System oversight framework (SOF) scores

The System Oversight Framework (SOF) is designed to help NHS providers attain, and maintain, Care Quality Commission ratings of ‘Good’ or ‘Outstanding’. The Framework does not give a performance assessment in its own right.

Trusts are given a SOF score from 1 to 4. To learn more follow this link: NHS System Oversight Framework 2021/22

How it works

 The Framework will help us identify NHS providers' potential support needs across five themes:

  • quality of care
  • finance and use of resources
  • operational performance
  • strategic change
  • leadership and improvement capability
NHS England and NHS Improvement segment individual trusts according to the level of support each trust needs. The regional teams at NHS England and NHS Improvement can then signpost, offer or mandate tailored support as appropriate.

Feedback and Knowledge Base