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53-537: Stockport NHS Foundation Trust is an NHS foundation trust , which runs Stepping Hill Hospital as well as other community and specialist services in Stockport . Stockport NHS Foundation Trust provides hospital services for children and adults across Stockport and the High Peak area of Derbyshire , as well as community health services for Stockport, Tameside and Glossop . On 1 April 2004 Foundation Trust status

106-639: A Bachelor of Arts degree with Upper Second Class Honours in History. After leaving university, he returned to Newcastle where, with Martin Spence, he operated a small radical bookshop in the Westgate Road, called Days of Hope (the shop was given the Spoonerised nickname Haze of Dope ). He studied for a PhD at Newcastle University , but did not complete his thesis. Milburn was Co-ordinator of

159-402: A cap on the proportion of their income that can come from non-NHS treatments. It did not only apply to income derived from individual patients, it covered income from all non-NHS sources. This could include joint ventures to develop medical technologies, employers paying for counselling services or income from treating UK military personnel overseas. The Health and Social Care Act 2012 abolished

212-487: A link between the community and the board of directors. The size of the council of governors and its exact composition are determined by the constitution of the particular trust. Each trust adopts its own constitution subject to certain restrictions in legislation. These restrictions include that a majority of the council of governors must be elected governors and governors must be unpaid volunteers. Some trusts are more committed to co-operative principles and have even written

265-840: A new organisation – the NHS Trust Development Authority – was established by the Health and Social Care Act 2012 to supervise trusts which have not reached foundation status, of which there were 99 in April 2013, 47 of which were never expected to reach foundation status. The Health and Social Care Bill 2011 , overseen by Lansley, proposed that all NHS trusts become foundation trusts or part of an existing foundation trust by April 2014. The early foundation trusts were generally financially buoyant, but during 2013 and 2014 more faced financial difficulties. A foundation trust finance facility, managed by an advisory committee to

318-546: A partnership, Stockport Together, with Stockport Council , the Stockport Clinical Commissioning Group and Pennine Care NHS Foundation Trust in 2017. The initial plans envisaged a single accountable care organisation run by a new care trust, but later an alliance model to progress the integration plans and service developments was proposed. Adrian Belton took over as Chair in June 2017 and

371-571: A role in the Conservative-Liberal Democrat coalition as "social mobility tsar". Although not officially politically-affiliated, the role would involve advising the government on how to break down social barriers for people from disadvantaged backgrounds, and help people who feel they are barred from top jobs on grounds of race, religion, gender or disability. Milburn provoked criticism from former Cabinet colleague John Prescott , and his former ally Andy Burnham , for advising

424-591: A shared services solution". By the end of 2013–14, foundation trusts collectively had built up cash reserves of £4.3 billion and it was suggested in the NHS Five Year Forward View that the government would "support" foundation trusts to spend this money "to help local service transformation". In response, the chief executive of the Foundation Trust Network, Chris Hopson, said: "The responsibility for these surpluses lies with

477-773: A variety of tests, which have changed over time. In 2003 only trusts with three stars from the Commission for Health Improvement were eligible for foundation status. In that year Aintree Hospitals, Essex Rivers Healthcare, Newcastle upon Tyne Hospitals and Walsall Hospitals were all downgraded to two stars and so did not make the first wave of foundation trusts. Formerly referred to as foundation trust equivalent (FTe) instead of Equivalent Foundation Trusts , this designation applies only to trusts providing high secure psychiatric services, of which there are three: Nottinghamshire Healthcare NHS Trust , West London Mental Health NHS Trust and Mersey Care NHS Trust . These trusts abide by

530-517: A year from five companies. In June 2009, he told his local party he would not be standing at the 2010 general election , saying: "Standing down as an MP will give me the chance to balance my work and my family life with the time to pursue challenges other than politics." Despite the change of government following the May 2010 general election , it was reported in August 2010 that Milburn had been offered

