Non-Executive Recruitment

NHS Improvement's Assessment

On 01 April 2016 Monitor became part of NHS Improvement. NHS Improvement is responsible for overseeing NHS Foundation Trusts, NHS Trusts and independent providers, helping them give patients consistently safe, high quality, compassionate care within local health systems that are financially sustainable.

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 in its own right.

The Framework helps 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.

Trusts are segmented according to the level of support each trust needs. NHS Improvement can then signpost, offer or mandate tailored support as appropriate.

Each Trust is segmented into one of the following four categories:

Providers with maximum autonomy: no potential support needs identified. Lowest level of oversight; segmentation decisions taken quarterly in the absence of any significant deterioration in performance.

Providers offered targeted support: there are concerns in relation to one or more of the themes. We've identified targeted support that the provider can access to address these concerns, but which they are not obliged to take up. For some providers in segment 2, more evidence may need to be gathered to identify appropriate support.

Providers receiving mandated support for significant concerns: there is actual or suspected breach of licence, and a Regional Support Group has agreed to seek formal undertakings from the provider or the Provider Regulation Committee has agreed to impose regulatory requirements.

Providers in special measures: there is actual or suspected breach of licence with very serious and/or complex issues. The Provider Regulation Committee has agreed it meets the criteria to go into special measures.

NHS Improvement produces a quarterly assessment of the segments Trusts are in. Our Trust is in segment 2 due to non-financial reasons.

Further information is available here.