Governance and accountability

Our charitable purpose is “the relief of sickness and the preservation and protection of public health”.

The NHS Confederation is a charitable company subject to the regulations of the Charity Commission (charity number: 1090329) and Companies House (company number: 04358614). 

The Confederation is governed by a Board of Trustees. The Trustees are collectively responsible for setting the organisations strategic direction, monitoring the delivery of the organisations objectives and upholding its values and governance.

The Confederation also has a subsidiary trading company, The NHS Confederation (Services) Company Limited, through which all non-charitable activity is managed, such as conferences, sponsorship and exhibitions.

Trustee board meeting dates 2024 – 2025

  • 16 May 2024
  • 25 July 2024 
  • 3 October 2024 
  • 5 December 2024
  • 27 March 2025 


The NHS Confederation has three Committees that support the work of the Board of Trustees:

Finance and Operations Committee

The Finance and Operations Committee advises the Board on the Confederation's financial position and reserves, including management of its investment portfolio, and operational areas, such as IT and office administration.

Paul Davies chairs the Finance and Operations Committee.

Audit and Risk Committee

The Audit and Risk Committee advises the Board on the Confederation's processes relating to audit, risk and governance.

Nanda Ratnavel chairs the Audit and Risk Committee.

Remuneration Committee

The Remuneration Committee advises the Board on the remuneration for the Confederation's Directors, considers any staff pay awards and oversees the pay and reward strategy for the organisation. 

Valerie Morton chairs the Remuneration Committee.

Scheme of Delegation

The NHS Confederation's Scheme of Delegation sets out who has the authority to make decisions across the organisation and specifically who can authorise expenditure.

Register of Interests

The NHS Confederation's register of interests lists all interests declared by the organisation's Trustees, Independent Committee Members and Directors.

Annual Report and Accounts

The NHS Confederation files its Annual Report and Accounts with the Charity Commission and Companies House annually.

Read the 2022/23 Annual Report and Accounts for further information.