Transparency data

NHS foundation trust directory

Updated 9 March 2015

Foundation trust ratings

Organisation Continuity of services rating* Governance rating Notes
2gether NHS Foundation Trust 4 Green No evident concerns (NB)
5 Boroughs Partnership NHS Foundation Trust 4 Green No evident concerns (NB)
Aintree University Hospital NHS Foundation Trust 3 Green No evident concerns (NB)
Airedale NHS Foundation Trust 3 Green No evident concerns (NB)
Alder Hey Children’s NHS Foundation Trust 4 Green No evident concerns (NB)
Ashford and St. Peter’s Hospitals NHS Foundation Trust 3 Under review Monitor is requesting further information following multiple breaches of the A&E, Cancer and referral to treatment (admitted) targets and a deterioration in the forecast financial position, before deciding next steps
Barnsley Hospital NHS Foundation Trust 1 Red Subject to enforcement action (NB)
Basildon and Thurrock University Hospitals NHS Foundation Trust 1 Red Subject to enforcement action (NB)
Berkshire Healthcare NHS Foundation Trust 4 Green No evident concerns (NB)
Birmingham and Solihull Mental Health NHS Foundation Trust 3 Green No evident concerns (NB)
Birmingham Children’s Hospital NHS Foundation Trust 4 Green No evident concerns (NB)
Birmingham Women’s NHS Foundation Trust 4 Green No evident concerns (NB)
Black Country Partnership NHS Foundation Trust 4 Green No evident concerns (NB)
Blackpool Teaching Hospitals NHS Foundation Trust 2 Under review Monitor is requesting further information following a deterioration in the trust’s financial position, before deciding next steps (NB)
Bolton NHS Foundation Trust 2 Red Subject to enforcement action (NB)
Bradford District Care NHS Foundation Trust - - This is a newly authorised trust and has not yet been assigned a rating
Bradford Teaching Hospitals NHS Foundation Trust 4 Green No evident concerns (NB)
Bridgewater Community Healthcare NHS Foundation Trust 4 Green No evident concerns (NB)
Burton Hospitals NHS Foundation Trust 1 Red Subject to enforcement action, in special measures (NB)
Calderdale and Huddersfield NHS Foundation Trust 3 Red Subject to enforcement action (NB)
Calderstones Partnership NHS Foundation Trust 4 Red Subject to enforcement action (NB)
Cambridge University Hospitals NHS Foundation Trust 2 Under review Monitor is requesting further information following multiple breaches of the A&E, cancer and referral to treatment targets and a deterioration in the trust’s financial position, before deciding next steps (NB)
Cambridgeshire and Peterborough NHS Foundation Trust 2 Under review Monitor is investigating financial sustainability concerns at the trust, triggered by continuity of services risk rating of 2 (NB)
Camden and Islington NHS Foundation Trust 4 Green No evident concerns (NB)
Central and North West London NHS Foundation Trust 3 Green No evident concerns (NB)
Central Manchester University Hospitals NHS Foundation Trust 3 Green No evident concerns (NB)
Chelsea and Westminster Hospital NHS Foundation Trust 3 Green No evident concerns (NB)
Cheshire and Wirral Partnership NHS Foundation Trust 4 Green No evident concerns (NB)
Chesterfield Royal Hospital NHS Foundation Trust 4 Green No evident concerns (NB)
The Christie NHS Foundation Trust 4 Green No evident concerns (NB)
City Hospitals Sunderland NHS Foundation Trust 2 Under review Monitor is investigating financial sustainability concerns at the trust, triggered by a continuity of services risk rating of 2 (NB)
The Clatterbridge Cancer Centre NHS Foundation Trust 4 Green No evident concerns (NB)
Colchester Hospital University NHS Foundation Trust 1 Red Subject to enforcement action, in special measures (NB)
Cornwall Partnership NHS Foundation Trust 3 Green No evident concerns (NB)
Countess of Chester Hospital NHS Foundation Trust 3 Green No evident concerns (NB)
County Durham and Darlington NHS Foundation Trust 3 Green No evident concerns (NB)
Cumbria Partnership NHS Foundation Trust 3 Red Subject to enforcement action (NB)
Derby Teaching Hospitals NHS Foundation Trust 1 Red Subject to enforcement action (NB)
Derbyshire Community Health Services NHS Foundation Trust 4 Green No evident concerns (NB)
Derbyshire Healthcare NHS Foundation Trust 4 Green No evident concerns (NB)
Doncaster and Bassetlaw Hospitals NHS Foundation Trust 3 Green No evident concerns (NB)
Dorset County Hospital NHS Foundation Trust 4 Green No evident concerns (NB)
Dorset HealthCare University NHS Foundation Trust 4 Green No evident concerns (NB)
The Dudley Group NHS Foundation Trust 3 Red Subject to enforcement action (NB)
East Kent Hospitals University NHS Foundation Trust 3 Red Subject to enforcement action, in special measures (NB)
East London NHS Foundation Trust 4 Green No evident concerns (NB)
Frimley Health NHS Foundation Trust 4 Green No evident concerns (NB)
Gateshead Health NHS Foundation Trust 2 Under review Monitor is investigating financial sustainability concerns at the trust, triggered by a continuity of services risk rating of 2 (NB)
Gloucestershire Hospitals NHS Foundation Trust 3 Under review Monitor is investigating governance concerns at the trust, triggered by multiple breaches of the A&E target (NB)
Great Ormond Street Hospital for Children NHS Foundation Trust 4 Green No evident concerns (NB)
