The report says that establishing an independent board would be ‘misguided' and a ‘step in the wrong direction'. It points out that past attempts to separate policy formulation from management did not succeed in improving efficiency or reducing interference.
The authors say that policy makers should instead consider strengthening local accountability, increasing transparency and creating an NHS constitution.
They argue that any constitution should clarify lines of accountability and the responsibility for decision-making, making it clear how the NHS if governed and placing appropriate legal checks on ministerial and departmental decisions.
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