Introduction

The NHS Providers annual governance survey was completed by chairs, company secretaries and other corporate governance leads in NHS trusts and foundation trusts (FTs) in November and December 2024.

It sought to explore views in relation to boards, their assurance processes and how trusts are developing in relation to the systems they are part of. This summary distils the key messages from the survey results and highlights notable themes and areas for further exploration.

A full briefing is also available, which includes detailed analysis of the survey data and highlights notable variation by role, region and trust type.

Many thanks to those of you who completed the survey. If you would like further detail or to discuss any of these findings, please contact Izzy Allen, senior policy advisor (governance) and David Williams, head of policy and strategy at izzy.allen@nhsproviders.org and david.williams@nhsproviders.org.