Great Western Hospitals NHS Foundation Trust 1 Red Subject to enforcement action (NB)
Greater Manchester West Mental Health NHS Foundation Trust 4 Green No evident concerns (NB)
Guy’s and St Thomas’ NHS Foundation Trust 4 Green No evident concerns (NB)
Hampshire Hospitals NHS Foundation Trust 2 Under review Monitor is requesting further information following a continuity of services risk rating of 2 and a deterioration in the trust’s forecast financial position, before deciding next steps (NB)
Harrogate and District NHS Foundation Trust 3 Green No evident concerns (NB)
Heart of England NHS Foundation Trust 4 Red Subject to enforcement action (NB)
Hertfordshire Partnership University NHS Foundation Trust 4 Green No evident concerns (NB)
The Hillingdon Hospitals NHS Foundation Trust 3 Under review Monitor is requesting further information following CQC warning notices, before deciding next steps (NB)
Homerton University Hospital NHS Foundation Trust 4 Green No evident concerns (NB)
Humber NHS Foundation Trust 3 Green No evident concerns (NB)
James Paget University Hospitals NHS Foundation Trust 4 Green No evident concerns (NB)
Kent Community Health NHS Foundation Trust - - This is a newly authorised trust and has not yet been assigned a rating
Kettering General Hospital NHS Foundation Trust 1 Red Subject to enforcement action (NB)
King’s College Hospital NHS Foundation Trust 2 Red Subject to enforcement action (NB)
Kingston Hospital NHS Foundation Trust 3 Under review Monitor is requesting further information following multiple breaches of cancer waiting time targets and a breach of the A&E target, before deciding next steps
Lancashire Care NHS Foundation Trust 4 Green No evident concerns (NB)
Lancashire Teaching Hospitals NHS Foundation Trust 3 Red Subject to enforcement action (NB)
Leeds and York Partnership NHS Foundation Trust 4 Green No evident concerns (NB)
Lincolnshire Partnership NHS Foundation Trust 4 Green No evident concerns (NB)
Liverpool Heart and Chest Hospital NHS Foundation Trust 4 Green No evident concerns (NB)
Liverpool Women’s NHS Foundation Trust 4 Green No evident concerns (NB)
Luton and Dunstable University Hospital NHS Foundation Trust 4 Green No evident concerns (NB)
Medway NHS Foundation Trust 1 Red Subject to enforcement action, in special measures (NB)
Mid Cheshire Hospitals NHS Foundation Trust 3 Green No evident concerns (NB)
Mid Staffordshire NHS Foundation Trust 2 - Subject to enforcement action (NB)
Milton Keynes Hospital NHS Foundation Trust 1 Red Subject to enforcement action (NB)
Moorfields Eye Hospital NHS Foundation Trust 4 Green No evident concerns (NB)
The Newcastle upon Tyne Hospitals NHS Foundation Trust 3 Green No evident concerns (NB)
Norfolk and Norwich University Hospitals NHS Foundation Trust 3 Red Subject to enforcement action (NB)
Norfolk and Suffolk NHS Foundation Trust 2 Red Subject to enforcement action, in special measures (NB)
North East Ambulance Service NHS Foundation Trust 4 Green No evident concerns (NB)
North East London NHS Foundation Trust 4 Green No evident concerns (NB)
North Essex Partnership University NHS Foundation Trust 3 Green No evident concerns (NB)
North Tees and Hartlepool NHS Foundation Trust 4 Green No evident concerns (NB)
Northamptonshire Healthcare NHS Foundation Trust 4 Green No evident concerns (NB)
Northern Lincolnshire and Goole NHS Foundation Trust 3 Red Subject to enforcement action (NB)
Northumberland, Tyne and Wear NHS Foundation Trust 4 Green No evident concerns (NB)
Northumbria Healthcare NHS Foundation Trust 4 Green No evident concerns (NB)
Nottinghamshire Healthcare NHS Foundation Trust - - This is a newly authorised trust and has not yet been assigned a rating
Oxford Health NHS Foundation Trust 3 Under review Monitor is requesting further information following a continuity of services risk rating of 2, before deciding next steps (NB)
Oxleas NHS Foundation Trust 4 Green No evident concerns (NB)
Papworth Hospital NHS Foundation Trust 4 Under review Monitor is requesting further information following governance concerns raised by a CQC inspection, before deciding next steps (NB)
Pennine Care NHS Foundation Trust 4 Green No evident concerns (NB)
Peterborough and Stamford Hospitals NHS Foundation Trust 1 Red Subject to enforcement action (NB)
Poole Hospital NHS Foundation Trust 3 Green No evident concerns (NB)
The Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust 1 Red Subject to enforcement action, in special measures (NB)
Queen Victoria Hospital NHS Foundation Trust 4 Green No evident concerns (NB)
The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust 4 Under review Monitor is investigating governance concerns at the trust triggered by breaches of the referral to treatment targets and the findings of a third party report (NB)
Rotherham Doncaster and South Humber NHS Foundation Trust 4 Green No evident concerns (NB)
The Rotherham NHS Foundation Trust 2 Red Subject to enforcement action (NB)
Royal Berkshire NHS Foundation Trust 2 Red Subject to enforcement action (NB)
The Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust 3 Under review Monitor is requesting further information following multiple breaches of the A&E and cancer waiting time targets, before deciding next steps (NB)
