Guide to special measures

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Explains the special measures programme for NHS trusts and foundation trusts.

Special measures apply when NHS trusts and foundation trusts have serious problems and there are concerns that the existing leadership cannot make the necessary improvements without support. 

They consist of a set of interventions designed to remedy problems within a reasonable timeframe. Trusts may be placed in special measures as a result of serious failures in quality of care and/or serious financial problems.

Special measures for quality reasons: guidance for trusts

This guidance, jointly produced by the Care Quality Commission (CQC) and NHS Improvement, describes how special measures work for quality reasons. It explains:

  • why trusts are placed in special measures for quality reasons
  • the process for entering special measures
  • what will happen to trusts during special measures and how long special measures are intended to last
  • the roles and responsibilities of key organisations involved
  • when and how trusts will exit special measures, including the relationship between quality and financial performance
  •  if and how a trust can re-enter special measures

Special measures for finance reasons: guidance for trusts

Our guide describes how special measures work for financial reasons. It explains:

  • why trusts are placed in special measures for financial reasons
  • how NHS Improvement places a trust in special measures for financial reasons
  • what happens to trusts in special measures for financial reasons
  • removing trusts from special measures  

Trusts in special measures

Trust names Reason/s in special measures
Barking, Havering and Redbridge University Hospitals NHS Trust Financial
Barts Health NHS Trust Financial and quality
Brighton and Sussex University Hospitals NHS Trust Quality
East Kent Hospitals University NHS Foundation Trust Financial
East Sussex Healthcare NHS Trust Financial
Isle of Wight NHS Trust Quality
Kettering General Hospital NHS Foundation Trust Quality
King's College Hospital NHS Foundation Trust Financial
Norfolk and Suffolk NHS Foundation Trust Quality
Norfolk and Norwich University Hospitals NHS Foundation Trust Quality
Northern Lincolnshire and Goole NHS Foundation Trust Financial & quality
The Queen Elizabeth Hospital, King’s Lynn, NHS Foundation Trust Quality
Royal Cornwall Hospitals NHS Trust Quality
Shrewsbury and Tedford Hospital NHS Trust Quality
South East Coast Ambulance Service NHS Foundation Trust Quality
St George’s University Hospitals NHS Foundation Trust Financial and quality
United Lincolnshire Hospitals NHS Trust Financial and quality
University Hospitals of North Midlands NHS Trust Financial
Walsall Healthcare NHS Trust Quality
Worcestershire Acute Hospitals NHS Trust Quality

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