Implementing the Dalton review

outside a hospital

As part of enabling NHS organisations to learn more about the recommendations of the Dalton review and how they might work in practice, the NHS Confederation and NHS Providers will be running a programme of events, publications and online tools to share the learning from the review. This will include:

  • distilling the review's supporting evidence packs into sector friendly ‘how to’ guides
  • helping NHS leaders and their boards to consider options for future organisational models in more detail
  • held two dedicated events for members. 

On this page you can:

Review and recommendations

Commissioned by the health secretary in February 2014, the review was tasked with exploring the options for providers of NHS care and to "reduce variations in clinical standards, financial performance and patient safety".

The report made 22 recommendations to national bodies, clinical commissioning groups, NHS leaders and wider organisations, which break down into five themes:

  1. One size does not fit all.
  2. Quicker transformational change and transactional change is required.
  3. Ambitious organisations with a proven track record should be encouraged to expand their reach and have a greater impact across the sector.
  4. Overall sustainability for the provider sector is a priority.
  5. Change must happen -- implementation must be supported.

Everything you need to know about the review, report and recommendations can be found in our resource pack.

Member events

Our events, held in February and March 2015, enabled members to get behind the review and interpret it in a practical way, applying its recommendations to their own organisations. Each event gave attendees the opportunity to hear from Sir David Dalton and a range of national bodies impacted by the review. 

Delegates also discussed a number of case studies, helping to inform NHS leaders of the factors they need to consider when progressing to new organisational forms. 


Form follows function, published in March 2015, explores the governance implications of the different organisational forms proposed in the Dalton review.

Download the practical publication from our resources library.

Any questions?

If you have any questions about any details related to the review or our joint work please contact or


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