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Foundation Trust

SCAS ambulance

We are proud to be a NHS Foundation Trust

Foundation Trusts are still part of the NHS, but unlike ordinary NHS trusts, they have thousands of members and a Council of Governors who form an integral part of the governance structure that exists in all NHS FTs.

NHS Foundation Trusts:

  • are free from direct central government control and are able to decide how to improve their services
  • retain any surpluses they generate to invest in new services, and can borrow money to support these investments
  • are accountable to their local communities; local people can become members and governors.

These freedoms mean that together we can shape our ambulance service around local needs and priorities.

Being a foundation trust also means that there are more opportunities for our patients and their families, staff and local residents to play a part in our future by becoming members.

We are accountable to our members through an elected and appointed Council of Governors. Being a member provides the opportunity to take part in Council of Governors elections, representing the views of members and ensuring the Trust is accountable to the local community.

We feel that, as an NHS Foundation Trust, we can play a much greater role in supporting the ongoing development and success of our local communities.

Who runs the Trust

The Trust Board is responsible for providing strategic leadership to the Trust, ensuring it exercises its functions effectively, efficiently and economically. It monitors arrangements to maintain quality and safety, including managing risks

The Trust Board is led by the Trust Chair and the responsibility for day-to-day management of Trust business lies with the Chief Executive and Executive Directors.


As a foundation trust we are directly accountable to Parliament for the services we provide.

However there are some regulators who ensure we can continue to provide those services in a safe and sustainable way.

Our main regulators are the Care Quality Commission and NHS Improvement

Statutory declarations

We are required to make certain statutory declarations which must be publicly available. You can view these, along with various other documents, on the publications page