Single Oversight Framework for NHS providers

It sets out how NHS Improvement will oversee NHS trusts and NHS foundation trusts, helping them to determine the level of support they need.

The Single Oversight Framework is designed to help NHS providers attain, and maintain, Care Quality Commission ratings of ‘Good’ or ‘Outstanding’. The Framework doesn’t give a performance assessment.

The framework applies from 1 October 2016, replacing the Monitor ‘Risk Assessment Framework’ and the NHS Trust Development Authority ‘Accountability Framework’.

How it works

The Framework will help NHS Improvement identify NHS providers’ potential support needs across five themes:

  • quality of care
  • finance and use of resources
  • operational performance
  • strategic change
  • leadership and improvement capability (well led)

NHS Improvement will segment individual trusts according to the level of support each trust needs. NHS Improvement can then signpost, offer or mandate tailored support as appropriate.


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