Accounting for failure: risk-based regulation and the problems of ensuring healthcare quality in the NHS

References

• Acquah, D. (2013). School accountability in England: Past, present and future. Guildford, Surrey: Centre for Education Research and Practice. Retrieved from https://cerp.aqa.org.uk/sites/default/files/pdf_upload/CERP_RP_DA_12112012.pdf
   Google Scholar
• Alaszewski, A. (2002). The impact of the Bristol Royal Infirmary disaster and inquiry on public services in the UK. Journal of Interprofessional Care, 16(4), 371–378. doi:10.1080/1356182021000008319
   PubMedGoogle Scholar
• Amoore, L. (2006). Biometric borders: Governing mobilities in the war on terror. Political Geography, 25(3), 336–351. doi:10.1016/j.polgeo.2006.02.001
   Web of Science ®Google Scholar
• Ayres, I., & Braithwaite, J. (1992). Responsive regulation: Transcending the deregulation debate. New York, NY: Oxford University Press.
   Google Scholar
• Bardsley, M. (2016). Learning how to make routinely available data useful in guiding regulatory oversight of hospital care. BMJ Quality & Safety. bmjqs–2016–005311. doi:10.1136/bmjqs-2016-005311
   PubMedGoogle Scholar
• Baxter, J., & Eyles, J. (1997). Evaluating qualitative research in social geography: Establishing ‘rigour’ in interview analysis. Transactions of the Institute of British Geographers, 22(4), 505–525.
   Web of Science ®Google Scholar
• Bevan, G. (2008). Changing paradigms of governance and regulation of quality of healthcare in England. Health, Risk & Society, 10(1), 85–101. doi:10.1080/13698570701782494
   Web of Science ®Google Scholar
• Bevan, G., & Cornwell, J. (2006). Structure and logic of regulation and governance of quality of health care: Was OFSTED a model for the Commission for Health Improvement? Health Economics, Policy and Law, 1(04), 343–370. doi:10.1017/S1744133106005020
   PubMed Web of Science ®Google Scholar
• Bevan, G., & Hood, C. (2006). What’s measured is what matters: Targets and gaming in the English public health care system. Public Administration, 84(3), 517–538. doi:10.1111/padm.2006.84.issue-3
   Web of Science ®Google Scholar
• BIS. (2014). Regulators’ code. Better Regulation Delivery Office, Department for Business, Innovation and Skills. Retrieved from https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/300126/14-705-regulators-code.pdf
   Google Scholar
• Black, J. (2010). Risk-based regulation: Choices, practices and lessons being learnt. In OECD, Risk and regulatory policy: Improving the governance of risk (pp. 185–224). Paris: OECD Publishing.
   Google Scholar
• Black, J., & Baldwin, R. (2010). Really responsive risk-based regulation. Law & Policy, 32(2), 181–213. doi:10.1111/j.1467-9930.2010.00318.x
   Web of Science ®Google Scholar
• Black, J., & Baldwin, R. (2012). When risk‐based regulation aims low: Approaches and challenges. Regulation & Governance, 6(1), 2–22. doi:10.1111/j.1748-5991.2011.01124.x
   Web of Science ®Google Scholar
• Bowling, B., & Phillips, C. (2007). Disproportionate and discriminatory: Reviewing the evidence on police stop and search. The Modern Law Review, 70(6), 936–961. doi:10.1111/j.1468-2230.2007.00671.x
   Google Scholar
• Care Quality Commission (CQC). (2009, September 16). Better regulation and gatekeeping (Paper for public board meeting No. CM/09/04/39). n.p.: Author. Retrieved from http://webarchive.nationalarchives.gov.uk/20101224032537/http://www.cqc.org.uk/_db/_documents/20090916_CM090439_Better_regulation_and_Gatekeeping.doc
   Google Scholar
• Challoner, D. R., & Vodra, W. W. (2011). Medical devices and health — Creating a new regulatory framework for moderate-risk devices. New England Journal of Medicine, 365(11), 977–979. doi:10.1056/NEJMp1109150
   PubMed Web of Science ®Google Scholar
• Chassin, M. R., & Galvin, R. W. (1998). The urgent need to improve health care quality: Institute of medicine national roundtable on health care quality. Jama, 280(11), 1000–1005.
