Healthcare Governance

Healthcare Governance


Clinical Governance
We recommend NHS and private healthcare provider regularly review their clinical governance provisions, systems, processes, standards, and the extent to which these are part of daily life for staff on wards. Our extensive experience in this field ranges from supporting hospitals to establish their clinical governance provisions through to investigating and making recommendations for improvement when things have gone wrong. We also regularly support trusts in their preparations for HM Coroner's court hearings in the event of fatalities.

“This has been a deeply distressing case and the NHS must learn from it” – Lessons ...


Three factors were vital to the success of Alzira: long-term contracts of at least 15 years duration; capitated budgets and aligned incentives for primary care practitioners. In the UK things are a little more complex. We’re moving to captitated budgets but the Five Year Forward View does not commit to long-term contracts, so it’s not as easy for organisations that might be investing in integration now and making savings, to be the long-term beneficiaries. Workforce flexibilities are not as well developed here. Some Vanguard sites […]

Capitation and integrating healthcare



John Williams, James Reed (Corporate & Commercial Partner) and Nigel Montgomery receiving the award
DAC Beachcroft’s Corporate and Healthcare Regulatory teams and its Governance Advisory Practice were named collectively as Legal Advisor of the Year – Transactional Private – at the 2015 HealthInvestor awards on 10 June, which aim to recognise achievement in the business of healthcare. The latest success comes after the international law firm was also honoured at the awards in 2013 and 2014 as Legal Advisors of the Year – Public. This year’s win recognises the Health team’s advice to longstanding client, Spire Health Group PLC, […]

DAC Beachcroft and the Governance Advisory Practice named legal advisor of the year at 2015 HealthInvestor ...


Clinical Governance
Reduction of Harm across Healthcare With an increased emphasis on the importance of the reduction of harm across healthcare, it is more important than ever for Trusts and private health and social care providers to ensure they have robust clinical governance frameworks that work effectively. Click here to see our Clinical Governance experts, Giles and Chris, discussing reviews of organisations’ effectiveness in responding to serious clinical incidents, and the importance of good clinical governance. Increasing Public and Regulatory Concern Increasing public and regulatory concern about […]

Clinical Governance and Quality



The Governance Advisory Practice
Fit and Proper Person Test for Directors Care Quality Commission Fundamental Standards Following on from the Francis Report, the CQC has launched the new Fundamental Standards through which they will regulate all health and social care providers. A major limb of the new Standards is the requirement that all Board level director appointments within those providers must satisfy a new Fit and Proper Person test (FPPT). This deals with the ‘well led’ domain of the new inspection regime, and addresses the expectation that health and […]

Fit and Proper Person Test for Directors







Health and Social Care Integration - A DAC Beachcroft Analysis

NHS Trust Subsidiaries and Investments in Legal Entities - Relationships with subsidiaries & other entities where the Trust is a shareholder are complex...

Source: www.gap.works

Relationships with subsidiaries, and other legal entities where the Trust is a shareholder or member, can be complicated. Often Trust Secretaries and Directors need support and advice to navigate the rules and regulations for private companies, and to establish frameworks for effective decision making and risk management. We can help with questions like: Is there […]

Health Adviser Alert – Trust Subsidiaries, Investments in Entities







The Governance Advisory Practice Health Adviser Alert
Relationships with subsidiaries, and other legal entities where the Trust is a shareholder or member, can be complicated. Often Trust Secretaries and Directors need support and advice to navigate the rules and regulations for private companies, and to establish frameworks for effective decision making and risk management. We can help with questions like: Is there central knowledge and understanding of the extent of the Trust’s subsidiaries and membership in legal entities? Is there understanding about what the Trust’s subsidiary governance framework should look like? Is […]

Health Adviser Alert – Trust Subsidiaries and Investments in Legal Entities




The CQC “state of care” report was published yesterday. What we’ve found: unacceptable variation in quality The CQC’s tougher approach to inspecting care services using more rigorous, expert-led inspections are starting to give a deeper understanding of the quality of health and social care than ever before. The CQC says that it “found many examples of good and outstanding care. But we’ve also found wide variation in quality. There are big differences in the quality of care that people experience from different providers, in different […]

State of Care 2013-14 – CQC – “Unacceptable variations in quality”


The Governance Advisory Practice Logo
“The watchdog will have to adopt a ‘learn by doing’ approach when enforcing the fit and proper checks of healthcare leaders, its chief executive has admitted” David Behan told the CQC board meeting this week that they would not be “straightforward” to implement, especially in “difficult cases”. While the watchdog’s main role is to check providers have sound procedures for appointing competent directors, it could become drawn into decisions, leading to directors removal from post, papers presented to the CQC board indicate. Source: www.hsj.co.uk How […]

CQC will ‘learn by doing’ fit and proper person checks



High quality care for all, now and for future generations Source: www.england.nhs.uk The Care Quality Commission published the Chief Inspector of Hospitals’ report on the inspection at Mid Staffordshire NHS Foundation Trust on 09 October 2014.   Sir Mike Richards concluded that services were safe, but raised questions about staffing levels. He noted that the maternity service is going through a period of transition.   Responding to the CQC report, NHS England said: “The NHS Five Year Forward View, to be published shortly, includes a commitment […]

NHS England » NHS England’s response to the CQC’s report on the inspection at Mid Staffordshire ...




According to a theinformationdaily.com, “public sector austerity is set to continue, governments across the world are looking to forge new relationships with their suppliers based on social value.” Professor Olinga Ta’eed recently drew my attention to this video, where he explains to theinformationdaily.com how suppliers to the public sector will be required to deliver resources back to the communities served by the organisations they are doing business with. This has far-reaching implications for businesses supplying the public sector.     Visit theinformationdaily.com for the original article.

VIDEO: Social value to redefine public/private sector relations in times of austerity


Governance Advisory Practice
We highly recommend this video to anybody interested in governance, quality and risk in the NHS. Judge Mervyn King, a long-time friend of the late Nelson Mandela, speaks with deep commitment about the responsibilities of directors in the NHS, and the courage required to take difficult decisions in times of budgetary constraint. Judge Mervyn King Mervyn Eldred King (born 22 July 1937, Johannesburg) is a South African corporate attorney, arbitrator, mediator, corporate director, commission chair, author and speaker. A former judge of the Supreme Court […]

NHS: Mervyn King on the Challenges Faced by NHS Boards