The national Recovery Support Programme (RSP) has provided support to trusts and integrated care boards (ICBs) in segment 4 of the NHS Oversight Framework 2022/23.

The NHS Oversight Framework 2025/26 confirmed that RSP will be replaced by the Provider Improvement Programme (PIP) with the most challenged organisations placed into a new segment 5.

The existing ICBs and trusts in NHS Oversight Framework segmentation 4 and the RSP are listed by region below:

Trusts in the Recovery Support Programme

East of England

• Mid and South Essex NHS Foundation Trust. Entry date: 9 April 2024

London

• King’s College Hospital NHS Foundation Trust. Entry date: 9 April 2024

Midlands

• Shrewsbury and Telford Hospital NHS Trust. Entry date: 13 July 2021
• University Hospitals of Leicester NHS Trust. Entry date: 13 July 2021
• Nottingham University Hospital NHS Trust. Entry date: 14 September 2021
• Nottinghamshire Healthcare NHS Foundation Trust. Entry date: 27 February 2024

North West

• Greater Manchester Mental Health NHS Foundation Trust. Entry date: 8 November 2022
• Blackpool Teaching Hospitals NHS Foundation Trust. Entry date: 28 January 2025
• Lancashire Teaching Hospitals NHS Foundation Trust. Entry date: 28 January 2025
• East Lancashire Hospitals NHS Trust. Entry date: 28 January 2025

South East

• East Kent Hospitals University NHS Foundation Trust. Entry date: 13 July 2021
• Medway NHS Foundation Trust. Entry date: 13 July 2021
• South Central Ambulance Service NHS Foundation Trust. Entry date: 27 September 2022
• Portsmouth Hospitals University NHS Trust. Entry date: 1 June 2023
• University Hospital Southampton NHS Foundation Trust. Entry date: 1 June 2023
• Isle of Wight NHS Trust. Entry date: 1 June 2023
• Hampshire Hospitals NHS Foundation Trust. Entry date: 1 June 2023
• Hampshire and Isle of Wight Healthcare NHS Foundation Trust*. Entry date: 1 June 2023

*Previously operating as Solent NHS Trust and Southern Health NHS Foundation Trust.

South West

• University Hospitals Plymouth NHS Trust. Entry date: 13 July 2021
• Royal Devon University Healthcare NHS Foundation Trust. Entry date: 22 November 2022
• Torbay and South Devon NHS Foundation Trust. Entry date: 22 November 2022

Integrated care boards in the Recovery Support Programme

Midlands

• Shropshire, Telford and Wrekin Integrated Care Board. Entry date: 13 July 2021

South West

• Devon Integrated Care Board. Entry date: 13 July 2021

South East

• Hampshire and Isle of Wight Integrated Care Board. Entry date: 1 June 2023

North West

• Lancashire and South Cumbria Integrated Care Board. Entry date: 28 January 2025