NHS trust

A UK provider of health services created under Section 5 of The National Health Service and Community Care Act 1990, at which time NHS Trusts were accountable to the UK Secretary of State. Later legislation created primary care trusts, acute hospital trusts (1999) and lastly, Unified Health Boards (2001), to which NHS Trusts are accountable (trusts retain their operational responsibility for acute and primary care services).
NHS Trusts are public sector bodies which provide services on behalf of the NHS in England and NHS Wales, based on the requirements of patients as represented by Health Authorities (now by strategic health authorities) and GPs. Trusts may comprise one or several hospitals, plus various peripheral sites not necessarily owned by the Trust, where clinics may be held and community health services, mental health services and ambulance services are provided, which are managed by their own boards of directors.

NHS Trust

an organization running health-care provision in the UK's National Health Service (NHS) at ‘arms-length' from the other parts of the health service. NHS Trusts manage publicly-owned facilities such as hospitals and are accountable to central government in respect of their financial management but have operational autonomy in certain respects e.g. setting the pay and conditions of some employees. It is argued that hospital managers have greater freedom to manage than under the previous system of health service administration, and that this will lead to more effective and efficient use of resources. Controversy has surrounded the creation of NHS Trusts because local political influence on health-care delivery has been reduced, with critics arguing that the self-governing nature of some Trust functions is a form of privatization. Supporters argue that, besides the advantages listed above, consumer influences on health-care policy are more appropriately filtered through the health authorities and GP FUNDHOLDERS which purchase health services on their behalf from the Trusts (see PURCHASER-PROVIDER SPLIT). See NEW PUBLIC MANAGEMENT.

单词	nhs trust
释义	NHS trust NHS trust A UK provider of health services created under Section 5 of The National Health Service and Community Care Act 1990, at which time NHS Trusts were accountable to the UK Secretary of State. Later legislation created primary care trusts, acute hospital trusts (1999) and lastly, Unified Health Boards (2001), to which NHS Trusts are accountable (trusts retain their operational responsibility for acute and primary care services). NHS Trusts are public sector bodies which provide services on behalf of the NHS in England and NHS Wales, based on the requirements of patients as represented by Health Authorities (now by strategic health authorities) and GPs. Trusts may comprise one or several hospitals, plus various peripheral sites not necessarily owned by the Trust, where clinics may be held and community health services, mental health services and ambulance services are provided, which are managed by their own boards of directors. NHS Trust NHS Trust an organization running health-care provision in the UK's National Health Service (NHS) at ‘arms-length' from the other parts of the health service. NHS Trusts manage publicly-owned facilities such as hospitals and are accountable to central government in respect of their financial management but have operational autonomy in certain respects e.g. setting the pay and conditions of some employees. It is argued that hospital managers have greater freedom to manage than under the previous system of health service administration, and that this will lead to more effective and efficient use of resources. Controversy has surrounded the creation of NHS Trusts because local political influence on health-care delivery has been reduced, with critics arguing that the self-governing nature of some Trust functions is a form of privatization. Supporters argue that, besides the advantages listed above, consumer influences on health-care policy are more appropriately filtered through the health authorities and GP FUNDHOLDERS which purchase health services on their behalf from the Trusts (see PURCHASER-PROVIDER SPLIT). See NEW PUBLIC MANAGEMENT.
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