583-432: Is a staff constituency, a patient constituency, and a "public member" constituency, consisting of members who are neither patients nor staff but live in a defined geographical area. In addition, there are governors appointed by bodies with whom the trust works in partnership. So, for example, appointments may be made by local councils, local medical schools, and local voluntary organisations. Governors are intended to act as

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636-585: Is described in Schedule 7 of the National Health Service Act 2006 , with the formal corporate form being called a "public benefit corporation". Each foundation trust has a council of governors. This is made up of elected governors and appointed governors. Elected governors are chosen by a secret postal ballot of the membership, which is open to the general public. The elections are usually held in separate constituencies. Typically there

689-540: The Health and Social Care bill despite widespread opposition, and that Alan Milburn should be ennobled and join the coalition government as Secretary of State for Health. This was rejected by David Cameron and it is understood that Milburn rejected such offer and remained in the Labour Party. He wrote in The Times attacking the reforms, but calling for the left to give an alternative. In July 2012, Milburn

742-875: The Hospital Universitario Fundación Alcorcón in Spain is thought to have been influential in developing ideas around foundation status. That hospital was built by the Spanish National Health System , but its operational management is contracted out to a private company, and exempt from many of the rules normally imposed on state-owned hospitals, and in particular, that hospital was allowed to negotiate its own contracts with workers. The governance of that hospital includes local government, trade unions, health workers and community groups. Foundation trusts were announced by Health Secretary Alan Milburn in 2002, and

795-687: The Labour Party , he served for five years in the Cabinet , first as Chief Secretary to the Treasury from 1998 to 1999, and subsequently as Secretary of State for Health until 2003, when he resigned. He briefly rejoined the Cabinet as Chancellor of the Duchy of Lancaster in order to manage Labour's 2005 re-election campaign . He did not seek re-election in the 2010 election . Milburn was chair of

848-694: The Manufacturing Science and Finance trade union. He duly won the seat of Darlington in the 1992 general election. In Parliament, Milburn allied himself with the Blairite modernisers in the Labour Party, close to Tony Blair , MP for the next-door constituency of Sedgefield . The political editor of the New Statesman wrote that "Alan Milburn is regarded by most in Labour as the epitome of Blairite centrism and moderation." In 1997 he

901-679: The Rochdale Principles into their constitution; they aspire to work closely and in partnership with other mutual and local organisations. At first, foundation trusts were authorised and regulated by Monitor , a non-executive body under the Department of Health. Monitor was merged into NHS Improvement in 2016. The trade body for foundation trusts is NHS Providers , formerly known as the Foundation Trust Network, which has 95% of all acute, ambulance, community and mental health foundation trusts in its membership. A 2014 report by

954-936: The Social Mobility Commission from 2012 to 2017. Since 2015, he has been Chancellor of Lancaster University . Milburn was born in Whitehaven , and brought up in the village of Tow Law in County Durham and in Newcastle-upon-Tyne . He was educated at John Marley School in Newcastle and, after his mother married, Stokesley Comprehensive School in North Yorkshire. He went on to Lancaster University , where he lived in Morecambe and Galgate , graduating in 1979 with

1007-553: The Socialist Health Association said that on the whole after 10 years, "Foundation Trusts [had]... not deepened in terms of democratic practice and participation". The independence of Foundation Trust governors was challenged in 2021 when the governors of Queen Victoria Hospital , a small specialist trust, called for a pause to plans for it to merge with University Hospitals Sussex NHS Foundation Trust . NHS Improvement were said to have effectively ordered

1060-642: The A&;E department inadequate both in safety and leadership in October 2017. They noted low nurse staffing levels and shift fill rates, poor compliance with the early warning score system and infection control. In 2017-18 only 78.7% of A&E patients were seen within four hours. The last Care Quality Commission inspection, in February 2020, resulted in an overall finding of "requires improvement". NHS foundation trust Alan Milburn 's trip in 2001 to

1113-421: The Cabinet for a second time, although rumours persisted that he would challenge Gordon Brown for the succession. On 27 June 2007, Brown was unopposed. On 8 September 2006, after Tony Blair had announced his intention to step down within a year, Charles Clarke suggested Milburn as leader in place of Brown. On 28 February 2007, he and Clarke launched The 2020 Vision, a website intended to promote policy debate in

