Collection

NHS foundation trusts: documents and guidance

Guidance and information for NHS foundation trusts (FTs).

FT bulletin and correspondence

Read the foundation trust bulletins for information on consultations and NHS priorities, guidance updates and announcements.

Correspondence sent by Monitor to NHS foundation trusts, NHS trusts, clinical commissioning groups and other NHS organisations.

Events and webinars

Find out more about Monitor’s upcoming events and webinars for foundation trusts.

Planning and reporting

You must submit an annual plan and quarterly and ad hoc reports to Monitor. These are used to assess risk and to hold your board to account.

  1. NHS foundation trusts: planning requirements

    • 18 March 2015
    • Detailed guide
  2. NHS foundation trusts: in-year reporting

    • 23 March 2015
    • Detailed guide
  3. NHS foundation trusts: submitting annual reports and accounts

    • 23 March 2015
    • Detailed guide
  4. Annual planning review 2015/16: guidance for foundation trusts

    • 13 April 2015
    • Statutory guidance
  5. NHS foundation trusts: annual reporting manual 2014/15

    • 6 March 2015
    • Statutory guidance
  6. NHS foundation trusts: requirements for quality reports 2014/15

    • 24 February 2015
    • Statutory guidance
  7. NHS foundation trusts: audit code

    • 15 December 2014
    • Statutory guidance
  8. Urgent and planned care: operational resilience and capacity planning for 2014/15

    • 20 June 2014
    • Guidance
  9. NHS foundation trusts: improving strategic planning

    • 20 December 2013
    • Research and analysis

Monitoring and enforcement

As an NHS foundation trust, you’re monitored according to the risk-based system of regulation set out in the ‘Risk assessment framework’.

If you don’t meet the standards required, Monitor may open an investigation to decide whether to take regulatory action.

  1. Consultation on changes to the risk assessment framework: June 2015

    • 3 June 2015
    • Open consultation
  2. Helping NHS foundation trusts adopt best financial practice

    • 2 June 2015
    • Correspondence
  3. Monitor's risk assessment framework (RAF)

    • 26 March 2015
    • Statutory guidance
  4. The NHS provider licence

    • 12 May 2014
    • Statutory guidance
  5. Updates to Monitor's 'Risk assessment framework'

    • 26 March 2015
    • Consultation outcome
  6. Monitor's enforcement guidance

    • 28 March 2013
    • Statutory guidance
  7. Regulation of NHS hospitals

    • 20 May 2013
    • Policy paper

Finance

A range of guidance for NHS foundation trust finance staff. This covers year-end accounts, the foundation trust consolidation process and the agreement of balances process.

  1. NHS foundation trusts: financial accounting guidance

    • 6 May 2015
    • Statutory guidance
  2. Healthcare providers: asset register and disposal of assets

    • 24 April 2014
    • Statutory guidance
  3. NHS foundation trusts: prudential borrowing code

    • 1 April 2009
    • Statutory guidance
  4. NHS foundation trusts: managing operating cash

    • 8 December 2005
    • Guidance
  5. Severance payments at NHS foundation trusts: approval form

    • 26 April 2013
    • Form
  6. NHS foundation trusts: how to resolve a contract dispute

    • 18 March 2011
    • Statutory guidance

Governance

Good governance is essential in ensuring your NHS foundation trust continues to provide safe, sustainable and high-quality care for patients.

The updated model election rules are on the NHS Providers website.

  1. NHS foundation trusts: Code of Governance

    • 4 July 2014
    • Statutory guidance
  2. Well-led NHS foundation trusts: a framework for structuring governance reviews

    • 14 April 2015
    • Statutory guidance
  3. Governance reviews for NHS foundation trusts

    • 14 January 2014
    • Closed consultation
  4. NHS foundation trusts: model core constitution

    • 11 September 2014
    • Statutory guidance
  5. NHS foundation trusts: accounting officer’s responsibilities

    • 14 March 2014
    • Statutory guidance

The NHS payment system

Monitor and NHS England invite you to take part in shaping the development of the NHS payment system. You can find out more in this collection of publications on the payment system.

  1. Tariff arrangements for your 2015/16 NHS activity

    • 16 April 2015
    • Correspondence
  2. National tariff payment system 2015/16: a consultation notice

    • 29 January 2015
    • Consultation outcome
  3. National tariff payment system 2014/15

    • 17 December 2013
    • Statutory guidance
  4. Approved costing guidance

    • 18 May 2015
    • Statutory guidance
  5. Improving the costing of NHS services: proposals for 2015 to 2021

    • 31 March 2015
    • Consultation outcome
  6. NHS providers and commissioners: submit locally determined prices to Monitor

    • 1 May 2015
    • Detailed guide
  7. Reforming the payment system for NHS services: supporting the Five Year Forward View

    • 1 December 2014
    • Policy paper

Procurement, choice and competition

As an NHS foundation trust, you must comply with the choice and competition conditions of the provider licence.

