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Regulatory ‘burden’ has increased despite promises, say trust leaders


The majority of trust leaders have reported an increase in the ‘burden’ put on them by regulators, citing more demanding ‘ad hoc’ requests during heightened operational pressure.

In NHS Providers’ latest survey of NHS trust leaders’ experiences of regulation, a little over half of respondents – 52% – said the burden from NHS England and the Care Quality Commission had increased in the past year.

The percentage was higher among acute/community and community trusts, and all ambulance and specialist trust respondents said the burden had increased. 

An even higher overall share of trusts – 59% – said “ad hoc requests” from regulators had increased during the same time period. This includes requests for information or meetings at short notice, diverting staff from day-to-day operational duties.

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Source: HSJ, 20 July 2023

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