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Worcestershire Health and Care NHS Trust

What is Foundation Trust?

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.

As an NHS Foundation Trust we will still be part of the NHS, but a key difference is that people who have an interest in our Trust will have a real say in how we provide community and mental health services.

This will be achieved through members that elect governors to advise and influence the Trust and represent the views of members and their local communities.


What makes NHS Foundation Trusts different from NHS Trusts?

  • they 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 new and improved services for patients and service users; and
  • they are accountable to:
    • their local communities through their members and governors;
    • their commissioners through contracts;
    • Parliament (each foundation trust must lay its annual report and accounts before Parliament);
    • the Care Quality Commission (through the legal requirement to register and meet the associated standards for the quality of care provided); and
    • Monitor through the NHS provider licence. 


Why do we want to become a Foundation Trust?

There are some major advantages to becoming a Foundation Trust:

  1. We will be more accountable to patients, staff and the public. All of whom will have the opportunity to become directly involved in how the Trust is run and the decisions it makes.
  2. We will be able to take advantage of greater freedoms from central government to develop local services in response to a stronger voice from the local community.
  3. The Foundation Trust regime also focuses the organisation on longer term planning ensuring we are viable whilst offering freedoms to invest in developing high quality services.


Notice of Election