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 …
- CQC engages with local Healthwatch organisations (the successors to Local Involvement Networks established under the Health and Social Care Act 2012) as part of …
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 …
- NHS foundation trust governors have a statutory duty under the Health and Social Care Act 2006 (as amended by the Health and Social Care …
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 …
- Monitor merged with the NHS Trust Development Authority to form NHS Improvement on 1 April 2016. NHS Improvement subsequently merged into NHS England from …
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.
- Monitor's Risk Assessment Framework (revised August 2015) described how it assessed foundation trust compliance with licence conditions. Monitor assigned quarterly risk ratings for finance …
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 transfer the foundation trust authorisation process to CQC as Francis recommended. Instead, it maintained separate roles: CQC assessed quality and …
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 NHS Trust Development Authority, established in 2012, oversaw NHS trusts that had not achieved foundation trust status. The TDA merged into NHS Improvement …
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 government stated in Hard Truths (November 2013) that it would strengthen the foundation trust application process, including stakeholder consultation (Hard Truths Vol 1, …
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 NHS Trust Development Authority oversaw NHS trusts and was responsible for supporting and assessing potential foundation trust applicants. The TDA merged into NHS …
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 …
- Strategic Health Authorities were abolished on 1 April 2013 under the Health and Social Care Act 2012. Their performance management functions transferred to the …
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 NHS provider licence, which replaced foundation trusts' Terms of Authorisation from 1 April 2013, includes Condition FT4 (Governance) requiring providers to demonstrate clear …
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 …
- Regulation 17(3) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 requires providers to submit written reports to CQC within 28 …
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 foundation trust application pipeline was effectively closed by 2014, with most applications paused or deferred. No further trusts were authorised as foundation trusts …
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 foundation trust application pipeline was effectively closed by 2014. No published evidence has been identified that a specific requirement for full physical inspection …
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 …
- Monitor published "Your Statutory Duties: A Reference Guide for NHS Foundation Trust Governors" in August 2013, updated November 2013. This guide sets out governors' …
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 …
- Section 151 of the Health and Social Care Act 2012 strengthened the role of councils of governors. New paragraph 10C inserted into Schedule 7 …
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 …
- Section 151 of the Health and Social Care Act 2012 strengthened governor accountability by requiring councils of governors to hold non-executive directors to account …
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 Providers (formerly the Foundation Trust Network) operates the GovernWell programme, established in 2013, providing national training and support for NHS foundation trust governors. …
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 …
- Section 39A of the National Health Service Act 2006 (inserted by the Health and Social Care Act 2012) provides for a panel to consider …
CQC