Since 1 April 2013 all NHS foundation trusts need a licence stipulating specific conditions that they must meet to operate. Key among these is financial sustainability and governance requirements.
On 1 April 2016, NHS Improvement became the operational name that brings together Monitor, the NHS Trust Development Authority (TDA), Patient Safety, the Advancing Change Team and Intensive Support Teams. The specific legal duties and powers of Monitor and TDA persist.
Single Oversight Framework
NHS Improvement undertook a review of their approach to overseeing and supporting NHS trusts and foundation trusts and has introduced a Single Oversight Framework which replaced Monitor’s risk assessment framework and the Trust Development Authority’s (TDA) accountability framework. The framework which was published in September 2016 will help NHS Improvement identify where trusts may benefit from, or require, support to improve in five areas:
Quality of care (safe, effective, caring, responsive)
Finance and use of resources
Leadership and improvement capability (Well led)
The Single Oversight Framework will support the delivery of NHS Improvement’s 2020 objectives, including helping more providers achieve CQC ‘good’ or ‘outstanding’ ratings, reducing numbers of trusts in special measures and achieving aggregate financial balance from 2017/18 as well as meeting NHS Constitution standards.
Link to the full Policy:
Link to the Equalities Impact Analysis:
Link to the Standard Operating Procedures: