At least 20 trusts will not reach foundation trust status by 2014, says NAO

BMJ 2011; 343 doi: (Published 14 October 2011) Cite this as: BMJ 2011;343:d6642
  1. Anne Gulland
  1. 1London

At least 20 NHS trusts face such severe financial problems that they have declared that they will not be able to reach foundation trust status in their current form.

A report by the National Audit Office (NAO) says out of the 113 trusts that are currently hoping to become self governing by 2014, at least 20 will be unable to do so. Financial concerns are the most common problem, but poor clinical quality or governance or both are also to blame.

The NAO said that these problems were often “deep seated and long standing.” Mark Davies, director of health value for money studies at the audit office, said: “There are at least 20 trusts out there that have declared themselves unviable at this point in their current form. They don’t believe that whatever they do locally they can meet Monitor’s requirements [to become foundation trusts].” He said more may identify themselves as …

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