91Ó°ÊÓ District Hospital is managed by 91Ó°ÊÓ NHS Foundation Trust and, as a Foundation Trust, reports to , the Independent Regulator. Information about the Regulator can be found on its website.
Foundation Trusts are mutual organisations, where local people, patients and staff can become members and governors and hold the Trust to account through the Council of Governors . The Council of Governors provides a link between patients and the public and the Trust Board and is made up of elected public and staff governors, and governors appointed by the Trust from other organisations.
The general range of services provided by the hospital is mainly commissioned by Wiltshire, West Hampshire and Dorset Clinical Commissioning Groups, although other neighbouring Clinical Commissioning Groups (CCGs) will commission our services from time to time.
The Trust is also a specialist regional centre for plastic surgery, burns, cleft lip and palate and genetics and provides a specialist service for people across much of southern England who have a spinal cord injury. The Trust has around 470 beds.
Each year managers from 91Ó°ÊÓ District Hospital and the CCGs review the number of people the hospital is expected to treat during the year and agree the amount of money CCGs will pay the Trust to provide this level of treatment.
There have been a number of changes to the structure of the NHS and how NHS care is regulated and monitored. Please click on the following link for more details. How we fit into the NHS structure.
The Public Trust Board meets at least 6 times a year click here to see our meetings pageÌýÌý
The Public Trust Board papers are published regularly and can be found ³ó±ð°ù±ðÌý
The work of the Trust Board is partly undertaken by a number of Committees with specific responsibility for certain aspects of the Trust's business. These are:
The Trust Board is also supported by:
TheÌýTrust Management CommitteeÌýis made up of the six Executive Directors together with Clinical Directors and senior management. TheÌýTrust Management Committee meets monthly and has overall responsibility for the day-to-day management of the hospital.
This Board and Committee Governance Structure provides a framework outlining the escalation and assurance route from sub-group to Trust Board.
The Trust Board makes decisions based on its:
The requirements of NHS Improvement, particularly the Single Oversight Framework and the Code of Governance are available to view in the Publications Section of the NHS Improvement/ NHS England website at
Organisational Structures
Declarations required by General condition 6 and Continuity of Service Condition 7 of the NHS Provider Licence
Register of Interests for Directors and decision making staff (incl Agenda for Change Band 8D and above or equivalent pay)
TheÌýGifts and Hospitality Register is available upon request to the Corporate Governance Team.
Integrated Accountability and Governance Framework 2023
Code of Governance Public Statements
The Trust is required by NHS Improvement/ NHS England to make certain information available to the public through the website. The below chart provides this information.
Ìý Provision Ìý |
Information required on website |
Further information |
A.1.3 |
The board of directors should make available a statement of the objectives of the NHS foundation trust showing how it intends to balance the interests of patients, the local community and other stakeholders, and use this as the basis for its decision-making and forward planning. |
Please click here for more informationÌý |
B.1.4 |
A description of each director’s expertise and experience, with a clear statement about the Board of Director’s balance, completeness and appropriateness. |
click the link to view the Trust Board page Code of Governance section B.1.4Ìý |
B.2.10 |
The main role and responsibilities of the Nominations Committee should be set out in publicly available, written terms of reference. |
More information to follow.. |
B.3.2 |
The terms and conditions of appointment of Non-Executive Directors |
NED Terms Of Employment |
C.3.3 |
The main role and responsibilities of the Audit Committee should be set out in publicly available, written terms of reference. |
Terms of Reference for the Audit CommitteeÌý |
D.2.1 |
The remuneration committee should make available its terms of reference, explaining its role and the authority delegated to it by the board of directors. Where remuneration consultants are appointed, a statement should be made available as to whether they have any other connection with the NHS foundation trust. |
Nomination And Remuneration Committee Terms Of Reference Apr 2022 |
E.1.1 |
The board of directors should make available a public document that sets out its policy on the involvement of members, patients and the local community at large, including a description of the kind of issues it will consult on. |
Code of Governance section E.1.1Ìý |
E.1.4 |
Contact procedures for members who wish to communicate with governors and/or directors should be made clearly available to members on the NHS foundation trust's website. |
Click the link to view link to view constituencies and Governors’ page Please click here to view contact the governors pageÌý |
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Our staff at 91Ó°ÊÓ District Hospital have long been well regarded for the quality of care and treatment they provide for our patients and for their innovation, commitment and professionalism. This has been recognised in a wide range of achievements and it is reflected in our award of NHS Foundation Trust status. This is afforded to hospitals that provide the highest standards of care.