Table II Impact of responses to quality... | Emerald Publishing

Table II

Impact of responses to quality issues on regulatory agencies

Agency	Issue	Response	Impact
HIS	High Mortality Rates at NHS Lanarkshire	Review of NHS Lanarkshire (Healthcare Improvement Scotland, 2013b)	Leading to development of new scrutiny approach – “Quality of Care Reviews”
HIW	Care concerns at Abertawe Bro Morgannwg University (ABMU) Health Board and wider concerns about effectiveness of HIW	Trusted to Care Independent Review (Andrews and Butler, 2014); HIW Review (Marks, 2014)	Independent review of concerns at ABMU and the Welsh Health and Social Care Committee review of HIW in 2013. Followed by a formal review of HIW (Marks, 2014)
RQIA	Incidents at Belfast Health and Social Care Trust and Northern Care Health and Social Care Trust	Instigated reviews by RQIA of the Trusts. The Minister in parallel initiated a review of the Northern Irish health and social care system (Donaldson et al., 2014)	The review of the health and social care system found that RQIA had little visibility and the healthcare system needed to strengthen its approach to improving quality
CQC	High Mortality Rates and patient neglect at Mid Staffordshire NHS Foundation Trust, similar failings in care at Winterbourne View and Morecambe Bay FT	The Mid Staffordshire Enquiry (Francis, 2013) Morecambe Bay Enquiry (Kirkup, 2015) Winterbourne View (Department of Health, 2012)	Development of new inspection approach based on the NHS England reviews of high mortality trusts conducted in response to the Francis Enquiry
Monitor	As CQC	As CQC	Change in role following 2012 Health and Social Care Act
TDA	As CQC	TDA did not exist during the time of these issues; however, the impact of them influenced the design of the organisation	Established following 2012 Health and Social Care Act

Agency	Issue	Response	Impact
HIS	High Mortality Rates at NHS Lanarkshire	Review of NHS Lanarkshire (Healthcare Improvement Scotland, 2013b)	Leading to development of new scrutiny approach – “Quality of Care Reviews”
HIW	Care concerns at Abertawe Bro Morgannwg University (ABMU) Health Board and wider concerns about effectiveness of HIW	Trusted to Care Independent Review (Andrews and Butler, 2014); HIW Review (Marks, 2014)	Independent review of concerns at ABMU and the Welsh Health and Social Care Committee review of HIW in 2013. Followed by a formal review of HIW (Marks, 2014)
RQIA	Incidents at Belfast Health and Social Care Trust and Northern Care Health and Social Care Trust	Instigated reviews by RQIA of the Trusts. The Minister in parallel initiated a review of the Northern Irish health and social care system (Donaldson et al., 2014)	The review of the health and social care system found that RQIA had little visibility and the healthcare system needed to strengthen its approach to improving quality
CQC	High Mortality Rates and patient neglect at Mid Staffordshire NHS Foundation Trust, similar failings in care at Winterbourne View and Morecambe Bay FT	The Mid Staffordshire Enquiry (Francis, 2013)Morecambe Bay Enquiry (Kirkup, 2015)Winterbourne View (Department of Health, 2012)	Development of new inspection approach based on the NHS England reviews of high mortality trusts conducted in response to the Francis Enquiry
Monitor	As CQC	As CQC	Change in role following 2012 Health and Social Care Act
TDA	As CQC	TDA did not exist during the time of these issues; however, the impact of them influenced the design of the organisation	Established following 2012 Health and Social Care Act