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

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

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.