ArticleBMJ open2019
Patient safety regulation in the NHS: mapping the regulatory landscape of healthcare.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 85 citations in OpenAlex.
- Experiences and Impacts of Working in Organisations Undergoing Regulatory Scrutiny: An Integrative Review.Journal of advanced nursing · 2026Review
- A Multidimensional Index Framework for Evaluating the Regulatory Applicability of ISO 10328 Using a Prosthetic Knee Case Study.Medical devices (Auckland, N.Z.) · 2026Review
- Institutional Responses to Voluntary Assisted Dying: An Empirical Study in Victoria and Western Australia.Journal of bioethical inquiry · 2025Article
- The changing face of acute low back pain management by physiotherapists, osteopaths and chiropractors in the UK: a 20-year comparison from 2003 to 2023.BMC musculoskeletal disorders · 2025Article
- Early warning tools and clinician 'agency' for strengthening safety culture: An integrative review.Journal of advanced nursing · 2025Review
- Patient Safety Framework in Healthcare Regulatory System of Nepal: A Call for Action.JNMA; journal of the Nepal Medical Association · 2025Article
- Key Factors Shaping Successful Implementation of the Internet of Things (IoT) in Health Care: Qualitative Study.JMIR human factors · 2025Article
- Regulation of artificial intelligence in Uganda's healthcare: exploring an appropriate regulatory approach and framework to deliver universal health coverage.International journal for equity in health · 2025Article
- Involving Service Users in Care Regulation: A Scoping Review of Empirical Literature.International journal of health policy and management · 2025Article
- How can specialist investigation agencies inform system-wide learning for patient safety? A qualitative study of perspectives on the early years of the English Healthcare Safety Investigation Branch.Journal of health services research & policy · 2025Article
- Sex, drugs and rock 'n' roll: the only reasons for regulators to target individuals.BMJ quality & safety · 2024Article
- Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons' perspectives.BMJ open quality · 2024Article
- Ensuring safety and efficacy in combination products: regulatory challenges and best practices.Frontiers in medical technology · 2024Review
- Humanising processes after harm part 2: compounded harm experienced by patients and their families after safety incidents.Frontiers in health services · 2024Article
- The Implementation in Context (ICON) Framework: A meta-framework of context domains, attributes and features in healthcare.Health research policy and systems · 2023Article
- Better Regulation of End-Of-Life Care: A Call For A Holistic Approach.Journal of bioethical inquiry · 2022Article
- Linking resilience and regulation across system levels in healthcare - a multilevel study.BMC health services research · 2022Article
- Comparing the dangers of a stay in English and German hospitals for high-need patients.Health services research · 2021Article
- Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings.BMJ quality & safety · 2021Article
- Recent research into healthcare professions regulation: a rapid evidence assessment.BMC health services research · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe current research project sought to map out the regulatory landscape for patient safety in the English National Health Service (NHS).
methodWe used a systematic desk-based search using a variety of sources to identify the total number of organisations with regulatory influence in the NHS; we researched publicly available documents listing external inspection agencies, participated in advisory consultations with NHS regulatory compliance teams and reviewed the websites of all regulatory agencies.
resultsOur mapping revealed over 126 organisations who exert some regulatory influence on NHS provider organisations in addition to 211 Clinical Commissioning Groups. The majority of these organisations set standards and collect data from provider organisations and a considerable number carry out investigations. We found a multitude of overlapping functions and activities. The variability in approach and overlapping functions suggest that there is no overall integrated regulatory approach.
conclusionRegulation potentially provides a variety of benefits in terms of maintaining the safety and quality of care by providing an external perspective on the care being delivered. However, the variability, extent and fragmentation of the regulatory system of the NHS make it hard for regulators to act effectively and places a massive burden on NHS provider organisations. Overlapping regulatory requests may distract locally driven initiatives to improve safety and quality. Further research is needed to understand the full extent of regulatory activity and the true benefits and costs incurred.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.