PERFORMANCE Basildon and Thurrock University Hospitals Foundation Trust has been granted a provider licence by regulator Monitor but it must meet “detailed and wide ranging” conditions, according to board papers published this week.

The troubled Essex foundation trust is one of a number of acute providers in significant breach of their authorisation seeking a licence, Monitor’s new means of regulating hospitals enshrined in the Health and Social Care Act 2012.

Trust chairman Ian Luder said: “I am pleased that [the trust has been granted a licence] but the undertakings we have agreed to give, are detailed and wide ranging.”

The undertakings require the trust to demonstrate improvements to its mortality rates; accident and emergency performance; referral to treatment performance and paediatric services.  

The document said: “The licensee will by 15 May 2013 develop and submit to Monitor a turnaround plan to oversee the effective delivery of the urgent care plan, the mortality plan, the paediatric plan, the governance plan and other transformational changes defined by the licensee.”

The urgent care action plan must outline how the trust will “achieve sustainable compliance with the A&E target and the referral to treatment targets for at least three consecutive quarters from Q3 2013/14”.

The licence added: “The licensee breached its A&E 12 hour waiting time target on seven occasions on 1 January 2013; and these breaches by the Licensee demonstrate a failure of governance arrangements.”  

The trust is one of 14 being investigated as part of NHS medical director Sir Bruce Keogh’s mortality rates review which is part of the government’s response to the Francis report.

They had all recorded higher than expected mortality rates for two successive years.