A number of changes have been made in health trusts within the United Kingdom. In 2005, Health Minister John Hutton showcased a new group of NHS Foundation trust which had been previously approved by the Monitor, which is a regulator. The authorization for these trusts went into effect at the beginning of 2005, and together, there are approximately 50,000 health trusts available. There were a number of organizations that applied for this procedure, and two of them were Burton Hospitals and Nottingham City Hospitals. Both took back their applications and decided they would apply again in the future. The introduction of five new hospitals was praised by Hutton, and he felt that it will push the country closer towards what he calls decentralization.
Once the decentralization occurs, more patients will be given the ability to have an influence over health trusts that are available in their region. The NHS Foundation Trust has stated that they are interested in promoting a greater level of quality for the patients. A number of studies indicated that many health trusts in the United Kingdom have reported a number of increases in enthusiasm and interest from the regional communities, and many of these institutions are playing a pivotal role in bringing innovation to the field. The health trusts have begun thinking in various ways, and they are using their capital to better respond to the needs of the patients they service. One example of this is health centers that are being completed years ahead of their expected completion date. This means that they can service patients faster.