Held to account.
From the government down, a number of bodies can impose fines or prosecute NHS organisations for poor performance.
Munro
Robert
R
D004739:England; D019983:Guideline Adherence / Q000191:economics*; D006801:Humans; D009042:Motivation; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D012052:Reimbursement, Incentive; D013222:State Medicine / Q000458:organization & administration*