As part of the development of integrated care systems, NHS England are committed to supporting NHS trusts and NHS foundation trusts to work effectively within systems.
We recognise that this requires the governance and ways of working of trusts and NHS foundation trust councils of governors to evolve and this will need to continue as integrated care systems develop further.
NHS England are working with trust and system leaders and other stakeholders to clarify emerging issues and support trusts and governors to fulfil their roles and contribute to the objectives of integrated care systems.
As next steps – and in response to earlier stakeholder feedback – we have prepared:
- A draft updated Code of governance for NHS provider trusts which sets out an overarching framework for the corporate governance of trusts
- A draft new Addendum to the existing guide to the duties of NHS foundation trust governors which covers the impact of system working on councils of governors
- Draft new Guidance on good governance and collaboration that links effective collaboration to a governance licence condition under the Provider Licence.
We are now consulting on these draft guidance documents and welcome your feedback ahead of issuing final guidance later in the year.
- Consultation on the draft Code of governance for NHS provider trusts
- Consultation on the draft Addendum to your statutory duties – A reference guide for NHS foundation trust governors
- Consultation on the draft Guidance on good governance and collaboration
Recognising that further work will be required in the future, we are also taking the opportunity through these consultations to seek your views more broadly on how the roles of trust boards and NHS foundation trust councils of governors should continue to evolve as integrated care systems develop further, any issues you think need to be resolved and what further support may be required.
Your feedback will inform NHS England’s wider programme of work to support trusts to continue to adapt to system working and collaboration.