PAT - Transactions

The Pennine Acute Hospitals NHS Trust Transactions - New Ownership Model - The Future of Pennine Acute Hospitals is changing

New ownership arrangements are coming into effect for the hospital sites and services currently run by The Pennine Acute Hospitals 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 The Pennine Acute Hospitals NHS Trust (PAT), Manchester University NHS Foundation Trust (MFT) and Salford Royal NHS Foundation Trust (SRFT),  which is being led by NHS England and Improvement (NHSEI) supported by Greater Manchester Health and Social Care Partnership (GMHSCP).

The PAT Transactions are taking place in two phases:

  1. On Thursday 1st April 2021, Manchester University NHS Foundation Trust (MFT) formally acquired the North Manchester General Hospital (NMGH) site and services.
  2. By the end of September 2021 Salford Royal NHS Foundation Trust (SRFT) will formally acquire the Bury, Rochdale, and Oldham sites and services of PAT.  At that point, SRFT will also formally change its name to the Northern Care Alliance NHS Foundation Trust (NCA) and PAT will formally be dissolved as an NHS trust.

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, MFT and SRFT 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?

Phase one of the Transactions was completed on 1 April 2021 as Manchester University NHS Foundation Trust (MFT) formally acquired the North Manchester General Hospital site and services as part of its group and plans for a Single Hospital Service for the city of Manchester and Trafford.  Ahead of this transaction, MFT had been managing North Manchester General Hospital under an interim management agreement since 1 April 2020.  Until the second phase of the Transactions is completed with Salford Royal NHS Foundation Trust (SRFT) later this year, SRFT will continue to manage Bury Care Organisation, Rochdale Care Organisation, Oldham Care Organisation, Diagnostics & Pharmacy and the majority of PAT Corporate Services as part of the Northern Care Alliance NHS Group (NCA).  Pennine Acute Hospitals NHS Trust will remain a statutory organisation until the Transaction is fully complete and the PAT Board and Trust is dissolved.

While SRFT is responsible for managing the Bury, Rochdale and Oldham parts of Pennine Acute Trust, the management agreement does not constitute a formal legal transaction. This means that The Pennine Acute Hospitals NHS Trust, continues to exist as a statutory NHS organisation (employer and service provider) until the Trust is formally dissolved once the SRFT Transaction has completed - At that point, Bury, Rochdale and Oldham Care Organisations will formally become part of the NCA and Pennine Acute Hospitals NHS Trust will cease to exist. 

Pennine Acute Trust Board

A Pennine Acute Trust Board was established on 1 April 2020, specifically to oversee the interim management agreements that were put in place with MFTand SRFT and to ensure the full legal transactions are delivered to schedule. The Board will remain in post until the second phase of the Transactions has been completed and Pennine Acute Hospitals NHS Trust is formally dissolved later this year.  The Board holds no responsibility for the day-to-day management of services, that remains the responsibility SRFT under the current interim management arrangement – 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 have been leading the work on the PAT Transactions.  They have worked 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 MFT on 1 April 2021 (primarily if they are based at North Manchester General Hospital) or SRFT  by 30 September 2021 (primarily if they are based in Bury, Rochdale or Oldham).

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 as a result of these Transactions - it will be provided by the same staff in the same locations, but the overall provider of that service will change to either MFT (primarily if accessing services in North Manchester) or SRFT (primarily if accessing services in Bury, Rochdale and Oldham).  Work is taking place to prepare for those changes and PAT will need to share a minimal amount of personal data between the organisations (MFT and SRFT) to make sure that, once the Transactions take place, 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 has been undertaken to review patient referral pathways in line with the transactional changes set out above.  GPs have been notified via their local Clinical Commissioning Group (CCG) that the way they 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