Transparency data

NHS foundation trust directory

Updated

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 4 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 Under review Monitor is requesting further information following multiple breaches of the A&E and cancer targets and a deterioration in the forecast financial position, before deciding next steps
Barnsley Hospital NHS Foundation Trust 2 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 3 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 2 Red Subject to enforcement action
Calderstones Partnership NHS Foundation Trust 4 Red Subject to enforcement action
Cambridge University Hospitals NHS Foundation Trust 1 Under review Monitor is investigating financial sustainability concerns at the trust,  triggered by a deterioration in the trust’s financial position
Cambridgeshire and Peterborough NHS Foundation Trust 3 Under review Monitor is investigating financial sustainability concerns at the trust, triggered by a continuity of services risk rating of 2
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 Red Subject to enforcement action
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 4 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 3 Under review Monitor is investigating governance concerns at the trust, triggered by the findings of a third party report
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 3 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 3 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 investigating governance concerns at the trust, triggered by multiple breaches of the A&E target
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 Green No evident concerns
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 4 Green No evident concerns
James Paget University Hospitals NHS Foundation Trust 4 Green No evident concerns
Kent Community Health NHS Foundation Trust 4 Green No evident concerns
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 Under review Monitor is investigating governance and financial sustainability concerns at the trust, triggered by multiple breaches of the A&E target and a forecast 15/16 deficit of £8.8 million
Lancashire Care NHS Foundation Trust 4 Green No evident concerns
Lancashire Teaching Hospitals NHS Foundation Trust 3 Red Subject to enforcement action
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 3 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 2 Under review Monitor is investigating financial sustainability concerns at the trust, triggered by a deterioration in the trust’s financial position
Mid Staffordshire NHS Foundation Trust - - Subject to enforcement action
Milton Keynes University 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 Under review Monitor is requesting further information following concerns raised by a CQC inspection, before deciding next steps
North Tees and Hartlepool NHS Foundation Trust 3 Green No evident concerns
Northamptonshire Healthcare NHS Foundation Trust 4 Green No evident concerns
Northern Lincolnshire and Goole NHS Foundation Trust 2 Red Subject to enforcement action
Northumberland, Tyne and Wear NHS Foundation Trust 3 Green No evident concerns
Northumbria Healthcare NHS Foundation Trust 4 Green No evident concerns
Nottinghamshire Healthcare NHS Foundation Trust 4 Green No evident concerns
Oxford Health 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
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 4 Green No evident concerns
The Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust 1 Red Subject to enforcement action
Queen Victoria Hospital NHS Foundation Trust 4 Green No evident concerns
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 (incomplete) target and the findings of a third party report
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 and a deterioration in the trust’s financial position, before deciding next steps
Royal Brompton & Harefield NHS Foundation Trust 4 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 Under review Monitor is requesting further information following a deterioration in the trust’s financial position, before deciding next steps
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 Green No evident concerns
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 1 Red Subject to enforcement action
Southern Health NHS Foundation Trust 2 Red Subject to enforcement action
St George’s University Hospitals NHS Foundation Trust 3 Red Subject to enforcement action
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 financial sustainability concerns at the trust, triggered by a deterioration in the trust’s financial position
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 Green No evident concerns
University Hospital of South Manchester NHS Foundation Trust 1 Red Subject to enforcement action
University Hospital Southampton NHS Foundation Trust 3 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 No evident concerns
University Hospitals Bristol NHS Foundation Trust 4 Green No evident concerns
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 Red Subject to enforcement action
West Midlands Ambulance Service NHS Foundation Trust 4 Green No evident concerns
West Suffolk NHS Foundation Trust 1 Green No evident concerns
Western Sussex Hospitals NHS Foundation Trust 3 Green No evident concerns
Wirral University Teaching Hospital NHS Foundation Trust 3 Red Subject to enforcement action
Wrightington, Wigan and Leigh NHS Foundation Trust 3 Green No evident concerns
Yeovil District Hospital NHS Foundation Trust 1 Green No evident concerns
York Teaching Hospital NHS Foundation Trust 4 Under review Monitor is requesting further information following multiple breaches of the A&E and Cancer targets, before deciding next steps

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.