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East Cheshire NHS Trust
TypeNHS hospital trust
Established4 November 1992 (1992-11-04)
HeadquartersVictoria Road, Macclesfield,
SK10 3BL
Region servedEast Cheshire
Population>250,000[1]
Hospitals
ChairAislinn O'Dwyer[2]
Chief executiveDr John Hunter[3]
Staff3,201[4]
Websitewww.eastcheshire.nhs.uk Edit this at Wikidata

East Cheshire NHS Trust is a NHS trust in Cheshire which runs Macclesfield District General Hospital (323 beds),[5] Congleton War Memorial Hospital (28 beds),[5] and Knutsford & District Community Hospital. With services commissioned by NHS Cheshire and Merseyside.[6]

It provides both acute hospital services and community services, with the CQC in March 2026, announcing the result of a inspection undertaken from July to September 2025, rating the trust as "requires improvement" in the key question of "well led".[7]

In 24/25 105,079 outpatients were seen, 267,690 community visits were provided, and 11,231 patients were treated; by the trust.[8]

History

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The Trust was established in November 1992, becoming operational in April 1993.[9]

In April 2012, it made an unsuccessful bid to become an NHS foundation trust.[10]

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Four-hour target in the emergency department quarterly figures from NHS England Data from https://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/

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.[11]

The Trust had a contract with Arvato services for human resource services. 60 of the trust's staff were transferred to Arvato in 2013.[12] In May 2016 Arvato said the contract was no longer commercially viable, demanding £2.4 million a year (more than double the contract price of £1.1 million a year) to continue after the end of the contractual period in April 2017. The contract was brought back in-house.[13]

The Trust gained a contract for sexual health services when Cheshire West and Chester Council decided to transfer it from Countess of Chester Hospital NHS Foundation Trust in December 2014.[14]

It spent £1.7 million on agency staff in 2014/5.[15] In February 2016 it was expecting a deficit of £18.3 million for the year 2015/6.[16]

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.[17]

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.[18] New Alderley House is used by the trust for outpatient appointments and an education / training center.[19]

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,[20] 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."[21]

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.[22]

A Same Day Emergency Care unit opened August of 2021 at Macclesfield District General Hospital. The unit is used for the assessment, diagnosis and treatment of patients with acute medical conditions referred by their GP, NHS 111, A&E or the ambulance service. The construction of the unit containing a waiting area and 6 consultation rooms cost the Trust £2.2 million.[23][24]

An expansion of the endoscopy unit and radiology department at Macclesfield District General Hospital opened in January 2024, with an additional two endoscopy treatment rooms, and an additional MRI suite, spread across two floors.[25]

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 £33 million.[26]

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.[27][28]

In December 2025 a refurbished Discharge lounge opened at, Macclesfield District General Hospital. With a waiting area, 3 private rooms, a shower room, and a separate toilet, the construction was funded by a successful national NHS bid to improve urgent and emergency care services.[29][30]

At Congleton War Memorial Hospital, a £5 million Community Diagnostic Centre opened January 2026, providing a walk in X-ray service, non-obstetric ultrasounds, ECGs, and echocardiograms. [31][32]

At Macclesfield District General Hospital (MDGH) a 8 bed 4 chair Acute Medical Receiving Unit (AMRU) opened in June 2026, funded by capital investment with the aim to reduce pressures on MDGH's A&E department. At present the unit is accepting admissions between 8am - 8pm but plans to allow admissions 24/7 in the future. MDGH's AMRU accepts patients via referrals from its own A&E department and from the 6th of July 2026 from General Practitioners in the region, the North West Ambulance Service or community health professionals.[33]

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AMRU Chairs
Image
AMRU Beds

Annual Report And Accounts 24/25

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Source:[8]

Performance

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MetricTarget2024/25
Mortality
Summary Hospital Mortality Indicator (HSCIC) (Nov 2023 – Oct 2024)To be within the expected range1.2
Infection
E. coli – hospital< 2733
Hospital MRSA bacteraemia02
Hospital Acquired Clostridioides Difficile≤ 105 avoidable 23 unavoidable
Incidents
Newly acquired cat 3 pressure ulcers – hospital5587
Newly acquired cat 4 pressure ulcers – hospital08
Newly acquired cat 3 pressure ulcers – community71134
Newly acquired cat 4 pressure ulcers – community09
Medication errors causing serious harm02
Never Events00
Falls resulting in patient harm - per 1000 occupied beds< 1.170.2
Complaints
Number of complaints with HSO Recommendations00
Experience
Ward Family and Friends Test % response> 90%94.1%
Emergency Department Family and Friends Test % response> 85%77.9%
Single Sex Accommodation breaches00
Access
18 week – Incomplete patients (March 2025)≥ 92%77%
Diagnostic six week wait≥ 99%90%
Emergency Department 4hr target≥ 78.5%51.9%
Cancer Services
31 day standard wait≥ 96%98.9%
62 day standard wait≥ 86%70.2%
Faster diagnosis standard≥ 75%76%
Criteria to Reside
No patients eligible to reside≥ 90%81.1%
Staff
Core Staff in Post (FTE) (March 2025)2386.292366.54
Statutory and Mandatory Training (Medical & non-medical)≥ 85%80%

Accounts

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Item2024/25 (£) 2023/24 (£) % Change From