   PubMed Web of Science ®Google Scholar
• CQC. (2012). Proposals for the compliance and enforcement model from April 2012 (Agenda item 10, Public Board Meeting No. CM/01/12/10). London: Author. Retrieved from http://www.cqc.org.uk/sites/default/files/documents/cm011210_-_compliance_and_enforcement_model.doc
   Google Scholar
• CQC. (2013a). A new start: Consultation on changes to the way CQC regulates, inspects and monitors care. London: Author. Retrieved from http://www.cqc.org.uk/sites/default/files/documents/cqc_consultation_2013_tagged_0.pdf
   Google Scholar
• CQC. (2013b). Raising standards, putting people first: Our strategy for 2013 to 2016. London: Author. Retrieved from https://www.cqc.org.uk/sites/default/files/documents/20130503_cqc_strategy_2013_final_cm_tagged.pdf
   Google Scholar
• CQC. (2014a). Intelligent monitoring: NHS acute hospitals statistical methodology. London: Author. Retrieved from http://www.cqc.org.uk/sites/default/files/Intelligent%20Monitoring%20Statistical%20Methodology%20July%20FINAL%20PDF.pdf
   Google Scholar
• CQC. (2014b, June 9). Never events. Retrieved from http://www.cqc.org.uk/content/never-events
   Google Scholar
• CQC. (2014c, December). NHS acute hospitals: Indicators and methodology guidance to support the December 2014 intelligent monitoring update. Retrieved from http://www.cqc.org.uk/sites/default/files/20141127_intelligent_monitoring_indicators_methodology_v4.pdf
   Google Scholar
• CQC. (2015a). Building on strong foundations: Shaping the future of health and care quality regulation. London: Author. Retrieved from https://www.cqc.org.uk/sites/default/files/20151030_building_strong_foundations_FINAL.pdf
   Google Scholar
• CQC. (2015b). Enforcement: Decision tree (No. CM/01/15/05). London: Author. Retrieved from http://www.cqc.org.uk/sites/default/files/CM011505_item_5_enforcement_decision_tree.pdf
   Google Scholar
• CQC. (2015c). Enforcement policy. London: Author. Retrieved from http://www.cqc.org.uk/sites/default/files/20150209_enforcement_policy_v1-1.pdf
   Google Scholar
• CQC. (2015d, March 27). Update to GP intelligent monitoring. Retrieved from http://www.cqc.org.uk/content/update-gp-intelligent-monitoring
   Google Scholar
• CQC. (2015e, October 28). Press release: CQC asks for views on future of quality regulation. Retrieved from http://www.cqc.org.uk/content/cqc-asks-views-future-quality-regulation
   Google Scholar
• Day, P., & Klein, R. (2004). The NHS improvers: A study of the Commission for Health Improvement. London: King’s Fund. Retrieved from http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/nhs-improvers-study-commission-health-improvement-day-klein-feb04.pdf
   Google Scholar
• Demeritt, D. (2014, 18 February). Spooked politicians are undermining flood defence policy with short term decisions. New Civil Engineer, 9. Retrieved from http://www.newcivilengineer.com/opinion/spooked-politicians-are-undermining-flood-defence-policy-with-short-term-decisions/8659055.article?blocktitle=The-expert-view&contentID=606
   Google Scholar
• Demeritt, D., Nobert, S., Cloke, H. L., & Pappenberger, F. (2013). The European Flood Alert System and the communication, perception, and use of ensemble predictions for operational flood risk management. Hydrological Processes, 27(1), 147–157. doi:10.1002/hyp.9419
   Web of Science ®Google Scholar
• Demeritt, D., Rothstein, H., Beaussier, A.-L., & Howard, M. (2015). Mobilizing risk: Explaining policy transfer in food and occupational safety regulation in the UK. Environment and Planning A, 47, 373–391. doi:10.1068/a140085p
   Web of Science ®Google Scholar
• Department for Education. (2010). The importance of teaching. London. Retrieved from https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/175429/CM-7980.pdf
   Google Scholar
• Department of Health (DOH). (2004). National standards, local action: Health and social care standards and planning framework 2005/06-2007/08. London: Author. Retrieved from http://webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4086058.pdf
   Google Scholar
• DOH. (2005). Now I feel tall, what a patient led NHS feels like. London: Author. Retrieved from http://www.scie.org.uk/publications/guides/guide15/files/nowifeeltall.pdf?res=true
   Google Scholar
• DOH. (2006). Standards for better health (rev. ed.). London: Author. Retrieved from http://webarchive.nationalarchives.gov.uk/20130107105354/http:/www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4132991.pdf
   Google Scholar
• Department of Health. (2009). Response to the consultation on draft regulations for the framework for the registration of health and adult social care providers. London: Author. Retrieved from http://webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_107635.pdf
   Google Scholar
• DOH. (2012, November 28). Press release: Hunt orders review into OFSTED style ratings for NHS and social care. Retrieved June 21, 2015, from https://www.gov.uk/government/news/hunt-orders-review-into-ofsted-style-ratings-for-nhs-and-social-care
   Google Scholar
• DOH. (2015). Health Group Internal Audit: Protected disclosure—In 2014: Review of two 2013 Care Quality Commission procurements. London: Author.
