[3] In 2017 the trust established a subsidiary company, AGH Solutions Ltd, to which 325 estates and facilities staff were transferred.

The intention was to achieve VAT benefits, as well as pay bill savings, by recruiting new staff on less expensive non-NHS contracts.

The Value Added Tax Act 1994 provides a mechanism through which NHS trusts can qualify for refunds on contracted out services.

[8][9] The Trust is viewed as a pioneer in telemedicine in the UK and has used the technology to support very vulnerable patients, particularly those with dementia and in nursing homes.

Plans were announced in November 2013 to roll the service out to 50 more nursing and residential homes working with Bradford Teaching Hospitals NHS Foundation Trust.