Options for structuring foundation groups

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Guidance for NHS foundation trusts considering forming a foundation group and for any providers who are considering participating.

Guidance on options for structuring foundation groups PDF, 331.6 KB

The guide explains some of the legal structures that can be used. It isn't a toolkit for creating a foundation group.

What are foundation groups?

A foundation group is where a number of trusts work together under a single group structure.

The structure goes beyond informal arrangements based solely on goodwill, peer improvement, 'buddying' arrangements or joint board appointments, but stops short of full integration from a merger or acquisition.

Foundation groups are one of the new models of care that are being explored as part of the acute care collaboration.

Thirteen vanguards are currently trialling different models of collaborating in the delivery and governance of acute services across multiple providers to improve clinical and financial sustainability.

How we can support you

As we're committed to supporting the development of foundation groups, we plan to publish further guidance in the coming months.

Our guidance will include ways the regulatory framework will apply to foundation groups’ performance, as well as examples of standard-form documents for contractual arrangements between providers.

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