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Hunt's speech was lacklustre. This point is nonsensical: "I have asked my Department and the Care Quality Commission how we can make sure managers are held accountable for the care they provide, both in the NHS and social care sectors." The CQC should be clear back to Mr Hunt that this misuse of regulation will not work. Managers are not care providers. Even if they were, to regulate them individually would be a behemoth task that would never be achieved and would not ensure quality. Far better to license the boards of directors of care providers and hold them collectively to account for safe and effective care in their establishments, with penalties for failure that really bite on individuals and reputations. Does no one at DH understand corporate governance any longer? We wait to see what Francis has to say about all of this.

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