Governance

Find details about governance and accountability, including our committees, annual reports and accounts and policies governing works carried out by contractors or their sub-contractors.

The NHS Alliance is a charitable company subject to the regulations of the Charity Commission (charity number: 1090329) and Companies House (company number: 04358614). The NHS Alliance is the operating name of the NHS Confederation.

Our charitable purpose is “the relief of sickness and the preservation and protection of public health”.

The NHS Alliance is governed by a board of trustees. The trustees are collectively responsible for setting the organisations strategic direction, monitoring the delivery of the organisations objectives and upholding its values and governance.

We also have a subsidiary trading company, The NHS Alliance (Services) Company Limited, through which all non-charitable activity is managed, such as conferences, sponsorship and exhibitions.

Committees

We have three committees that support the work of the board of trustees:

Finance and Operations Committee

The Finance and Operations Committee advises the board on the NHS Alliance's financial position and reserves, including management of its investment portfolio, and operational areas, such as IT and office administration.

Paul Davies chairs the Finance and Operations Committee.

Audit and Risk Committee

The Audit and Risk Committee advises the board on the Alliance's processes relating to audit, risk and governance.

Nanda Ratnavel chairs the Audit and Risk Committee.

Remuneration Committee

The Remuneration Committee advises the board on the remuneration for the NHS Alliance's directors, considers any staff pay awards and oversees the pay and reward strategy for the organisation.

Valerie Morton chairs the Remuneration Committee.

Scheme of Delegation

The NHS Alliance's Scheme of Delegation sets out who has the authority to make decisions across the organisation and specifically who can authorise expenditure.

Register of Interests

The NHS Alliance's register of interests lists all interests declared by the organisation's trustees, independent committee members and directors.

Annual report and accounts

In April 2026, the NHS Confederation and NHS Providers merged to form the NHS Alliance. Below you will find each organisation's annual reports and accounts.

NHS Confederation

NHS Providers

Our policies

This section lists the relevant policies and principles for all works carried out by contractors, or their sub-contractors, either for or on behalf of the NHS Alliance (the organisation). As per the organisation’s contract terms and conditions, all contractors are provided with access to this web page and the contractor agrees to act in accordance with these organisation’s policies.

Any updates to such policies or new policies notified to the contractor from time to time in each case which are relevant to the contractor in the discharge of its obligations under the contract will be made available via this web page.

Please note: While the policies are branded NHS Confederation, they relate to all work carried out by the NHS Alliance.

Policies and principles