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<p>Ministers do not have a role in approving wholly-owned subsidiary companies created
by National Health Service foundation trusts, with this role delegated by powers to
NHS Improvement. In November 2018, NHS Improvement published revised guidance to make
all such subsidiaries subject to an approval process.</p><p><br> In contrast, the
Secretary of State has the function of consenting to an NHS trust’s proposal to establish
an income generating subsidiary company. The Department is not aware of any NHS trust
which has asked for approval to set up such schemes in the last three years.</p><p>Due
to commercial sensitivities, NHS Improvement does not provide information of which
hospital trusts have proposals under active consideration to set up wholly-owned subsidiary
companies. The Department has no NHS Trust Income Generation Schemes currently under
consideration.</p>
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