Statutory guidance

NHS trust boards: quality governance framework

A series of questions used to test the effectiveness of quality governance at current and aspirant NHS foundation trusts.


Quality governance framework

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This framework for NHS trust and foundation trust boards forms part of the foundation trust assessment process, the Risk assessment framework and risk assessment of transactions.

It checks whether:

  • boards accurately understand the quality of the care their organisation provides
  • boards are able to assess and mitigate risks to quality
  • quality is seen as a responsibility of the entire board, not only the medical and nursing directors
  • trusts are committed to continuous quality improvement, and have put in place the tools to address poor performance