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1166-564: The Department of Health definition of a foundation trust, but the Secretary of State for Health maintains a direct line of communication and accountability with them because he or she has the responsibility to provide healthcare to patients who have been detained under the Mental Health Act , and have been judged to pose a grave and immediate danger to the public. Unlike full foundation trusts, governors have no statutory role, and

1219-410: The Department of Health was promoting "A new type of NHS hospital". In 2011, the 116 trusts then in the pipeline to make applications were required to sign a formal agreement, with a deadline for the application to be made. Board members at a number of trusts which missed the deadline were sacked. It was accepted by Andrew Lansley that a number of trusts would never reach foundation trust status, and

1272-429: The Department of Health, was established to process loans for capital developments, but during 2014 applications were made by trusts which had trouble paying utility bills or replacing medical equipment. Guidance issued under the tenure of Jeremy Hunt in October 2014 said that conditions could be set which could include: reductions in the use of temporary staff, "use of collaborative procurement routes" or "the adoption of

1325-461: The FTs; any attempt by the statutory bodies to make a grab for them will be furiously resisted". By 2016, the distinction between foundation trusts and other NHS trusts was widely regarded as eroded, and in that year the two regulators were combined into a new body, NHS Improvement . The notion that every trust should become a foundation trust was abandoned, and the widespread financial crisis undermined

1378-493: The Foundation Trust Network it was raised to 1.5%. These caps disappeared on 1 October 2012. Collective earnings from private patients increased 14%, from £346.1 million in 2012–13 to £395.9 million for 2014–15. Private earning is concentrated on specialist hospitals in London who see many patients from other countries. Most trusts have negligible private income. In order to achieve foundation trust status, NHS trusts have to pass

1431-405: The Labour Party such as Ed Miliband , Peter Mandelson , Jacqui Smith , Liam Byrne , Tessa Jowell , Tristram Hunt , Stephen Twigg , Rachel Reeves and Liz Kendall ). In the book, he called for the Labour Party to adopt a policy of "educational credit", a system whereby lower and middle-income families whose children attend failing schools can withdraw their children and get funding, worth 150%

1484-522: The Labour Party. He was the honorary president of the political organisation Progress , which was founded by Derek Draper . In 2007 , Milburn worked as an advisor to Australian Prime Minister Kevin Rudd and again in 2010 acted as an advisor to the election campaign of Julia Gillard . Between January and July 2009, Milburn chaired a governmental commission on social mobility, the Panel on Fair Access to

1537-581: The NHS to reconsider "whether the model of foundation trusts is sensible", arguing "If one-third of the hospital system is permanently not demonstrating good viability and good governance, is that telling you something about actually how the system should run as opposed to how we thought it should run?". In January 2022 Sajid Javid , writing in The Times said he was planning a “revolution” that would allow “well-run hospitals more freedom”. Foundation trusts had

1590-553: The NHS, and continued as a member of the Healthcare Advisory Panel at Lloyds Pharmacy . As of 2022 he remains a Senior Adviser to PwC. In 2015, Milburn became Lancaster University ’s third Chancellor , taking over from the mountaineer Chris Bonington . Early in 2015, Milburn intervened in the British election campaign to criticise Labour's health plans, which would limit private sector involvement in

1643-590: The NHS, including Alliance Medical, Match Group, Medica and the Robinia Care Group. He returned to government in September 2004, as Chancellor of the Duchy of Lancaster . He was brought back to lead the Labour Party's campaign in the 2005 general election , but the unsuccessful start to the campaign led to Milburn taking a back seat, with Gordon Brown returning to take a very prominent role. On election night in 2005, he announced he would be leaving

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1696-510: The Professions. The Panel reported in July 2009 with recommendations to improve social mobility by acting at every life stage – including through schools, universities, internship practices and recruitment processes. In 2007, Milburn became a paid advisor to PepsiCo and sat on its nutritional advisory board. By the time he stood down from Parliament, Milburn had an income at least £115,000

