Skip to main content
Article thumbnail
Location of Repository

The new governance arrangements for NHS foundation trust hospitals: reframing governors as meta-regulators

By John Wright, Paul G. Dempster, Justin Keen, Pauline Allen and Andrew Hutchings

Abstract

New governance arrangements for NHS Foundation Trusts (FTs) aimed to replace centralized state ownership of acute English hospitals with a new form of social ownership. Under this, trusts would exist as independent public interest organizations on the model of mutuals and co-operative societies. Assessing the impact of the new arrangements on the management structure of four acute hospitals, we demonstrate that FTs have failed to deliver social ownership and local accountability on this model. We suggest that policy-makers should re-frame the governance apparatus associated with mutualism and social ownership in terms of the concept of meta-regulation. By re-framing governors as meta-regulators, regulatory institutions would acquire new powers to steer FTs towards sustainable forms of compliance via non-coercive, non-intrusive means

Topics: JN101 Great Britain, RA Public aspects of medicine
Publisher: Blackwell Publishers
Year: 2012
DOI identifier: 10.1111/j.1467-9299.2011.01975.x
OAI identifier: oai:eprints.lse.ac.uk:39258
Provided by: LSE Research Online
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • http://www.wiley.com/bw/journa... (external link)
  • http://eprints.lse.ac.uk/39258... (external link)
  • Suggested articles


    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.