Abstract
You know that you've heard of the Healthcare Commission, even if you aren't sure who or what it is. Typically described as an independent health watchdog, the Commission always seems to be in the news, usually for publishing headline-grabbing reports about such varied issues as hospital cleanliness, the state of outpatient departments, bullying, or problems with mental health services. If you are a clinician who is also involved in management, you will inevitably know a great deal more about the Healthcare Commission. You will be aware that in the past the Commission has published star ratings and performance ratings about NHS bodies, and is currently responsible for the Annual Health Check. But who, or what, is the Healthcare Commission, and what is it trying to achieve? Why does it matter to the average clinician? After all, we all have an apparent alphabet soup of organizations, all of whom seem to be watching our activities. The best known is obviously the GMC, but clinicians in England also may be aware of the NPSA, the NCAS, Monitor and NICE, for a start. Are they all simply quangos of little relevance to everyday practice, or increasingly important parts of medical practice?
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