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Monitor responds to conclusion of NHS Next Stage Review

Monitor has welcomed the focus on quality of the NHS Next Stage Review and urged the NHS to capitalise on the opportunities for improvement it provides.

Commenting on the report published today, William Moyes, Executive Chairman said:

“Lord Darzi’s recommendations will force quality to the top of boards’ agendas in the NHS, which is exactly where it should be.

“Commissioning is essential to this process. To improve quality the NHS must develop a more sophisticated understanding of outcomes linked to the care that it purchases from providers. This is key to getting better value for money for the NHS.

“Genuine patient choice requires transparent information about quality of care. These proposals will expose poor performance and providers will have to improve the quality of their services to meet the public’s expectations.

“The review recognises staff will be at the forefront of this process in identifying where improvements can be made, and delivering change. We want to see more innovation in healthcare and that means enabling clinical leaders to decide how to make improvements at the service level. This is why Monitor will continue to drive forward service line management in NHS foundation trusts.

“Importantly, this report doesn’t require new structures and new organisations to deliver its recommendations. It is designed to ensure the reforms already in place realise their full potential. We must continue to drive for more trusts to achieve foundation trust status. We expect NHS foundation trusts to see this report as the green light to drive innovation and improvement in the quality of care.”


1. Monitor’s response to the interim report of the NHS Next Stage Review is available to download:

2. Monitor authorises and regulates NHS foundation trusts ensuring they are well managed and financially viable in order to deliver high quality healthcare for patients.

3. Monitor was established in January 2004. It is independent of government and accountable to Parliament. Monitor’s functions and powers are set out in the National Health Service Act 2006.

4. For media enquiries contact Michael Moruzzi on 020 7340 2438

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