THE NHS CONFEDERATION

Registered charity 1090329 · accounts filings on the Charity Commission register

The NHS Confederation supports healthcare services in England, Northern Ireland and Wales. It is the membership body for providers and commissioners of healthcare. We seek to support our members and the wider system to plan, deliver and transform health and care systems for the benefit of patients, carers and the public.

Causes: General Charitable Purposes · The Advancement Of Health Or Saving Of Lives · Disability · The Prevention Or Relief Of Poverty · Human Rights/religious Or Racial Harmony/equality Or Diversity · Other Charitable Purposes · website · Get email alerts

Latest income
£24.0m
Latest spending
£24.6m
Registered
2002
Accounts read
FY2025

Financial health, per its FY2025 accounts

The accounts state that the charity reported an operating deficit of £0.6 million for the year ended 31 March 2025, with total income of £24.0 million and expenditure of £24.6 million. Free reserves stood at £8.4 million, which is higher than the stated policy target of £6.2 million, though the trustees note this balance must be viewed against the risk of losing a significant contract income in 2026.

Automated summary of the FY2025 accounts; the evidenced findings below carry the verbatim passages.

What the accounts disclose

Highest-paid employee band: £190,001 - £200,000 — in the top quarter for charities its size (median £130k)
“In the band £190,001 - £200,000” — page 47
Per its FY2025 accounts as filed with the Charity Commission.
Largest income source: Contract delivery (52% of income)
“Contract delivery 12,512,915”
Per its FY2025 accounts as filed with the Charity Commission.
Reserves policy: £6.2 million (held: £8.4m)
“The target figure for reserves is £6.2 million.”
Per its FY2025 accounts as filed with the Charity Commission.
Related-party transaction: The subsidiary The NHS Confederation (Services) Company Limited gift aided profits of £757,547 to the parent charity.
“During the year the subsidiary The NHS Confederation (Services) Company Limited gift aided profits of £757,547 to the parent charity (2024: £1,045,244)” — page 61
Per its FY2025 accounts as filed with the Charity Commission.
Trading subsidiary: The NHS Confederation (Services) Company Limited
“The charity has a subsidiary called The NHS Confederation (Services) Company Limited incorporated as a company limited by guarantee (company number: 05252407).” — page 14
Per its FY2025 accounts as filed with the Charity Commission.

Accounts audited by BHP LLP. Discloses 5 of 6 completeness components.

In the news

Recent coverage mentioning this charity by name (automated match; headlines belong to their publishers).

Public-sector contracts awarded

From the official Contracts Finder and Find a Tender notices (supplier matched by exact registered name). Contract income is distinct from grants.

BuyerContractAwardedValue
NHS EnglandC390860 PEADP Bespoke Development and Training RM6219-Order-Form06/10/2025£1.6m
Department of Health & Social CareDHSC: Re-Procurement of Employers' Organisation Services Contract——

Structured financials (annual return, FY ending 31/03/2025)

Total income
£24.0m
Total spending
£24.6m
Cost of raising funds
£4.5m
Reserves (reported)
£8.5m
Employees
273

Reported reserves equal ~4.1 months of spending — below the median for charities its size (median 4.6 months; benchmarks).

Per its annual return, largest income source: Charitable activities (75% of income) — components as reported reconcile to the return’s total income; not from the accounts narrative.

Per its annual return, cost of raising funds: 18.9% of total income — in the top quarter for charities its size (median 3.8%) (benchmarks).

Trustees · trustee networks

Trustee list from the Charity Commission register (current, not historical).

Operates in: Northern Ireland · Throughout England And Wales

Income and spending

Financial year endIncomeSpending
31/03/2025£24.0m£24.6m
31/03/2024£23.8m£24.7m
31/03/2023£22.6m£22.1m
31/03/2022£17.6m£16.6m
31/03/2021£15.0m£15.2m

Common questions

Is THE NHS CONFEDERATION financially healthy?

Per its FY2025 accounts: The accounts state that the charity reported an operating deficit of £0.6 million for the year ended 31 March 2025, with total income of £24.0 million and expenditure of £24.6 million. Free reserves stood at £8.4 million, which is higher than the stated policy target of £6.2 million, though the trustees note this balance must be viewed against the risk of losing a significant contract income in 2026. Its FY2025 accounts were audited by BHP LLP.

What does the highest-paid employee of THE NHS CONFEDERATION earn?

Per its FY2025 accounts, the highest-paid employee was in the £190,001 - £200,000 band.

Who funds THE NHS CONFEDERATION?

Funders whose own accounts filings name THE NHS CONFEDERATION as a grant recipient include THE HEALTH FOUNDATION.

Known funders

Grants to this charity found in funders’ own accounts filings.

FunderYearAmountPurpose (as stated by the funder)
THE HEALTH FOUNDATIONFY2025£7.3mSupporting the transfer of Q to their new home

Government & lottery funding

Grants to this charity published as open data by government and lottery funders (360Giving).

FunderDateAmountPurpose
UK government24/05/2023£5kEuropean Partnership on Transforming Health and Care System - HORIZON-HLTH-2022-CARE-10-01
UK government24/05/2023£7kEuropean Partnership on Transforming Health and Care System - HORIZON-HLTH-2022-CARE-10-01
UK government01/04/2022£4kEuropean Partnership on Transforming Health and Care System - HORIZON-HLTH-2022-CARE-10-01

Funders of similar charities

Funders whose accounts show grants to charities similar to this one (and no recorded grant to this charity) — a starting list for fundraisers.

Charities like this

Semantically similar by activities and financial character, from our analysed corpus. Compare with CARERS FEDERATION LTD.

Side by side with its peers

CharityIncomeTop pay bandStaff >£60kReserves vs policyFundraising costGoing concern
THE NHS CONFEDERATION£24.0m£190,001 - £200,000—above—no doubt
CARERS FEDERATION LTD FY2025£1.6m——above—no doubt
NORFOLK COMMUNITY HEALTH AND CARE NHS TRUST CHARITABLE FUND FY2026£192k—0below—no doubt
ASSOCIATION OF NHS CHARITIES FY2025£10.3m——unclear20.0%no doubt
THE DERBYSHIRE COMMUNITY HEALTH SERVICES CHARITABLE TRUST FY2025£149k—0unclear—no doubt
NORTH ENGLAND CONFERENCE OF SEVENTH-DAY ADVENTISTS FY2024£12.6m—0above—no doubt

Each row is that charity’s latest analysed filing; every value is quote-backed on its own page.