HSJ has identified 19 providers that have already established a subsidiary company to manage their estate, plus 16 that have told staff they are considering the move.

The information has been collected from the companies’ annual reports, enquiries to the trusts and information provided by Unison.

Gloucestershire Royal hospital

Gloucestershire Hospitals FT expects to transfer 900 staff to its subsidiary

The subsidiaries vary widely in size and scope. The companies that are not yet active tend to involve a larger transfer of staff including cleaners, porters and maintenance teams.

The number of staff transferring will often depend on the extent to which services have already been outsourced to private suppliers.

In the lists below, HSJ has included the proportion of estates services that were contracted out in 2015-16, according to the estates return information collection published by NHS Digital. The collection for 2016-17 did not include a data point for the proportion of contracted out services.

Many of the more established companies employ less than 100 staff and are used as delivery vehicles for capital projects or only run a small portion of the trust estate.

Trusts preparing to transfer staff

Wigan Wrightington Leigh FT – WWL Solutions Ltd (established 2017)
Staff expected to transfer: 900
Expected turnover: £25m
Savings: Did not respond.
Outsourced estates and facilities services in 2015-16: 11 per cent

Gloucestershire Hospitals FT  Gloucestershire Hospitals Subsidiary Company Ltd (2017)
Staff expected to transfer: 900
Expected turnover: Unclear
Savings: The trust expects to achieve recurrent savings of £3.5m, including pay bill and VAT benefits.
Outsourced estates and facilities services in 2015-16: 34 per cent

Airedale Foundation Trust  AGH Solutions Ltd (2017)
Staff expected to transfer: 325
Expected turnover: £25m
Savings: Recurrent pay bill savings of £450,000 expected after five years; the trust said the VAT benefits are still being calculated.
Outsourced estates and facilities services in 2015-16: 11 per cent

Birmingham Women and Children’s FT  BWC Management Services Limited (2017)
Staff: 300
Turnover: £23m
Savings: No pay bill savings are expected; the trust said VAT benefits are unclear.
Outsourced services in 2015-16: 20 per cent (approximately)
Other details: Some staff have already been transferred.

Harrogate District FT  Harrogate Healthcare Facilities Management Ltd (2017)
Staff expected to transfer: 300
Expected turnover: Unclear
Savings: Did not respond.
Outsourced estates and facilities services in 2015-16: 16 per cent

Central and North West London FT  Quality Trusted Solutions Ltd (2017)
Staff expected to transfer: 35
Expected turnover: £25m
Savings: Some pay bill savings expected but the trust does not expect VAT benefits.
Outsourced estates and facilities services in 2015-16: 85 per cent

Trusts considering an estates company and staff transfer

Royal United Hospital Bath FT
Staff expected to transfer: 600
Expected turnover: Unclear
Savings: Unclear
Outsourced estates and facilities services in 2015-16: 11 per cent

York Teaching Hospital FT 
Staff expected to transfer: 900
Expected turnover: £40m
Savings: Trust expects £4.9m historical VAT recovery on capital schemes, £12m VAT savings on capital schemes over the next five years and up to £5.7m recurrent revenue savings.
Outsourced estates and facilities services in 2015-16: 14 per cent

Bradford Teaching Hospitals FT 
Staff expected to transfer: Unclear
Expected turnover: Unclear
Savings: Unclear
Outsourced estates and facilities services in 2015-16: 11 per cent

Calderdale and Huddersfield FT 
Staff expected to transfer: Unclear
Expected turnover: Unclear
Savings: Unclear
Outsourced estates and facilities services in 2015-16: 68 per cent

Hull and East Yorkshire Hospitals Trust 
Staff expected to transfer: Unclear
Expected turnover: Unclear
Savings: Unclear
Outsourced estates and facilities services in 2015-16: 44 per cent

Leeds Teaching Hospitals Trust 
Staff expected to transfer: Unclear
Expected turnover: Unclear
Savings: Unclear
Outsourced estates and facilities services in 2015-16: 33 per cent

Mid Yorkshire Hospitals Trust 
Staff expected to transfer: Unclear
Expected turnover: Unclear
Savings: Unclear
Outsourced estates and facilities services in 2015-16: 56 per cent

North Tees and Hartlepool FT
Staff expected to transfer: Unclear
Expected turnover: Unclear
Savings: Unclear
Outsourced estates and facilities services in 2015-16: 17 per cent

Rotherham Foundation Trust 
Staff expected to transfer: Unclear
Expected turnover: Unclear
Savings: Unclear
Outsourced estates and facilities services in 2015-16: 31 per cent

Royal Free London FT
Staff expected to transfer: Unclear
Expected turnover: Unclear
Savings: Unclear
Outsourced estates and facilities services in 2015-16: 60 per cent

Trusts with active estates subsidiaries with at least 100 staff

Northumbria Healthcare FT –  Northumbria Healthcare Facilities Management Ltd (2012)
Staff: 806
Turnover: Unclear
Savings: No pay bill savings, but has delivered “significant” VAT benefits on capital schemes. It could not provide details without a freedom of information request.
Outsourced services in 2015-16: 10 per cent
Other details: The majority of staff transferred into the company in the last six months. The company says all staff are all paid on NHS terms and conditions.

