East Cheshire NHS Trust is a NHS trust in Cheshire which runs Macclesfield District General Hospital (323 beds),[4] Congleton War Memorial Hospital (28 beds)[4], and Knutsford & District Community Hospital. With services commissioned by NHS Cheshire and Merseyside.[5]
It provides both acute hospital services and community services has been rated 'Good' by the Care Quality Commission (CQC), with the most recent inspection outcome announced in 2019.[6]
In 24/25 105,079 outpatients were seen, 267,690 community visits were provided, and 11,231 patients were treated; by the trust.[7]
History
The Trust was established in November 1992, becoming operational in April 1993.[8]
The Casualty Department in Macclesfield has been under threat for some years, but in August 2013 it was said to be under no immediate threat.[10]
The Trust had a contract with Arvato services for human resource services. 60 of the trust's staff were transferred to Arvato in 2013.[11] In May 2016 Arvato said the contract was no longer commercially viable, demanding £2.4million a year (more than double the contract price of £1.1million a year) to continue after the end of the contractual period in April 2017. The contract is to be brought back in-house.[12]
It spent £1.7million on agency staff in 2014/5.[14] In February 2016 it was expecting a deficit of £18.3 million for the year 2015/6.[15]
In July 2016 the board announced that it no longer believed the organisation is sustainable in its current form, forecasting a deficit in 2016/7 of £20m.[16]
In December 2016, New Alderley House was acquired by PHP for £10.1m, and was let out to East Cheshire NHS Trust for 16 years.[17] New Alderley House is used by the trust for outpatient appointments and an education / training center.[18]
The sustainability and transformation plan for Merseyside and Cheshire proposed to downgrade the emergency department at Macclesfield District General Hospital to a minor injuries and illnesses unit,[19] but within a fortnight, after widespread opposition it was altered to read "The clear view is that the best model of care will include an A&E department at Macclesfield staffed by hospital doctors and clinicians."[20]
As of March 2020, 250,000 - 270,000 medical records were held on site, alongside medical, financial, administrative and corporate records stored offsite within 56,670 boxes at Deepstore inside the winsford salt works.[21]
In April 2024 the trust extended its contract with ISS for facility management services for five more years, with an option to extend the contract by two years, with a lifetime value of £33million.[22]
As of the 14 of June 2025, the trust has transitioned to a joint electronic patient record system with Mid Cheshire Hospitals NHS Foundation Trust, using Meditech's Expanse. The Digital Clinical System was planned since 2022, and was going to be released in 2024.[23][24]
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