Monitor finds Bolton NHS Foundation Trust in significant breach

Published on: 17th April 2012

Monitor, the independent regulator of NHS Foundation Trusts, has found that Bolton NHS Foundation Trust is in significant breach of two of the terms of its authorisation:

  • Governance (NHS foundation trust boards must ensure effective leadership and governance) and;
  • Healthcare and other standards (NHS foundation trusts are required to comply with certain national healthcare targets and standards).

The decision is triggered by the failure of the Trust to meet healthcare targets (specifically A&E waiting times and the Referral to Treatment (RTT) 18 week target) and failings in Board governance. At present, the CQC has no major concerns in respect of this Trust.

Monitor has asked the Trust to produce an action plan to deliver sustainable improvements in A&E and RTT.

Monitor also has residual concerns relating to the effectiveness of the Board. The Trust Board has failed to address identified risks to achieving the A&E and RTT targets with sufficient pace.  The Trust have now taken steps to commission a Board review to enhance the effectiveness of the Trust Board and Monitor will require that robust measures will be put into place to implement the necessary improvements. Monitor expects further updates on progress in these areas at subsequent regulatory progress review meetings.

Speaking after Monitor’s Board Committee made its decision, Merav Dover, Compliance Director at Monitor, said:

"We need to see more robust action from the Trust Board to make sure that services are run more effectively for patients by ensuring that healthcare targets are met.

"The Trust now has specific actions which it must urgently address and Monitor will be reviewing its progress on a monthly basis.  If we need to take further regulatory action then we will do so."


Notes for editors   

  1. For media enquiries please contact Caroline Matlock on 0207 340 2535
  2. A copy of Monitor’s decision to find the Trust in significant breach is available here.
  3. More information about how Monitor regulates foundation trusts is available here
  4. Monitor was established in January 2004. It is independent of government and accountable to Parliament. Monitor’s functions and powers are set out in the National Health Service Act 2006.
  5. Monitor is now on Twitter - follow us @MonitorUpdate