Asked for David Cameron's response to Sir David Nicholson's retirement and assessment of his record, the Prime Minister's official spokesman said: "He agrees with the Secretary of State for Health."
Mr Cameron's view of Sir David was "unchanged" since the PM responded to the Francis report on Mid-Staffordshire, said the spokesman.
He said he was not aware of ministers discussing the NHS chief's departure with Sir David in advance, adding: "It is his decision to retire."
More top news
Uplifting messages greeted commuters on the London Underground a day after the terror attack in Westminster.
Faith leaders from across London say religious communities will "stand together" in the wake of the Westminster terror attack.
Pc Keith Palmer was among the three people killed yesterday in the Westminster terror attack.