Government reforms risk reducing accountability in the health system and potentially undermining the performance of key NHS organisations as a result, according to a new report.
The Kings Fund study concludes that the reforms are likely to meet the government's aim of reducing centralised control but will fail to deliver on its commitment to improve local accountability, a key pledge in the coalition agreement. It warned that the weakness of governance arrangements for GP consortia and health and wellbeing boards may result in the new NHS Commissioning Board intervening in the work of consortia to drive performance, undermining the government's aim of reducing top- down management. Instead more robust governance arrangements for GP consortia including a prope...
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