Open main menu

NHS Improvement (NHSI) is responsible for overseeing foundation trusts and NHS trusts, as well as independent providers that provide NHS-funded care. It supports providers to give patients consistently safe, high quality, compassionate care within local health systems that are financially sustainable. A previous body – also called NHS Improvement – was set up in April 2008 to drive clinical service improvement,[1] but was merged into NHS Improving Quality in 2013[2] following the Health and Social Care Act reforms.

NHS Improvement
NHS Improvement logo.svg
Non-departmental public body overview
Formed1 April 2016
HeadquartersWellington House, 133-155 Waterloo Road, London
Non-departmental public body executives
Parent departmentDepartment of Health and Social Care

From 1 April 2016, NHS Improvement is the operational name for an organisation that brings together: Monitor, NHS Trust Development Authority, Patient Safety (from NHS England), National Reporting and Learning System, Advancing Change Team and Intensive Support Teams.

In 2018 it became clear that the organisation, while maintaining its statutory independence, was for practical reasons to be merged with NHS England, and seven “single integrated regional teams” would be jointly established.[3]


Current board members[4]Edit

  • Dido Harding, Chair
  • Ian Dalton, Chief Executive
  • Stephen Hay, Executive Director of Regulation and Deputy Chief Executive
  • Dr. Kathy McLean, Executive Medical Director and Chief Operating Officer
  • Ruth May, Executive Director of Nursing

Non executive directorsEdit

Learning from Mistakes LeagueEdit

One of its first actions was to publish a league table of the 230 NHS trusts according to their openness and transparency. The 'Learning from Mistakes League' table classifies trusts into four categories:

  1. Outstanding levels of openness and transparency - 18;
  2. Good levels of openness and transparency - 102;
  3. Significant concerns about openness and transparency - 78;
  4. Poor reporting culture -32.

Northumbria Healthcare NHS Foundation Trust, which was formerly led by the Chief Executive, Jim Mackey, was placed first. East Sussex Healthcare NHS Trust was at the bottom.[5] Claire Murdoch, chief executive of Central and North West London NHS Foundation Trust, placed 125th, complained that the league had a “significant methodological flaw in terms of fairness” because it implied that there were significant differences between ranks 120 and 121, and because, she complained, the assessments were not carried out consistently and the large amount of information trusts reported monthly to the Care Quality Commission were not taken into account.[6]

Pathology NetworkEdit

In September 2017 a plan was produced to create 29 pathology networks across England in a bid to save £200 million. 1.12 billion tests are performed per year, at a cost of £2.2 billion.[7]


  1. ^ "Welcome to the Stroke Improvement Website". NHS Improvement. Nov 2008. Archived from the original on 2008-11-12. Retrieved 13 Jul 2016.
  2. ^ "Sustainable Improvement Team". NHS England. Retrieved 13 Jul 2016.
  3. ^ "Seven regions planned in NHS England and NHS Improvement 'integration'". Health Service Journal. 27 March 2018. Retrieved 27 May 2018.
  4. ^ NHS Improvement board members announced
  5. ^ "Hospital transparency league table published". Digital Health. 11 March 2016. Retrieved 28 Feb 2018.
  6. ^ "Transparency league table problems not a 'question of competence'". Health Service Journal. 30 March 2016. Retrieved 2 May 2016.
  7. ^ "NHSI reveals nationwide pathology network plan". Health Service Journal. 11 September 2017. Retrieved 9 October 2017.