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Unless it is tweaked following the Francis report, the future is already laid out in the Draft document “Quality in the new health system – Maintaining and improving quality from April 2013.”

It was produced by the National Quality Board – membership - Monitor, CQC, GMC, NHS Trust Development Authority, NICE, Health Education England, Department of Health and chaired by David Nicholson. 

It says "the leadership within organisations who provide care remains ultimately responsible for the quality of care being delivered by their organisation, across all service lines".

So if you are a leader of an organisation which is sitting on a health scandal, bearing in mind the words of Robert Francis “There is a tsunami of anger heading towards the NHS which will overwhelm people paddling in their canoes acting as if nothing is happening", you are going to do the decent thing, accept responsibility and fall on your sword, right?

Someone's got to go and your beloved leaders at the top of the NHS and the regulators obviously think the buck should stop with you. That won't change until they are replaced with people who have the right culture to lead the NHS and cut out the bullying.