Janus: the two faces of the Commission for Health Improvement

Emerald - Tập 8 Số 1 - Trang 33-38 - 2003
HilaryRowland1
1Hilary Rowland is Chief Executive, Health Advisory Service, UK.

Tóm tắt

A complex, competing and paradoxical array of roles is ascribed to the Commission for Health Improvement (CHI). This contrast in roles is perhaps best epitomised by descriptions of its role as to support and aid development of trusts and health authorities, whilst at the same time being the reviewer and investigator. Is it possible to accommodate these competing roles in one organisation? How has it been done? And how real is its much‐trumpeted prized independence? This paper provides a brief contemporary history of CHI in its first two years, and a commentary on this first generation organisational regulator prior to its transformation to CHAI, the second generation manifestation.

Từ khóa


Tài liệu tham khảo

Blair, A. (1999), “Speech. Launch of the Commission for Health Improvement. 28 October 1999”, available at: www.number‐10.gov.uk/news.asp?NewsId=410 (accessed 8 May 2001).

CHI (2000a), “Commission launch heralds new era for NHS standards”, news release, 1 April, available at: www.chi.nhs.uk/eng/news/2000/jan‐sept/12.shtml (accessed 17 January, 2002).

CHI (2000b), “First investigation reports published”, news release, 15 November, available at: www.chi.nhs.uk/eng/news/2000/nov/06.shtml (accessed 17 January, 2002).

CHI (2000c), “First hospital review reports published”, news release, 13 December, available at: www.chi.nhs.uk/eng/news/2000/dec/18.shtml (accessed 17 January 2002).

CHI (2001a), “Employing locum consultants – matters arising from the employment of Dr Elwood”, news release, 3 May, available at: http://www.chi.nhs.uk/eng/news/may/01.shtml (accessed 8 May 2001).

CHI (2001b), “Bedford Hospital NHS Trust Review Report published”, news release, 12 June, available at: www.chi.nhs.uk/eng/news/2001/june/02.shtml (accessed 17 January 2002).

CHI (2001c), “Countess of Chester Hospital Review Report published”, news release, available at: www.chi.nhs.uk/eng/news/2001/june/03.shtml (accessed 17 January 2002).

CHI (2001d), “Norfolk Health Authority Report published”, news release, 20 July, available at: www.chi.nhs.uk/eng/news/2001/july/13.shtml (accessed 7 January).

CHI (2001e), “Wigan and Leigh Health Authority Report published”, news release, 23 July, available at: www.chi.nhs.uk/eng/news/2001/july/18.shtml (accessed 7 January).

CHI (2002), “Report on Northumbria Health Care NHS Trust review published”, news release, 19 February, available at: www.chi.nhs.uk/eng/news/2002/feb/12.shtml (accessed 28 February).

Day, P. and Klein, R. (2001), “Commission for Health Improvement invents itself”, BMJ, Vol. 322, pp. 1502‐3.

Day, P. and Klein, R. (2002), “Who knows best?”, Health Service Journal, 4 April, pp. 26‐9.

Health Service Journal (2001a), 14 June, pp. 6‐7, 14.

Health Service Journal (2001b), 12 July, pp. 8‐9.

Health Service Journal (2001c), 22 November, pp. 12‐13.

Homa, P. (2001), “CHI reports are good tools to help patient care”, letter, Health Service Journal, 5 July, p. 27.

James, O. (2000), “Regulation inside government: public interest justifications and regulatory failures”, Public Administration, Vol. 78 No. 2, pp. 327‐43.

Klein, R. (2001), The New Politics of the NHS, 4th ed., Prentice‐Hall, Harlow.

NHS Executive (1998), A First‐Class Service, Department of Health, London.

Patterson, L. (2001), “Let us get on with it”, Health Matters, No. 44, Spring, pp. 8‐9.

Power, M. (1997), The Audit Society, Oxford University Press, Oxford.

Secretary of State for Health (1997), The New NHS: Modern, Dependable, Cm 3807, The Stationery Office, London.

Secretary of State for Health (2000), The NHS Plan, Cm‐4818‐I, The Stationery Office, London.

Secretary of State for Health (2001), Learning from Bristol: The Report of the Public Inquiry into Children’s Heart Surgery at the Bristol Royal Infirmary 1984‐1995, Cm5207(1), The Stationery Office, London.

Secretary of State for Health (2002), Delivering the NHS Plan, Cm5503, The Stationery Office, London.