STRUCTURE: Northern Devon Healthcare Trust is seeking a revised submission date for its foundation trust application, strategic health authority board papers reveal.

It will be the second time the £193m turnover trust, which provides acute and community services, has delayed its application after it was granted a three month extension in May this year.

Long standing issues of financial viability, exacerbated by the trust’s rural location and a low tariff adjustment for the market forces factor, and concern about how Monitor will view the impact of the £62m of community services in East Devon that are due to be recommissioned in 2014.