Please note that from 1 April 2016, Monitor became part of NHS Improvement.
Single Oversight Framework for NHS providers
The Single Oversight Framework is designed to help NHS providers attain, and maintain, Care Quality Commission ratings of ‘Good’ or ‘Outstanding’. The Framework doesn’t give a performance assessment in its own right.
The framework applies from 1 October 2016, replacing the Monitor ‘Risk Assessment Framework’ and the NHS Trust Development Authority ‘Accountability Framework’.
Single Oversight Framework: shadow segmentation
The shadow segmentation sets out the level of support we’ll provide to NHS trusts and foundation trusts. We’ve segmented trusts according to the level of support each trusts needs across the five themes of quality of care, finance and use of resources, operational performance, strategic change and leadership and improvement capability.
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 NHS Improvement.