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Abstract
Since the introduction of ‘The NHS and Community Care Act’ in 1990, the National Health Service and the role of medical illustrators within it have undergone many changes. Following the new Act, a number of hospitals became National Health Service (NHS) Trusts in April 1991 with a second wave in April 1992. Whether the formation of NHS Trusts is regarded as an opportunity or a threat, it is estimated that most NHS hospitals in the UK will become Trusts within the next 5 years. Bradford hospitals were among the first to become a Trust and this article discusses the experience to date and offers hints as to how other departments might prepare for Trust status.