This report outlines the results of an online survey of our members - NHS foundation trusts and trusts - carried out between 10 September and 1 October 2015.

We collected both qualitative and quantitative information covering experiences of the regulatory regime over the last 12 months, as well as to capture their feedback on topical issues. 

There were 70 responses to the survey (26 NHS trusts and 44 NHS foundation trusts), representing 32% of our membership, and 29% of the provider sector. 

Key findings include:

• The regulatory environment has become much more complex over the last 12 months
• The regulators have made helpful improvements in effectively coordinating their activity since last year and advice from the centre has been more consistent, however concerns about duplication and the need for a more streamlined regulatory framework remain
• The regulatory burden has significantly increased over the last 12 months, particularly for foundation trusts
• Blanket changes to regulation - which then affect successful trusts - can feel disproportionate
• The regulators generally have a good understanding of the pressures faced by NHS providers, however this does not always alter their behaviour or assist with the development of realistic and effective solutions
• The establishment of NHS Improvement presents an opportunity for more consistency; a streamlined approach; better coordination; and a stronger provider voice

The following broad themes are discussed:

• The overall regulatory system
• Regulatory burden and impact
• CQC inspections
• The future of regulation

Click below to download the full report.