If we do nothing and achieve annual efficiency gains, it will be increasingly difficult for our support services to continue as they are today, which will likely have a direct impact on patient care. Instead of waiting for the inevitable contraction and decline, we want to use our size and know-how to grow the business and gain additional work to strengthen the central NHS support service. The subsidiary has a ten-year lease. On February 1, 2017, the company acquired the lease of Sunderland Royal Hospital`s three main hospital sites, the Children`s Centre and Sunderland Eye Infirmary, and now offers services for the sites. The company also operates an independent outpatient pharmacy service at the Royal Sunderland Hospital. In the years to March 2018, the company had an after-tax profit of $1.24 million. The company employed 310 people. At the end of September 2018, NHS Improvement Trusts ordered ”to refrain from any current plans to create new subsidiaries or change existing subsidiaries.” In October, NHSI opened a month-long consultation on proposals for the 100% subsidiary approval and regulatory process that would require NHS Trusts to submit a business case. In November 2018, NHSI announced that it would review a business case for the creation of a subsidiary and then decide whether to grant an authorization.
NHSI could prevent the creation of a subsidiary if it considers it a risky plan. York University Hospitals Trust has created a limited liability partnership that began in October 2018, known as York Teaching Hospitals Facilities Management LLP. The company now employs about 710 people, most of them through the foundation. An agreement was reached this weekend by UNISON, which represents the majority of the trust`s porters, security guards, cleaners and caterers. The Trust has committed not to pursue its existing plans, while pursuing other options, including the possibility of employing staff within the NHS. In this context, UNISON has stated that it is prepared not to take further action at this time. In November 2019, plans by some 1,000 aid workers at the three Frimley Health Foundation Trust , Frimley Park, Heatherwood and Wexham Park hospitals to be transferred from the NHS to a new 100% subsidiary (WOS), and the threat of a coordinated 48-hour strike planned by the three major unions were halted. Leeds Teaching Hospitals Trust: This foundation has reportedly rejected plans to transfer staff to a wholly-100% subsidiary.