Assessing the risk of financial transactions at NHS foundation trusts

The consultation sets out 5 changes to Monitor’s approach to assessing the risk of financial transactions:

• changing the threshold for ‘significant’ transactions that require a detailed review
• introducing a clearer and more transparent approach for detailed reviews, including guidance on best practice for transactions
• introducing a single transaction risk rating to replace the previous indicative continuity of services rating and governance rating for significant transactions
• being more flexible about when board governance statements on quality governance must be submitted after the transaction has taken place
• making minor changes to the certification on transactions reflecting the changes above