   Google Scholar
• DiMaggio, P. J., & Powell, W. W. (1983). The iron cage revisited: Institutional isomorphism and collective rationality in organizational fields. American Sociological Review, 48(2), 147. doi:10.2307/2095101
   Web of Science ®Google Scholar
• Dodds, A., & Kodate, N. (2011). Accountability, organisational learning and risks to patient safety in England: Conflict or compromise? Health, Risk & Society, 13(4), 327–346. doi:10.1080/13698575.2011.575454
   Web of Science ®Google Scholar
• Donabedian, A. (1988). The quality of care: How can it be assessed? JAMA, 260(12), 1743–1748. doi:10.1001/jama.1988.03410120089033
   PubMed Web of Science ®Google Scholar
• Edmonds, T. (2013). Insurance and the discrimination laws (No. SN/BT/4601). London: House of Commons Library. Retrieved from http://www.parliament.uk/briefing-papers/SN04601.pdf
   Google Scholar
• Escobar, M. P., & Demeritt, D. (2016). Paperwork and the decoupling of audit and animal welfare: The challenges of materiality for better regulation. Environment and Planning C. doi:10.1177/0263774X16646771
   Google Scholar
• Ferner, R. E., & McDowell, S. E. (2006). How NICE may be outflanked. BMJ: British Medical Journal, 332(7552), 1268–1271. doi:10.1136/bmj.332.7552.1268
   Web of Science ®Google Scholar
• Francis, R. (2013). Report of the mid staffordshire NHS Foundation Trust public inquiry (No. HC 898). London: The Stationery Office. Retrieved from http://www.midstaffspublicinquiry.com/report
   Google Scholar
• Gibbs, G. (2010). Dimensions of quality. York: Higher Education Academy. Retrieved from https://www.heacademy.ac.uk/sites/default/files/dimensions_of_quality.pdf
   Google Scholar
• Griffiths, A. (2016). Forecasting failure: Assessing risks to quality in higher education using machine learning (Unpublished doctoral dissertation). King’s College London, London.
   Google Scholar
• Griffiths, A., Beaussier, A.-L., Demeritt, D., & Rothstein, H. (2016). Intelligent monitoring? Assessing the ability of the Care Quality Commission’s statistical surveillance tool to predict quality and prioritise NHS hospital inspections. BMJ Quality & Safety. bmjqs–2015–004687. doi:10.1136/bmjqs-2015-004687
   Google Scholar
• Griffiths, R. (1983). NHS management inquiry. London: Department of Health.
   Google Scholar
• Hannah-Moffat, K. (2013). Actuarial sentencing: An “unsettled” proposition. Justice Quarterly, 30(2), 270–296. doi:10.1080/07418825.2012.682603
   Web of Science ®Google Scholar
• Hazell, W. (2014, July 9). Exclusive: CQC hired inspectors who failed recruitment criteria in “flawed” process. Health Service Journal. Retrieved from http://www.hsj.co.uk/news/exclusive-cqc-hired-inspectors-who-failed-recruitment-criteria-in-flawed-process/5072746.article
   Google Scholar
• Hazell, W. (2015, February 10). Hunt’s plans for local avoidable death estimates “meaningless”. Retrieved April 18, 2016, from http://www.hsj.co.uk/home/hunts-plans-for-local-avoidable-death-estimates-meaningless/5081997.fullarticle
   Google Scholar
• Hood, C., Rothstein, H., & Baldwin, R. (2001). The government of risk: Understanding risk regulation regimes. Oxford: Oxford University Press.
   Google Scholar
• House of Commons, Health Committee. (2012). 2012 accountability hearing with the Care Quality Commission (No. HC 592). London: House of Commons. Retrieved from http://www.publications.parliament.uk/pa/cm201213/cmselect/cmhealth/592/592.pdf
   Google Scholar
• House of Commons, Health Committee. (2014). 2013 accountability hearing with the Care Quality Commission (No. HC 761). London: House of Commons. Retrieved from http://www.publications.parliament.uk/pa/cm201314/cmselect/cmhealth/761/761.pdf
   Google Scholar
• Huber, M., & Rothstein, H. (2013). The risk organisation: Or how organisations reconcile themselves to failure. Journal of Risk Research, 16(6), 651–675. doi:10.1080/13669877.2012.761276
   Web of Science ®Google Scholar
• Irvine, D. (2006). Good doctors: Safer patients—The Chief Medical Officer’s prescription for regulating doctors. Journal of the Royal Society of Medicine, 99(9), 430–432. doi:10.1258/jrsm.99.9.430
   PubMed Web of Science ®Google Scholar
• Kennedy, I. (2001). The report of the public inquiry into Children’s Heart Surgery at the Bristol Royal Infirmary 1984-1995: Learning from Bristol (Publication No. Cm 5207). London: Department of Health. Retrieved from http://www.wales.nhs.uk/sites3/documents/441/The%20Kennedy%20Report.pdf
   Google Scholar
• Kissick, W. L. (1994). Medicine’s dilemmas: Infinite needs versus finite resources. New Haven, CT: Yale University Press.
