Accountability is a central principle for ensuring that provision of health and social care is effective and in line with the public interest. The past decade has seen the redrawing of many channels of accountability in the course of restructuring of health and social care provision. CHPI has worked to track and scrutinize these changes in an effort to ensure that this principle is upheld.

In the midst of a lethal pandemic, the government controversially axed the main public health body (Public Health England) and announced the creation of yet another bureaucracy, designed by management consultants with no expertise in public health. History shows that without a clear overarching strategy and laws, these ad hoc reforms are likely to further hamper the UK’s ability to protect the population.

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