Monitor launched an investigation into the trust because of 'long standing problems' at Princess Royal University Hospital in March 2015.

Financial problems are attributed to urgent improvements to the quality of care there, including increasing the nurse-to-patient ratio by recruiting 260 new nurses.

[9] The Chief Executive resigned in March 2018 at a point when the annual forecast deficit is expected to worsen to more than £100 million.

[13] KCH along with its investment management company Ashmore Group opened a 100-bed hospital for inpatients and outpatients in Dubai in 2019.

The trust will be paid by a fixed fee, profit share arrangements, equity stakes and consultancy work and hopes to generate £40m over 15 years.

[17] In 2011 it was reported that the trust was paid around £1m for the sale of NHS donor livers to overseas private patients.

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.

[19] It sold its assisted conception unit to the Fetal Medicine Foundation and a company called King's Fertility for a total of £26 million in June 2017.