Elective Reform and Transformation Programme

Cheshire and Merseyside Provider Collaborative’s Elective Reform and Transformation Programme is a partnership between Cheshire and Merseyside’s acute and specialist NHS providers.

It supports the delivery of the national NHS Operational Planning priorities and longer-term transformation, in line with the NHS 10 Year Health Plan.

By bringing Cheshire and Merseyside trusts together with their wider NHS partners, the programme makes services more joined up, ensuring that NHS resources are used more effectively and improving outcomes for patients.

Through the transformation of referral processes and outpatient services, it aims to bring waiting lists down, providing high-performing elective (planned, non‑emergency) healthcare for all patients, regardless of where they live within Cheshire and Merseyside.

In 2025/26, the programme reduced the number of patients waiting 65 weeks or more by 93%, from 1003 to 23, whilst the number of patients waiting 52 weeks or more went down by 39%.

It also helped to secure NHS England capital investment of £5.1 million, improving theatres, clinical spaces and upgrading medical equipment, enhancing productivity for better patient care.