Foundation Trusts
18
Recommendations
94% accepted
Government Response
Accepted (15)Accepted in Part (2)Not Accepted (1)
Recommendations in This Theme
recommendation across 1 inquiry
Across 1 inquiry
Tagged Recommendations
18 total
F47
Accepted
Mid Staffs Inquiry
Use of information about compliance by regulator from: Foundation trust governors and scrutiny committees
The Care Quality Commission should expand its work with overview and scrutiny committees and foundation trust governors as a valuable information resource. For example, it should further develop its current …
- The Department of Health and Social Care and NHS England stated in April 2025 that the Care Quality Commission works with Foundation Trust governors …
CQC
F48
Accepted in Part
Mid Staffs Inquiry
Use of information about compliance by regulator from: Foundation trust governors and scrutiny committees
The Care Quality Commission should send a personal letter, via each registered body, to each foundation trust governor on appointment, inviting them to submit relevant information about any concerns to …
- The Department of Health and Social Care and NHS England stated in April 2025 that the Care Quality Commission involves governors in inspections and …
CQC
F62
Accepted
Mid Staffs Inquiry
Improved patient focus
For as long as it retains responsibility for the regulation of foundation trusts, Monitor should incorporate greater patient and public involvement into its own structures, to ensure this focus is …
- The Department of Health and Social Care stated in April 2025 that NHS commissioning organisations have a legal duty to involve the public in …
Monitor
F63
Accepted
Mid Staffs Inquiry
Improved transparency
Monitor should publish all side letters and any rating issued to trusts as part of their authorisation or licence.
- The Department of Health and Social Care and NHS England stated in April 2025 that the policy position has changed and no further Foundation …
Monitor
F64
Not Accepted
Mid Staffs Inquiry
Authorisation of foundation trusts
The authorisation process should be conducted by one regulator, which should be equipped with the relevant powers and expertise to undertake this effectively. With due regard to protecting the public …
- The government did not accept this recommendation in 2013, stating that the Care Quality Commission should focus on safety and quality while Monitor focused …
Department of Health and…
F65
Accepted
Mid Staffs Inquiry
Quality of care as a pre-condition for foundation trust applications
The NHS Trust Development Authority should develop a clear policy requiring proof of fitness for purpose in delivering the appropriate quality of care as a pre-condition to consideration for support …
- The Department of Health and Social Care and NHS England stated in April 2025 that the policy position has changed and no further Foundation …
F66
Accepted
Mid Staffs Inquiry
Improving contribution of stakeholder opinions
The Department of Health, the NHS Trust Development Authority and Monitor should jointly review the stakeholder consultation process with a view to ensuring that: Local stakeholder and public opinion is …
- The Department of Health and Social Care and NHS England stated in April 2025 that the policy position has changed and no further Foundation …
Department of Health and…
F67
Accepted
Mid Staffs Inquiry
Focus on compliance with fundamental standards
The NHS Trust Development Authority should develop a rigorous process for the assessment as well as the support of potential applicants for foundation trust status. The assessment must include as …
- The Department of Health and Social Care and NHS England stated in April 2025 that the policy position has changed and no further Foundation …
F68
Accepted
Mid Staffs Inquiry
Focus on compliance with fundamental standards
No NHS trust should be given support to make an application to Monitor unless, in addition to other criteria, the performance manager (the Strategic Health Authority cluster, the Department of …
- The Department of Health and Social Care and NHS England stated in April 2025 that the policy position has changed and no further Foundation …
F69
Accepted
Mid Staffs Inquiry
Focus on compliance with fundamental standards
The assessment criteria for authorisation should include a requirement that applicants demonstrate their ability to consistently meet fundamental patient safety and quality standards at the same time as complying with …
- The Department of Health and Social Care and NHS England stated in April 2025 that the policy position has changed and no further Foundation …
Monitor
F70
Accepted
Mid Staffs Inquiry
Duty of utmost good faith
A duty of utmost good faith should be imposed on applicants for foundation trust status to disclose to the regulator any significant information material to the application and to ensure …
- The Department of Health and Social Care and NHS England stated in April 2025 that the policy position has changed and no further Foundation …
Monitor
F71
Accepted
Mid Staffs Inquiry
Role of Secretary of State
The Secretary of State's support for an application should not be given unless he is satisfied that the proposed applicant provides a service to patients which is, at the time …
- The Department of Health and Social Care and NHS England stated in April 2025 that the policy position has changed and no further Foundation …
Department of Health and…
F72
Accepted
Mid Staffs Inquiry
Assessment process for authorisation
The assessment for an authorisation of applicant for foundation trust status should include a full physical inspection of its primary clinical areas as well as all wards to determine whether …
- The Department of Health and Social Care stated in April 2025 that this recommendation has been superseded by the current inspection regime (DHSC and …
Monitor
F74
Accepted
Mid Staffs Inquiry
Enhancement of role of governors
Monitor and the Care Quality Commission should publish guidance for governors suggesting principles they expect them to follow in recognising their obligation to account to the public, and in particular …
- NHS England stated in April 2025 that it published an updated reference guide for governors in 2022 to explain changes in the NHS landscape …
Monitor
F75
Accepted in Part
Mid Staffs Inquiry
Enhancement of role of governors
The Council of Governors and the board of each foundation trust should together consider how best to enhance the ability of the council to assist in maintaining compliance with its …
- The government stated in its 2013 response that it would not seek to prescribe how governors should work day-to-day and that regulators would not …
NHS Trusts
F76
Accepted
Mid Staffs Inquiry
Enhancement of role of governors
Arrangements must be made to ensure that governors are accountable not just to the immediate membership but to the public at large – it is important that regular and constructive …
- The National Service Act 2006, as amended, establishes a statutory duty for councils of governors to represent the interests of trust members and the …
NHS Trusts
F77
Accepted
Mid Staffs Inquiry
Enhancement of role of governors
Monitor and the NHS Commissioning Board should review the resources and facilities made available for the training and development of governors to enhance their independence and ability to expose and …
- NHS England published an updated Code of Governance for NHS provider trusts in April 2023, which requires governors to receive appropriate induction and regular …
NHS England
F78
Accepted
Mid Staffs Inquiry
Enhancement of role of governors
The Care Quality Commission and Monitor should consider how best to enable governors to have access to a similar advisory facility in relation to compliance with healthcare standards as will …
- The Care Quality Commission published guidance for foundation trust governors in 2019 to assist them in carrying out their duties regarding healthcare standards (Guidance …
CQC