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The Regulatory EnterpriseGovernment, Regulation, and Legitimacy$
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Tony Prosser

Print publication date: 2010

Print ISBN-13: 9780199579839

Published to Oxford Scholarship Online: September 2010

DOI: 10.1093/acprof:oso/9780199579839.001.0001

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Monitor, the Independent Regulator of NHS Foundation Trusts

Monitor, the Independent Regulator of NHS Foundation Trusts

(p.136) 7 Monitor, the Independent Regulator of NHS Foundation Trusts
The Regulatory Enterprise

Tony Prosser

Oxford University Press

This chapter applies the arguments developed in Chapter 1 to Monitor, the regulator of NHS foundation trusts. Its origins are described in the context of the development of foundation trusts, as are its functions of economic regulation and regulation of trust governance. Its structure and duties are described, as are its relations with government and with the quality regulators discussed in the previous chapter. Monitor is analyzed primarily as an economic regulator with a major stress on a risk-based approach and on incentivization but one with important responsibilities relating to governance and service delivery which raise issues of social solidarity. There is also examination of Monitor's procedures and arrangements for patient representation.

Keywords:   regulation, foundation trust hospitals, economic regulation, governance, procedures

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