Introduction to foundation trusts and trusts

To transform care for 21st century needs, the NHS needs to develop new ways of working across health and social care, with providers and commissioners coming together to share risks and expertise.

We trust the NHS every day with our lives and over seven decades it has changed radically, and must continue doing so to ensure it best meets people’s health and care needs. This briefing describes how secondary care services work within the NHS in England – that is, the NHS acute, ambulance, community and mental health service providers – and how they work to deliver world-class care within hospitals and community based settings: 

It is vital for local politicians to work closely with the NHS providers serving their community. NHS providers need the help of their councillors and MPs to develop plans for future provision, to communicate the need for change, and to present their challenges and priorities nationally.