Trust leaders are clear that wholly owned subsidiaries are a key tool to deliver the current strategic requirements expected of them.

This organisational form is used for many different purposes and each wholly owned subsidiary will vary in its purpose, delivery model and function depending on the trust, the context and local needs.

Developing a wholly owned subsidiary delivers a variety of benefits to trusts, staff, patients and the broader NHS. It is therefore inaccurate and misleading to say that the establishment of wholly owned subsidiaries, is being pursed to avoid VAT, privatise the NHS, or to reduce terms and conditions for NHS staff.