It took over some of the services previously provided by the East London and The City Health Authority.

[3] It was named by the Health Service Journal as one of the top hundred NHS trusts to work for in 2015.

[5] When the trust proposed in 2020 to extend its soft facilities management contract with ISS Mediclean until 2025 170 of the trust's 464 doctors complained to the chief executive that their colleagues in cleaning, portering, catering and security services received worse pay and worse terms and conditions than NHS employees, including only statutory sick pay.

Two unannounced inspections by the Care Quality Commission and an investigation by the Clinical Senate concluded that were staff were slow at recognising patients were deteriorating, and there had been breakdowns in communication.

[citation needed] The Commission inspected maternity services at the hospital again in March 2015 and said they were "inadequate" for safety and "requires improvement" overall.