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Lancashire & South Cumbria NHS Foundation Trust provides a range of services including secondary mental health care across this area. Specialist provision comprises inpatient child and adolescent mental health services, perinatal mental health and forensic services including low and medium secure care.

The Trust also provides a range of physical health and well-being services in the community alongside a range of partners in the Lancashire and Sefton area. The Trust was first established in 2002 and employs approximately 7,000 staff who provide care from more than 400 sites.

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Our latest CQC inspection rating



You can also see the reports for the Trust by following this link to the CQC website.

What is a Foundation Trust

Foundation Trusts are still NHS organisations with the same principles and standards such as not charging people for their care.

The difference is that Foundation Trusts are run locally and work with the community to develop services to suit the needs of local people.

Foundation Trusts have members from their local communities who elect representatives to a Council of Governors. The Council of Governors work with the Trust's Board of Directors to agree the future plans of the organisation. The Council of Governors also approves the appointment of the Trust's Chair and Non-Executive Directors. In this way, Foundation Trusts will run as independent public benefit corporations similar to mutual organisations like the Co-op. Foundation Trusts have greater financial freedom and are able to retain any surplus money to re invest in services.

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What Are the Benefits of Becoming A Foundation Trust?

Becoming a Foundation Trust provided a number of benefits for the organisation, staff, service users, carers and the community. It:

  • Reduced the burden and bureaucracy of central monitoring while still ensuring high service standards are maintained
  • Offered the opportunity for greater financial flexibility
  • Gave the freedom to develop enhanced mental health services
  • Offered access to additional funding sources
  • Generated greater organisational freedom to meet local priorities
  • Allows the Trust to respond to what local people want and need from their local health services
  • Enabled greater involvement of the local community and staff in the development of services

Running the Trust

Foundation Trust status changes how the organisation is governed. It enables people to play a part in the running of the Trust and the development of services.

  • Members are recruited from the local community and staff. They receive information about the Trust, give their views on the Trust and they elect Governors
  • Some of the Governors are nominated by key local partner organisations. They agree how the Trust and services should develop
  • Executive and Non-Executive Directors are appointed for their expertise. They run the Trust's services and develop future plans. They are responsible for meeting national standards, performance targets and financial requirements. They report to the Governors and members about how the trust is performing, which makes them accountable to the local community.


The Trust currently has a Council consisting of 29 Governors – 16 elected public governors, 7 elected staff governors and 6 appointed governors. Appointed governors are those nominated by the Trust’s partner organisations and key stakeholders such as Lancashire Constabulary, University of Central Lancashire (UCLan), N-Compass and Age UK (Blackburn with Darwen).  

The role of the Council of Governors is to hold the Board of Directors to account for the performance of the Trust and be representative of the views of the membership and public. The Council meets in public ten times a year.

The staff and public members of the Council are appointed by democratic election and serve for a period of three years. A governor may be re-elected under those same democratic processes for a further and final term of three years. There are four staff constituencies across the full range of professional and support disciplines and roles and all staff members are eligible to stand for election as vacancies arise in their constituency. All vacancies are widely advertised to staff and staff members are invited to vote in the election process.

Governors responsibilities include:

  • Appointing the Chair
  • Appointing the Non-Executive Directors
  • Approving the appointment of the Chief Executive
  • Removing the Chair and Non-Executive Directors
  • Agreeing payment to Non-Executive Directors
  • Appointing and removing auditors
  • Receiving the annual report and accounts
  • Being consulted on proposed changes and provide guidance on the future direction of the NHS Foundation Trust