An honest debate about the challenges and tensions of making management decisions in the NHS is hard to find.

Meanwhile, stories such as NHS medical director Sir Bruce Keogh having to warn against the rationing of treatment mean the actions of healthcare leaders are likely to remain highlighted as the NHS enters an era of no real-terms growth.

The inevitable failures of care will lead to increased calls for those in charge to “take the blame”. Many will look to Robert Francis’s report into failings at Mid Staffordshire to start the ball rolling.

Our roundtable on whether the government should introduce regulation for those occupying NHS management positions reveals the solution is a lot more complex and nuanced than the populist tendency to “hang and flog” those leading NHS organisations. We commend it to Mr Francis, to the government review of management regulation, and to you.