NHS's top trusts to gain greater independence in major healthcare reform

12 November 2025

Credit: Getty Images/TkKurikawa

By Claudia Tanner

Eight of England's highest-performing NHS trusts are set to receive unprecedented autonomy under new government reforms designed to cut waiting times and improve patient care.

Health secretary Wes Streeting has announced the creation of "advanced foundation trust" status, marking what he described as a fundamental shift away from decades of centralised control towards local decision-making.







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