Regulation has an important role to play in public services – particularly those, such as the UK's National Health Service (NHS), that manage high levels of risk, where good leadership, processes and governance are of paramount importance to safety. This report focuses on trust leaders’ views and experience of regulation during 2023/24.

This report report describes good quality regulation and outlines key areas for improvement to enhance support and constructive engagement between the UK Care Quality Commission (CQC) and trust leaders' NHS England (NHSE) and integrated care boards (ICBs).

This briefing outlines the key implications for trusts of changes to the UK's National Health Service regulatory framework, in the context of accelerating system working and legislative change.