Single Oversight Framework ratings for NHS trusts

This chart shows the ratings of NHS trusts across four domains measured through the Single Oversight Framework: maximum autonomy, targeted support, mandated and targeted support, and special measures. You can compare the ratings between mental health trusts, acute trusts, ambulance trusts and community trusts.

The chart is based on the ratings as of 3 June 2019.

Policy context

The Single Oversight Framework enables NHS Improvement to oversee NHS trusts and NHS foundation trusts with the objective of helping providers of services to maintain Care Quality Commission ratings of ‘Good’ or ‘Outstanding’, meet NHS constitution standards, and manage their resources effectively with their local partners. 

Trusts’ performance is monitored on the following areas: quality of care; finance and use of resources; operational performance; strategic change; and, leadership and improvement capability. Trusts are then scored according to the level of support each is deemed to need.  

These ratings provide a useful marker in understanding NHS funding, performance and capacity of the system and its impact on safety and quality of care.

Note: Trust scores are updated on an ad hoc basis. The chart above will be updated quarterly. 

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