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61-792: The Royal Berkshire NHS Foundation Trust is an NHS foundation trust responsible for the management of the Royal Berkshire Hospital in Reading, Berkshire , as well as the Prince Charles Eye Unit and the Dialysis Unit, both in Windsor ; Bracknell Healthspace, Townlands Hospital in Henley-on-Thames , and West Berkshire Community Hospital , which is between Newbury and Thatcham . The trust

122-402: 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

183-564: A controversial donation he had received from private health company Care UK . Lansley responded with a statement that he was "impressed that he's managed to get lyrics about GP commissioning into a rap", but stated "We will never privatise the NHS". Following the widespread criticism, on 4 April 2011, the Government announced a "pause" in the progress of the Health and Social Care Bill to allow

244-475: A donation of £21,000 from John Nash , the chairman of private healthcare provider Care UK and founder of the private equity fund Sovereign Capital, which owns several other private healthcare companies, to help fund his private office, leading to allegations of a conflict of interest. Such companies stand to be the largest beneficiaries of Lansley's bill passed by the Coalition and House of Lords to increase

305-487: 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

366-453: A link between these activities and Lansley's desire to see a more lightly regulated food industry. The same publication suggested a similar link to a Department of Health report on red meat in which the only products listed in the report found to contain suitable amounts of red meat to merit a "Good" rating were a McDonald's Big Mac , and a Peperami (manufactured by Unilever). While in opposition as health spokesman, Andrew Lansley accepted

427-644: A motion stating "This meeting has no confidence in Andrew Lansley, the Secretary of State for Health, and calls for him to resign". In the meeting, Lansley was accused by the BMA of "breaching doctors' trust" over pension agreements, and was accused by Dr Gary Marlowe who tabled the motion that "during the election he (Lansley) misled the public and the profession" regarding the Health and Social Care Bill. Before voting, Marlowe also stated that "The Bill went through

488-840: 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

549-591: 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

610-533: A small subset of goods and services they buy. The Value Added Tax Act 1994 provides a mechanism through which NHS trusts can qualify for refunds on contracted out services. The trust's plans to build a pre-operative assessment block at the Reading hospital site were approved by Reading Borough Council in March 2015, although councillors complained that car parking at the site was "abominably managed". In May 2020,

671-548: A stunning number of amendments and revisions. I believe the most of any Bill. How can we trust someone with such a poor record with our NHS?" On 4 September 2012, Lansley was replaced in his role as Health Secretary by Jeremy Hunt , with Lansley becoming Leader of the House of Commons . In 2010, responsibility for nutrition policy was transferred to the Department of Health. As Secretary of State for Health, Andrew Lansley

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732-565: A variety of companies including those with an interest in health, such as SmithKline Beecham , Unilever and Procter & Gamble. Andrew Lansley wrote a blog entry on the Conservative Party website on 25 November 2008, which claimed the "good things" from a recession included people being able to spend more time with their families. He was later forced to apologise. In the Parliamentary expenses scandal in 2009, Lansley

793-773: 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

854-587: Is a British Conservative politician who previously served as Secretary of State for Health and Leader of the House of Commons . He was Member of Parliament (MP) for South Cambridgeshire from 1997 to 2015 . Lansley was born in Hornchurch , Essex, and studied Politics at the University of Exeter . He worked in the civil service before entering politics. He ran the Conservatives' campaign in

915-432: 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

976-585: 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

1037-531: Is the managing director of Low Associates. Sally Low denies that Low Associates is involved in lobbying and instead describes its activities as provision of "strategic advice" to clients. Low Associates helps people prepare before they give evidence to committees of MPs, and Sally Low has given speeches on improving lobbying skills, in which she said that lobbyists should "establish positive relationships with decision-makers before you need their help". Lobbyist clients of Low Associates personnel have previously worked for

1098-613: The 1992 general election while at the Conservative Research Department, and later was Vice-Chairman of the Conservative Party at the 2001 general election. Lansley was the Shadow Secretary of State for Health from 2004 until 2010, the Secretary of State for Health from 2010 until 2012, and Leader of the House of Commons from 2012 until 2014. As Health Secretary, Lansley was responsible for

1159-546: The Conservative/Liberal Democrat coalition government . A tempestuous two years of proposed health reforms followed. On 4 September 2012, Lansley was moved to the positions of Lord Privy Seal and Leader of the House of Commons , which he retained until 14 July 2014. He was then replaced by William Hague , following Hague's surprise resignation as Foreign Secretary, and retired from the Cabinet to

1220-801: The End of Life Care Audit – Dying in Hospital carried out by the Royal College of Physicians in 2016, the Trust did well, with scores between 82% and 96% across the five indicators, while the national average was between 56% and 84%. In January 2020, the Trust was found to fail meeting its performance of the last five years in providing A&E services to patients, with thousands of patients having to wait for more than four hours to be seen in A&;E. NHS foundation trust Alan Milburn 's trip in 2001 to

