NHS Trusts: Subsidiary Companies
The question
To ask the Secretary of State for Health and Social Care, whether any NHS Trusts are developing proposals for new SubCos.
Answered by Karin Smyth
National Health Service trust proposals to establish subsidiary companies are reviewed by NHS England in line with its published subsidiary transaction guidance. NHS England has one proposal under formal consideration.
As set out on 26 September 2025, NHS England will shortly consult on updating national guidance to confirm that subsidiaries involving the transfer of NHS staff will now only be approved in a limited number of circumstances and only where there is clear local union support and protection of NHS terms and conditions, including pension access.
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