Northumberland, Tyne and Wear FT  NTW Solutions Ltd (established in 2017)
Staff: 583
Turnover: £26m
Savings: Recurrent pay bill savings of between £100,000 and £300,000 are expected, with up to £1.4m of recurrent savings from non-pay budgets. The trust did not specify how much of this would relate to VAT.
Outsourced services in 2015-16 (according to ERIC data): 17 per cent

Gateshead Health FT QE Facilities Ltd (2014)
Staff: 564
Turnover: £36m
Savings: Trust said information is “commercially confidential”.
Outsourced services in 2015-16: 15 per cent

Bolton FT Integrated Facilities Management Bolton Ltd (2017)
Staff: 550
Turnover: Unclear
Savings: Trust said information is “commercially confidential”.
Outsourced services in 2015-16: 48 per cent

Yeovil District Hospital FT Simply Serve Ltd (2018)
Staff: 360
Turnover: £23m
Savings: The trust expects recurrent pay bill savings of £1.5m after five years, and £4.6m after ten years, with the potential for other gains from developing and selling services. It also expects recurrent VAT benefits of £1.6m.
Outsourced services in 2015-16: 10%

City Hospitals Sunderland FT City Hospitals Sunderland Commercial Enterprises Limited (2017)
Staff: 250
Turnover: £10m
Savings: Refused to provide information.
Outsourced services in 2015-16: 29 per cent
Other details: The company also operates outpatient pharmacies. 

Blackpool Teaching Hospitals FT BFW Management Ltd (2017)
Staff: 150
Turnover: £20m
Savings: Refused to provide information.
Outsourced services in 2015-16: 27 per cent

Barnsley Hospital FT – Barnsley Facilities Services (2017)
Staff: 140
Turnover: Unclear
Savings: Did not respond
Outsourced services in 2015-16: 83 per cent

Trusts with an active subsidiary with less than 100 staff

King’s College Hospital FT King’s Interventional Facilities Management LLP (2016)
Staff: 99
Turnover: £46m
Savings: Did not answer
Outsourced services in 2015-16: 65 per cent
Other details: Provides facilities for clinical teams across eight areas. The company is jointly owned by the trust and its subsidiary Kings Commercial Services Ltd.

Salisbury FT  Salisbury Trading Limited (2013)
Staff: 77
Turnover: £3.6m
Savings: The trust said the company had delivered recurrent efficiency savings of £150k, but no material VAT benefits.
Outsourced services in 2015-16: 65 per cent
Other details: The company provides laundry services to the trust and other NHS organisations.

Birmingham and Solihull Mental Health FT  Summerhill Supplies Limited (2012)
Staff: 52
Turnover: £7.7m
Savings: Overall annual savings of £1m, of which around half relates to VAT.
Outsourced estates and facilities services in 2015-16: 54 per cent
Other details: Company also provides outpatient dispensing services.

Guy’s and St Thomas’ FT  Essentia Trading Ltd (2013)
Staff: 48
Turnover: £6.7m
Savings: Did not respond
Outsourced estates and facilities services in 2015-16: 29 per cent
Other details: Provides consultancy services on strategy and estate development. The trust’s facilities and estates function, which includes around 1,500 staff, continues to be managed and operated in house but also runs under the Essentia brand.

South Central Ambulance Service FT  South Central Fleet Services Ltd (2015)
Staff: 41
Turnover: £5.2m
Savings: Refused to answer
Outsourced estates and facilities services in 2015-16: 97 per cent
Other details: Responsible for the delivery and maintenance of vehicles.

The Clatterbridge Cancer Centre FT  Clatterbridge PropCare Services Ltd (2016)
Staff: 13
Turnover: £25m
Savings: No material savings to date
Outsourced estates and facilities services in 2015-16: 2 pere cent
Other details: Set up principally as a delivery vehicle for building projects and management of sites, including contracts with other NHS organisations that use them.

Hampshire Hospitals FT  Hampshire Hospitals Contract Services Limited (2013)
Staff: 5
Turnover: £5.6m
Savings: Refused to answer
Outsourced estates and facilities services in 2015-16: 17 per cent
Other details: Trust did not respond to any enquiries

University Hospitals Birmingham FT  UHB Facilities Ltd (2013)
Staff: 3
Turnover: £2m
Savings: No pay bill savings. A one-off VAT benefit from a capital project but no recurrent benefits.
Outsourced estates and facilities services in 2015-16: 74 per cent
Other details: Established when estates staff were outsourced as part of a PFI contract for the main hospital site, to manage buildings outside the contract.

Royal Berkshire NHS Foundation Trust  Healthcare Facilities Management Services Ltd (2008)
Staff: 0
Turnover: £4m
Savings: Did not respond
Outsourced estates and facilities services in 2015-16: 36 per cent
Other details: Company established to run two new health centres in Bracknell and Reading.

University Hospital Southampton FT  UHS Estates Limited (2016)
Staff: 0
Turnover: £179,000
Savings: Did not respond
Outsourced estates and facilities services in 2015-16: 33 per cent
Other details: Trust did not respond to any enquiries.

County Durham and Darlington FT
Synchronicity Care Ltd (2015)
Staff: Unclear
Turnover: Unclear
Savings: Did not respond
Outsourced estates and facilities services in 2015-16: 35 per cent
Other details: Trust did not respond to any enquiries.

The HSJ Strategic Estates Forum is taking place on 20 March at BMA House in London. This is a high level strategic forum that brings together estates directors, sustainability and transformation partnership estates leads and trust board leaders responsible for the estates function who are developing strategic plans for their organisations and local health economies. The focus of the forum is on issues such as the delivery vehicle for the Naylor Report, the creation of Project Phoenix, advice on establishing strategic estates partnerships and assessing progress of STP estates plans. Sir Robert Naylor, national adviser, NHS Property and Estates; David Williams, director general of finance, Department of Health and Social Care and Simon Corben, head of profession, NHS Improvement are all confirmed as keynote speakers for the event. Register your interest for this free to attend event on our website: https://strategicestates.hsj.co.uk/register-your-interest-attending

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Exclusive: Thousands of NHS staff to transfer to subsidiary companies