1281-875: 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

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1342-620: 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

1403-553: 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

1464-580: The British Empire (CBE) for political service in the 1996 New Year Honours . Lansley sought to enter parliament and was selected for the South Cambridgeshire seat where he was subsequently elected as an MP in 1997. He immediately joined the House of Commons health select committee. At the 2001 election, he again took on a strategy role as a Vice-Chairman of the Conservative Party. As part of his duties Shadow Ministers had to clear

1525-507: 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

1586-410: 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

1647-484: 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

1708-461: 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

1769-493: 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

1830-532: 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

1891-472: The Royal College of Nursing annual conference where he stated that although "the number of qualified nurses has gone down by nearly 3,000... clinical staffing levels overall have gone up by nearly 4,000". His comments at the conference were met with uproar from nurses and union members in the audience with heckling and some shouting "liar". The Royal College's general secretary, Dr Peter Carter criticised

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1952-772: The back benches, announcing the same day that he would not be seeking re-election to the House of Commons at the next election and would hope to find an international role. In the event, the election came on 7 May 2015, and until his appointment to the House of Lords in October Lansley was out of parliament. In November 2010, Lansley provoked controversy by factoring into public health related bills representations from fast food companies such as McDonald's , KFC and processed food and drink manufacturers PepsiCo , Kellogg's , Unilever , Mars and Diageo on obesity, diet-related disease and alcohol, said by campaign groups to be

2013-433: 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. Andrew Lansley Andrew David Lansley, Baron Lansley , CBE , PC , DL (born 11 December 1956)

2074-490: The chorus "Andrew Lansley, greedy / Andrew Lansley, tosser / the NHS is not for sale, you grey-haired manky codger ". It was picked up as one of the theme tunes to the anti-cuts movement and spawned placards at a March for the Alternative in March 2011. The video, partly paid for by Unison featured NxtGen rapping about Lansley's proposed GP commissioning policy, his part in the parliamentary expenses scandal , and

2135-633: The civil service". Lansley worked for Norman Tebbit for three years as his private secretary at the Department of Trade and Industry . This encompassed the period of the IRA 's 1984 Brighton hotel bombing at the Conservative Party Conference in which Tebbit was seriously injured. Lansley and others have been praised by Tebbit for their support at that time. Lansley went on to become more fully involved in politics. In 1990, he

2196-550: 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

2257-464: The equivalent of handing smoking policy over to the tobacco industry. In January 2011, Ministers published the Health and Social Care Bill , detailing planned reforms that would pave the way for GP consortia to take over management of the NHS from primary care trusts . Prime minister David Cameron said "fundamental changes" were needed in the NHS. But doctors' leaders believed that GPs could simply have taken charge of PCTs instead, and achieved

2318-515: The government to 'listen, reflect and improve' on the proposals. In November 2011, Lansley faced more criticism when he appeared speaking on a video played at NHS patients' bedside in England, the continuous loop video was played to patients as the main free content on the Hospedia system. When asked by Tom Blenkinsop MP , Lansley replied that he received no payment and there was no cost to

2379-493: The government's controversial Health and Social Care Act 2012 . He announced his intention to stand down as an MP in 2015, and was awarded a life peerage in the 2015 Dissolution Honours . Following his career in Westminster, Lansley advised corporate clients on healthcare reforms, despite David Cameron 's pledge to close the “revolving door” between Whitehall and the private sector. Born in Hornchurch , Essex, Lansley

2440-501: The heads of the Unison and Unite unions, said the speed and scale of the reforms proposed risked undermining the care of patients by putting cost before quality. Criticism of the reforms had been mounting ahead of the publication of the Health and Social Care Bill on 19 January 2011. Lansley's white paper on the NHS led to him being the subject of an unflattering hip hop track and video written by rapper NxtGen and poet Rob Gee, with

2501-484: The health secretary's claim as being "nonsense that there's more clinical staff than there was two years ago is just incorrect" and later told the health secretary that currently "There is a great deal of unhappiness" amongst nurses and health care professionals, with a standing ovation from the audience. On 28 June 2012, doctors meeting at a British Medical Association conference voted in favour of calling for Andrew Lansley's resignation. Doctors voted in agreement of

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2562-534: 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

2623-524: 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

2684-533: 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

2745-412: 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

2806-514: The same results. The reforms were intended to pave the way for groups of GPs to take control of NHS budgets, with the consortia to take charge in 2013 of about 80% of the funding and of planning and buying everything, from community health centres to hospital services. However, some specialist services such as neurosurgery would be provided by a national board. In a letter to The Times , British Medical Association chairman Hamish Meldrum, Royal College of Nursing chief executive Peter Carter, and

