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Reviews / 2014

Policy reviewPublishedWhole systemEngland

Examining new options and opportunities for providers of NHS care

Sir David Dalton · work from 2014 · published 2014

What this was

Review of how NHS organisations might combine: groups, chains, acquisitions and management franchises. It was a response to trusts that could not sustain quality on their own.

Why it sits in the hub

It legitimised organisational change as a quality intervention. Mergers since have a mixed record, which is why later reviews keep separating 'new structure' from 'safer care'.

Findings

  1. Finding 1

    Some providers could not credibly reach a safe, sustainable service without a different organisational form.

    Leadership and boardsProductivity and finance

Recommendations in this hub

Paraphrase of the public recommendations, not the official text.

  1. 1Partly doneNHS England and government

    Give successful organisations a practical route to support or take on weaker ones.

    Integration and neighbourhood careLeadership and boards
  2. 2Not publicly clearBoards

    Judge any new form by whether it improves care, not by the transaction itself.

    Data and early warningLeadership and boards