The new NHS: providers

As part of the reforms to the NHS, all NHS trusts were expected to become foundation trusts by April 2014, and the Health and Social Care Act 2012 outlined a new failure regime for providers that are financially unsustainable.

The provider reforms received little attention during the debate on the Act, but are very important. The 2014 deadline was removed, but the Trust Development Authority (TDA), created by the Act to steward non-Foundation Trust to Foundation Trust status, was given a remit of four years to complete its work, giving a deadline of April 2016. The Act built on a system for handling financial failure, outlined in the 2009 Health Act, and introduced the role of trust special administrator (TSA) that would take over a failed organisation.

Related publications

The reconfiguration of clinical services: what is the evidence?
This paper aims to help those planning and implementing major clinical service reconfigurations ensure that change is as evidence-based as possible.

Future organisational models for the NHS: perspectives for the Dalton review
Our paper with the Foundation Trust Network explored some of the organisational models that providers could use to meet their current strategic and financial challenges.

Community services: how they can transform care
This paper looks at the changes needed to realise the full potential of community services for transforming care.

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Integrated care: the end of the hospital as we know it?
While integrated care clearly means change for hospital-based professionals, it is not by definition opposed to the institutional interests of hospital providers.

Has Dalton found a way forward for struggling organisations?
Encouraging leaders to take on new responsibilities will be challenging at a time when financial pain is driving many organisations to focus inwards rather than outwards, says Chris Naylor.

The reconfiguration of clinical services is a necessary but insufficient approach
Blogging about our report on reconfiguration for clinical services, Candace Imison explains our research highlights major gaps in the evidence for the reconfiguration of clinical services.

The future provider landscape: are foundation trusts taking us down a dead end?
We don’t need more organisations with the label ‘foundation trust’, we need financial and clinical sustainability in the provider sector, says Candace Imison.

Hospital chains: a recipe for success?
Jeremy Hunt has asked Sir David Dalton to advise him how to make it easy for NHS 'super-heads' to take over struggling organisations. But will hospital chains work?

Related multimedia

Don Berwick on implenting new models of care
Don Berwick shares his thoughts on the NHS five year forward view, and looks at international experiences of implementing new care models.

Sir Bruce Keogh: the future of urgent and emergency care services in England
Sir Bruce Keogh, Medical Director of NHS England, discusses the state of the urgent and emergency care system at our conference in December 2014.

Chris Ham in conversation with Sir David Dalton
Chris Ham speaks to Sir David Dalton about Salford Royal NHS Foundation Trust's journey to becoming the safest organisation in the NHS.