The Department of Health and Social Care (DHSC) and NHS Resolution have published a framework agreement on covering their working relationship through 2029. The agreement, approved by HM Treasury, establishes the governance, accountability and financial management arrangements under which NHS Resolution, a special health authority, operates, and confirms that the Secretary of State for Health and Social Care remains accountable to Parliament with powers of direction and key appointment responsibilities. It outlines NHS Resolution’s statutory functions, including administering indemnity schemes, managing primary care appeals and performers lists, issuing professional alerts, and promoting patient safety through advice and learning, alongside strategic aims focused on fair resolution, use of data and improvement of maternity and neonatal schemes. The framework defines the respective roles of DHSC, its principal accounting officer and sponsorship team in setting policy and performance expectations, approving plans and budgets, and monitoring risks and delivery, while assigning the chief executive, as accounting officer, responsibility for stewardship of public funds, operational management and reporting. It further details the duties of the board and chair in providing strategic oversight, ensuring effective governance, risk management and compliance with public sector standards, and sets requirements for delegated authorities, procurement, audit, counter-fraud, staffing, business planning, financial reporting and information sharing, with annexes specifying applicable guidance and the indemnity schemes administered by NHS Resolution.