Integrated Governance: Health Policy Essay

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The changes to health policy and the re-organisation of the NHS in recent years which has led to improve integrated governance, has all developed as a result of the catastrophic failings that occurred in Mid-Staffordshire healthcare Trust. The Secretary of State for health, Andrew Lansley, announced a full public inquiry to parliament on the 9th June 2009 into the role of the commissioning, supervisory and regulatory bodies in the monitoring of Mid-Staffordshire Foundation Trust (Midstaff inquiry online, 2013). This inquiry was led by Robert Francis QC, who proposed recommendations to ensure that similar events do not repeat in future. The Francis report made 290 recommendations which included improved support for compassionate, caring and committed care, as well as stronger healthcare leadership (Health Foundation Online, 2014).
The government responded to the recommendations of the Francis Inquiry and voiced the recommendations for improving patient involvement in care, including changes to regulations and inspections (DOH, 2014). The NMC also responded to the Francis Inquiry in relation to the role of the nurse which was evaluated and criticised for ways in which it could be improved within the clinical setting, in order to improve nursing practice and knowledge towards patient-centred care. The NMC whole-heartedly agreed that there should be an increased focus in nurse training, education and professional development, in practical aspects in addition to theory (NMC, 2013).
As a result, current CQC regulations have been renewed and came into force by the secretary of state. They contain definitions of the services and activities that those registered must provide. The clearly cover every aspect of all issues brought to the ...

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... within the NHS Modernization Agency collaborative programmes, Journal of Clinical Nursing, 12, 422-430
Woods J.K. (2001) The development of integrated health care models in Scotland. International Journal of Integrated Care. 1(1): 1-10
CQC (2009) Guidance about compliance. Summary of regulations, outcomes and judgement. Available at: Accessed on: 21/03/2014
Health and Social Care Act (HSCA) (2008) (Regulated Activities) Regulations 2010. Available at: Accessed on:


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