Assessing financial risk in NHS foundation trusts

Financial risk ratings are allocated using a scorecard which compares key financial information across all foundation trusts. A rating of 5 reflects the lowest level of financial risk and a rating of 1 the greatest.

When assessing financial risk, Monitor will assign quarterly and annual risk ratings using a system which looks at four criteria:

  1. Achievement of plan;
  2. Underlying performance;
  3. Financial efficiency; and
  4. Liquidity.

The risk rating is forward-looking and is intended to reflect the likelihood of an actual or potential financial breach of the foundation trust’s terms of authorisation.

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