NHS trust special administrators: scope of powers

Appointment as a trust special administrator to an NHS trust does not give rise to a power to take any action or make any recommendations in relation to any other NHS trust.

Under the National Health Service Act 2006, a trust special administrator (TSA) can be appointed to an NHS trust where that trust is unsustainable or at serious risk of failing to deliver sustainable services. A TSA’s role includes making recommendations to the secretary of state as to what actions should be taken in relation to the trust.

The first TSA was appointed in July 2012 to South London Healthcare NHS Trust (SLHT). The TSA recommended the break-up and dissolution of the SLHT, and made a proposal which impacted on the Lewisham Healthcare NHS Trust (LHT), a separate trust including the closure of certain of its services. The Borough of Lewisham challenged this proposal and the acceptance of it by the Department of Health…

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