Why do this now?

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Our responsibility is to provide the highest standard of care and to meet the needs of the patients and communities we serve.


However, staffing shortages, funding challenges, and the aftermath of the Covid-19 pandemic, which are being felt right across the NHS, are making it harder for us to do this in Southport, Formby and West Lancashire. We already face:

  • A workforce recruitment and retention problem that is making it harder to improve quality, performance, and safety of care.
  • An ageing population, high rates of disease, high demand for services and significant health inequalities.
  • Important infrastructure challenges. Sites across our local NHS need investment and reconfiguration to allow us to meet a rising demand for services in a way that provides excellent care, in a safe environment.
  • Significant financial challenges, made tougher by the number of sites we operate. In some areas, our local NHS is operating with substantial annual deficits.

Following detailed, expert evaluation, several services have been flagged as ‘fragile’. We are simply unable to continue offering these services as they are today. Along with our partners we are working to find alternative solutions that will ensure safe, high quality care, now and in the future. In 2023, as a first step to stabilising these fragile services, Southport and Ormskirk Hospital NHS Trust and St Helens and Knowsley Teaching Hospitals NHS Trust were joined together to form Mersey and West Lancashire Teaching Hospitals NHS Trust. Alongside this, the Shaping Care Together programme has been looking at how we can organise these fragile services to be sustainable in the long term.

Change is vital but we know that it will not always be easy. Developing solutions together today will help to futureproof our local NHS. We are certain, however, that if we do not act now, we will have more serious challenges to deal with in the future.

Our responsibility is to provide the highest standard of care and to meet the needs of the patients and communities we serve.


However, staffing shortages, funding challenges, and the aftermath of the Covid-19 pandemic, which are being felt right across the NHS, are making it harder for us to do this in Southport, Formby and West Lancashire. We already face:

  • A workforce recruitment and retention problem that is making it harder to improve quality, performance, and safety of care.
  • An ageing population, high rates of disease, high demand for services and significant health inequalities.
  • Important infrastructure challenges. Sites across our local NHS need investment and reconfiguration to allow us to meet a rising demand for services in a way that provides excellent care, in a safe environment.
  • Significant financial challenges, made tougher by the number of sites we operate. In some areas, our local NHS is operating with substantial annual deficits.

Following detailed, expert evaluation, several services have been flagged as ‘fragile’. We are simply unable to continue offering these services as they are today. Along with our partners we are working to find alternative solutions that will ensure safe, high quality care, now and in the future. In 2023, as a first step to stabilising these fragile services, Southport and Ormskirk Hospital NHS Trust and St Helens and Knowsley Teaching Hospitals NHS Trust were joined together to form Mersey and West Lancashire Teaching Hospitals NHS Trust. Alongside this, the Shaping Care Together programme has been looking at how we can organise these fragile services to be sustainable in the long term.

Change is vital but we know that it will not always be easy. Developing solutions together today will help to futureproof our local NHS. We are certain, however, that if we do not act now, we will have more serious challenges to deal with in the future.