Given the financial pressure that Trusts are under. It is unsurprising that there would be an increasing interest in whether they can realise income from their surplus estate. The NHS has numerous sites. We all walk past them everyday. Of course, not all of them are available for use as many have already been leveraged against other schemes. However, it is worth asking how they best generate value and enable the public to receive the services they want.

What are the lessons for quality and safety that we need to heed from the Francis Report?