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CHS were placed under the variable auspices of acute foundation trusts (FTs), mental health trusts, aspirant community FTs, social enterprises and others.
As a cancer data manager for an acute foundation trust, his responsibilities would include tracking cancer patient information against national targets.
Table 1 characterises the eight trusts whose board meetings we observed.> -wrap-foot> primarymary care trust, SGT self-governing acute trust, FT acute foundation trust All types of trust were undergoing transition at the time of the study (2008 9).
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At the time, the English NHS was geographically divided into 10 strategic health authorities (SHAs) [ 24], each responsible for overseeing local health services including one or more acute and/or foundation NHS hospital trusts, where foundation trusts have more financial and operational freedom than non-foundation trusts.
There were a total of 165 acute and foundation NHS trusts; each had one or more acute or specialist hospitals.
Responses in the present study also represented a range of hospital sizes from both acute and foundation NHS trusts.
Health and wellbeing boards in England have to approve proposals on how the funds are used locally, but managers working for acute providers, particularly foundation trusts, are concerned about their lack of involvement as proposals are developed, and are wary that the funds would not be used to achieve the significant step changes needed.
The UK National Audit Office has a monitoring system on the use and management of all temporary nursing staff in acute hospital and foundation trusts, and trend information is available over a period of time (18, 26, 27).
The plan was to recruit up to five 'early adopter' sites in each of the three implementation clusters and to purposively include a range of representative Trusts (i.e. teaching, non-teaching, foundation, acute & mental health, and district hospitals) to allow comparisons.
Exploratory analysis suggested that EPMA systems were more likely in foundation than acute trusts (13 foundation trusts versus 0 acute trusts, p = 0.001, chi-square test).
Appropriate fluid management is the foundation of acute burns management.
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