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Overview

This guidance explains how NHS foundation trusts can meet their financial sustainability and governance requirements set out in the Risk assessment framework.

The information you need to supply Monitor is likely to be the sort that you use as a licence holders for your own management.

In-year reports

You鈥檒l be monitored more or less depending on your risk rating, but for most foundation trusts, in-year reporting includes:

• a quarterly submission to Monitor
• other exception reports and ad hoc reports
• more frequent reporting may be required where specific areas or risk are identified, eg monthly financial reporting

Quarterly reports

You must submit quarterly reports to Monitor.

These cover your foundation trust鈥檚:

• financial performance, including income and expenditure, statement of financial position and cash flow performance
• performance against national access and outcomes standards (waiting times and rates of C.difficile, for example)

Monitor then reviews your performance against your annual plan, and also looks at your board鈥檚 assessment of your compliance with your licence.

If there is a significant deterioration in your performance or a significant difference between your in-year submissions and your annual plan, you鈥檒l have to explain why and what you are doing to address this.

Each quarter, Monitor publishes an overview of the whole foundation trust sector鈥檚 performance, using the information you provide.

Submit exception reports

If you have information about something that could affect your trust鈥檚 ability to comply with its licence, you must send it to Monitor, even if it鈥檚 not something that is routinely requested.

Examples of this are listed in diagram 6 of the Risk assessment framework.

They include:

• investigations being opened by other authorities
• patient safety incidents or never events
• complaints or concerns from patient groups
• any significant reputational issues, for example, any adverse national press attention
• any patient suicide, homicide or absconsion (mental health trusts only)
• significant financial changes
• any change in your senior staff (chair, senior independent director or executive director)

Submit ad hoc reports

You鈥檒l need to give Monitor any additional information it asks for to assess your compliance with your licence. You can find out more in the Risk assessment framework.

Submission process

You should:

• complete and send back your quarterly returns through the Monitor portal using this (PDF, 271 KB, 3 pages)
• send any exception reports to [email protected]
• follow the instructions below to submit changes to directors鈥� or governors鈥� details

Update directors鈥� details

You must inform Monitor of any change in your board of directors.

You should send these details to [email protected]:

• name of your foundation trust
• your email address in case of queries
• director鈥檚 full name (including title)
• type of change (new director, remove director, change existing director鈥檚 details, etc)
• director鈥檚 job title
• tenure (permanent, acting, interim)
• date of change
• director鈥檚 email address
• director鈥檚 telephone number
• if the director鈥檚 immediate previous employer was an NHS organisation, please provide the name of the organisation

Update governors鈥� details

If you鈥檝e not yet published your first annual report as a foundation trust, you should submit details of any changes to your council of governors to Monitor.

Please send this information to [email protected]:

• name of your foundation trust
• your email address in case of queries
• type of change (elected, resigned, amend existing governor鈥檚 details, etc)
• date of change
• governor鈥檚 full name (including title)
• constituency type (public, staff, patient/service user, nominated/stakeholder)
• name of constituency

You shouldn鈥檛 send these details if you have already published your first annual report as a foundation trust.

Nominate a lead governor

You should send details of your lead governor to [email protected]

Please include the:

• name of lead governor
• name of foundation trust
• email address of lead governor
• lead governor telephone number (mobile if possible)

How to submit annual reports and accounts

Information on submitting annual reports and accounts is available here.

Annual plans

Information on how to prepare and submit your foundation trust鈥檚 annual plans is available here.