词条 | NHS trust |
释义 |
An NHS trust is an organisational unit within the National Health Service in England, generally serving either a geographical area or a specialised function (such as an ambulance service). In any particular location there may be several trusts involved in the different aspects of healthcare for a resident. Nature of a trustNHS trusts were established under the National Health Service and Community Care Act 1990 and were set up in five waves. Each one was established by a Statutory Instrument. The trusts are not trusts in the legal sense but are in effect public sector corporations. Each trust is headed by a board consisting of executive and non-executive directors, and is chaired by a non-executive director. There were about 2,200 non-executives across 470 organisations in the NHS in England in 2015.[1] Non-executive directors are recruited by open advertisement. All trusts (Foundation trusts and those which have yet to reach foundation trust status) are regulated by NHS Improvement. Board members are, from November 2014, subject to a Fit and proper person test. All trust boards are required to have an audit committee consisting only of non-executive directors, on which the chair may not sit. This committee is entrusted not only with supervision of financial audit, but of systems of corporate governance within the trust. Hospital board members have a duty to act on signals of poor performance on quality and safety data, and yet many of the papers presented to them have been found to be lacking good data visualisations.[2] Future developmentIn September 2015 Jeremy Hunt was reported as saying “I think we do have too many trusts as independent organisations" in a context where mergers between trusts and the establishment of chains of hospitals were being discussed.[3] Subsequently Simon Stevens made it clear that he did not expect the remaining NHS trusts to become Foundation Trusts, saying "We are frankly kidding ourselves if we think the non-FTs are going to pass the kinds of criteria that have been set by Monitor."[4] TypesThere are several types of NHS trusts:[5]
Over time the distinction between different types has eroded, and both hospital and mental health trusts have taken on responsibility for various community services. Sustainability and transformation plans all propose to move services out of hospitals into the community and the hospital trusts are generally planning to follow these initiatives. Foundation trusts{{Main|NHS foundation trust}}Foundation trust status may be applied for by the above categories of NHS trust. Successive governments have announced that all NHS Trusts should become NHS Foundation Trusts, and deadlines have been set for this transformation, which have repeatedly been missed.{{cn|date=November 2013}} Former types
Other types of NHS organisationSpecial health authorities
See also
References1. ^{{cite news|title=Make the most of non-executives and the independent sector|url=http://www.hsj.co.uk/resource-centre/supplements/supplement-make-the-most-of-non-executives-and-the-independent-sector/5085356.article#.VYFl2ba_UYA|accessdate=17 June 2015|publisher=Health Service Journal|date=28 May 2015}} 2. ^{{cite journal|last1=Schmidtke|first1=Kelly Ann|last2=Poots|first2=Alan J|last3=Carpio|first3=Juan|last4=Vlaev|first4=Ivo|last5=Kandala|first5=Ngianga-Bakwin|last6=Lilford|first6=Richard J|title=Considering chance in quality and safety performance measures: an analysis of performance reports by boards in English NHS trusts|journal=BMJ Quality & Safety|date=31 March 2016|pages=bmjqs-2015-004967|doi=10.1136/bmjqs-2015-004967|url=http://qualitysafety.bmj.com/content/early/2016/03/31/bmjqs-2015-004967.abstract}} 3. ^{{cite news|title=The NHS has 'too many trusts', says Hunt|url=http://www.hsj.co.uk/news/acute-care/the-nhs-has-too-many-trusts-says-hunt/5090168.article#.VilPbkpup1A|accessdate=22 October 2015|publisher=Health Service Journal|date=9 September 2015}} 4. ^{{cite news|title=Stevens: Funding growth may depend on 'transformation' plans|url=http://www.hsj.co.uk/news/finance/stevens-funding-growth-may-depend-on-transformation-plans/5091115.article#.VilQy0pup1A|accessdate=22 October 2015|publisher=Health Service Journal|date=13 October 2015}} 5. ^{{cite web|url=http://www.nhs.uk/NHSEngland/thenhs/about/Pages/authoritiesandtrusts.aspx|title=NHS authorities and trusts|date=28 January 2013|work=The NHS in England|publisher=NHS Choices|accessdate=7 November 2013}} 1 : NHS trusts |
随便看 |
|
开放百科全书收录14589846条英语、德语、日语等多语种百科知识,基本涵盖了大多数领域的百科知识,是一部内容自由、开放的电子版国际百科全书。