Rebecca Hainsworth
Partner
Manchester
Rebecca.Hainsworth@brownejacobson.com
+44 (0)330 045 2738
Rebecca is a specialist governance and commercial lawyer for NHS and independent sector health and care clients. Her work covers a wide range of complex governance, corporate and commercial matters for NHS organisations and she is viewed as a trusted advisor to boards seeking to deliver strategic change through novel and complex projects.
Rebecca is recognised as a leading expert on NHS transactions and hospital group models in the NHS having worked on the establishment of ten groups in the last three years and over 20 NHS statutory transactions. This includes advising NHS bodies on the implementation of joint committee and delegation arrangements under section 65Z5 and 65Z6 of the NHS Act 2006. She was also lead lawyer on the landmark merger decisions for the creation of Manchester University NHS Foundation Trust and Liverpool University Hospitals NHS Foundation Trust.
Rebecca is supporting clients nationally to deliver the proposals set out in the Government’s 10 Year Health Plan including the development of neighbourhood models, alliance commissioning and the pathway to Advanced Foundation Trust / IHO status. Rebecca is co-leading the firm’s cross-sector work on Neighbourhoods.
Rebecca’s in-depth knowledge of the regulatory framework for NHS provider organisations, drawing on her experience in-house at Monitor / NHS Improvement and the Care Quality Commission, allows her to support NHS trust and NHS foundation trust clients on matters under the NHS provider licence, governance disputes and subsidiary company arrangements.
Rebecca also advises ICBs on commissioning matters including primary care contract management and disputes, section 75 / 256 arrangements, and section 2 agreements and grant funding.
Recognition
- Legal 500 – North West Health – Next Generation Partner
- Lawyer of the Year – Made in Manchester Awards 2023
- Towards integrated health organisations: considerations for policy and NHS leaders
- Collaborative Care – Creating Value from Scale – Transformation Unit
Expertise
Featured experience
Establishment of East of England Community Health and Care NHS Trust
We advised on the creation of the East of England Community Health and Care NHS Trust (EECHC), which was launched on 1 April following NHS England and DHSC approval. The Trust brings together services provided by Cambridgeshire Community Services NHS Trust and Norfolk Community Health and Care NHS Trust. EECHC is now in the process of authorisation as advanced foundation trust, bringing greater autonomy and financial freedoms. Browne Jacobson advise creation of a new England healthcare trust.
Merger of Camden and Islington NHS Foundation Trust and Barnet, Enfield and Haringey Mental Health NHS Trust
We advised on the merger of Camden and Islington NHS Foundation Trust and Barnet, Enfield and Haringey NHS Trust under s56A of the NHSA. The transaction successfully completed on 1 November 2025 to create North London NHS Foundation Trust.
OneLSC corporate services
Advising five NHS provider trusts on bringing their corporate services functions into a single arm’s length function hosted by one of the trusts with joint governance. The joining of corporate services across the LSC system is anticipated to deliver significant savings.
Establishment of hospital groups
Advising on the governance arrangements for the establishment of NHS groups nationally using joint committee powers under sections 65Z5 and 65Z6 of the National Health Service Act 2006. Support has included the appointment process for joint directors across trusts within groups, the implementation of joint committee arrangements and associated delegations, the underpinning partnership agreement, information governance arrangements and drafting governance documents including Constitutions, standing orders, SFIs and a group scheme of reservation and delegation.
Development of new primary care centre
Advising a local authority on an innovative scheme to develop a new GP practice. The arrangements involved the transfer of approximately £6 million in funds from NHS England under an agreement made pursuant to section 2 of the National Health Service Act 2006. The Council will combine these funds with its own resources to commission the development of a new health centre on Council-owned land.
Testimonials
"Rebecca and the Browne Jacobson team were a crucial partner in the delivery of our successful merger. They supported us right through the project and were always responsive, helpful and pragmatic. Their support was particularly valuable in helping to ensure our governors fully understood their roles in the transaction process, [...] ensuring our approach to due diligence was targeted and appropriate..."
"The team demonstrated strong technical expertise, strategic judgement, and excellent project management across all stages of the transaction. Their advice was consistently clear, pragmatic, and solutions-focused, enabling both Trusts to maintain momentum against a challenging timetable while ensuring appropriate governance and legal assurance throughout."