Royal Brompton & Harefield NHS Foundation Trust 3 Green No evident concerns (NB)
Royal Devon and Exeter NHS Foundation Trust 3 Green No evident concerns (NB)
Royal Free London NHS Foundation Trust 4 Green No evident concerns (NB)
The Royal Marsden NHS Foundation Trust 4 Green No evident concerns (NB)
The Royal Orthopaedic Hospital NHS Foundation Trust 4 Green No evident concerns (NB)
Royal Surrey County Hospital NHS Foundation Trust 4 Green No evident concerns (NB)
Royal United Hospitals Bath NHS Foundation Trust 4 Green No evident concerns (NB)
Salford Royal NHS Foundation Trust 3 Green No evident concerns (NB)
Salisbury NHS Foundation Trust 4 Green No evident concerns (NB)
Sheffield Children’s NHS Foundation Trust 4 Green No evident concerns (NB)
Sheffield Health & Social Care NHS Foundation Trust 4 Green No evident concerns (NB)
Sheffield Teaching Hospitals NHS Foundation Trust 4 Green No evident concerns (NB)
Sherwood Forest Hospitals NHS Foundation Trust 1 Red Subject to enforcement action, in special measures (NB)
Somerset Partnership NHS Foundation Trust 4 Green No evident concerns (NB)
South Central Ambulance Service NHS Foundation Trust 4 Green No evident concerns (NB)
South Devon Healthcare NHS Foundation Trust 3 Under review Monitor is requesting further information following multiple breaches of the A&E and referral to treatment (admitted) targets, before deciding next steps (NB)
South East Coast Ambulance Service NHS Foundation Trust 4 Green No evident concerns (NB)
South Essex Partnership University NHS Foundation Trust 4 Green No evident concerns (NB)
South London and Maudsley NHS Foundation Trust 4 Green No evident concerns (NB)
South Staffordshire and Shropshire Healthcare NHS Foundation Trust 4 Green No evident concerns (NB)
South Tees Hospitals NHS Foundation Trust 1 Red Subject to enforcement action (NB)
South Tyneside NHS Foundation Trust 3 Green No evident concerns (NB)
South Warwickshire NHS Foundation Trust 3 Green No evident concerns (NB)
South West Yorkshire Partnership NHS Foundation Trust 4 Green No evident concerns (NB)
South Western Ambulance Service NHS Foundation Trust 4 Green No evident concerns (NB)
Southend University Hospital NHS Foundation Trust 2 Red Subject to enforcement action
Southern Health NHS Foundation Trust 2 Red Subject to enforcement action (NB)
St George’s University Hospitals NHS Foundation Trust 3 Under Review Monitor is investigating financial sustainability concerns at the trust, triggered by a deterioration in the trust’s financial position (NB)
Stockport NHS Foundation Trust 4 Red Subject to enforcement action (NB)
Surrey and Borders Partnership NHS Foundation Trust 4 Green No evident concerns (NB)
Sussex Partnership NHS Foundation Trust 3 Green No evident concerns (NB)
Tameside Hospital NHS Foundation Trust 1 Red Subject to enforcement action, in special measures (NB)
Taunton and Somerset NHS Foundation Trust 3 Under review Monitor is investigating governance concerns at the Trust following multiple breaches of the referral to treatment (admitted) target (NB)
Tavistock and Portman NHS Foundation Trust 4 Green No evident concerns (NB)
Tees, Esk and Wear Valleys NHS Foundation Trust 4 Green No evident concerns (NB)
University College London Hospitals NHS Foundation Trust 3 Green No evident concerns (NB)
University Hospital of South Manchester NHS Foundation Trust 1 Red Subject to enforcement action (NB)
University Hospital Southampton NHS Foundation Trust 2 Under review Monitor is requesting further information following a continuity of services risk rating of 2 and multiple breaches of the A&E target, before deciding next steps (NB
University Hospitals Birmingham NHS Foundation Trust 2* Green No evident concerns (NB)
University Hospitals Bristol NHS Foundation Trust 4 Green No evident concerns (NB)
University Hospitals of Morecambe Bay NHS Foundation Trust 1 Red Subject to enforcement action, in special measures (NB)
The Walton Centre NHS Foundation Trust 4 Green No evident concerns (NB)
Warrington and Halton Hospitals NHS Foundation Trust 2 Under review Monitor is investigating governance and financial sustainability concerns at the trust, triggered by multiple breaches of the A&E target and a continuity of services risk rating of 2
West Midlands Ambulance Service NHS Foundation Trust 4 Green No evident concerns (NB)
West Suffolk NHS Foundation Trust 2 Green No evident concerns (NB)
Western Sussex Hospitals NHS Foundation Trust 3 Under review Monitor is requesting further information following multiple breaches of the referral to treatment targets, before deciding next steps (NB)
Wirral University Teaching Hospital NHS Foundation Trust 2 Under review Monitor is investigating governance and financial sustainability concerns at the trust, triggered by multiple breaches of the A&E target and a continuity of services risk rating of 2
Wrightington, Wigan and Leigh NHS Foundation Trust 4 Green No evident concerns (NB)
Yeovil District Hospital NHS Foundation Trust 2 Under review Monitor is investigating financial sustainability concerns at the trust, triggered by a deterioration in the trust’s financial position (NB)
York Teaching Hospital NHS Foundation Trust 4 Green No evident concerns (NB)

