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NHS trust

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Title: NHS trust  
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Subject: London Ambulance Service, NHS special health authority, University Hospital Coventry, Seamen's Hospital Society, NHS Wales
Collection: Nhs Trusts, Nhs Wales
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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 1
  • Future development 2
  • Types 3
    • Foundation trusts 3.1
    • Former types 3.2
  • Other types of NHS organisation 4
    • Special health authorities 4.1
  • See also 5
  • References 6

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

  1. ^ "Make the most of non-executives and the independent sector". Health Service Journal. 28 May 2015. Retrieved 17 June 2015. 
  2. ^ "The NHS has 'too many trusts', says Hunt". Health Service Journal. 9 September 2015. Retrieved 22 October 2015. 
  3. ^ "Stevens: Funding growth may depend on 'transformation' plans". Health Service Journal. 13 October 2015. Retrieved 22 October 2015. 
  4. ^ "NHS authorities and trusts". The NHS in England. NHS Choices. 28 January 2013. Retrieved 7 November 2013. 


See also

Special health authorities

Other types of NHS organisation

Former types

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.

Foundation trusts

There are several types of NHS trusts:[4]


In September 2015 [2] 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."[3]

Future development

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.

. Fit and proper person test. Board members are, from November 2014, subject to a NHS Trust Development Authority Non-executive directors are recruited by open advertisement. The Trusts which have not achieved Foundation status are now managed by the [1]

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