One in five hospital trusts is struggling to survive and at least 20 NHS trusts are not fit for purpose, according to a report by the National Audit Office.The report Achievement of Foundation Trust status by NHS hospital trusts states that "many NHS trusts need to tackle a range of financial, quality and governance issues if they are to meet the standards required of them to become self-governing foundation trusts by 2014,"Health secretary Andrew Lansley published a list of the 20 most vulnerable trusts, claiming they are a legacy of "unaffordable Public Finance Initiative deals", repeated bailouts and neglect by the Labour government.
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