I was surprised that the interview with Care Quality Commission chair Baroness Young made no mention of the commission's responsibilities for regulating and inspecting social care provision, including residential homes and home care services. Given the importance of joint working and commissioning between health and social care services, NHS organisations should have an interest in this.

Baroness Young's claim that NHS organisations would rarely be denied registration was also interesting. This is in contrast to the situation in social care where, when the welfare of vulnerable service users is at risk, registration is denied or withdrawn. I wonder how this difference in approach will be managed.

Margaret Edwards, research and public sector consultant