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Accountability of foundation trusts in the English NHS: views of directors and governors

Dixon, Anna; Storey, John and Alvarez Rosete, Arturo (2010). Accountability of foundation trusts in the English NHS: views of directors and governors. Journal of Health Services Research & Policy, 15(2) pp. 82–89.

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The objectives of this article are to map and describe the formal accountability relationships of Foundation Trusts (FTs) and to probe the interpretations of these relationships by the key actors. The research methods included documentary analysis and interviews with Chief Executives, Chairs, Directors and Governors in six Acute Trusts and two Strategic Health Authorities. It was found that athough vertical accountability to DH (via SHAs) has, in formal terms, been removed, some FTs continue to be held accountable by SHAs (albeit informally). Directors of FTs perceive strong accountable to Monitor, particularly for financial performance, but there is some confusion about where accountability for quality of care rests. Horizontal lines of accountability to the local population through LINks and OSCs remain weak. Contrary to the major policy objectives of giving greater autonomy to FTs and making them more accountable to the local population, FTs continue to look up rather than down. The accountability of FTs needs to be simplified, clarified and strengthened.

Item Type: Journal Item
Copyright Holders: 2010 The Royal Society of Medicine Press Ltd
ISSN: 1758-1060
Project Funding Details:
Funded Project NameProject IDFunding Body
Not SetNot SetNIHR SDO
Keywords: foundation trusts; accountability; governance; health services
Academic Unit/School: Faculty of Business and Law (FBL) > Business > Department for People and Organisations
Faculty of Business and Law (FBL) > Business
Faculty of Business and Law (FBL)
Research Group: Innovation, Knowledge & Development research centre (IKD)
Item ID: 24828
Depositing User: John Storey
Date Deposited: 25 Nov 2010 10:05
Last Modified: 08 Dec 2018 18:45
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