The role of regulators in the governance process
This chapter examines the system of regulation in the NHS. This includes the work of institutions and agencies external to health-care organisations which seek to have a beneﬁ cial impact on patient care. Regulation, in its many manifestations, is an important spur to good governance practice. But inspectorates and regulators such as the Care Quality Commission and Monitor use the governance process too, and they often draw the board and its members directly into their process by making them responsible for important elements of regulation. It is important that all those sitting on the boards of health-care organisations understand the regulatory environment within which they govern. They also need to understand their roles and responsibilities in the regulation process. Boards additionally usually have their own regulatory aspirations and to discharge these they mimic external regulators in the way they set and inspect standards for health care and managerial staff in their organisations.