*View forecast continuity of services risk ratings for year ending 31 March 2015

NB: Ratings will be updated following our annual plan review, due in July.

What the ratings mean

Monitor publishes 2 ratings for each NHS foundation trust.

  • The continuity of services rating is Monitor’s view of the risk that the trust will fail to carry on as a going concern. A rating of 1 indicates the most serious risk and 4 the least risk. A rating of 2* means the trust has a risk rating of 2 but its financial position is unlikely to get worse.
  • The governance rating is Monitor’s degree of concern about how the trust is run, any steps we are taking to investigate this and/or any action we are taking. We’ll either indicate we have no evident concerns, that we have begun enforcement action, or that the foundation trust’s rating is ‘under review’, which means we have identified a concern but not yet taken action.

The role of these ratings is to indicate when there is a cause for concern at a trust. The ratings do not automatically trigger regulatory action. They simply prompt Monitor to consider whether a more detailed investigation is needed.

Monitor updates foundation trusts’ ratings each quarter and also in ‘real time’ to reflect any regulatory action taken.

Regulatory action

If Monitor suspects an NHS foundation trust has breached or is at risk of breaching its licence, it may start an investigation and then take regulatory action if needed. For example, if the trust consistently fails to meet national standards of care or is at financial risk, Monitor will require it to explain why and to develop a plan for fixing the problem.

Special measures

Monitor may also choose to put an NHS foundation trust into special measures. This gives the trust the support it needs to improve at the same time as giving the public the ability to hold it to account.

Under special measures, Monitor can:

  • partner the trust with a high performing NHS foundation trust to help it improve
  • require the trust to produce an improvement plan
  • appoint an improvement director to monitor progress at the trust
  • suspend some or all of the trust’s freedoms to operate as an autonomous body (such as the freedom to appoint its own executive team)
  • remove the leadership of the trust

You can read more about special measures in this guide.

Other possible action

If an NHS foundation trust’s financial problems become very serious, Monitor can appoint a contingency planning team (CPT). The team will work with local commissioners and providers to assess the situation at the trust and to consider possible options for safeguarding services for patients.

In exceptional circumstances, where an NHS foundation trust is likely to fail financially, Monitor may appoint trust special administrators (TSAs) to take control of the trust’s affairs and work with local NHS commissioners to ensure that patients continue to have access to the services they need.

What are foundation trusts?

NHS foundation trusts are not-for-profit, public benefit corporations. They are part of the NHS and provide over half of all NHS hospital, mental health and ambulance services.

NHS foundation trusts were created to devolve decision making from central government to local organisations and communities. They provide and develop healthcare according to core NHS principles - free care, based on need and not ability to pay.

Foundation trusts are not directed by government so have greater freedom to decide, with their governors and members, their own strategy and the way services are run.

They can retain their surpluses and borrow to invest in services for patients and service users.

They are accountable to their local communities through their members and governors, their commissioners through contracts, Parliament, the Care Quality Commission and Monitor.