Magazine article Public Finance

Monitor Calls for More Freedom for NHS Purchasers

Magazine article Public Finance

Monitor Calls for More Freedom for NHS Purchasers

Article excerpt

The government should free local health commissioners from central control, the head of the foundation trusts' regulatory body said this week.

Bill Moyes, executive chair of Monitor, told a King's Fund conference on NHS regulation on October 18: 'I think [the Department of Health] has to act more like a headquarters of a major insurance company, handing out the money so we get the best value, but leaving local purchasers to manage the targets.'

Moyes argued that there should be a clear separation between an economic regulator and a separate inspectorate overseeing quality of service.

The DoH is reviewing how health care regulation should be restructured to reflect the introduction of competition and Patient Choice.

But the chair of the Healthcare Commission, Sir lan Kennedy, insisted that regulators should ensure that commissioning abides by centrally set principles.

'Demand-side levers are still needed to ensure commissioners act as proxies for the public in an efficient and informed way, responsive both to local needs and reflective of demands for equity nationally,' he said. …

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