Previous Year

Total Income236,988,000 217,066,000 +9.18%
Total Expenses-243,841,000 -227,243,000 +7.30%
Deficit for the year-6,853,000 -10,117,000 -32.26%

See also

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References

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  1. ↑ "East Cheshire NHS Trust Annual Report 2024-25" (PDF). eastcheshire.nhs.uk. Retrieved 15 August 2025.
  2. ↑ "Fundraiser Geena is shortlisted for award". Congleton Chronicle. 2 October 2025. p. 5.
  3. ↑ "The Board". Retrieved 17 August 2026.
  4. ↑ "East Cheshire NHS Trust Annual Report 2024-25" (PDF). eastcheshire.nhs.uk. Retrieved 15 August 2025.
  5. 1 2 "FOI: Hospital Beds by Type" (PDF). East Cheshire. January 2025. Retrieved 16 August 2025.
  6. ↑ "NHS Cheshire and Merseyside". NHS Cheshire and Merseyside. Retrieved 16 August 2025.
  7. ↑ "East Cheshire NHS Trust - HTML". QCQ. 27 March 2026. Retrieved 10 May 2026.
  8. 1 2 "ANNUAL REPORT AND ACCOUNTS 2024/25" (PDF). 25 June 2025. Archived (PDF) from the original on 15 August 2025. Retrieved 15 August 2025.
  9. ↑ "The East Cheshire National Health Service Trust (Establishment) Order 1992". legislation.gov.uk. 23 October 1992. Retrieved 5 April 2025.
  10. ↑ "Commissioners back trust's FT bid despite previous concerns". Health Service Journal. 24 April 2012. Retrieved 4 November 2013.
  11. ↑ "Review will pose no threat to A&E". Macclesfield Express. 14 August 2013. Retrieved 4 November 2013.
  12. ↑ "How to achieve a 'one team' culture despite outsourcing". Health Service Journal. 25 June 2015. Retrieved 23 August 2015.
  13. ↑ Lintern, Shaun (31 May 2016). "Trust takes 'unviable' HR service back in-house". Health Service Journal. Retrieved 31 July 2016.
  14. ↑ "Chester doctors go to war with council over sexual health". Chester Chronicle. 3 December 2014. Retrieved 13 October 2015.
  15. ↑ "Agency spending: the real picture". Health Service Journal. 26 November 2015. Retrieved 23 December 2015.
  16. ↑ "One in four trusts plunge deeper into the red". Health Service Journal. 25 February 2016. Retrieved 22 March 2016.
  17. ↑ "North West trust 'not sustainable' in current form". Health Service Journal. 22 July 2016. Retrieved 28 July 2016.
  18. ↑ Jackson, Nick (15 December 2016). "PHP buys Cheshire health facility for £10.1m | TheBusinessDesk.com". North West. Retrieved 16 August 2025.
  19. ↑ "Macclesfield Training Centre". Ryder. Retrieved 16 August 2025.
  20. ↑ "Leaked STP document reveals A&E downgrade plans". Health Service Journal. 3 November 2016. Retrieved 4 November 2016.
  21. ↑ "Cheshire backtracks on potential A&E downgrade". Health Service Journal. 1 December 2016. Retrieved 25 January 2017.
  22. ↑ "FOI Disclosure "Health Records Library"" (PDF). FOI Disclosure "Health Records Library". 19 March 2020. Retrieved 23 August 2025.
  23. ↑ "Same Day Emergency Care (SDEC) :: East Cheshire NHS Trust". services.eastcheshire.nhs.uk. Retrieved 12 May 2026.
  24. ↑ McIntyre, Alex (26 August 2021). "Macclesfield Hospital unveils new £2.2m emergency care unit". Cheshire Live. Retrieved 12 May 2026.
  25. ↑ "New state-of-the-art endoscopy and radiology expansion opens at Macclesfield Hospital :: East Cheshire NHS Trust". www.eastcheshire.nhs.uk. Retrieved 12 May 2026.
  26. ↑ "East Cheshire NHS Trust extends partnership with ISS with new 5-year contract | Public Sector Catering". www.publicsectorcatering.co.uk. Retrieved 15 August 2025.
  27. ↑ "East Cheshire and Mid Cheshire to launch joint EPR in 2024". Digital Health. 7 July 2022. Retrieved 14 November 2022.
  28. ↑ "Digital Clinical System". Introducing Our New Digital Clinical System. Retrieved 15 August 2025.
  29. ↑ "Purpose-built Discharge Lounge opens at Macclesfield Hospital to improve patient flow :: East Cheshire NHS Trust". www.eastcheshire.nhs.uk. Retrieved 12 May 2026.
  30. ↑ Hancock-Bruce, Matthew (31 December 2025). "Purpose-built Discharge Lounge opens at Macclesfield Hospital with aim of improving patient flow". Macclesfield Nub News. Retrieved 12 May 2026.
  31. ↑ Hancock-Bruce, Matthew (4 January 2026). "Congleton patients to benefit from new walk-in X-ray service". Congleton Nub News. Retrieved 12 May 2026.
  32. ↑ Griffiths, Julie (19 November 2025). "Cheshire community diagnostic centre opens". Healthcare Leader. Retrieved 12 May 2026.
  33. ↑ "New unit at Macclesfield General set to ease pressure on A&E :: East Cheshire NHS Trust". www.eastcheshire.nhs.uk. Retrieved 3 July 2026.
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