Delivering for Patients: the 2014/15 Accountability Framework for NHS trust boards

2As we move into 2014/15, the leadership challenge for NHS providers remains significant. Improving quality for patients at a time of growing financial constraint is an increasingly demanding goal for NHS trusts, one which we must take on at a time when the scrutiny applied to the NHS is rightly more intense than ever before. This Accountability Framework sets out how the TDA will work alongside NHS trusts to meet this challenge.

Download the Accountability Framework 2014/15

Supporting guidance:

The following documents provide further detail to help trusts understand the processes set out in the Accountability Framework.

Oversight & Escalation

1. Delivering for Patients: Oversight and Escalation supporting guidance

NHS Trust Development Authority Oversight and Escalation Technical Guidance 2014/15.

If you are from a Trust and have any questions or comments on the document please put these in writing, with “Technical Guidance”  in the subject heading and send to


Supporting Metrics

Monthly self-certification requirements


The supporting guidance on FT approvals and transactions is provided to give further detailed information on both the FT approvals and transactions processes.  Items 3 and 12 set out the details of the FT approvals and transactions processes.  Additional documentation is also provided at Links 4 to 11; these provide useful guidance and templates to Trusts so they are aware of the tools which the NHS TDA will be using as Trusts progress through the FT pipeline.

Foundation Trust pipeline assurance process

3. Foundation Trust pipeline assurance process: guide for each stage

Stage 1: Diagnosis and preparation

4. Introductory meeting template 280314

5. Integrated Business Plan review and feedback template – Stage 1 280314

6. Interviews with commissioners – Stage 1 280314

Stage 2: Development and application

7. Integrated Business Plan review and feedback template – Stage 2 280314

8. Interviews with commissioners – Stage 2 280314

9. Standard assurance report for readiness review – to follow

Stage 3          Assurance and approval

10. Board to Board meeting standard agenda 280314

11. Executive Team/TDA Board paper template – to follow

Supporting guidance: Transactions pipeline assurance process

12. Transactions further information 280314



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