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    This is a discussion document not agreed policy. All NHS bodies must be under clear obligations and duties: To work to reduce inequality To cooperate with other public bodies To promote shared decision making and community development To be open and transparent and to involve public and patients in all major decisions and plans. Mergers and other organisational changes should be subject only to local agreement. NHS bodies should have boards of directors with a majority of NEDs and governing bodies set up to reflect a balance between patients, public, staff and other local stakeholders. The procurement and contract management […]
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    I want to make an extended argument this morning about the importance of governance and accountability in the provider sector. And then explore what we need to do to safeguard that governance and accountability as we add a needed focus on local systems to our current focus on individual providers. It’s worth starting by reflecting on why governance and accountability matter in our world. They matter because: • Providers are spending £70 billion of taxpayers money, 9% of all public spending; • The services providers deliver are central to the communities they serve; • In each of those communities, providers […]
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