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This paper provides an overview of the current policy context around the role of social enterprise, including mutuals or employee-led organisations, in delivering NHS-funded healthcare.

The RCN is fundamentally opposed to any competition amongst providers based on price, which risks a 'race to the bottom' and places patients at risk. We believe that there may be a role for competition as a lever to improve quality but safeguards must be in place. For example, effective regulation from Monitor and the Care Quality Commission must ensure the various parts of the health system work together effectively and to assure minimum standards of quality and patient care.

For further information, please email papa.ukintl.dept@rcn.org.uk