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Foundation Trusts


Foundation Trusts are fundamentally different types of organisation with greater freedoms than existing NHS Trusts.




While subject to the same regulatory regime as other public and private providers, their legal status is as mutually owned, not-for-profit, “public benefit corporations” with freedom to decide how to raise funds and meet national targets and standards.

Foundation Trusts are authorised and regulated by Monitor› - the independent regulator of NHS Foundation Trusts. Monitor requires clear evidence that Trusts can meet stringent financial, service and corporate governance standards before it will approve applications for Foundation status.

The transition into Foundation Trusts is a significant journey with many challenges.

The transformation of operations, financial management, corporate governance and organisational culture is complex and the various work streams are interlinked. The challenge to aspirant Foundation Trusts is not just one of success in the application process but also of successfully transforming their organisation.

Together with our partners Bentley Jennison› and The Campaign Company›, we can provide NHS Trusts with a full range of specialist assistance to guide them through the FT application process.

Our modular approach addresses the four main challenges of the application process:
  • Strategy and service planning (including market analysis, risk assessment, HR and workforce planning);
  • Financial modelling and sensitivity analysis;
  • Public consultation and membership strategy; and,
  • Board development and governance.
Each of these workstreams is delivered by dedicated teams of experts, coordinated by a single project manager working to an integrated project plan.

Following the application process, we can continue to help you change and help you anticipate and manage any challenges before they arise.

For further information, please contact us


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