Health service organisations are turning to each other to provide shared services Although cross-boundary NHS service provision was commonplace prior to the 1974 NHS reorganisation, such services declined afterwards. However, since the NHS Plan of 2000 – which created the current trust-centric structure for England – they have been returning, although some such operations date back to the early 1990s. The idea behind NHS shared services is that trusts and other health bodies in a given area can pool their resources and go for the clear economies of scale that larger public sector organisations...