NHS trust

A National Health Service trust is an organisation within the English NHS generally serving either a geographical area or a specialised function (such as an ambulance service). In any particular location there may be several trusts involved in the different aspects of healthcare for a resident.

Nature of a trust

NHS Trusts were established under the National Health Service and Community Care Act 1990 and were set up in five waves. Each one was established by a Statutory Instrument.

The trusts are not trusts in the legal sense but are in effect public sector corporations. Each trust is headed by a board consisting of executive and non-executive directors, and is chaired by a non-executive director. There were about 2,200 non-executives across 470 organisations in the NHS in England in 2015.[1] Non-executive directors are recruited by open advertisement. The Trusts which have not achieved Foundation status are now managed by the NHS Trust Development Authority. Board members are, from November 2014, subject to a Fit and proper person test.

All trust boards are required to have an audit committee consisting only of non-executive directors, on which the chair may not sit. This committee is entrusted not only with supervision of financial audit, but of systems of corporate governance within the trust. Hospital board members have a duty to act on signals of poor performance on quality and safety data, and yet many of the papers presented to them have been found to be lacking good data visualisations.[2]

Future development

In September 2015 Jeremy Hunt was reported as saying “I think we do have too many trusts as independent organisations" in a context where mergers between trusts and the establishment of chains of hospitals were being discussed.[3] Subsequently Simon Stevens made it clear that he did not expect the remaining NHS trusts to become Foundation Trusts, saying "We are frankly kidding ourselves if we think the non-FTs are going to pass the kinds of criteria that have been set by Monitor."[4]

Types

There are several types of NHS trusts:[5]

Foundation trusts

Main article: NHS foundation trust

Foundation trust status may be applied for by the above categories of NHS trust. Successive governments have announced that all NHS Trusts should become NHS Foundation Trusts, and deadlines have been set for this transformation, which have repeatedly been missed.

Former types

Other types of NHS organisation

Special health authorities

See also

References

  1. "Make the most of non-executives and the independent sector". Health Service Journal. 28 May 2015. Retrieved 17 June 2015.
  2. Schmidtke, Kelly Ann; Poots, Alan J; Carpio, Juan; Vlaev, Ivo; Kandala, Ngianga-Bakwin; Lilford, Richard J (31 March 2016). "Considering chance in quality and safety performance measures: an analysis of performance reports by boards in English NHS trusts". BMJ Quality & Safety: bmjqs–2015–004967. doi:10.1136/bmjqs-2015-004967.
  3. "The NHS has 'too many trusts', says Hunt". Health Service Journal. 9 September 2015. Retrieved 22 October 2015.
  4. "Stevens: Funding growth may depend on 'transformation' plans". Health Service Journal. 13 October 2015. Retrieved 22 October 2015.
  5. "NHS authorities and trusts". The NHS in England. NHS Choices. 28 January 2013. Retrieved 7 November 2013.
This article is issued from Wikipedia - version of the 4/8/2016. The text is available under the Creative Commons Attribution/Share Alike but additional terms may apply for the media files.