You can find out more in the collection of publications on procurement, choice and competition.

  1. NHS procurement, choice and competition: ask a question or make a complaint

    • 2 May 2014
    • Detailed guide
  2. NHS healthcare providers: working with choice and competition

    • 12 September 2014
    • Guidance
  3. Choice and competition: hypothetical scenarios for NHS healthcare providers

    • 12 September 2014
    • Guidance
  4. A fair playing field for the benefit of NHS patients

    • 26 March 2013
    • Research and analysis

Mergers and transactions

After a period of public consultation, Monitor updated appendix C of the ‘Risk assessment framework’, which relates to NHS foundation trust transactions.

  1. Supporting NHS providers considering transactions and mergers

    • 26 March 2015
    • Guidance
  2. Assessing the risk of financial transactions at NHS foundation trusts

    • 24 January 2014
    • Consultation outcome
  3. Assessing public hospital mergers

    • 17 October 2013
    • Guidance

Integrated care

Under the NHS provider licence, you must not act in a way that is detrimental to the delivery of integrated care.

  1. Integrated care licence condition: guidance for providers of NHS-funded services

    • 27 March 2015
    • Statutory guidance
  2. Integrated care: ask a question or make a complaint

    • 27 March 2015
    • Detailed guide
  3. Enabling integrated care in the NHS

    • 11 March 2015
    • Detailed guide
  4. Integrated care: how to comply with Monitor’s requirements

    • 27 March 2015
    • Guidance
  5. Integrated care: a common definition

    • 14 January 2013
    • Research and analysis
  6. Supporting integrated care through regulation

    • 30 October 2014
    • Guidance
  7. Integrated care and Monitor's role

    • 11 June 2012
    • Independent report
  8. Exploring international acute care models

    • 11 March 2015
    • Research and analysis

Developing your strategy

You can request joining our LinkedIn Strategy and Development Planning group to discuss management issues and best practice.

  1. Strategy development: a toolkit for NHS providers

    • 22 October 2014
    • Guidance
  2. Strategy development: a guide for NHS foundation trust boards

    • 31 October 2014
    • Guidance

Developing your staff

Guidance for leaders and directors to develop strategic change to help their organisation meet the challenges of the modern health service.

  1. NHS strategic financial leadership programme

    • 31 January 2014
    • Promotional material
  2. NHS trust and foundation trust non-executive directors programme

    • 3 February 2014
    • Promotional material
  3. Supporting the role of the medical director

    • 8 May 2014
    • Research and analysis

Service-line management

Service-line management is an approach to management developed for the NHS by Monitor.

You can find out more in our collection of publications on service-line management.

  1. Service-line management: a guide for NHS foundation trusts

    • 14 October 2009
    • Guidance

Reports on foundation trusts

These documents show Monitor tracking the performance of NHS foundation trusts.

You can also read these NHS foundation trusts quarterly performance reports which summarise the performance of the NHS foundation trust sector.

  1. Review of 2013/14 audits of NHS foundation trusts

    • 13 February 2015
    • Independent report
  2. NHS trusts and foundation trusts in special measures: 1 year on

    • 4 August 2014
    • Corporate report
  3. NHS foundation trusts: consolidated accounts 2013/14

    • 17 July 2014
    • Corporate report
  4. NHS foundation trust accounts: consolidation (FTC) files 2013/14

    • 19 August 2014
    • Transparency data
  5. NHS foundation trusts: annual plan review 2013/14

    • 26 August 2013
    • Corporate report
  6. Challenges facing small acute NHS hospitals

    • 13 June 2014
    • Consultation outcome

Governors and members

The publications for governors and members provide further information on how governors should carry out their duties.

  1. NHS foundation trust governors: developing their role

    • 4 June 2008
    • Research and analysis
  2. NHS foundation trusts: recruiting and engaging new members

    • 5 July 2011
    • Research and analysis

Foundation trust directory

  1. NHS foundation trust directory and register of licensed healthcare providers

    • 9 March 2015
    • Transparency data

About Monitor

  1. About Monitor: an introduction to our role

    • 3 July 2014
    • Promotional material
  2. Monitor’s annual plan for 2014/15

    • 20 June 2014
    • Corporate report
  3. Monitor's strategy for 2014 to 2017

    • 10 April 2014
    • Corporate report
  4. Closing the NHS funding gap: how to get better value healthcare for patients

    • 10 October 2013
    • Research and analysis