David Bennett, Chair and Chief Executive at Monitor, explains how the regulator’s role is changing under the NHS reforms.

1. Monitor’s changing role
Presentation to FT Chairs and NEDs
15 November 2012
David Bennett
Chair and Chief Executive

2. The new healthcare landscape
The new
healthcare
landscape
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3. The simplified, new healthcare landscape
‘STANDARDS’ NHS Commissioning ‘SECTOR’
CCGs REGULATION
REGULATION Board
CQC
Providers
NICE Monitor
Professional
Regulators
Public and patients
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4. Monitor as Sector Regulator
Duty: To protect and promote the interests of people who use healthcare
services by:
 Promoting the provision of healthcare services that is economic,
efficient and effective
 Maintaining or improving the quality of the services
In addition Monitor must:
 Enable the integration of care
 Ensure continuity of services
 Prevent anti-competitive behaviour
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5. What this means
Focus: Oversight of providers and the transactions involving them
Tools: Rules, incentives, information
Provider Regulation
Cooperation &
Functions: FT Assessment • FT Governance Pricing
• CoS Competition
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6. Relationship with CQC
Relationship with CQC
 CQC regulates standards
 Monitor ensures:
• Governance is sound (to avoid problems)
• Problems are fixed
 Joint licensing
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7. Relationship with NHS Commissioning Board
Relationship with NHS Commissioning
Board
 Joint pricing
 Shared role in CoS/FTSA:
• Definition of protected services
• Agreeing FTSA recommendations
 Partnership agreement:
• Choice & competition
• Integrated care
 Commissioner oversight
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8. Implications for FTs
Implications for FTs
 FT governance
 Licences + RAF
 Commissioner Requested Services
 ‘Failure’ regime
 Fair Playing Field
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9. Implications for Monitor
Implications for Monitor
 Patient focus
 Significantly broader scope
 Need more people with relevant experience:
• Clinicians
• NHS managers
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10. Monitor’s Executive Team
Chief Executive
Executive Director of
Executive Director of
Patient & Clinical
Legal Services
Engagement
Executive Director of Executive Director of
Strategic Organisation
Communications Transformation
Managing Director of Managing Director of
Provider Regulation Sector Development
Executive Director of
Executive Director of
Cooperation and
Assessment
Competition
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