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Physicians and Foundation Hospitals

John Cooper and Carol Black
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DOI: https://doi.org/10.7861/clinmedicine.3-6-546
Clin Med November 2003
John Cooper
Hammersmith Hospitals NHS Trust (1994–2001)
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Carol Black
Royal College of Physicians
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Abstract

Foundation NHS Trusts will be constituted in the same way as Mutual Societies, and local people and patients will be invited to become subscribers. Subscribers will elect a board of governors who will appoint the non-executive directors of the Trusts. Foundation Trusts will be outside the performance management system, but will be subject to a regulator and to inspection. Contracts with commissioners will be legally enforceable. Issues discussed in the article include: financial borrowing; whether competition is being reintroduced; poaching staff; fears of a two-tier health service; fragmentation of the NHS; the impact on research and teaching; and the impact on the current ‘target culture’. Local communities and patient groups may welcome involvement with their local hospitals, but special interest groups could be a danger. Foundation Trusts may bring back some of the better features of NHS Trusts as originally conceived, and offer better opportunities for clinicians to influence local policies and priorities. Fears of yet another organisational change are an important issue. Only time will tell whether the outcome will justify the effort the changes will involve.

Key Words
  • Foundation Hospitals
  • health sector reform
  • hospital management
  • NHS management
  • © 2003 Royal College of Physicians
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Physicians and Foundation Hospitals
John Cooper, Carol Black
Clinical Medicine Nov 2003, 3 (6) 546-549; DOI: 10.7861/clinmedicine.3-6-546

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Physicians and Foundation Hospitals
John Cooper, Carol Black
Clinical Medicine Nov 2003, 3 (6) 546-549; DOI: 10.7861/clinmedicine.3-6-546
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