Who decides the remuneration of directors at NHS foundation trusts?
NHS foundation trusts are autonomous organisations, and appointments and remuneration is one of the areas where they are able to make their own decisions. The governance structure has been designed to make sure that directors (both executive and non-executive) are held to account for their performance and are prevented from deciding their own remuneration. The board of governors is responsible for deciding the remuneration and allowances, and the other terms and conditions of office, of the chair and the other non-executive directors. Any remuneration matters are therefore contractual issues between the trust and its staff.
