NHS Governance Explained

What is BAF in NHS? (Board Assurance Framework Explained)

BAF stands for Board Assurance Framework. It's an NHS Trust's master list of strategic risks — and your goldmine for sales opportunities. Here's what it is, what it contains, and how to use it.

Quick Answer

BAF (Board Assurance Framework) is a document that lists an NHS Trust's top strategic risks — the things that could prevent the Trust from achieving its objectives.

Each risk in the BAF includes: what could go wrong, how likely it is, current controls, and gaps where controls are failing.

→ For sales teams: BAF gaps = your opportunities. If a Trust admits their cybersecurity controls are inadequate (a BAF gap), that's your sales opening.

What is BAF in NHS? (Full Explanation)

Every NHS Trust is required to maintain a Board Assurance Framework (BAF). It's part of NHS governance and risk management.

Think of the BAF as the Trust's "worry list" — a structured document that tracks the biggest strategic risks facing the organisation.

BAF vs Risk Register

BAF = Strategic risks (Board-level, big picture, long-term)

Risk Register = Operational risks (day-to-day, departmental, specific incidents)

→ For sales teams, the BAF is more valuable because it reveals Trust-wide priorities and budget-backed initiatives.

What Does BAF Stand For in NHS?

Board Assurance Framework

  • Board — It's reviewed by the Trust Board (the most senior decision-makers)
  • Assurance — It provides assurance that risks are being managed
  • Framework — It's a structured system for tracking and controlling risks

What's Included in a BAF?

Every BAF risk typically includes these elements (though format varies by Trust):

Risk Description

What could go wrong (e.g., "Failure to recruit and retain clinical staff")

Strategic Objective at Risk

Which Trust objective this threatens (e.g., "Deliver outstanding patient care")

Current Controls

What the Trust is currently doing to manage the risk (e.g., "Recruitment campaigns, retention bonuses")

Gaps in Assurance

Where controls are failing or insufficient (e.g., "Recruitment campaigns not reaching target demographics")

→ THIS IS YOUR SALES OPPORTUNITY! Gaps = problems the Trust admits it can't solve.

Risk Rating

How serious the risk is (usually a score of 1-25 based on likelihood × impact)

Example: Risk rating 16 (High) = 4 (likely) × 4 (severe impact)

Risk Owner

Who's responsible for managing this risk (e.g., "Chief Digital Officer")

→ THIS IS YOUR CONTACT! The risk owner is the person who needs your solution.

Example BAF Entry from an NHS Trust

[Example extract from an NHS Foundation Trust Board Assurance Framework]

Risk ID:

SR-07

Risk Description:

Failure to protect patient data from cybersecurity threats, resulting in data breach, regulatory fines, and loss of patient trust.

Current Risk Rating:

16 (High)

Current Controls:

  • Firewall infrastructure
  • Annual staff cybersecurity training
  • Incident response plan

Gaps in Assurance:

  • Firewall infrastructure is 5+ years old and not capable of detecting advanced threats
  • No real-time threat monitoring or automated response
  • Staff training completion rate only 67% (target: 95%)

Risk Owner:

Chief Digital Officer

For a cybersecurity supplier, this BAF entry tells you:

  • The problem: Outdated firewall, no real-time monitoring
  • The urgency: Risk rated as "High" (16/25)
  • The contact: Chief Digital Officer
  • The pitch: "Your BAF identifies gaps in cybersecurity — we solve exactly this problem"

Where to Find BAF in NHS Board Papers

The BAF is included in NHS board papers (usually monthly or quarterly). Here's where to look:

1

Check the Board Papers Agenda

Look for an item titled "Board Assurance Framework", "BAF Update", or "Strategic Risk Register"

2

Usually Published Quarterly

Most Trusts review the BAF every quarter (March, June, September, December board meetings)

3

Search the PDF

Use Ctrl+F to search for "BAF", "Board Assurance", or "strategic risk" in the board papers PDF

The Problem: Tracking BAF Across 300+ Trusts Manually

Now you know what BAF is and where to find it. But manually tracking BAF across 300+ NHS Trusts every quarter is impossible.

Manual BAF Tracking:

  • → Visit 300+ Trust websites quarterly
  • → Find BAF in 100-200 page board papers
  • → Read through 10-20 risks per Trust
  • → Identify gaps relevant to your product
  • → Google for risk owner contact details

Result: You can only track 5 Trusts. Miss 97% of BAF opportunities.

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  • ✓ AI monitors 300+ Trusts automatically
  • ✓ Extracts all BAF risks from board papers
  • ✓ Identifies gaps matching your solution
  • ✓ Provides risk owner contact details
  • ✓ Alerts you when new BAF gaps appear

Result: Track all 300 Trusts. Never miss a BAF opportunity.

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Questions Everyone Asks

Frequently asked questions

  • Every insight links directly to the source PDF, with the exact page and section reference. You can click through, read the original text, and verify.

    Trust but verify — we built that into the core of the product. If it can't cite it, it doesn't show it.

  • All data comes from publicly available NHS board papers and meeting minutes, published by Trusts on their websites for transparency. We monitor 300+ Trust websites and aggregate this public information automatically.

    This is the same information you could find manually — we just save you hundreds of hours. No patient data, no confidential information, just published strategic documents.

  • We currently monitor 300+ NHS Trusts and ICBs. New board papers are detected and processed automatically. You don't need to check websites — we do that for you.

  • We surface decision-maker contact details including names, job titles, and email addresses where publicly available. No LinkedIn paywall. No waiting for connection requests.

  • Sales Directors, Pharma Reps, MedTech Business Development Managers, Construction Tender Teams, IT Services companies, Consultancies — anyone selling to the NHS who wants leads, not PDFs.

  • Try it free with 1 board paper analysis per month. No credit card required. Paid plans give you higher limits and team access.

Still have questions?

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