The TSA was created by New Labour in 2009. Its creation followed (not coincidentally) legislation passed in 2006, which made it possible for public bodies to become insolvent. The TSA is basically a bailiff that goes into an NHS Hospital Trust that is struggling financially and decides which assets to sell.
In 2012 South London Health Care Trust became the first NHS Trust to go bust as a result of a Private Finance Initiative (PFI) scheme. The Trust entered the
Unsustainable Providers Regime resulting in an attempt by the TSA to close and sell-off neighbouring Lewisham Hospital (an unrelated and successful hospital that was not in debt) to service the PFI debts incurred by building the Queen Elizabeth and Princess Royal hospitals.
The actual cost of building the aforementioned hospitals was £214-million, but thanks to PFI financing it will cost the taxpayer £2.6-billion.
The campaign to Save Lewisham Hospital was launched, which took the government to court and got the decision by the TSA overturned on the grounds that the TSA had exceeded its own draconian powers by trying to close an unrelated hospital in order to protect the private interests underpinning the ludicrous PFI deal at neighbouring South London Health Care Trust.
After even the TSA powers had proved inadequate to force the closure of Lewisham hospital, Jeremy Hunt (the then Secretary of State for Health) resorted to more legislation to weaken the public voice. He added
hospital closure clauses to the 2012 Health and Social Care Act to prevent protesters from stopping future hospital closures in similar circumstances.
Also see Doctor Bob Gill