NHS foundation trust directory


NHS foundation trusts' performance ratings at a glance.

The role of these ratings is to indicate when there is a cause for concern at a foundation trust. The ratings do not automatically trigger regulatory action, they are simply a prompt to consider whether a more detailed investigation is needed.

There are two different ratings published for each foundation trust:

The financial sustainability risk rating: is a view of the level of financial risk a foundation trust faces and its overall financial efficiency. A rating of 1 indicates the most serious risk and 4 the least risk. A rating of 2* means the trust has a risk rating of 2 but we consider its financial position is unlikely to get worse in the immediate future.

The governance rating: shows a degree of concern about how the trust is run, any steps being taken to investigate this and/or any action being taken. The directory either indicates whether there are no evident concerns, that enforcement action is underway, or that the foundation trust’s rating is ‘under review’, which means concerns have been identified but no action has been taken.

Foundation trusts’ ratings are updated each quarter and also in ‘real time’ to reflect any regulatory action.

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