Statutory guidance

Well-led NHS foundation trusts: a framework for structuring governance reviews

Sets out how NHS foundation trusts should carry out reviews of their governance and explains how NHS trusts applying for foundation trust status can use the well-led framework.

Documents

Well-led framework for governance reviews

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Changes to the well-led framework and what they mean for NHS providers

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Well-led framework: 10 questions aligned with Care Quality Commission characteristics and Monitor good practice

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Detail

NHS foundation trusts should use this framework as a reference for structuring reviews of their governance. NHS trusts that are applying for foundation trust status should refer to the document ‘Well-led framework: 10 questions aligned with Care Quality Commission characteristics and Monitor good practice’.

Monitor’s risk assessment framework says NHS foundation trusts should carry out an external review of their governance every 3 years.

Updates to the well-led framework and what this means for NHS foundation trusts (April 2015)

The characteristics of a well-led organisation, as defined by the Care Quality Commission (CQC), Monitor and the NHS Trust Development Authority (TDA) are now identical. This aligned view of a well-led organisation is reflected in CQC’s assessments and ratings, as set out in its provider handbooks, while Monitor and TDA now use the updated well-led framework as the point of reference for NHS trusts and foundation trusts.

It replaces the quality governance framework (QGF) and the board governance assurance framework (BGAF), which are now effectively incorporated within the framework.