Development of Corporate Governance in Foundation Trusts in the United Kingdom :

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  • Kojima Megumi
    Doctoral Course of Commerce, Graduate School of Meiji University

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Other Title
  • イギリスの病院経営における経営参加とコーポレート・ガバナンス
  • イギリス ノ ビョウイン ケイエイ ニ オケル ケイエイ サンカ ト コーポレート ガバナンス ファンデーション トラスト ノ ジョウホウ カイジ トウメイセイ
  • Transparency and Disclosure
  • ―ファンデーション・トラストの情報開示・透明性―

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Abstract

Based the Health and Social Care Act, foundation trusts became recognized as legally independent corporations called Public Benefit Corporations in the United Kingdom in 2004. They have been set free of central government control, manage their own budgets and are able to shape the healthcare services they provide to better reflect local needs and priorities. Thirty-two foundation trusts have applied the concept of 'corporate governance', which is popular in private enterprise through the world, to the top management of hospitals.<br>This paper clarifies how all foundation trusts in the UK practice the corporate governance reform based on the stakeholders' participation in management, applying corporate governance principles. First, I considered how state-operated hospitals have been privatized in the UK since 1991 and how the concept of corporate governance has been introduced to foundation trusts. Second, I examined how the development of the management structure is founded on the stakeholders' participation in the management under the leadership of patients, and how foundation trusts practice the management reforms. Third, I elucidated how foundation trusts execute the advancement in transparency and disclosure.<br>This analysis emphasizes that the foundation trusts' approach to corporate governance reform is useful for Japanese hospitals, although foundation trusts still face outstanding problems to be resolved as reflected in the independent auditors' reports on financial statements To implement such an approach, it is crucial that the corporate governance reform effectively permeates into places where the clinical treatment is conducted in order to realize improved medical treatment for patients.

Journal

  • Iryo To Shakai

    Iryo To Shakai 16 (2), 213-226, 2006

    The Health Care Science Institute

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