An NHS trust is an organisational unit within the National Health Services of England and Wales , generally serving either a geographical area or a specialised function (such as an ambulance service). In any particular location there may be several trusts involved in the different aspects of providing healthcare to the local population. As of April 2020 , there were altogether 217 trusts, and they employ around 800,000 of the NHS's 1.2 million staff.
33-576: West London NHS Trust is an NHS trust which provides mental and physical health services to the London boroughs of Ealing , Hammersmith and Fulham and Hounslow . It also provides some services on a national basis, including forensic and high-security services. The trust operates across several sites, including Broadmoor Hospital in Crowthorne and St Bernard's Hospital in Hanwell . The trust
66-423: A fit and proper person test . All trust boards are required to have an audit committee consisting only of non-executive directors, on which the chair may not sit. This committee is entrusted not only with the supervision of financial audit , but of systems of corporate governance within the trust. Hospital board members have a duty to act on signals of poor performance on quality and safety data, and yet many of
99-552: A draft statutory instrument subject to affirmative procedure was not approved by the House of Commons was on 12 November 1969 when the House rejected four draft Orders relating to parliamentary constituencies. The Regulatory Reform Act 2001 enables the Government to make an Order to change Acts of Parliament so as to remove burdens on business or others, so long as it can be done without removing "necessary protections". Because of
132-580: A motion that an instrument should be annulled, although in the Commons, unless the motion is signed by a large number of Members, or is moved by the official Opposition, it is unlikely to be debated, and in the Lords such a motion is seldom actually voted upon. If a resolution to annul an instrument is passed, it will be revoked by the King through an Order-in-Council. Between the date of the resolution to annul and
165-622: A national basis, deal with NHS-wide issues. An example is NHS Blood and Transplant . Statutory instrument (UK) King Charles III [REDACTED] William, Prince of Wales [REDACTED] Charles III ( King-in-Council ) [REDACTED] Starmer ministry ( L ) Keir Starmer ( L ) Angela Rayner ( L ) ( King-in-Parliament ) [REDACTED] Charles III [REDACTED] [REDACTED] [REDACTED] The Lord Reed The Lord Hodge Andrew Bailey Monetary Policy Committee A statutory instrument ( SI )
198-423: A week of the date it is made. Most statutory instruments (SIs) are subject to one of two forms of control by Parliament, depending on what is specified in the parent Act. Parliament's control is limited to approving, or rejecting, the instrument as laid before it: it cannot (except in very rare cases) amend or change it. Whether or not a statutory instrument is subject to affirmative or negative resolution procedure
231-583: Is chaired by a non-executive director. There were about 2,200 non-executives across 470 organisations in the NHS in England in 2015. Non-executive directors are recruited by open advertisement. All trusts ( foundation trusts and those which have yet to reach foundation trust status) are regulated by NHS England and the Care Quality Commission . Board members are, from November 2014, subject to
264-535: Is also used when the King in Council or a Minister exercises a power under an Act passed before 1947 which is legislative, rather than executive , in character. Use of a statutory instrument is not required where the parent Act does not specify it. This may be the case where delegated legislation is of only limited application and therefore not of general importance. Instead, other provisions may be made for publishing
297-402: Is dictated by the parent act. The more common form of control is the negative resolution procedure. This requires that the instrument is either: A motion to annul a statutory instrument is known as a "prayer" and uses the following wording: That an humble address be presented to His Majesty praying that the [name of statutory instrument] be annulled. Any member of either House can put down
330-476: Is known. NHS trust NHS trusts were established under the National Health Service and Community Care Act 1990 and were set up in five waves. Each one was established by a statutory instrument . NHS trusts are not trusts in the legal sense but are in effect public sector corporations . Each trust is headed by a board consisting of executive and non-executive directors , and
363-617: Is made, numbered, catalogued, printed, made available for sale and published on the Internet. This ensures that the public has easy access to the new laws. Numbers are assigned by His Majesty's Stationery Office and are sequential within the year of making. The number provides a means of citing the statutory instrument in addition to the title given by the instrument itself. So, for example, The Income Tax (Exemption of Minor Benefits) (Amendment) Regulations 2003 are numbered and may be cited as SI 2003 No. 1434 or SI 2003/1434. In addition to
