NHS England is inviting feedback on the Advanced Foundation Trust Programme: guide for applicants.

As set out in our 10 Year Health Plan, the Advanced Foundation Trust Programme will be a vehicle through which to reward and incentivise good performance. Our intention is that by 2035 all providers will have become advanced foundation trusts, with freedoms including strategic and operational autonomy, a capability-based regulatory approach and greater financial flexibilities.

This  consultation is open from the 12 November 2025 to the 11 January 2026.

Following consultation, the updated policy and guide for applicants will be published and implemented in 2026.