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assessments NHS mandate after the committee meeting is half of all the cards have leadership problems

Andrew Lansley, the health minister has ordered an "independent evaluation" of the boards of NHS trusts after a powerful parliamentary committee has found that half of them had problems ability and leadership ability ", which prevents public hospitals term meeting to become the Foundation in 2014.

Lansley will announce the new inspection regime, which will be managed by external advisors within the context of changes within the NHS to raise standards. He is dismayed by the findings of the public accounts committee bluntly that the challenge ahead.

The committee said it will be a "very large order for" the NHS to become foundation hospitals, which are free from Whitehall control. The Committee noted that four out of five of the 113 remaining trusts "are facing financial difficulties. Most of the strategic challenges facing problems, slow performance and governance. "

Of these, 20 hospitals reported that the state will do based on your current circumstances - and half of them are in London. MPs warn that although the ministry says there are no plans to close hospitals, "it is difficult to see why other organizations who want to take."

"The CEO of the NHS is only" moderately confident "that the system Hospital in London can be turned, and recognized the challenges and obstacles to overcome," said Margaret Hodge, president of the commission.

He added: "These trusts will be forced reconfiguration or mergers which may even face financial challenges involved, but could leave some communities without unequal access to health care of high quality when hospital services are closed. and services to move. "

Hodge says the capital is of particular concern. "London is in a particularly powerful and has no control over long-standing problems, we have not yet been convinced that the combination of large hospitals struggling trusts -. As in South London - somehow go to produce viable organizations that offer good quality, accessible health care.

health secretary had threatened the officers who would be "removed and replaced with" should not get hospitals ready to become foundation trusts in 2014. Lansley was very concerned that the deadline of 2014 for trusts "to" you can lose, by asking whether the market reforms might work if hospitals are not free to compete for patients on an equal Equality without the State, as the Ministry of Health involved.
noted that the committee found that "two thirds of trusts (NHS) to recognize their performance and quality challenges, and nearly 40% say they need to strengthen their governance and leadership ".

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