Abstract
Foundation trusts (FTs), as part of healthcare decentralisation reforms, enjoy considerable financial and governance autonomy. This study aimed to better understand how the trusts balanced the quality, volume and costs of medical services to achieve the best performance by examining the gross association between selected performance measures. It also examined whether actual FT performance was in line with the assumption that implementation of clinical governance measures would lead to improved results. From a sample of 55 trusts, we found a significant positive correlation between the quality and volume of care, as well as between quality and trust financial performance. Better quality of care was associated with higher volumes of services and better financial performance. However, the actual number of high performing trusts in the sample did not differ significantly from the chance predicted number.
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