What it means to be an NHS Foundation Trust

NHS Foundation Trusts are part of and committed to the NHS, but have more freedom in how they run their hospital and how they meet the demands on them.

Now Great Ormond Street Hospital (GOSH) is a Foundation Trust, we have to meet national standards but are free to decide how best to do this.

We experience more financial freedom, which allows us to plan for the longer term and to have some flexibility in managing our future.

Membership organisation

NHS Foundation Trusts are membership organisations made up of local people who have an interest in how the hospital functions. Our members include:

  • our children and their families
  • our staff
  • members of patient support groups
  • those interested in child health and well-being

Members help us develop our plans and act as a sounding board for things we want to do. We work in partnership with children, young people and their families to develop and improve the services we offer. The Members' Council will reflect the experience of our patients, families, our staff and our partners and perform some duties which are set out in law (eg appointing Non Executive Directors).

Day-to-day management of the hospital will remain the responsibility of the chief executive and the senior management team who will be accountable to the Chairman and the Board of Directors.

The child first and always

Our core purpose remains the same: to put the child first and always. We remain an internationally renowned centre for treating sick children, with the widest range of children’s specialists in the UK.

With our research partner, the UCL Institute of Child Health, we will continue to be a leading centre for research into childhood illness and training children’s specialists.

Being an NHS Foundation Trust allows us to do all these things better.

Learn about our vision as an independent NHS Foundation Trust.

Find out how we intend to grow our services in challenging times.

Read answers to frequently asked questions about NHS Foundation Trusts.

Not sure what some words mean? Look them up in our glossary and appendices.