STRUCTURE: The north London acute was today authorised as a foundation trust by Monitor.

The £503m-turnover trust becomes the 144th foundation trust authorised by the FT regulator and the 103rd acute trust.

Chief executive David Sloman told HSJ: “This has been a fair, balanced and challenging process. It’s also an endorsement of the quality of the services and the strength of the Royal Free as an organisation.”

The trust has been in the Monitor stage of the authorisation process since September 2011.

The announcement, together with the merger of Barts and the London, Whipps Cross and Newham, means there are now 15 non-foundation hospital trusts left in the capital.