1749-622: The Trade Union Studies Information Unit (TUSIU) from the mid-1980s onwards. From 1988, Milburn co-ordinated a campaign to defend shipbuilding in Sunderland, Tyne and Wear , and was elected Chairman of Newcastle-upon-Tyne Central Constituency Labour Party. In 1990 he became a Business Development Officer for North Tyneside Borough Council and was elected as President of the North East Region of

1802-403: The backbenches he continued to be a strong supporter of Tony Blair's policies, especially his continued policy of increased private involvement in public service provision. Following his resignation as Secretary of State for Health, Milburn took a post for £30,000 a year as an adviser to Bridgepoint Capital , a venture capital firm heavily involved in financing private health-care firms moving into

1855-477: The board of directors have no statutory duty towards the governors. The governors cannot, without the board of directors' permission, have any control over the direction of the trust, and cannot appoint or remove trust auditors. The chair and directors are not appointed by their board of governors. Alan Milburn Alan Milburn (born 27 January 1958) is a British politician who was Member of Parliament (MP) for Darlington from 1992 to 2010 . A member of

1908-452: The cost of education at the failing school, in order to pay for a place at a higher achieving school for the child, with the money coming from the budget of the failing school. The policy was rejected by the leftwing MP Michael Meacher but was welcomed by Labour's Shadow Education Secretary Stephen Twigg and other shadow cabinet members. In 2012, a senior Number 10 adviser called for Andrew Lansley to be "taken out and shot" for introducing

1961-550: The council of governors to work towards a merger. A study undertaken in 2005 by the King's Fund of Homerton University Hospital NHS Foundation Trust found some governors disappointed and disillusioned. Another report in 2005, funded by the Nuffield Foundation , found that it was too easy to invite members to sit on sub-committees, where they quickly became bogged down in the minutiae of operational planning, whilst

2014-527: The four centres for emergency surgery in the region. In July 2016 the trust announced plans that could reduce its staffing establishment by 7% after it ended 2015-16 with a deficit of £12.9 million. A new £20 million medical and surgical centre with 120 bed spaces, an acute medical unit, a surgical assessment unit, and a short stay surgical unit and 18 operating theatres opened in October 2016 for emergency and high risk general surgery. It has capacity for more than 30,000 operations every year. The trust formed

2067-556: The government. However, David Miliband defended Milburn claiming that he was serving the country and was not working for the Coalition Government. In June 2011, Milburn was asked by Andrew Lansley to chair the new clinical commissioning board, as part of the Coalition Government's health reforms but he rejected the offer labelling the reforms as "privatization", "cuts" and a "car crash". In 2011, Milburn contributed to The Purple Book (alongside other key figures in

2120-534: The legislative basis was the Health and Social Care (Community Health and Standards) Act 2003 . The first ten NHS hospitals to become foundation trusts were announced in 2004. Gordon Brown prevented plans by Alan Milburn that they should be financially autonomous in 2002. By 2012, the Monitor website listed 145 foundation trusts. Successive governments set target dates by which all NHS trusts were supposed to have reached foundation status. For example, by 2009

2173-524: The main decisions were taken at meetings that they only heard about after they took place. The public's perception of foundation trust status implying a high standard of clinical care was changed by the Mid Staffordshire NHS Foundation Trust scandal of the late 2000s ( Stafford Hospital Scandal ) and the ensuing Francis inquiry , published in 2013. At the outset, some critics claimed that foundation trusts went against

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2226-687: The merger of Stockport Acute Services and Stockport Healthcare NHS Trust. The organisation became a foundation trust in 2004 - one of the first ten foundation trusts in the UK. The Trust was the first in the country to achieve Clinical Pathology Accreditation for their point of care testing in December 2011. Stockport NHS Foundation Trust was the first in the country to be awarded international ISO accreditation for emergency planning - April 2013. The 12 Greater Manchester Clinical Commissioning Groups agreed in July 2015 that Stepping Hill Hospital should be one of

