Final Report > Chapter 14: External Assessment and Monitoring of the Quality of Care in Bristol > The South West Regional Health Authority
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The South West Regional Health Authority
10 Miss Hawkins, Regional General Manager, SWRHA, 1984-1992, told us that in the 1980s the SWRHA was `not responsible for the performance of the unit [at the BRI]; we were responsible for monitoring it, but the BRI was responsible for the performance of the unit.' [7] After the NHS reforms of 1991, the role of the SWRHA changed to that of supervising and managing the various districts in their role as purchasers of services in the internal market.
11 It is fair to conclude, therefore, that over the whole period of our Terms of Reference, the SWRHA never had any effective role in assessing or monitoring the quality of clinical care. It might have been thought to have had. But it did not. Another link in the chain was weak.
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