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Manchester University NHS Foundation Trust

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Manchester University NHS Foundation Trust
TypeNHS foundation trust
Established1 October 2017
HeadquartersOxford Road
Manchester
M13 9WL[1]
Budget£2.2 billion
Hospitals
Staff28,479 (2021/22)[2]
Websitemft.nhs.uk Edit this at Wikidata

Manchester University NHS Foundation Trust is an NHS Acute Foundation Trust which operates 10 hospitals throughout Greater Manchester. It is the largest NHS trust in the United Kingdom, with an income of £2.2 billion and 28,479 staff in 2021–2022.[3]

History

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It was formed by the merger of Central Manchester University Hospitals NHS Foundation Trust with the University Hospital of South Manchester NHS Foundation Trust on 1 October 2017.[4] The trust took over North Manchester General Hospital, which it started running since 1 April 2020 under a management agreement with Pennine Acute Hospitals NHS Trust[5] before taking complete control on 1 April 2021.[6]

Prior to the formation of the new trust, the Competition and Markets Authority decided that while the merger would substantially reduce competition among health services in the area, the benefits to patients were ‘more significant’.[7]

The trust was formed to create the "Manchester Single Hospital Service[8]", part of the Healthier Manchester programme to improve healthcare across the city. The aim of the Single Hospital Service mergers is to reduce health inequalities across the City of Manchester & Trafford by running the hospitals across the area together, instead of separately in the 3 previously existing hospital trusts.[8]

Sir Mike Deegan remained the chief executive, as he was of the predecessor organisations, until 2022. Kathy Cowell is the chair of the organisation.[9] In November 2022 Mark Cubbon, NHS England's chief delivery officer was appointed as chief executive.[10]

Hospitals

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The trust runs ten hospitals across 7 sites,[11] alongside community services, which are provided through its membership of the Manchester Local Care Organisation and Trafford Local Care Organisation.[12]

During the COVID-19 pandemic, the trust also ran the temporary NHS Nightingale Hospital North West, located at the Manchester Central Convention Complex.[13]

Services

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The trust is the main provider of hospital care to approximately 750,000 people in the areas covered by the Manchester & Trafford Local Care Organisations.[14] It is also the lead provider of multiple specialist services to the 2.8 million people in the Greater Manchester conurbation[14] including:

  • Breast
  • Vascular
  • Cardiac
  • Respiratory
  • Urology Cancer
  • Paediatrics
  • Women's Services
  • Ophthalmology
  • Genomic Medicine

The trust is also the largest single provider of specialist services in North West England.[14] The trust is expected to become the lead provider for further sub-specialist services as part of the Manchester Single Hospital Service[8] programme.

Hospital Rebuilding Programmes

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The trust is involved in two major hospital rebuild programmes involving its North Manchester General Hospital site[15] and its Wythenshawe Hospital site.[16]

The North Manchester Hospital rebuild is part of the national 'New Hospital Programme',[17] and was announced by Boris Johnson during a visit to Manchester during the Conservative Party national conference in 2019.[18] The hospital rebuild is estimated to cost £500m with the funding provided by the UK Government, and complete in 2030.[19]

The Wythenshawe Hospital rebuild is part of a partnership between the trust, Manchester City Council, the Manchester Local Care Organisation and Bruntwood property company.[16] The initial plans were approved by Manchester City Council on 18 March 2021.[20] The plan includes a partial rebuild of the Wythenshawe hospital site, building of new housing and commercial spaces on former hospital and adjacent farm land, and potential extension of the manchester Tram system alongside the hospital.[21]

Developments

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In January 2018 the trust secured a loan of £125 million from the Department of Health's Independent Trust Financing Facility. £50 million was to be used for rolling out the Allscripts electronic patient record, already used in Wythenshawe, on to the Central Manchester sites. The money was also to enable reconfiguration of the accident and emergency departments with separation of the flow of major and minor incidents, and a new primary care assessment space at the front doors, backlog maintenance at Wythenshawe and £12 million liquidity support.[22] The trust decided in 2019 to use the electronic patient record system from Epic Systems, called Hive.[23] The new EPR was launched on 8 September 2022[24] and provides a new ‘operating system’ for the trust, replacing previous IT systems, including multiple separate old electronic patient records and Patient Administration Systems and a number of smaller specialty systems over all its sites. The £181 million contract will last for 15 years.[25]

A helipad was built on the top of the Grafton Street car park to serve the trust's hospitals at a cost of £3.9 million, which was raised by the trust's charity, Manchester Foundation Trust Charity. It is connected to the hospitals by a 130 metre long bridge 19 metres above street level. It is expected to serve about 312 patients airlifted to the site each year. It opened in May 2021.[26] £1.36 million has been donated by the HELP Appeal.[27]

In May 2021 planning approval was given for a major expansion of Manchester Royal Infirmary's emergency department and creation of six new operating theatres. The work is expected to be completed in 2024.[28]

Centrica Business Solutions has a contract to install new energy infrastructure at Withington and Wythenshawe hospitals at a cost of £10.9 million. This will reduce their annual carbon emissions by about 25% and halve the energy bill.[29]

In 2020 the trust started using Isansys Lifecare's Patient Status Engine, for COVID-19 patients both in hospital and at home. This collects continuous physiological data, including heart rate, respiration rate, heart rate variability, ECG, oxygen saturation, blood pressure, and body temperature. This generates an early warning score which enables earlier identification of those patients most in need of intervention.[30]

The COVID-19 pandemic stimulated the development of virtual wards across the British NHS. Patients are managed at home, monitoring their own oxygen levels using an oxygen saturation probe if necessary and supported by telephone. The trust managed more than 350 patients from its 3 hospital sites at home in March 2020.[31] The trust was also responsible for running the temporary NHS Nightingale Hospital North West hospital, located in Manchester.

