performance and a small number of NHS organisations where performance is not meeting the standards which the public and patients expect. "
"As the Prime Minister made clear in his speech in January, we will not tolerate underperformance in the NHS and for the first time, we will publicly identify those trusts with poor safety and clinical records. This new guidance sets out how we will tackle poor performance and the turn-around regime which we are establishing for those hospitals and Primary Care Trusts identified as falling below minimum standards."
The new system means that:
- New minimum standards of quality, safety and financial management will be established and trusts failing to meet these criteria will be identified as 'challenged'
- The Chief Executive of the NHS will have responsibility for ensuring that all challenged trusts have agreed performance improvement plans with Strategic Health Authorities. These will have defined time periods and milestones against which improvement will be assessed
- Trusts unable to turn around their performance within the expected time period will be determined to have failed on quality, safety or financial grounds and the NHS Chief Executive will then have responsibility for over-seeing changes which can involve removing local management and bringing in a new management team from either other parts of the NHS, NHS Foundation Trusts or the private sector.
At the same time the Department of Health has set out insolvency principles for Foundation hospitals and non-Foundation Trusts designed to ensure that borrowing does not put NHS assets or the continuity of services at risk.
David Nicholson, Chief Executive of the NHS, said: