Published 4 July 2008, doi:10.1136/bmj.a691
Cite this as: BMJ 2008;337:a691

News

Foundation trusts still do not enjoy full autonomy, MPs hear

Adrian O’Dowd

1 Margate

The first 150 words of the full text of this article appear below.

Foundation trusts in England are still struggling to achieve the full autonomy they were promised by the government, despite having been operational for around four years now, MPs have been told.

MPs on the parliamentary health select committee heard evidence this week as part of a one-off session on foundation trusts and the body that regulates them, Monitor.

Foundation trusts, which are meant to be independent of central government control, still find it hard to be innovative and to adopt new models of care. Witnesses told the committee that boundaries had been set on what foundation trusts could do but that the review of the NHS published this week by the health minister Ara Darzi was an enabling framework that would break down organisational barriers and allow foundation trusts to innovate more.

Almost half (43%) of acute hospital trusts in England and 52% of mental health trusts are now foundation . . . [Full text of this article]


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