(foundation hospitals) NHS organizations established under the Health and Social Care Act 2003. Foundation trusts have greater freedom than NHS acute and mental health trusts; they are accountable to their local communities, commissioners, parliament, and Monitor. They are not under central government control and are not subject to performance management by strategic health authorities. They are subject to inspection by the Care Quality Commission, in the same way as other health-care providers. Foundation trusts have greater financial flexibility than NHS trusts, including greater access to capital funding and freedom to reinvest surpluses locally. In 2009 about half of eligible NHS trusts had achieved foundation status.
Subjects: Medicine and Health.