A hospital trust, also known as an acute trust is an NHS trust that provides secondary health services within the English National Health Service and, until they were abolished, in NHS Wales. Hospital trusts were commissioned to provide these services by NHS primary care trusts and now by clinical commissioning groups. NHS trusts were established by the National Health Service and Community Care Act 1990 as the first step in setting up an internal market.
NHS foundation trusts are regulated by Monitor. Those which have not attained foundation trust status are supervised by the NHS Trust Development Authority. As of January 2014, there are 59 NHS hospital trusts, out of the total of 97 NHS trusts supervised by the TDA.
- "Winter Report" (PDF). NHS Trust Development Authorityy. Retrieved 29 March 2014.