2867-620: 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

2928-476: 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

2989-409: The taxpayer. On 13 April 2011, 96 per cent of 497 delegates at the Royal College of Nursing conference backed a motion of no confidence questioning Andrew Lansley's handling of NHS reforms in England. Later that day, Lansley met with 65 nurses at the same conference, and apologised by saying "I am sorry if what I'm setting out to do hasn't communicated itself." In May 2012, Lansley appeared at

3050-606: 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

3111-477: The timing of their announcements with Lansley. He fitted them into a timetable known as the 'Stalingrid'. The 2001 election was not a success for the Conservative Party, and its leader William Hague resigned shortly afterward. Iain Duncan Smith , the new leader, offered Lansley a position following election but he turned this down and, until Michael Howard became Leader, Lansley was a backbencher. Lansley

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3172-414: The trust made an agreement with Babylon Health to use their 'Ask A&E' triage tool for a year. A longer-term partnership is under consideration. In August 2020, Reading’s Royal Berkshire Hospital piloted an Emergency Department for elderly and frail people. The trust's chief executive is Steve McManus, in post since January 2017. He began his NHS career as a registered nurse. In August 2020, McManus

3233-484: The use of private health providers within the NHS. As reported February 2011, Lansley's wife advised attendees at a business conference to "establish positive relationships with decision-makers". Although staff members of Low Associates, the PR firm she runs, had food and drug companies among their clients before joining Low Associates, the firm denies it has any clients in the health sector. Andrew Lansley's wife, Sally Low,

3294-459: Was accused by the BMJ of allowing the food industry to stall progress in reducing salt content in food (subsequently restarted in 2014 by Anna Soubry with publication of new targets effective in 2017). Until December 2009, Lansley received £134 an hour from a firm of advertisers that represents clients such as Walkers Crisps , McDonald's , Unilever , Mars and Pizza Hut ; Private Eye suggests

3355-428: Was accused of 'flipping', or redesignating, his second home, after claiming for renovation of a rural cottage prior to selling it. It is claimed that he then 'flipped' his second home designation to a London flat, and claimed thousands of pounds for furniture. Lansley responded to the claims by stating that his claims were "within the rules". He owns a Pimlico property, but has claimed over £7000 for hotel stays. Lansley

3416-735: Was appointed a Privy Counsellor on 13 May 2010. Following Howard's election as party leader, Lansley soon returned to the Conservative frontbench. He served as the Shadow Secretary of State for Health . In his post he developed policies centred on using choice to improve the National Health Service , and was author of a chapter in Dr Tempest's 2006 book The Future of the NHS . After becoming Prime Minister in May 2010, David Cameron named Lansley as Health Secretary in

3477-541: Was appointed to run the Conservative Research Department . He ran the Conservative campaign for the 1992 general election , which he describes as one of "his proudest career achievements" He suffered a minor stroke in 1992, initially misdiagnosed as an ear infection, but made a full recovery save for permanently losing his sense of "fine balance". He was appointed a Commander of the Order of

3538-510: Was created a Life Peer , taking the title Baron Lansley , of Orwell in the County of Cambridgeshire , on 5 October 2015. Lansley married his first wife Marilyn Biggs in 1985 and they had three daughters. They divorced in 2001, and Lansley married Sally Low, with whom he has had a son and a daughter. Lansley's wealth was estimated at £700,000 in 2009. In April 2018, Lansley revealed that he has stage 3 bowel cancer . He has called for

3599-660: Was educated at Brentwood School and the University of Exeter , gaining a BA in politics. In 1977 while at Exeter University, Lansley was elected President of the Guild of Students (Student Union), as a Tory Reform Group candidate. His father Thomas worked in a pathology laboratory, and became co-founder of the Council for Professions Supplementary to Medicine and President of the Institute of Medical Laboratory Scientists. Before entering politics, Lansley had "a promising career in

3660-608: Was established as the Royal Berkshire and Battle Hospitals NHS Trust on 4 November 1992, and became operational on 1 April 1993. In 2008 the trust established a subsidiary company, Healthcare Facilities Management Services Ltd, to run two new health centres in Bracknell and Reading. The intention was to achieve VAT benefits, as well as pay bill savings, by recruiting new staff on less expensive non-NHS contracts. VAT benefits arise because NHS trusts can only claim VAT back on

3721-527: Was seconded to the NHS Test and Trace programme. The Trust established a Hospital at Home service in 2015. Suitable patients are taken home, where a nurse will agree a care plan tailored to their condition. The average length of "stay" on the home care scheme between three and four days for each patient. It was anticipated that up to 1,600 people in West Berkshire each year would use the scheme. In

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