PAT - Transactions

The Pennine Acute Hospitals NHS Trust Transactions - New Ownership Model

The Future of Pennine Acute Hospitals is changing

On 1 April 2021, it is planned that the Bury, Rochdale and Oldham sites and services of The Pennine Acute Hospitals NHS Trust (PAT) will legally be acquired by Salford Royal NHS Foundation Trust (SRFT) as part of the Northern Care Alliance NHS Group (NCA) and North Manchester General Hospital will legally be acquired by Manchester University NHS Foundation Trust (MFT) -  at which point PAT will formally be dissolved as an NHS trust. 

These plans, known as the ‘PAT Transactions’ have been put in place to support the future clinical, financial and workforce sustainability of acute hospital services in the North East sector (North Manchester, Bury, Rochdale and Oldham) and across Greater Manchester.


The Pennine Acute Transactions are two legally separate but intrinsically linked transactions - It is a formal process involving Pennine Acute Hospitals (PAT), Salford Royal NHS Foundation Trust (SRFT) and Manchester University NHS Trust (MFT) which is being led by NHS England and Improvement (NHSEI) supported by Greater Manchester Health and Social Care Partnership (GMHSCP).

Why are we doing this?

These transactional changes are a result of plans being made to improve the way patients receive their care, and to ensure that the resources and expertise that we have are being shared and used in the best possible way:

  • Help support and complement local integrated healthcare plans
  • To better meet the population health needs of local communities
  • Strengthen community support
  • Deliver more care closer to home
  • Maximise the use of estates on the PAT footprint
  • Support acute hospital services
  • Strengthen the delivery of both acute and community based services

Working in close partnership, PAT, SRFT and MFT are confident that these changes will give us an opportunity to strengthen the healthcare services we provide across our communities by helping us to realise improvements in quality of care, operational performance and finances, education and training, patient and staff experience and, ultimately, population health.

Where are we now?

In preparation for these plans coming into effect on 1 April 2021, interim management agreements were put in place for all PAT sites and services earlier this year.  Since 1 April 2020 Manchester University NHS Foundation Trust (MFT) has been responsible for managing services at North Manchester General Hospital, as part of its group and plans for a Single Hospital Service for the city of Manchester and Trafford. Bury Care Organisation, Rochdale Care Organisation, Oldham Care Organisation, Diagnostics & Pharmacy and the majority of Corporate Services have continued to be managed by Salford Royal NHS Foundation Trust, as part of the Northern Care Alliance NHS Group.  These interim management arrangements will remain in place until the formal PAT Transactions are completed on 1 April 2021.

While Salford Royal and MFT are responsible for managing the respective parts of Pennine Acute Trust, these management agreements do not constitute a formal legal transaction. This means that The Pennine Acute Hospitals Trust, as a statutory NHS organisation (employer and service provider), continues to exist until plans to dissolve the Trust on 1 April 2021 are completed, as part of the PAT Transactions process.  At that point, North Manchester services will formally become part of MFT and Bury, Rochdale and Oldham Care Organisations will formally become part of Salford Royal. 


Pennine Acute Trust Board

A Pennine Acute Trust Board was established on 1 April 2020, specifically to oversee the interim management agreements and ensure the full legal transactions are delivered to schedule. The Board holds no responsibility for the day-to-day management of services, which remains the responsibility of MFT and SRFT under the current interim management arrangements – An approach which is enabling staff to focus on continuity of care, patient safety and service delivery across all sites.


Members of the Board

  • Chair – Chris Outram (also Chair of The Christie)
  • Chief Executive – Patrick Crowley
  • Director of Finance – Damien Finn
  • Medical Director – Damian Riley
  • Chief Nurse – Helen Thomson
  • Non-Executive Directors
    • Kathy Cowell (also Chair of MFT)
    • Chris Mayer (also a Non-Executive Director of SRFT),
    • Steven Michael (also Chair of East Cheshire NHS Partnership). 
    • Sir Duncan Nicholl

Protecting Services - Safe Transfer Plans (STPs)

Project Management Offices (PMOs) of PAT, MFT and SRFT are leading the work on the PAT Transactions.  They have been working closely with clinical and operational leaders across Pennine to ensure Safe Transfer Plans (STPs) are in place for all 100 clinical and corporate PAT services. These robust plans set-out the actions required to safely transfer each service and all 10,000 Pennine Acute staff to either MFT or SRFT on 1 April 2021.

Continuity of Patient Care

Patient services will not be affected by the PAT Transactions. This process is about change of employer for current Pennine Acute staff; the public and patients who receive care and treatment across PAT hospitals will see no change in how they receive their care as services will continue to be provided by the same staff, in the same locations.

Patient Queries and Feedback

If you have a query about a healthcare appointment or treatment you are currently receiving, you should raise that directly with the hospital department or community service providing that care, using the contact details provided in your appointment letter and/or other correspondence from the healthcare provider (such as text messages)

If you are a patient, relative or carer and would like to provide feedback on a PAT service you can do so here through the Patient Experience Team. 

Maintaining Patient Confidentiality

Maintaining patient confidentiality at all times is a key priority and we ensure that all patient records and personal data is handled in the strictest of confidence at all times, in line with the ‘Confidentiality: NHS Code of Practice.’ As outlined above, patients and service users will see no change in the way they receive their care from 1 April 2021, it will be provided by the same staff in the same locations, but the overall provider of that service will change to either SRFT (primarily if accessing services in Bury, Rochdale and Oldham) or MFT (primarily if accessing services in North Manchester). Work is taking place to prepare for those changes and PAT will need to share a minimal amount of personal data between the organisations (SRFT and MFT) to make sure that, from 1 April 2021, all patient care will be transitioned smoothly and every service user can continue to receive safe, high quality care, wherever and however they are accessing it.  If you have any queries in relation to this, please email the PAT Transactions team at

GP Referrals

Work is currently underway to review patient referral pathways in line with the transactional changes set out above.  GPs will be updated on any changes when they are made via their local CCG. Until that point, the way GPs make patient referrals to PAT hospital and community services remains unchanged, further information can be found here, which includes a link to the NHS e-referrals service.

Further Information

The contents of this information page will continue to be updated as work progresses on the PAT Transactions.  In the meantime, if you have any queries on any of the information shared above, or any other aspect of the PAT Transactions, please contact the team on