   Google Scholar
• Kmietowicz, Z. (2013). Critics question whether “friends and family” test in NHS is fit for prime minister’s purpose. The BMJ, 346. doi:10.1136/bmj.f83
   Web of Science ®Google Scholar
• Kuklicke, C., & Demeritt, D. (2016). Adaptive and risk-based approaches to climate change and the management of uncertainty and institutional risk: The case of future flooding in England. Global Environmental Change, 37, 56–68. doi:10.1016/j.gloenvcha.2016.01.007
   Web of Science ®Google Scholar
• The Lancet. (2007). The traditional white coat: Goodbye, or au revoir? The Lancet, 370(9593), 1102. doi:10.1016/S0140-6736(07)61487-1
   Web of Science ®Google Scholar
• Larner, W., & Laurie, N. (2010). Travelling technocrats, embodied knowledges: Globalising privatisation in telecoms and water. Geoforum, 41(2), 218–226. doi:10.1016/j.geoforum.2009.11.005
   Web of Science ®Google Scholar
• Laverty, A. A., Smith, P. C., Pape, U. J., Mears, A., Wachter, R. M., & Millett, C. (2012). High-profile investigations into hospital safety problems in England did not prompt patients to switch providers. Health Affairs, 31(3), 593–601. doi:10.1377/hlthaff.2011.0810
   Web of Science ®Google Scholar
• Liverpool Echo. (2015, February 8). Darzi GP clinic in Litherland facing closure as patients and staff protest cuts. Liverpool Echo. Retrieved from http://www.liverpoolecho.co.uk/news/darzi-gp-clinic-litherland-facing-8603575
   Google Scholar
• Lloyd-Bostock, S. M., & Hutter, B. M. (2008). Reforming regulation of the medical profession: The risks of risk-based approaches. Health, Risk & Society, 10(1), 69–83. doi:10.1080/13698570701782460
   Web of Science ®Google Scholar
• Millett, D. (2015, February 3). GPs hit back over morale-sapping impact of inaccurate CQC risk scores. GP. Retrieved from http://www.gponline.com/gps-hit-back-morale-sapping-impact-inaccurate-cqc-risk-scores/article/1332194
   Google Scholar
• Murrary, R., Imison, C., & Jabbal, J. (2014). Financial failure in the NHS: What causes it and how best to manage it. London: King’s Fund. Retrieved from https://kf-ssl-testing.torchboxapps.com/sites/files/kf/field/field_publication_file/financial-failure-in-the-nhs-kingsfund-oct14.pdf
   Google Scholar
• National Audit Office. (2011). The Care Quality Commission: Regulating the quality and safety of health and adult social care (No. HC 1665). London: Author. Retrieved from https://www.nao.org.uk/report/the-care-quality-commission-regulating-the-quality-and-safety-of-health-and-adult-social-care/
   Google Scholar
• National Audit Office. (2015a). Care Quality Commission: Capacity and capability to regulate the quality and safety of health and adult social care (No. HC 271). London: Author. Retrieved from https://www.nao.org.uk/wp-content/uploads/2015/07/Capacity-and-capability-to-regulate-the-quality-and-safety-of-health-and-adult-social-care-Summary.pdf
   Google Scholar
• National Audit Office. (2015b). Funding for disadvantaged pupils (No. HC 90). London: Author. Retrieved from https://www.nao.org.uk/wp-content/uploads/2015/06/Funding-for-disadvantaged-pupils-summary.pdf
   Google Scholar
• Nuffield Trust. (2013). Rating providers for quality: A policy worth pursuing? A report for the Secretary of State for Health. London: Author. Retrieved from http://www.nuffieldtrust.org.uk/sites/files/nuffield/130322_ratings_providers_for_quality_full_report.pdf
   Google Scholar
• OECD. (2010). Risk and regulatory policy: Improving the governance of risk. Paris: OECD Publishing.
