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The trust's board, which was meant to hold managers to account and ensure high clinical standards were maintained, were aware of the weaknesses but failed to ensure improvements were made, the report says.
Our findings also highlight conceptual and practical strategies identified by PHMs to ensure improvements in this complex landscape of care.
However, the very existence of large numbers of laws and regulations does not automatically ensure improvements in health and environmental protection.
For example, a carbon tax can ensure improvements in local air quality prominently than any major reduction in the global emissions.
Health regulator Monitor has now found problems are broader than first thought and has imposed new conditions on the trust's licence to ensure improvements.
Wiltshire Council has allocated an extra £500,000 to the service to ensure improvements can be brought about as quickly as possible.
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And, where necessary, we must take tough measures to ensure improvement.
Companies get control and visibility over their most important information and ensure improvement by scorecarding and assigning accountability to their management teams".
"It is only when schools have been under-performing for a number of years that the government steps in to ensure improvement," said a Department for Education spokesman.
If the standard is not achieved, reasons for this are explored, change is implemented and a re-audit is carried out to ensure improvement [1].
If the standard is not met, reasons for this are sought, changes implemented and a re-audit carried out to ensure improvement.
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