QMC campus was the first purpose-built teaching hospital in the UK, and also contains The University of Nottingham Medical and Nursing Schools and Nottinghamshire Healthcare mental health wards.

During the year 2008/09 a proportion of outpatient and day case patient care was transferred to the NHS Treatment Centre operated by Nations Healthcare.

[8] In 2013 Circle Health won a dermatology contract from the Nottinghamshire clinical commissioning groups for services across the Trust and their Nottingham NHS Treatment Centre.

It was suggested that the doctors were concerned over job stability at a private employer, and had fears that a profit-driven provider would not offer opportunities for academic research or training.

The President of the British Association of Dermatologists said this was "just one example of the many fires we are fighting across the UK to try to keep dermatology services open in the face of poorly thought-out commissioning decisions and the Government's lack of understanding of the implications of pushing NHS services into unsustainable models provided by commercially driven private providers or enterprises,"[9] The exodus of doctors left a department with too few staff to function, and put Circle under "financial pressure" because they had to pay nearly £300,000 per year each for six locum doctors, some insufficiently qualified to be on the specialist register.

A report, by Dr Chris Clough of Kings College Hospital, London, called for the trust, Circle and Rushcliffe Clinical Commissioning Group to work together to solve the problem.

The consultants said the company had no experience of the highly specialist work they provided and that this would "inevitably lead to a downscaling of their ability to deliver effective training and research".

[18] 1500 staff dealing with cleaning, catering, laundry and linen, and security were taken back into direct employment in 2017 when the contract, worth £200m over 5 years was terminated.

[19] A digitisation project which involved Swiss Post Solutions scanning 57m paper records at a cost of £5.8m, £2.7m on hardware and software; and £5.9m on deployment of the system provided by Fortrus was branded as "unsafe" by the trusts consultants in September 2017.

Each episode shows the impact of ever-increasing demands on the NHS's services shown from different perspectives – patients, families, clinical staff and managers.