For ease of reference, the main changes in annual report requirements compared to the NHS foundation trust annual reporting manual 2024/25 (FT ARM 2024/25) are set out below.
Key changes
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Area of change |
Reference |
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New and changed requirements | ||
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1. |
Task force on climate-related financial disclosures (TCFD) 2025/26 is the final year of the 3-year implementation of TCFD. From 2025/26 entities should disclose how the organisation’s operations, strategy and financial planning are affected by actual and potential climate-related risks and opportunities. | |
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2. |
NHS Oversight Framework 2025/26 The NHS Oversight Framework has been updated in 2025/26. The disclosure requirements in annual reports have not changed but the example disclosure has been updated to reflect changes to the oversight framework. |
Paragraph 2.111 and annex 3 to chapter 2: NHS Oversight Framework – example disclosure |
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3. |
Very senior manager (VSM) pay framework The new very senior manager pay framework applies from 2025/26. The remuneration report must include a statement of compliance with the VSM pay framework and confirm approvals for pay cases where required. Any departures from the framework should be disclosed. |
Paragraph 2.41 |
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Minor changes and clarifications | ||
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4. |
Accounting officer signature Further guidance on signatures of the accounting officer within the annual report and accounts has been added. There is no change to the requirements. |
Paragraph 1.16 |
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5. |
Fees and charges guidance Updated guidance on how to measure the ‘full’ cost of a service for the purposes of fees and charges as provided in Managing Public Money (MPM) has been referenced in the relevant footnote of the FT ARM. |
Paragraph 2.31 |
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6. |
Fair pay guidance HM Treasury has clarified that non-executive directors are outside the scope of the fair pay disclosures. This has been updated within the fair pay disclosure requirements. |
Paragraph 2.92 and 2.94 and note accompanying the ‘Fair pay disclosures section’ for approach to prior year |
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7. |
Exit packages approval Department of Health and Social Care (DHSC) now has delegated authority to approve non-contractual exit packages up to £300,000 that are not novel, contentious or repercussive. Previously all non-contractual exit packages required HM Treasury approval. The template disclosure has been updated. There is no change to the requirement for NHS foundation trusts to seek approval (via england.vsmcases@nhs.net) before committing to any payment. |
Annex 1 to chapter 2: exit packages |
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8. |
Certificate on summarisation schedules Minor updates have been made to the example certificate on the summarisation schedules (often referred to as ‘TAC consistency statement’) to improve accuracy and clarity. There are no changes to the principles or requirements for consistency. Separate reference to NHS England’s template provider accounting policies has been deleted because these are consistent with the Department of Health and Social Care (DHSC) group accounting manual (GAM). |
Annex 2 to chapter 1: example certificate on summarisation schedules |
Further updates since initial publication
Changes to the NHS Foundation Trust Annual Reporting Manual 2025/26 (FT ARM 2025/26) since initial publication are set out below.
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Updated March 2026: Removal of Trade Union Facility Time disclosures With effect from 18 February 2026 section 66 of the Employment Rights Act 2025 repeals the required disclosures of The Trade Union (Facility Time Publication Requirements) Regulations 2017 for 2025/26. The sections that previously described the requirements have been removed from the FT ARM, references given relate to the 2024/25 FT ARM to allow comparison. |
Reference removed from paragraph 2.99. Prior paragraph 2.102 and 2.103 deleted. |
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Updated March 2026: Updated NHS England statement on information on health inequalities NHS England’s statement was updated in November 2025 with the previous statement now removed from the NHS England website. The linked webpage has been updated in the FT ARM (https://www.england.nhs.uk/publication/nhs-englands-statement-on-information-on-health-inequalities/). |
Paragraph 2.23 |
For changes in accounts requirements, please see the DHSC GAM 2025/26 and accompanying consultation document.
Publication reference: PRN02371