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#1732782323592396-855: Is the principal form in which delegated legislation is made in Great Britain . Statutory instruments are governed by the Statutory Instruments Act 1946 . They replaced statutory rules and orders , made under the Rules Publication Act 1893, in 1948. Most delegated legislation in Great Britain is made in the form of a statutory instrument. (In Northern Ireland , delegated legislation is organised into statutory rules , rather than statutory instruments.) The advent of devolution in 1999 resulted in many powers to make statutory instruments being transferred to
429-482: Is used where the delegated legislation may be more controversial. The parent Act may require that the proposed statutory instrument be approved by both Houses of Parliament (or, in the case of an instrument which relates to financial matters, by the House of Commons only) either: Once the instrument is laid before Parliament, the Government will move a motion in each House that the instrument be approved. The last time
462-743: The General Dental Council ), is also to be made by statutory instrument. Often the Minister authorised to issue a statutory instrument is " the Secretary of State ", which the Interpretation Act 1978 defines as "one of Her Majesty's Principal Secretaries of State"; this form effectively allows the Prime Minister to create new departments and define or redefine their responsibilities at will. A statutory instrument
495-518: The Quaker Asylum in York that they both imposed these methods on the staff at Hanwell. This was as such the very first large scale experiment. The second superintendent brought mechanical restraints – as a form of treatment – back. The third superintendent Dr John Conolly against stiff opposition backed up with much vitriol, took the example further, and did away with all mechanical restraints. To
528-832: The Scottish and Welsh governments, and oversight to the Scottish Parliament and Welsh Parliament . Instruments made by the Scottish Government are now classed separately as Scottish statutory instruments . A statutory instrument is used when an Act of Parliament passed after 1947 confers a power to make, confirm or approve delegated legislation on: Minister of the Crown includes the Welsh Ministers and various Acts provide that delegated legislation, although made by another person (for example,
561-489: The House of Commons annulled a statutory instrument was in 1979 when it rejected the Paraffin (Maximum Retail Prices) (Revocation) Order 1979 (SI 1979/797). Statutory instruments which are subject to affirmative resolution are less common, making up about 10% of the total. This is the more stringent form of parliamentary control as it requires positive approval, rather than the absence of a decision to annul. Accordingly, it
594-495: The West London Forensic Service, integrated care services (community health services), liaison and long-term conditions (integrated mental health services), access and urgent mental health care, primary and planned mental health care, cognitive impairment and dementia, Child and Adolescent Mental Health Services (CAMHS) and developmental services. West London NHS Trust either runs or provides services at
627-600: The West London Mental Health NHS Trust, which took over governance in 2001; the Trust then changed its name to West London NHS Trust on 25 September 2018. It won a contract for community services in Ealing for 10 years from May 2019, leading a partnership with Central and North West London NHS Foundation Trust and Hillingdon Hospitals NHS Foundation Trust . In November 2004 a new directorate,
660-455: The Woman's Secure Services was created. This was to separate the medium secure women's facilities from Broadmoor Hospital and relocate them on the Ealing site. In 2014 the trust restructured so that it now delivers services from two clinical service units - High secure and forensic services, and local and specialist services. It has eight service lines - high secure services at Broadmoor Hospital,
693-405: The community and the hospital trusts are generally planning to follow these initiatives. Foundation trust status may be applied for by the above categories of NHS trust. Successive governments have announced that all NHS trusts should become foundation trusts, and deadlines have been set for this transformation, which have repeatedly been missed. Several special health authorities , organised on
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#1732782323592726-591: The date when the Order-in-Council is made, the instrument remains law but ineffective. Anything done under the instrument whilst it was in force remains valid, and the Government is free to make a new statutory instrument. The last occasion on which a statutory instrument was annulled was on 22 February 2000, when the House of Lords passed a motion to annul the Greater London Authority Elections Rules. The last time
