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Our quality story

Our financial rating

NHS Improvement (NHSI), the independent organisation which regulates health services in England, regularly reviews the financial performance of all NHS foundation trusts including Guy’s and St Thomas’.

NHSI uses a 'single oversight framework' to look at five areas of performance: quality of care, finance and use of resources, operational performance, strategic change and leadership and improvement capability.

How are we doing?

The financial performance of trusts are measured on a scale of 1 to 4 where 1 reflects the strongest performance. At the end of 2019/20, our overall score for finance was '1'.

Got a question?

If you have a question about or comment on this information, please contact the communications team at

our overall score for finance at the end of 2019/20.

Find out more

For more information, see the NHS Improvement website

See also the section on the NHS oversight framework in our Annual report and accounts 2019/20.

Page last updated: July 14 2020