The hospitals became The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
on 1 April 2005. NHS foundation trusts are not-for-profit, public benefit corporations that were created to devolve decision-making from central government to local organisations and communities. The Trust is still part of the NHS and strives to live up to its values, as set out in its Constitution. The Trust was issued with a provider licence by Monitor on 1 April 2013, which replaced the Trust’s terms of authorisation.
The Trust provides a wide range of hospital and community-based care to a population of around 550,000, which rises during the
summer months, in the Dorset, New Forest and south Wiltshire areas. The Trust's business model is based on the national Payment by Results methodology for managing expenditure within the context of agreed contracts with commissioners, managing reference costs within the national tariff system to allow investment appropriately in staff and wider infrastructure to provide safe and
effective patient care.