759-478: The extensive powers given to the Government to amend primary legislation as part of the Act, a special form of affirmative procedure has been introduced. Firstly, the Government must produce a draft proposal and consult interested organisations. It must then lay the proposal and the results of the consultation, along with a detailed explanation, before Parliament for 60 days. Select committees of both Houses then debate
792-497: The following sites: West London NHS Trust was previously the guardian of the Corsellis Collection , containing some nine thousand specimens of brains dating back to the 1950s. The Corsellis collection was originally housed at Runwell Hospital until the 1990s when a major reprovision programme was envisioned; the collection was started at Runwell Hospital by Dr John Corsellis. No larger depository of this speciality
825-491: The isolation suffered by the high secure services from the rest of the NHS, the Health Act 1999 was passed, allowing NHS Trusts to provide for these. After a three-month consultation in the early part of the following year it was agreed that the high secure services based at Broadmoor Hospital and those provided by the Ealing, Hammersmith and Fulham Mental Health NHS Trust should be combined into one organisation. This created
858-399: The legislation. So, for example, an Order providing for the transfer of contracts from one National Health Service body to another may only be notified to the affected bodies, and by-laws made by a local council may be publicised through an announcement in local newspapers. The main effect of delegated legislation being made by statutory instrument is that it is effective as soon as it
891-417: The main numbering system, there are a number of subsidiary numbering systems which may indicate an instrument's position within a particular series of instruments (in the following list n indicates the number): Statutory instruments will be classified by subject heading in the annual edition printed by His Majesty's Stationery Office. Printed copies of a statutory instrument will generally be on sale within
924-654: The papers presented to them have been found to be lacking good data visualisations. The High Court of Justice decided in December 2019 that NHS trusts were not charities for the purposes of the Local Government Finance Act 1988 , so they have to pay business rates at the full rate. A study by the University of Exeter in 2020 found that in 70 out of the 213 trusts all the board members were white. Overall BAME representation at board level
957-405: The proposal and examine it against criteria including maintenance of "necessary protection" for those who may be affected, the adequacy of public consultation, the extent of the burden to be lifted, financial implications and compliance with European law. The Committees then report their findings to the House. The Government has to take those findings into account when deciding whether to proceed with
990-497: The remaining NHS trusts to become foundation trusts, saying "We are frankly kidding ourselves if we think the non-FTs are going to pass the kinds of criteria that have been set by Monitor ." There are several types of NHS trusts: Over time the distinction between different types has eroded, and both hospital and mental health trusts have taken on responsibility for various community services. Sustainability and transformation plans all propose to move services out of hospitals into
1023-565: The surprise and disbelief of many he found, like the Ellises before, that bedlam diminished, behaviour became less defensive and cooperation improved dramatically, and many recovered or much improved. This event added to his other pioneering work such as developing proper diets and conditions for his patients and battles to set up regular training lecture specialising in mental health, for doctor training, all led to him receiving worldwide recognition. Broadmoor high secure hospital : In order to end
West London NHS Trust - Misplaced Pages Continue
1056-427: Was 8.9%. Medical directors of BAME ethnicity accounted for 19.4%, about the same as the overall percentage of BAME doctors. In September 2015 Jeremy Hunt was reported as saying "I think we do have too many trusts as independent organisations" in a context where mergers between trusts and the establishment of chains of hospitals were being discussed. Subsequently Simon Stevens made it clear that he did not expect
1089-496: Was established as the West London Mental Health NHS Trust on 1 October 2000, and took its current name on 31 August 2018. Some of the trust's services based at St Bernard's Hospital, Hanwell . Here the first superintendent Dr (later Sir) William & Mrs Mildred Ellis who were so much impressed with Moral therapy and humane treatment they saw offered to people suffering Mental disorders at
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