[3] It implemented an electronic prescribing information and communication system, developed by University Hospitals Birmingham in April 2017.

[4] In 2017 the trust established a subsidiary company, BWC Management Services Limited, to which 300 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.

[5] The trust was rated "worse than expected" over care for women giving birth.