   Google Scholar
• Phipps, D. L., Noyce, P. R., Walshe, K., Parker, D., & Ashcroft, D. M. (2011). Risk-based regulation of healthcare professionals: What are the implications for pharmacists? Health, Risk & Society, 13(3), 277–292. doi:10.1080/13698575.2011.558624
   Web of Science ®Google Scholar
• Porter, T. M. (1995). Trust in numbers: The pursuit of objectivity in science and public life. Princeton: Princeton University Press.
   Google Scholar
• Power, M. (2007). Organized uncertainty: Designing a world of risk management. Oxford: Oxford University Press.
   Google Scholar
• Professional Standards Authority for Health and Social Care. (2015). Right-touch regulation. London: Author.
   Google Scholar
• Public Accounts Committee. (2015). Oral evidence of David Behan, Chief Executive of Care Quality Commission (No. HC 501). London: Author. House of Commons. Retrieved from http://data.parliament.uk/writtenevidence/committeeevidence.svc/evidencedocument/public-accounts-committee/care-quality-commission/oral/23822.html
   Google Scholar
• Ramesh. (2015, July 14). 750 avoidable deaths a month in NHS hospitals, study finds. The Guardian. Retrieved from http://www.theguardian.com/society/2015/jul/14/avoidable-deaths-nhs-hospitals-study
   Google Scholar
• Rothstein, H. (2006). The institutional origins of risk: A new agenda for risk research. Health, Risk & Society, 8(3), 215–221. doi:10.1080/13698570600871646
   Web of Science ®Google Scholar
• Rothstein, H., Borraz, O., & Huber, M. (2013). Risk and the limits of governance: Exploring varied patterns of risk-based governance across Europe. Regulation & Governance, 7(2), 215–235. doi:10.1111/j.1748-5991.2012.01153.x
   Web of Science ®Google Scholar
• Rothstein, H., Huber, M., & Gaskell, G. (2006). A theory of risk colonization: The spiralling regulatory logics of societal and institutional risk. Economy and Society, 35(1), 91–112. doi:10.1080/03085140500465865
   Web of Science ®Google Scholar
• Spiegelhalter, D., Sherlaw-Johnson, C., Bardsley, M., Blunt, I., Wood, C., & Grigg, O. (2012). Statistical methods for healthcare regulation: Rating, screening and surveillance. Journal of the Royal Statistical Society: Series A (Statistics in Society), 175(1), 1–47. doi:10.1111/j.1467-985X.2011.01010.x
   Web of Science ®Google Scholar
• Swets, J. A. (1988). Measuring the accuracy of diagnostic systems. Science, 240(4857), 1285–1293. doi:10.1126/science.3287615
   PubMed Web of Science ®Google Scholar
• Szmukler, G., & Rose, N. (2013). Risk assessment in mental health care: Values and costs. Behavioral Sciences & the Law, 31, 125–140. doi:10.1002/bsl.2046
   PubMed Web of Science ®Google Scholar
• Taylor, P. (2013, 11 April). Rigging the death rate. London Review of Books, 35(7), 12–15.
   Google Scholar
• Times Higher Education. (2016, January 14). Stop, look, listen: The university’s role in counterterrorism. Times Higher Education. Retrieved from https://www.timeshighereducation.com/features/the-universitys-role-in-counterterrorism-stop-look-and-listen
   Google Scholar
• Timmins, N. (2007). Hospital closures: The great taboo. Bmj, 335(7619), 535–535. doi:10.1136/bmj.39335.652488.DB
   PubMed Web of Science ®Google Scholar
• Watt, N. (2007, September 23). Brown: All hospitals to have “deep clean”. The Guardian. Retrieved from http://www.theguardian.com/society/2007/sep/23/health.politics
   Google Scholar
• Wesseling, M. (2013). The European fight against terrorism financing: Professional fields and new governing practices (Unpublished doctoral dissertation). University of Amsterdam, Amsterdam. Retrieved from http://dare.uva.nl/record/1/397292
   Google Scholar
• West, D. (2010, July 8). Government tells CQC to drop annual health check reviews. Health Service Journal. Retrieved from http://www.hsj.co.uk/topics/nhs-regulation-and-inspection/government-tells-cqc-to-drop-annual-health-check-reviews/5016885.article
   Google Scholar
• Yapp, C., & Fairman, R. (2006). Factors affecting food safety compliance within small and medium-sized enterprises: Implications for regulatory and enforcement strategies. Food Control, 17(1), 42–51. doi:10.1016/j.foodcont.2004.08.007
   Web of Science ®Google Scholar