2279-533: The private patient income cap but FTs have to do the majority of their work for the NHS. This restriction was kept to reassure those concerned about future developments that FTs would continue to have NHS work as their central concern. Previously each FT had its own cap, set at the level of its private activity when the first FTs were established in 2003/4. About three-quarters of all FTs had a cap of 1.5% or less. Until 2010 all mental health trusts were completely barred from undertaking non-NHS work, but after lobbying from

2332-412: The public sector and less autonomous than was originally expected. By March 2013 there were 145 foundation trusts, of which 41 were mental health trusts and three were ambulance trusts. They included acute trusts, mental health, community and ambulance trusts. By March 2019, the number of foundation trusts had shown a small increase to 151. The basic governance structure and form of foundation trusts

2385-581: The public sector. We gave more choice to patients. We paid more for the hospitals that were doing more rather than paying everyone the same." Milburn was thought to be a candidate for promotion within the Government, but on the day of a reshuffle (12 June 2003) he announced his resignation from government. He cited the difficulties combining family life in North-East England with a demanding job in London as his reason for quitting. While on

2438-483: The reduction in waiting times and delivering modernisation in the National Health Service (NHS). In 2002 Milburn introduced NHS foundation trusts , originally envisaged as a new form of not-for-profit provider and "described at the time as a sort of halfway house between the public and private sectors". Milburn later described his reforms as "getting the private sector into the NHS to work alongside

2491-620: The spirit of the principles laid out by Aneurin Bevan , the founder of the NHS. Others feared that it would lead to a two-tier system. Others doubted whether foundation trust members would succeed in having any effective influence over hospital management. In 2011, some argued in a report financed by the Nuffield Foundation that the success associated with foundation trusts had been due to other factors than governance. In June 2014, Bill Moyes, former Monitor executive chair, urged

2544-476: The supposed autonomy when almost all had to rely on money borrowed from the Department of Health, to which strings were attached. Foundation trusts have some managerial and financial freedom when compared to NHS trusts . The introduction of foundation trusts represented a change in the history of the National Health Service and the way in which hospital services are managed and provided. At

2597-606: The time of introduction, they were described "as a sort of halfway house between the public and private sectors". This form of NHS trust is an important part of the United Kingdom government's programme to create a "patient-led" NHS with an internal market . The stated purpose is to devolve decision-making from a centralised NHS to local communities, in an effort to be more responsive to their needs and wishes. But after Gordon Brown prevented plans by Alan Milburn to make them financially autonomous they have been much more in

2650-429: Was appointed Minister of State at the Department of Health, an important post in which he had responsibility for driving through Private Finance Initiative deals on hospitals. In the reshuffle caused by Peter Mandelson 's resignation on 23 December 1998, Milburn was promoted to the Cabinet as Chief Secretary to the Treasury . He became Secretary of State for Health in October 1999, with responsibility for continuing

2703-680: Was appointed as Chair of the Social Mobility and Child Poverty Commission . He served until his resignation in December 2017. In 2013 Milburn joined PricewaterhouseCoopers (PwC) as Chair of PwC's UK Health Industry Oversight Board, whose objective is to drive change in the health sector, and assist PwC in growing its presence in the health market. Milburn continued to be chairman of the European Advisory Board at Bridgepoint Capital , whose activities include financing private health care companies providing services ito

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2756-569: Was established, one of the first NHS organisations in the country to achieve the foundation trust position. The Trust provides acute hospital care predominantly across Stockport and the High Peak and employs over 5,800 staff working across two hospital sites and over 41 community clinics. Tony Warne is the Trust's Chairman, after taking over in May 2021. Stockport NHS Trust formed in April 2000, following

2809-470: Was replaced by Tony Warne in 2021. It was one of the beneficiaries of Boris Johnson 's announcement of capital funding for the NHS in August 2019, with an allocation of £30.6 million for a new Emergency Care Campus at Stepping Hill Hospital. In the last quarter of 2015 it had one of the worst performances of any hospital in England against the four hour waiting target. The Care Quality Commission rated

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