Milburn announces setting up of “foundation” hospitalsBMJ 2002; 324 doi: https://doi.org/10.1136/bmj.324.7330.132 (Published 19 January 2002) Cite this as: BMJ 2002;324:132
- Annabel Ferriman
Health Secretary Alan Milburn this week set out proposals to establish a new generation of “foundation” hospitals in the NHS, with a greater degree of autonomy than that enjoyed by existing trusts.
Under the new system, managers of the best performing hospitals and primary care trusts would no longer be subject to strict financial and management control from Whitehall and would be given the power to set their own pay rates, he said. They would also be able to establish joint venture companies, get automatic access to capital resources, and be subject to less monitoring and inspection.
But the management of failing hospitals will be “franchised” to organisations with a proved track record, and the franchisees could include private companies and charities.
Mr Milburn expressed a desire to change the NHS from its current role as a “monolithic, centrally run, monopoly provider …