Statutory guidance

Trust special administrators of NHS trusts: statutory guidance

Guidance which Trust Special Administrators (TSAs) must have regard to in carrying out their duties at NHS Trusts.


The TSA regime is a measure of last resort to address urgent issues affecting the ability of a Trust to deliver patient care, whether for clinical or financial reasons, or both.

The Secretary of State can appoint a TSA to an NHS Trust to develop recommendations, by talking to patients, the public and others. This means that good quality, essential services can be delivered in a financially sustainable way.

Monitor has published separate guidance for TSAs appointed to Foundation Trusts.