NHS Trusts: Subsidiary Companies

(asked on 22nd October 2019) - View Source

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 8 October 2019 to Question 293629 on NHS Trusts: Subsidiary Companies, if he will publish the reviews referred to in paragraph two of the answer.


Answered by
Edward Argar Portrait
Edward Argar
Minister of State (Department of Health and Social Care)
This question was answered on 28th October 2019

Ministers do not have a role in approving Wholly Owned Subsidiary companies created by National Health Service foundation trusts, as this role is delegated to NHS England and NHS Improvement


The review of the Addendum to the “Transactions guidance – for trusts forming or changing a subsidiary” will focus on updating the overall approach to subsidiaries to ensure it is appropriate and proportionate. There is no intention to focus the review of the Addendum on subsidiaries delivering management of property and estates.


The review of a subsidiary proposal focusses on understanding the level of risk it presents. As part of this, NHS England and NHS Improvement will consider whether the Trust Board has undertaken a detailed options appraisal before deciding that the proposed subsidiary transaction aligns with wider system plans. Whether or not this should include an appraisal of the option for NHS Property Services to manage the services is a matter for the Trust Board, and will depend on the circumstances of each case.


No assessment by Ministers has been made of NHS England and NHS Improvement compliance with their transaction guidance. It is for NHS England and NHS Improvement to arrange meetings with the Trust board and other key stakeholders, so that they better understand the Trust’s proposals for its Wholly Owned Subsidiary and the risks involved.

NHS trust business cases provided to NHS Improvement for review are commercially sensitive; NHS England and NHS Improvement do not disclose details of the business cases nor their review of them.

This content was generated for your convenience by Parallel Parliament and does not form part of the official record.
Recent Documents related to NHS Trusts: Subsidiary Companies

1. E-Petition 205106 "Stop the privatisation of NHS services"
20/04/2018 - Parliamentary Research

Found: 2018 E-petition relating to the privatisation of NHS services By Stephen Aldhouse Alex Bate Carl Baker

2. Guidance: DHSC guidance on laying accounts in Parliament
01/04/2019 - Department of Health and Social Care
- View source

Found: Department of Health and Social Care Laying Annual Report and Accounts before Parliament

3. Care Quality Commission (Reviews and Performance Assessments) (Amendment) Regulations 2017
13/09/2017 - Secondary Legislation

Found: 914National Health Service, EnglandPublic Health, EnglandSocial Care, EnglandThe Care Quality Commission

4. Care Quality Commission (Reviews and Performance Assessments) Regulations 2018
22/01/2018 - Secondary Legislation

Found: No. 54National Health Service, EnglandPublic Health, EnglandSocial Care, EnglandThe Care Quality Commission

5. NHS Cancer Targets
30/04/2018 - Parliamentary Research

Found: DEBATE PACK Number CBP-2018-0105, 30 April 2018 NHS Cancer Targets By Alex Bate Carl Baker Andrew Mackley

Latest Documents
Recent Speeches related to NHS Trusts: Subsidiary Companies

1. Hospital Improvement Plans: VAT Rules
09/01/2020 - Commons Chamber

1: have evolved over time in the NHS, are now creating incentives for trusts to behave contrary to the Government’s - Speech Link

2. NHS: Staff
30/11/2017 - Lords Chamber

1: experience right across the health and care service.We all know that the NHS is one of the living institutions - Speech Link

3. Oral Answers to Questions
20/03/2018 - Commons Chamber

1: technologies, such as artificial intelligence, across the NHS. Will my right hon. Friend update the House on the - Speech Link
2: hindered by a bad Brexit deal. What steps is the Secretary of State taking to ensure that UK patients are not - Speech Link
3: the skills for the future. May I thank the Secretary of State for the fantastic news about the five new - Speech Link

4. NHS Outsourcing and Privatisation
23/05/2018 - Commons Chamber

1: provided to the Health and Social Care Committee: written submissions received by Ministers since 8 June 2017 - Speech Link

5. Privatisation of NHS Services
23/04/2018 - Westminster Hall

1: e-petition 205106 relating to the privatisation of NHS services.It is an honour to serve under your - Speech Link

Latest Speeches
Recent Questions related to NHS Trusts: Subsidiary Companies
1. NHS Trusts: Subsidiary Companies
asked by: Karin Smyth
03/02/2020
... what guidance his Department plans to issue to hospital trusts in receipt of funding for new buildings under the health infrastructure plan on the creation of subsidiary companies that will take ownership of those new buildings.

2. NHS Trusts: Subsidiary Companies
asked by: Karin Smyth
03/02/2020
... if he will publish the names of the NHS trusts that have been able to employ staff on more generous terms and conditions as a consequence of forming a wholly-owned subsidiary.

3. NHS Trusts: Subsidiary Companies
asked by: Karin Smyth
03/02/2020
... which NHS Trusts have provided more efficient services as a consequence of forming a wholly-owned subsidiary.

4. NHS Trusts: Subsidiary Companies
asked by: Karin Smyth
03/02/2020
... when he plans to publish a revised Addendum to the transactions guidance for NHS trusts forming or changing a subsidiary.

5. NHS Trusts: Subsidiary Companies
asked by: Karin Smyth
03/02/2020
... what organisations he will consult prior to the publication of a revised Addendum to the transactions guidance for NHS trusts forming or changing a subsidiary.

Latest Questions