In January 2021 the trust established a 15-year technology partnership with Siemens Healthineers with a value of approximately £125 million covering more than 350 radiology installations across eight hospital sites.[32]

Overseas patients

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The trust issued invoices to patients thought to be ineligible for NHS treatment totalling £2.1 million in 2018–9, but only collected £0.3 million.[33]

Notable staff

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References

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  1. ^ "Contact Us". Manchester University NHS Foundation Trust. Retrieved 10 January 2020.
  2. ^ "Manchester University NHS Foundation Trust Annual Report and Accounts - 1st April 2021 to 31sr March 2022" (PDF). Manchester University NHS Foundation Trust. Retrieved 13 July 2023.
  3. ^ "Manchester University NHS Foundation Trust Annual Report and Accounts - 1st April 2021 to 31sr March 2022" (PDF). Manchester University NHS Foundation Trust. Retrieved 13 July 2023.
  4. ^ "Multi-million pound merger of two Manchester hospital trusts to go ahead later this year". Manchester Evening News. 1 August 2017. Retrieved 3 September 2017.
  5. ^ "Northern Care Alliance - Care Organisations". Manchester Evening news. 31 May 2016. Retrieved 15 May 2020.
  6. ^ "North Manchester General Hospital formally joins Manchester University NHS Foundation Trust to complete creation of Single Hospital Service for Manchester". Manchester University NHS Foundation Trust. 1 April 2021.
  7. ^ "Central Manchester University Hospitals / University Hospital of South Manchester merger inquiry". GOV.UK. Competition and Markets Authority. 3 August 2017. Retrieved 13 July 2023.
  8. ^ a b c "Single Hospital Service". Healthier Manchester. Retrieved 7 February 2021.
  9. ^ "The Board". MFT. 2022. Retrieved 26 July 2022.
  10. ^ "NHSE director appointed CEO of country's largest trust". Health Service Journal. 14 November 2022. Retrieved 14 November 2022.
  11. ^ "Our Hospitals". Manchester University NHS Foundation Trust. Retrieved 7 February 2021.
  12. ^ "About Us". Manchester Local Care Organisation.
  13. ^ Grothusen, Ben (17 April 2020). "New NHS Nightingale Hospital North West opens". Manchester University NHS Foundation Trust. Retrieved 13 July 2023.
  14. ^ a b c "The Trust". Manchester University NHS Foundation Trust. Retrieved 7 February 2021.
  15. ^ "Transforming the Future at North Manchester General Hospital".
  16. ^ a b "Transforming the Future of Wythenshawe Hospital".
  17. ^ "Improving NHS Infrastructure".
  18. ^ Abbit, Beth; Williams, Jennifer (29 September 2019). "Boris Johnson gives 'go ahead' to rebuild of North Manchester General Hospital". Manchester Evening News.
  19. ^ Abbit, Beth; Williams, Jennifer (29 September 2019). "Boris Johnson gives 'go ahead' to rebuild of North Manchester General Hospital". Manchester Evening News.
  20. ^ "City Council gives green light for two major hospital transformation projects". Manchester University NHS Foundation Trust. 18 March 2021.
  21. ^ "Strategic Regeneration Framework for Wythenshawe Hospital Campus" (PDF). manchester.gov.uk. Manchester City Council / Deloitte. Retrieved 13 July 2023.
  22. ^ "Biggest NHS trust in line for £125m government loans". Health Service Journal. 25 January 2018. Retrieved 26 January 2018.
  23. ^ "FT drops 'better value for money' IT system in £400m deal". Health Service Journal. 5 December 2019. Retrieved 21 February 2020.
  24. ^ "New Hive EPR powered by Epic goes live across Manchester Uni NHS FT". Digital Health. 8 September 2022.
  25. ^ "Manchester University NHS FT seals the deal with Epic for EPR solution". Digital Health. 27 May 2020. Retrieved 6 June 2020.
  26. ^ "Manchester's £3.9m hospital helipad lifts off to save lives". Manchester Evening News. 10 May 2021. Retrieved 10 May 2021.
  27. ^ "Two health organisations receive cash to build and improve hospital helipads". Building Better Healthcare. 30 January 2020. Retrieved 23 March 2020.
  28. ^ "£40m transformation project given the green light at Manchester Royal Infirmary". Building Better Healthcare. 19 May 2021. Retrieved 4 July 2021.
  29. ^ "Manchester NHS trust invests £10.9m in new energy technology". Building Better Healthcare. 16 August 2019. Retrieved 1 October 2019.
  30. ^ "Manchester hospitals deploy new remote monitoring technology". Building Better Healthcare. 28 October 2020. Retrieved 13 December 2020.
  31. ^ "The "virtual wards" supporting patients with covid-19 in the community". BMJ. 2020 (369): m2119. 5 June 2020. Retrieved 24 December 2020.
  32. ^ "Technology partnership set to transform care in Greater Manchester". Building Better Healthcare. 1 February 2021. Retrieved 21 March 2021.
  33. ^ "Trusts missing out on tens of millions from overseas patients". Health Service Journal. 19 November 2019. Retrieved 9 January 2020.
  34. ^ "Professor Judith Elizabeth Adams". The Royal College of Radiologists. Retrieved 28 August 2023.
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