What follows councils of governors?

What comes next for foundation trusts following the upcoming abolition of councils of governors?

  • Governance

  • Delivery and performance

  • NHS architecture

The abolition of the councils of governors for foundation trusts was announced in the 10 Year Health Plan in July 2025.

What happens next, and when, remains contingent on the progress of the Health Bill legislation and on subsequent commencement arrangements. 

This briefing for NHS Alliance members sets out the current situation, what comes next, what FTs want to see in future arrangements, and some suggested approaches to local insight and accountability. 

The briefing is available exclusively to members of the NHS Alliance. Members can sign in or create an account for access.