Collection

NHS foundation trusts: documents and guidance

Guidance and information for NHS foundation trusts (FTs).

Read the foundation trust bulletins for information on consultations and NHS priorities, guidance updates and announcements. Correspondence to foundation trusts has letters sent by Monitor to NHS trusts, NHS foundation trusts, clinical commissioning groups and other NHS organisations

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: requirements for quality reports 2014/15

    • 24 February 2015
    • Statutory guidance
  2. NHS foundation trusts: annual reporting manual 2014/15

    • 17 December 2014
    • Statutory guidance
  3. Strategy development: a guide for NHS foundation trust boards

    • 31 October 2014
    • Guidance
  4. Strategy development: a toolkit for NHS providers

    • 22 October 2014
    • Guidance
  5. NHS foundation trusts: planning and reporting requirements

    • 23 February 2015
    • Detailed guide
  6. NHS foundation trusts: improving strategic planning

    • 20 December 2013
    • Research and analysis
  7. NHS foundation trusts: annual plan review 2014/15 guidance

    • 23 December 2013
    • Statutory guidance
  8. NHS foundation trusts: audit code

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

    • 20 June 2014
    • Guidance
  10. Annual planning review 2015/16: guidance for foundation trusts

    • 25 February 2015
    • Statutory guidance

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. The NHS provider licence

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

    • 11 December 2014
    • Closed consultation
  3. Monitor's risk assessment framework (RAF)

    • 1 April 2014
    • Statutory guidance
  4. Monitor's enforcement guidance

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

    • 20 May 2013
    • Policy paper

Governance

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

The model election rules have been updated and you can now view the new version on the Foundation Trusts Network’s website. You can read more about the rules here.

  1. NHS foundation trusts: Code of Governance

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

    • 20 May 2014
    • Statutory guidance
  3. Governance reviews for NHS foundation trusts

    • 14 January 2014
    • Closed consultation
  4. NHS trust boards: quality governance framework

    • 6 July 2010
    • Statutory guidance
  5. NHS foundation trusts: model core constitution

    • 11 September 2014
    • Statutory guidance
  6. 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. National tariff payment system 2015/16: a consultation notice

    • 29 January 2015
    • Consultation outcome
  2. Improving the costing of NHS services: proposals for 2015 to 2021

    • 1 December 2014
    • Closed consultation
  3. National tariff payment system 2014/15

    • 17 December 2013
    • Statutory guidance
  4. NHS providers and commissioners: submit locally determined prices to Monitor

    • 2 July 2014
    • Detailed guide
  5. The NHS payment system: a guide for patients

    • 26 November 2014
    • Promotional material

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 our 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

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: how to comply with Monitor’s requirements

    • 14 January 2015
    • Guidance
  2. Enabling integrated care in the NHS

    • 24 October 2014
    • Detailed guide
  3. Integrated care: a common definition

    • 14 January 2013
    • Research and analysis
  4. Integrated care and Monitor's role

    • 11 June 2012
    • Independent report
  5. Supporting integrated care through regulation

    • 30 October 2014
    • Guidance

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

    • 31 July 2014
    • 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

Developing providers

  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
  4. NHS foundation trusts: recruiting and engaging new members

    • 5 July 2011
    • Research and analysis

Service-line management

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

Monitor tracks the performance of NHS foundation trusts and you can read more in this collection: NHS foundation trusts quarterly performance reports.

  1. NHS trusts and foundation trusts in special measures: 1 year on

    • 4 August 2014
    • Corporate report
  2. NHS foundation trusts: annual plan review 2013/14

    • 26 August 2013
    • Corporate report
  3. Review of 2012/13 audits of NHS foundation trusts

    • 11 March 2014
    • Independent report
  4. NHS foundation trusts: consolidated accounts 2012/13

    • 11 July 2013
    • Corporate report
  5. Foundation trust consolidation (FTC) files 2012/13

    • 13 September 2013
    • Transparency data
  6. Challenges facing small acute NHS hospitals

    • 13 June 2014
    • Consultation outcome

Governors and members

You can find out more in our collection of publications for governors and members.

  1. NHS foundation trust governors: developing their role

    • 4 June 2008
    • Research and analysis

Foundation trust directory

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

    • 2 March 2015
    • Transparency data

About Monitor

  1. About Monitor: an introduction to our role

    • 3 July 2014
    • Promotional material
  2. Monitor's strategy for 2014 to 2017

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

    • 10 October 2013
    • Research and analysis