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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£1.6bn
Hospitals
Staff21,945 (2018/19)[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 £1.6bn and 21,945 staff.[3]

History

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]

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’.[citation needed]

The trust was formed to create the "Manchester Single Hospital Service[6]", 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.[6]

Sir Mike Deegan remains the chief executive, as he has been of the predecessor organisations. Kathy Cowell is the chair of the organisation.[7]

Hospitals

The trust runs ten hospitals across 7 sites,[8] alongside community services, which are branded as Manchester Local Care Organisation and Trafford Local Care Organisation.

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

Services

The trust is the main provider of hospital care to approximately 750,000 people in the areas covered by the Manchester & Trafford Clinical Commissioning Groups.[9] It is also the lead provider of multiple specialist services to the 2.8 million people in the Greater Manchester conurbation[9] 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.[9] The trust is expected to become the lead provider for further sub-specialist services as part of the Manchester Single Hospital Service[6] programme.

Developments

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. It will also 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.[10] The trust decided in 2019 to use the electronic patient record system from Epic Systems, called Hive.[11] It will provide a new ‘operating system’ for the trust, replacing current IT systems, including electronic patient records and Patient Administration Systems and a number of smaller specialty systems over six sites. The £181 million contract will last for 15 years.[12]

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.[13] £1.36 million has been donated by the HELP Appeal.[14]

In May 2021 planning approval was given for a major expansion of the emergency department and six new operating theatres. The work is expected to be completed in 2024.[15]

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.[16]

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.[17]

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.[18] 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.[19]

Overseas patients

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.[20]

References

  1. ^ "Contact Us". Manchester University NHS Foundation Trust. Retrieved 10 January 2020.
  2. ^ "Annual Report and Accounts 1st April 2018 to 31st March 2019" (PDF). Manchester University NHS Foundation Trust. Retrieved 10 January 2020.
  3. ^ "Manchester University NHS Foundation Trust Annual Report and Accounts 1st April 2018 to 31st March 2019" (PDF). Manchester University NHS Foundation Trust. Manchester University NHS Foundation Trust. 1 June 2019. Retrieved 29 July 2019.
  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. ^ a b c "Single Hospital Service". Healthier Manchester. Retrieved 7 February 2021.
  7. ^ "The Board". MFT. 2022. Retrieved 26 July 2022.
  8. ^ "Our Hospitals". Manchester University NHS Foundation Trust. Retrieved 7 February 2021.
  9. ^ a b c "The Trust". Manchester University NHS Foundation Trust. Retrieved 7 February 2021.
  10. ^ "Biggest NHS trust in line for £125m government loans". Health Service Journal. 25 January 2018. Retrieved 26 January 2018.
  11. ^ "FT drops 'better value for money' IT system in £400m deal". Health Service Journal. 5 December 2019. Retrieved 21 February 2020.
  12. ^ "Manchester University NHS FT seals the deal with Epic for EPR solution". Digital Health. 27 May 2020. Retrieved 6 June 2020.
  13. ^ "Manchester's £3.9m hospital helipad lifts off to save lives". Manchester Evening News. 10 May 2021. Retrieved 10 May 2021.
  14. ^ "Two health organisations receive cash to build and improve hospital helipads". Building Better Healthcare. 30 January 2020. Retrieved 23 March 2020.
  15. ^ "£40m transformation project given the green light at Manchester Royal Infirmary". Building Better Healthcare. 19 May 2021. Retrieved 4 July 2021.
  16. ^ "Manchester NHS trust invests £10.9m in new energy technology". Building Better Healthcare. 16 August 2019. Retrieved 1 October 2019.
  17. ^ "Manchester hospitals deploy new remote monitoring technology". Building Better Healthcare. 28 October 2020. Retrieved 13 December 2020.
  18. ^ "The "virtual wards" supporting patients with covid-19 in the community". BMJ. 2020 (369): m2119. 5 June 2020. Retrieved 24 December 2020.
  19. ^ "Technology partnership set to transform care in Greater Manchester". Building Better Healthcare. 1 February 2021. Retrieved 21 March 2021.
  20. ^ "Trusts missing out on tens of millions from overseas patients". Health Service Journal. 19 November 2019. Retrieved 9 January 2020.
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